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Doctor insights on: Achalasia Cardia Treatment

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What is the treatment for esophageal achalasia?

What is the treatment for esophageal achalasia?

Several: The main treatments are 1) medications, 2) endoscopic, and 3) surgical. Which one to choose depends on how severe the symptoms are. ...Read more

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Dr. Lynne Weixel
84 doctors shared insights

Esophageal Achalasia (Definition)

This is a disease that destroys the nerves coordinating esophageal muscle contraction. The normal ability to push food into the stomach is lost, and the valve entering the stomach becomes tight and stiff, allowing food to collect in the esophagus and empty by gravity alone. Solids generally worse than liquids. Onset is gradual. Weight loss & malnutrition common. Treatment ...Read more


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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read more

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How is esophageal diverticulitis treated?

How is esophageal diverticulitis treated?

Diverticulitis: tge esophagus can have diverticuli but usually in one of two locations. They are both treated surgically. Diverticulitis is an infection of the diverticuli and that usually happens in the colon and not the esophagus. May need more details here ...Read more

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What is the best treatment for gastro esophageal reflux disease ?

Protonpump inhibitor: For mild reflux h2 blockers such ranitidine or zantac works and for worse cases proton pump inhibitors such Omeprazole or prilosec. Avoid caffeine and eating at least 2 hours before bedtime. Being overweight may worsen the case as well as stress. ...Read more

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Treatment for intestinal strictures?

Treatment for intestinal strictures?

Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more

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Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more

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How is esophageal spasm treated?

How is esophageal spasm treated?

See below: If esophageal spasms are not controlled with acid suppression alone, calcium channel blockers and nitrates are often used with varying success. ...Read more

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How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

How does a gastroenterologist treat GERD (gastroesophageal reflux disease)?

Same: eat small meals, loose wt., no smoking, no caffein. soda and avoid fatty meals. ...Read more

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What are the treatments for GERD (gastroesophageal reflux disease)?

What are the treatments for GERD (gastroesophageal reflux disease)?

Several treatments. : Several treatments are available for gerd. The first is lifestyle modifications. These include raising the head of your bed, avoid eating late, losing weight, and avoiding reflu inducing foods. The second is meds, including h2 blockers (zantac, pepcid) and ppis (nexium, prilosec, dexilant). The third is surgery. These include nissen fundoplication, tif (transoral fundoplication) and linx. ...Read more

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Anyone here treat dysphagia or achalasia?

Anyone here treat dysphagia or achalasia?

Achalasia: This is a disease where the nerves of the esophagus no longer function to coordinate the muscles to push down food, or send a signal to the lower valve of the esophagus at the entrance to the stomach to open an let the food in. Cause usually unknown. Most effective and most invasive treatment is surgically cutting the muscle of the valve, that can be done laparoscopically or endoscopically (poem). ...Read more

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How is barrett's esophagus typically treated?

How is barrett's esophagus typically treated?

Anti reflux Rx: Be is a complication of chronic reflux; may be painless. Cells in lower esophagus look like intestinal cells, would be ok if they weren't esoph. Cells; less resistant to chemical onslaught. Pre-cancerous. 1% of barrett's pts. May develop adeno (gland) ca of esoph. Rx with aggressive med rx, ppi twice a day, and follow up endoscopy to check for "dysplasia"-more cancer-like; can remove by scope. ...Read more

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Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Is gastric muscosal prolapse serious problem? Report shows gastric muscosal prolapse in o-g junction at 38cms. How to treat?

Gastric prolapse: This is often asymptomatic and treatment depends upon symptoms and cause of prolapse. Weight loss often helps. It can cause acid reflux with pain, nausea, vomiting, dyspepsia, etc. You need to discuss this at length with your GI doctor. ...Read more

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Does tachy cardia or brady cardia lead to cardiac carcinoma please explain?

Does tachy cardia or brady cardia lead to cardiac carcinoma please explain?

No: Cardiac tumors are very rare. They can be benign or malignant. Most malignant tumors have actually travelled to the heart from another location. Primary cardiac malignant tumors are even more rare, and are certainly not caused by tachycardia or bradycardia. ...Read more

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?

Gastric body-type mucosa with mild chronic, non-specific gastritis with intestinal metaplasia, negative forhelicobacter pylori.Have 5cm hitas hernia, ulc?

Might be Barrett's: Intestinal metaplasia typically refers to changes in the esophageal mucosa, and is associated with a disease called "barrett's esophagus." this is a precancerous condition, and you need to be followed by either a general surgeon who does endoscopy, or a gastroenterologist. ...Read more

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Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.

Antral erosion with (mild) congestive gastropathy with gastric polyp with erosive duodinitis (polypectomy done) explanation, advice and diet please.

Wow: We have only 400 characters here, answering your question minimally would require a lot more. Explanation and diet is not possible here; but advice is ok : ask your dr with the studies in front of you. ...Read more

Dr. Oscar Novick
65 doctors shared insights

Cardiospasm (Definition)

Cardiospasm = regurgitation or difficulty swallowing due to lack of relaxation of muscle fibers in ...Read more


Dr. Hiroshi Mashimo
84 doctors shared insights

Achalasia (Definition)

A rare disorder that makes it difficult for food and liquids to ...Read more