Doctor insights on:
Bulimia Esophageal Tears
All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis.
Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Possible but unusual: Most likely lower esophageal adenocarcinoma is caused by gerd, which changes the lining of the lower esophagus into that of the stomach (barrett's) which is a precursor for adenocarcinoma. However, one could have squamous cell type without gerd. Best to review with your gastroenterologist. ...Read moreSee 1 more doctor answer
YES: However you will need to be checked for gallbladder disease, pancreatic disease, and you will need medication to inhibit stomach acid. I suggest GI evaluation and abdominal ultrasound. Do not ignore these symptoms. ...Read more
Hypothyroid causes muscle weakness does it leads to GERD by loosening the esophageal sphincter muscle?
Maybe!: Thanks for asking b/c until i just searched, i would've thought no. While i can't find any traditional evidence linking the two, enough people have written online to various forums complaining about such a link that it can't be a coincidence. My guess is that we need to treat one's hypothyroidism aggressively & adequately enough to regain les strength. I look forward to what GI colleagues say. ...Read more
Really serious: There is a mortality rate of 30-50% with the first episode of upper GI bleeding from esophageal varices. Two thirds of these patients die within 1 year. Most patients with varices have cirrhosis, 40% dying from associated medical problems. About a quarter to a third of cirrhosis patients bleed at least once from varices. Many therapeutic and preventative options exist--get to a GI doctor asap. ...Read more
partly: Emotional and reflex tears have the same composition as they are secretions of the lacrimal gland. Basal tears are made by the lining of the eye (the conjunctiva) and are produced continuously all the time. They are rich in wetting agents and some nutrients. Reflex tears are mostly salt and water. ...Read more
8 weeks of Nexium&Protonix40mg for severe esophagitis & eritemous pangastritis.Now erosive antral gastritis, no esophagitis. Causes & treatment?
Possible Causes: Sounds like you have had a series of endoscopic studies and likely biopsy studies to rule out infection with H. Pylori, Barrett Disease, and Eosinophilic Gastritis. Consider serum Gastrin level, parietal cell antibodies and B12 level. No antiarthritic meds incl. aspirin. No Tums because of acid rebound(looks likes acid is being suppressed) Take Nexium (esomeprazole) in early morn Consider Nexium (esomeprazole)+Carafate+Pepcid ...Read moreSee 2 more doctor answers
Yes: The major disorder is the inability to swallow food or liquid comfortably. Esophageal cancer is generally circumferential, like a doughnut. The hole or the lumen becomes smaller as the cancer grows, making it difficult for food and then liquid to pass through. This is called dysphagia. It can be treated with radiation, placing a stent or surgery with removal and replacement of the esophagus. ...Read moreSee 2 more doctor answers
If extensive GI workup showed no structual problems or ca of esophagus (only esophageal dysmotility) is chonic sore throat & chest 2 yrs later gi?
Maybe: Your sore throat could certainly be a GI cause. I would recommend that you undergo evaluation for acid reflux to see if that is a cause for your sore throat. Esophageal dysmotility could contribute as well, although it depends on what kind of dysmotility you have (there are many). ...Read moreSee 1 more doctor answer
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Different: A person with esophageal cancer can develop progressive swallowing difficulty, first for solids and later for liquids as well. Odynophagia is a painful swallowing. Esophageal ulcer can be benign or early cancer. That may produce swallowing difficulties due to spasms, but is not progressive. Only way to know for sure is by biopsy and endoscopy. ...Read moreSee 1 more doctor answer
Can contribute: The "purging" of bulimia can result in chronic injury and fibrosis to the esophagus and sphincter going into the stomach, and with enough damage and reinjury from the stomach acid from vomiting, that can result in barrett's esophagitis and potentially cancer. ...Read moreSee 1 more doctor answer
Disappearing teeth: The stomach acids come up the throat and hit the back of the upper front teeth and then fall off the tongue and hit the top of the lower back teeth. If you don't look closely at hose areas you may not notice it before it is too late. You may need to see a psychiatrist or therapist to overcome the disorder. ...Read moreSee 4 more doctor answers
Esophageal tear: An esophageal tear could have a wide range of symptoms, depending on its severity. If it is mild it would not even be noticed at all symptomatically. If it is severe and results in a perforation of the esophagus, it would cause severe chest and abdominal pain, high fevers, and be a medical emergency. Anything in between could be possible depending upon severity. Hope that helps. ...Read more
Several causes: There can be several causes for a tear. If no history of foreign instrumentation, tears can be caused by vomiting repeatedly causing trauma to the esophagus. Swallowing toxic liquids , reflux, or certain pills getting stuck can cause ulcers as well. ...Read moreSee 2 more doctor answers
Possibly.: It depends on the circumstances surrounding your so called purge. If you had been drinking, this could easily be a poswsible mallory weiss tear, where the lining of your esophagus and stomach are torn from binge drinking and wretching vomiting. If you ate a lot of food it could still be there but less likely. At any rate, you should go see a doctor real soon. ...Read more
Let me explain: The esophagus is the tube that connects the mouth with the stomach. When a tear occurs in this tube, the condition is known as esophageal rupture. A rupture allows food or fluids to leak into the chest and cause severe lung problems.The most common symptoms of the condition include: mild to severe chest pain nausea vomiting, sometimes with blood in the vomit fast breathing fever. ...Read more
Is it possible you could tear your esophagus from taking too large of a vitamin with barely any water?
