Doctor insights on:
Causes Of Esophageal Dysmotility
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
Esophagitis: Eosinophilic esophagitis can cause spasm and delay in esophageal motility. Are u currently being treated? You need to be on a ppi +/- a inhaled steroid that should be swallowed to treat the inflammation. The burning most likely represents acid reflux that you are having in addition to eoe. You should consult with your GI as soon as possible. ...Read more
No great therapy: Chew food well, earring sitting up and wash down with liquids. ...Read more
Hi, I know it´s risk, but my question is. I want to know what will happen, if I go to fundoplication? . I have GERD 3mmhg and dysmotility of esophagus
Depends.: Surgery for gerd certainly can help symptoms, but as with any surgery, there can be complications and long-term side effects. Currently, surgery is recommended for gerd only if the patient is refractory to medical therapy. Have you had a good trial of anti-reflux medications? Did they work? These are questions that you will need to answer with your physician before considering any sort of surgery. ...Read more
I am 24.I have total dysmotility of esophagus, severe GERD, LES=3mmhg & Aerofagia. Its been 2y.IPP, procinetic, diet not helping. Any treatment solution?
GERD: ...can at times be very difficult to treat. If you have been on a PPI and a prokinetic agent, and obviously have had tests done, then you must be seeing a gastroenterologist. It is possible you need a higher dose or different medication. In some cases, even surgery is necessary for GERD. I would return to your G.I. doctor to see what the next step is in treatment and/or evaluation. Good luck! ...Read more
Would nonspecific esophageal dysmotility make botox injjection for damaged recurrent laryngeal nerve contraindicated? Are there better options?
Botox for RLN?: Unspecific esopageal dysmotility should not be affected by laryngeal Botox treatment. It is difficult to suggest options since I am unclear of what your voice and swallowing issues are, what caused the rln damage and what your vocal cords actually look like. Are you under the care of an ent/ otolaryngologist/ laryngologist? ...Read moreSee 1 more doctor answer
I have dysmotility of esophagus and GERD 3mmhg (scleroderma). Will be posibble to do fundoplication in the future if my esophagus will be ok? Thanks
Hi, it seems like scleroderma. I have dysmotility of esophagus and les 3mmhg but rheuma. Said no scleroderma and my doctor disagree all tests negative?
Hi, I have high dysmotility of esophagus with acid reflux - hypotensive les 3mmhg and it seems like scleroderma, but my skin and blood are ok. Thanks?
Not scleroderma: Well some people with scleroderma can have internal changes without skin changes, your history is missing a lot of information one can use to diagnose scleroderma. You need to see your rheumatologist to clarify your correct diagnosis. The rheumatologist and the gastroenterologist can work together to help clarify your diagnosis. ...Read more
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
4yr old. Asd, gastric reflux, low iga, allergic related mediated gastrointestinal dysmotility. Black bloos streaks stool. Pain esophagus stomach. What?
Abdominal pain: You gave obviously been to a whole conference of physicians. You already have a huge list of legitimate GI diagnoses. If the stool is still bloody/black you need to do more. Sorry. Add these to your find out list- mechel's diverticula, h pylori, c diff, milk allergy, and endoscopy. Perhaps you need a second opinion from another doctor and hospital. Your persistence will be best solution! ...Read more
Meds for nonspecific esophageal dysmotility? Food sticks so heartburn & sore throat. Behavioral measures better (soft food, lots of water)?
Diet and maybe meds: A difficult problem. Be sure it is not related to nerve issues such as in diabetic gastroparesis. Trying to eat small meals throughout the day (grazing) can help. Be sure to avoid irritants such as caffeine and tobacco as both make heartburn worse by relaxing the muscles at the opening of the stomach. Some meds like Erythromycin and metochopramide may be needed to stimulate movement. Fluids good. ...Read more
Avoid dysphagia: Esophageal dysmotilities come in many flavors--some involve poorly coordinated movement of food down the esophagus, others spasms, & still others may involve an esophagus with very little muscle activity. Regardless of the actual dysmotility diagnosed, in all cases large dry pieces of poorly chewed food may become lodged before transiting to the stomach. Take small bites, chew well, lots of water. ...Read more
Narrowed esophagus: There are various disorders that can cause narrowed esophagus. The can range from benign (secondary to reflux or prior radiation or ingestion of caustic substance) to malignant (cancerous) the narrowing can also be caused by extrinsic (something pushing from outside) compression to esophagus. The best test to diagnose this is either esophagram or endoscopy. With endoscopy you can diagnose & treat. ...Read more
Spasm: The esophagus is very muscular to move food from your mouth o your stomach. Sometimes these muscles cramp up into a spasm, which causes a severe pain. Please contact your primary provider to evaluate this further if it dosen't resolve soon ...Read more
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
Does soda irritate the esophagus? Can it cause strictures? Does soda interact with medicine if medicine is taken with soda?
Buuuuurp! Excuse Me.: You talkin' about soda soda (soda pop)?? Like Coke? ("No coke, Pepsi!! ")or Barq's famous root beer? Or do you mean baking soda? Or caustic soda? You take the latter and you'll be in a world of hurt. But anything with carbonated water (water to which carbon dioxide bubbles are added)won't hurt much. It's the sugar in soda pop that should worry you (obesity, liver problems, dental caries, chronic burping ...Read more
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