Doctor insights on:
Diffuse Esophageal Spasm Emedicine
Is a term to define abnormal contraction of the esophagus during times that the individual is not eating. It could be triggered by food at temperature extremes and usually disappear spontaneously. When present on regular basis, it should be an indication for evaluation of acid reflux, connective tissue diseases ...Read more
Yes, lots: They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing. ...Read more
Unlikely: Based on a literature (pubmed) and google search, I could not find any cases of esophageal dilation causing percarditis. Are you having symptoms of chest pain after dilation? If you are concerned about pericarditis, you should discuss this with your doctor or go to the ER if it is severe. ...Read more
Be sure of diagnosis: Difficulty swallowing ("dysphagia") can be distinguished as a "transfer" problem (difficulty moving food from mouth to top of esophagus), "transit" problem (difficulty moving food down the esophagus), "spasm", gerd (due to sphincter problems), or obstructive (webs, rings, strictures, ulcer, tumor). Best to see a gastroenterologist (gi doctor) for evaluation and treatment. ...Read more
Yes: And although diffuse esophageal spasm (des) can be quite uncomfortable, heart disease can be life threatening, and should be 'ruled out' by your md . Des is best diagnosed by doing an esophageal motility study, where we can measure the pressures created in your esophagus spontaneously and in response to a swallow. ...Read more
Good question: Your question is a bit confusing. If you me what causes the les not to relax, this would be a neuromuscular disease called achalasia or perhaps chagas disease. If you are asking what makes the les relax too much, leading to gerd, that would be spicy foods, caffeine, nicotine, chocolate, peppermint, alcohol, some medications, tomatoes and their sauces as well as others. ...Read moreSee 1 more doctor answer
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
High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?
Complex: Could an entity known now as ineffective esophageal motility (iem). This is commonly associated with gerd. Dysmotility can also be due to diabetes and scleroderma. See a general surgeon or gastroenterologist with expertise in esophageal and foregut disorders for more info. ...Read moreSee 1 more doctor answer
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
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
BY RULING OUT HEART: Since symptoms of both conditions can be chest pain and coronary spasm is more serious condition, it is first step to rule out coronary spasm first by ekg, angiography;echocardiogram and if coronary spasm is ruled out than tests to confirm esophageal spasm can be undertaken like endoscopy and/or manometry esophageal spasm is very rare and often symptoms of chest pain may be due to gerd. ...Read more
stiffness(spine, back&neck),Para+Hyperaesthesia,Allodynia,9/10pain,episodes of 10/10 pain+intermittent back spasm
find:diolated central canal
More information: I would need more information of radiological results but your symptoms are quite intense and I would hope you have an orthopedic spine specialist on board with your case. Your question is bit unclear too. ...Read more
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
Endoscopy pathology report. Benign gastric antral mucosa with mild chronoc inactive gastitis focal intestinal metaplasia present? What does it mean?
No cancer: There are no serious issues with the tissue submitted to pathology. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
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