Not really: Not so much tears as just irritation may be possible. ...Read more
I vomited 1/4-1/3 cup of bright red blood & I'm bulimic. What should I do? If it's an esophageal tear, will it heal in a couple of days?
Vomiting bright red: blood is not a normal thing. You should be evaluated in your local ER for signs of ongoing bleeding. It sounds consistent with what we call a Mallory-Weiss tear (a tear of the junction of the stomach and esophagus), but it needs to be evaluated and possibly treated. ...Read more
Pain to the right(upper chest). Could this be symptoms of an esophageal tear because i get heartburn a lot too.Any advice?
Recommend: assessment by your pcm.Get a more detailed answer ›
No, I'd like to know how esophagus tear can be diagnosed. And who is the specialist to see, ENT or GI?
Can ENT see small tear in the esophagus with flexible endoscope? Can endocsope rotate 360 degree? I'd like ONLY ENT to respond.
Usually not.: If there is concern for a small tear in the esophagus, the usual doctor to address that is a gastroenterologist. Sometimes that is visible with a flexible endoscope. Sometimes it requires other types of radiologic studies in addition or instead of that. A tear in the esophagus can be an emergency. Do not delay getting it evaluated. Good luck. ...Read more
If you have a small tear in the esophagus, can ENT see it with flexible endoscope? How accurate? How does endoscopy work? Can it rotate 360 degree?
Can not chewing well & swallowing food tear esophagus? Chest hurt when swallowing cookie. Afterwards no symptoms, but can it be torn asymptomatically?
Unlikely: A complete tear of the esophagus from normal food would be very unlikely, and you'd know it if it happened (think lots of blood and pain). Esophageal stasis is a condition where normal motility in the esophagus is decreased, leading to pain and difficulty swallowing. The swallowing of hard crunchy foods can cause superficial but painful scratches to the lining of the esophagus. ...Read more
Can you tell me how the tear in Esophagus can be diagnosed and who is the specialist to see, GI or ENT?
Can Barium Swallow Test diagnose SMALL tear in Esophagus? How much mSV radiation do you get from this test? I''m not getting straight forward answers.
No diagnostic: test, including Barium Swallow, is 100%. There are always false negatives. Amount of radiation depends on how many seconds of fluoroscopy is used during the exam. Tears in the esophagus, if full thickness, manifest as mediastinitis within several hours. If partial thickness, it can cause hemorrhage. Sounds like you have neither. Ask your doctor if you really need this test. ...Read more
If you are suspected of having tear in esophagus, it it good idea to take liquid GI cocktail (Donnatal, Mylanta, Lidocane Viscus)?
Consult your GI doc: And esophageal tear is a very serious condition you should consult your primary doctor right the way ...Read more
Which is better test to Dx small tear in esophagus due to impact? CT, MRI, or barium swallow test?
I prefer barium swal: I was trained to use barium swallow for esophageal tears. However, it is bad to use if the tear penetrates through full thickness of the wall. For this we may use a water soluble contrast. CT is an excellent tool for this but uses a lot of radiation. I would use this if there are complications to worry about or the initial swallow is non diagnostic. MRI is not good. ...Read more
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