Doctor insights on:
Can You Die From Esophageal Achalasia
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
Bleeding varices BAD: 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 moreSee 2 more doctor answers
Yes: There are many different causes of pharyngitis (i.e. infection or inflammation of the pharynx) Depending on the type and if not treated corrected, it can form an abscess and spread to other parts of your throat/mouth/neck and even upper chest. The consequences can be deadly. ...Read moreSee 1 more doctor answer
Non-drug Rx helps: Reflux can be treated by eating smaller amounts more often (grazing), being cautious about things that cause irritation, not eating/drinking before sleep, and propping the head of the bed up. If the symptoms are severe, or continue despite those techniques, you may need drug therapy as well. Sometimes directly looking at the stomach with an egd is needed as well. Good luck! ...Read more
Yes: Rotavirus group a is the leading cause of viral gastroenteritis worldwide. It causes a dehydrating diarrhea in infants and young children. More than a half-million infants and young children worldwide die of rotavirus gastroenteritis each year (parashar et al, 2009). Fatalities from viral gastroenteritis are more likely to occur in those at the extremes of age or the immunocompromised. ...Read more
It is rare: Diverticulitis has various potential complications which ranges from minor infection which responds well to oral antibiotics, to severe infection and peritonitis caused by spillage of stool from colon into the abdominal cavity. In severe cases it usually needs surgery and in these cases patient may end up having a colostomy. These days it is so rare to die from diverticulitis. ...Read moreSee 2 more doctor answers
GERD: Longstanding gerd can lead to permanent damage to the esophagus which can then lead to cancer of the esophagus. Although this is unusual, cancer of the esophagus is often identified in its late stages, and in this instance, can lead to death from stage IV esophageal cancer. Endoscopy is mandatory if you have long standing gerd. ...Read more
Yes: Bladder cancer can invade from the lining into the muscle and deeper. From that point it can spread to pelvic lymph nodes or into the bloodstream. If it gets this far even with therapy with chemotherapy the disease may not be controlled and eventually kill the patient. ...Read moreSee 3 more doctor answers
Yes: Anal cancer is either squamous cell cancer or cloacogenic cancer and is treated by chemo/radiation after a biopsy establishes the diagnosis. Early on it is very treatable. If you have any suspicion this is what you have, you need to be seen promptly by your physician. ...Read moreSee 1 more doctor answer
Maybe: Untreated achalasia can result in accumulation of fluid in the esophagus that can silently enter the lungs while you sleep at night. Chronic silent aspiration can cause permanent damage to the lungs, asthma, recurrent pneumonia. Any of these conditions can potentially shorten your life if not treated properly. A large aspiration event can be deadly. ...Read moreSee 4 more doctor answers
Hard question: Although there is no definite cure, several therapies have been shown to be effective - dilation of the esophagus, certain medications such as nitroglycerine, Nifedipine may be helpful and finally if all fails, especially esophageal dilations, surgery. ...Read moreSee 2 more doctor answers
Achalasia: 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 directed at opening valve. ...Read moreSee 1 more doctor answer
Do you have to have difficulty swallowing if you have esophageal achalasia? What are all the symptoms?
Yes: Achalasia is a when the lower esophageal sphincter muscle incompletely relaxes and doesn't allow food or fluid to pass easily. Achalasia is characterized by difficulty swallowing, regurgitation, and sometimes chest pain. It is diagnosed with esophageal manometry or pressure study or barium swallow test. Treated with dilation, Botox injection or a heller myotomy "cutting of the muscle.". ...Read more
Hi, can GERD cause esophageal dysmotility? I don´t mean achalasia or sclerodermia. Only GERD (les 3mmhg). I have both and non specific. Thanks
They go together: Your les (lower esophageal sphincter) is hypotensive. The pressure is too low. Normally it should be above 10mmhg. Therefore acid from the stomach can freely go up to your esophagus and therefore gerd. If your physician told you that rest of manometry was unremarkable, you may still have scleroderma. Some foods and medications can decrease the les pressure. Achalasia has a high les pressure. ...Read more
I am 25y old. Can GERD cause complete aperistalsis of esophagus? It's been 3y. Not Scleroderma, Achalasia or any other diseases. My LES=5mmHg. Thanks
GERD alone unlikely: manometric evidence of aperistalsis (not simply on barium test) unlikely from GERD alone, and can be from achalasia or esophageal scleroderma, even without skin findings of latter. You need to see Gastroenterologist or motility expert. Low LES pressure does not rule out achalasia. If you are medical personnel, I refer you to my free GI Motility on line on web via Nature Publishing on this subject ...Read more
23 years old. Have aperistalsis of esophagus-distal, middle, proximal.And gerd(0, 3 mmhg). But not achalasia and not scleroderma. What may be the cause?
Need more info: Any other related symptoms - how did you get this result in first place ? It's rare to have all part of esophagus not moving in young age without underlying problem but could induce by specific drugs as well. Was this measured by functional esophagography? ...Read more
Besides achalasia, what can causes an esophagus not to contract? And can it cause chest pain under breast bone, weakness and body aches?
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 moreSee 2 more doctor answers
No: Achalasia is a problem with the nerves in the esophagus not working to coordinate the muscle. There is no known cure, but the symptoms can be relieved by treating the valve at the lower portion of the esophagus, such as Botox (not good, makes other treatments more difficult), balloon dilation ( usually at least two times), laparoscopic muscle splitting (surgery) and endoscopic surgery (poem). ...Read moreSee 1 more doctor answer
See a G.I. doc: Achalasia is a disease resulting from damage to the nerves in the muscles of the lower esophagus, keeping them from being able to relax and making swallowing difficult. There is nothing you can do on your own to make this better. There are several medicinal, endoscopic, and surgical treatments available, which your G.I. doc can evaluate and go over with you. Do not delay. Good luck. ...Read more
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