Doctor insights on:
Alternative Treatments For Esophageal Stricture
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
No: No... unfortunately the only way is dilation or surgical repair ...Read more
Depends...: Its rx options range from urethral dilation to cutting under direct vision (visual internal urethrotomy), one-/two-stage open urethral repair (urethroplasty) with or without graft, self-dilation, stent (now, a history), etc. Note: all these carry no cure and guaranty, and require a close f/u to keep it open; so, patient needs to be aware of such. At times, stricture may recur 15 yrs after surgery. ...Read moreSee 1 more doctor answer
None: Surgery is the only method of achieving cure for gallbladder cancer. When not discovered incidentally during routine gallbladder surgery, gallbladder cancer usually presents in advanced stages. Therefore even with surgery, chances of total cure are low. Chemotherapy and radiation therapy, though used, have not proven to be very successful in treating this disease. ...Read moreSee 1 more doctor answer
No: Treatment for bladder cancer depends on the grade and stage of disease. Low grade, low stage disease is best treated with endoscopic resection of the tumor and close follow up to look for recurrence. There are medicines that can be placed in the bladder to prevent recurrence. In general, a diet rich in antioxidants, fresh fruit and vegetables is all a good way to remain healthy. ...Read moreSee 1 more doctor answer
Multiple: Varices can be treated with medications like beta blockers to reduce venous pressures, direct ligation of the veins, systemic shunts to reduce blood flow and pressure in the liver and portal vein system. The ultimate treatment in select cases is a liver transplant. Need to work with a hematologist and GI specialist and at times a GI surgeon. ...Read more
What are the best treatment options for silent reflux (Laryngopharyngeal Reflux) other than acid reducing drugs or surgery?
None: If the polyp is 1 cm or larger, the gall bladder should be removed. If it is smaller than 1 cm and you do not have symptoms suggestive of gb disease, then it can be followed with us studies. If you have typical symptoms of biliary colic, then removal of the gb is the only effective treatment. ...Read moreSee 1 more doctor answer
Many: It depends on the type of esophageal cancer and the stage. Cisplatin plus 5-fu is a common regimen, and it is sometimes given with radiation. Other types of chemo being studied include taxol, gemciteabine, irinotecan, and xeloda (capecitabine). A good website for cancer information is www.Cancer.Gov, the national cancer institute website. Good luck! ...Read moreSee 2 more doctor answers
Several: For barrett's without dysplasia, or low grade dysplasia, acid reduction and endoscopic surveillance is fine. For small flat areas of high grade dysplasia, endoscopic options include endoscopic mucosal resection and radiofrequency ablation, for long segments of high grade dysplasia and very nodular high grade dysplasia the risk of hidden cancer is high and esophagectomy is the best option. ...Read moreSee 2 more doctor answers
Antacids, but...: The most recent reviews i've seen indicate that there's no clearly effective treatment for barrett's itself, though the most cost-effective ways to manage the reflux that often causes it are antacids / anti-acid medicines and propping up the head of your bed on cinder blocks. Barrett's is common and your physician knows whether & how to follow you for pre-cancer, for which you get added treatment. ...Read moreSee 1 more doctor answer
Unlikely: It is unlikely that alternative therapies on their own will cure cancer. There is no evidence that any of these therapies can actaully cure cancer. However, i'm a firm believer that alternative therapies can be complimentary and have many beneficial effects. Please talk with your oncologist about therapies you may be pursuing so they will know there are no potential conflicts with other treat. ...Read more
Multiple: When deciding a treatment plan one aways must weigh the risks of (rate of occurance) and the impact of an complication vs the potential benefits of the treatment. Surgical complications are many. A partial list includes: anastomotic leak, vocal cord nerve injury, pneumonia, lymphatic leak, blood clots (DVT) and even death to name a few. But is surgery is possible it provide the best chance of cure. ...Read moreSee 2 more doctor answers
Yes. : Barrett's esophagus is a condition that arises due to chronic acid reflux or gerd. It increases the likelihood of developing esophageal cancer. There is a procedure called halo which can cure barrett's without major surgery. The more important step is to get his reflux fixed by either a tif (transoral incisionless fundoplication) or a laparoscopic nissen fundoplication. ...Read moreSee 1 more doctor answer
Depends: The pancreas is a gland in the back of the abdomen which produces enzymes to digest proteins, fats, and carbs. In pancreatitis, the enzymes start working inside the gland and begin digesting it. The first treatment is fasting, to shut off the enzyme production. Sometimes replacement enzymes are given. Removing the gallbladder, if there are gallstones, can prevent another attack. ...Read moreSee 1 more doctor answer
Typically no: Esophageal stricture is basaically a narrowing of your "food-pipe" that carries food from your mouth to your stomach. Depending on the severity of the stricture, most often ones feels that food is getting stuck as he/she swallow. Mild stricture often cause "stuck-sensation" with solid, large pieces of food. As it gets tighter, smaller pieces, even liquid can cause problem. Either way, consult doc! ...Read more
Esophageal stricture: Strictures are very common & represent a fixed narrowing. When the esophagus is repeatedly inflammed, typically due to acid reflux, scar tissue may result. When the scar contracts, the esophagus stenoses (narrows). Strictures may also result from caustic ingestion, radiation treatments for cancer, surgical anastomoses, etc. Distinguish from dysmotilities or spasms (temporary muscle contractions). ...Read moreSee 1 more doctor answer
Give me a hint. What kind of hassle am I facing if doc suspects esophageal stricture? What is required to diagnose?
Peptic stricture: Esophageal stenosis (narrowing) from scar tissue (strictures) is of itself not painful. However, depending upon how tightly narrowed the stricture may be, food can impact there (cause dysphagia). Usually dysphagia occurs with meats, bread. Pain on swallowing (odynophagia) may result. If you have a peptic stricture please chew food well, take small bites swallowed with water & take acid blockers. ...Read more
I had an egd and an esophageal stricture dilated. I took a bite of a tortilla before remembering I had to eat soft foods only. Is this a problem?
HopeNotATortillaChip: You should know by now. If it doesn't feel stuck, if there's no pain, if you're not regurgitating what you swallow then you're OK. Best to find out what caused that stricture; that would help estimate if or when it might recur. But if any of the above symptoms develop, especially if your whole chest starts to feel on fire, get to an ER pronto for a checkup (and your check). ...Read more
I feel foot get stuck in my throat, especially meat. If I move my head upwards while I feel it stuck, it’s hard to breathe. When I drink water I feel it move. Esophageal stricture? Is it permanent, does it heal or get worse?
Rx varies as per Eti:
Causes of dysphagia can be classified into two groups;
Oropharyngeal (meaning that the cause is a problem in the mouth or pharynx) and
Strictures and Schatzki's rings usually are treated with endoscopic dilation, a procedure d .Progressive neurologic and skeletal muscle diseases are the most difficult to treat and carry the worst prognosis ...Read more
I feel foot get stuck in my throat suprasternal notch, especially meat. If I move my head upwards while I feel it stuck, it’s hard to breathe. When I drink water I feel it move. Esophageal stricture? Is it permanent, does it heal or get worse?
Otolaryngologist: Have an Otolaryngologist examine your mouth and throat carefully. You may be referred to a speech pathologist for a swallowing evaluation to see if there is a problem transferring food from your mouth to your pharynx and then into your esophagus. Your esophagus can be evaluated by a barium swallow examination,also. If needed techniques for swallowing problem are reviewed. ...Read more
Problem swallowing solid foods. Stay at the back and middle of the throat. Could this be esophageal stricture? How can I get nutrients?
Dysphagia needs: investigation , several causes for difficulty in swallowing ,could be benign or align ant , must see your doctor for investigation and treatment . ...Read more
Where?: Cystic change in the breasts is very common. Of course if you have a dominant breast mass, it needs to be seen as a possible cancer. Mainstream medicine has little to offer. I've had colleagues tell me that evening primrose oil is the first herbal to try for painful / lumpy breasts. An evidence-based holist in your community may be able to offer more. ...Read more
IPL for Rosacea: Intense pulsed light (ipl), or "photofacial", is an appropriate treatment for the redness of rosacea. A few treatments spaced approx. A month apart will be needed. A topical antibiotic like Metronidazole may be used in between sessions. Also, avoidance of triggers such as sun, heat, cold, spicy foods, and alcohol may help reduce redness. http://www.dranthonycorrado.com/procedures/non-invasive. ...Read more
Yes: Surgery is usually the last resort for most back problems except major trauma. Therapy, postural exercises, yoga, weight loss and/or exercise, gait training, job retraining, as well as meditatation (to relieve stress) are helpful adjucts. Note: not all back pain is created equal to please get check by a specialist. Note: beware of fad or gimmicky advertisements for back relief. Feel better. ...Read more
Alternative tx?: I don't know what you mean by "alternative treatments for schizophrenia". It you can tell me what they are - i will try to comment on each. Schizophrenia requires life-long treatment with use of atypical antipsychotics as the mainstay. Conventional neuroleptics are an option. Psychosocial treatments that go hand in hand with meds include: family therapy, social skills training & voc rehab. ...Read more
NO: Sorry, but there are absolutely no alternative treatments that have ever made even trivial benefits to pts with als, and there seems to be no future alternative rx that seems to make any sense. The medicine approach involves mainly riluzole, and palliation, with some consideration for using glutamate blockers. These approaches are not cures, but can possibly slow somewhat. ...Read more
Yes, but check in.: Depression may be helped by daily physical activity, a regular meditation practice, and counseling. In addition, there are some natural remedies that may be helpful in certain cases such as saint john's wort and s-adenosyl-methionine. However, if you suffer from depression, it is important to work with a health care professional and get the help you need. Sometimes that means synthetic medicine. ...Read moreSee 1 more doctor answer
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