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Doctor insights on: Endoscopy Vs Barium Swallow

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I am havin constant acid reflux pain. I've had a barium swallow done that was negative. Do i need to have an endoscopy?

I am havin constant acid reflux pain. I've had a barium swallow done that was negative. Do i need to have an endoscopy?

Yes. Reasons below:: • dyspepsia associated with alarm symptoms at any age. • new onset dyspepsia in a patient ?50. • dysphagia or odynophagia. • symptoms of gerd that persist or recur despite appropriate therapy. • persistent vomiting of unknown cause. • diseases in which the presence of upper GI pathology may affect planned management, e.g. Decision to anticoagulate. • confirmation of radiological abnormalities. • suspected neoplasia. • assessment and treatment of GI bleeding (acute or chronic). • sampling of tissue or fluid. • to document or treat esophageal varices. • surveillance for malignancy in high risk groups, e.g. Barrett's esophagus, hereditary gastric cancer families. • follow-up of gastric ulcer. • follow-up of patients who undergo endoscopic mucosal resection (emr) or endoscopic submucosal dissection (esd) of an early cancer. ...Read more

Barium (Definition)

Barium is a chemical element with symbol ba and atomic number 56. It is the fifth element in group 2, a soft silvery metallic alkaline earth metal. Because of its high chemical reactivity barium is never found in nature as a free element. Its hydroxide was known in pre-modern history as baryta; this substance does not occur as a mineral, but can be prepared ...Read more


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Most definitive way to diagnose hiatal hernia, barium swallow or endoscopy?

Most definitive way to diagnose hiatal hernia, barium swallow or endoscopy?

Good question: The tests are useful in different ways. A hiatal hernia can diagnosed with either test and very reliably. The egd allows for a biopsy. The UGI allows for an evaluation of the function of the esophagus as well as visualizing actual episodes of reflux. ...Read more

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Can barium swallow test show an esophageal diverticulum which was not seen with upper endoscopy 2 months ago?

Can barium swallow test show an esophageal diverticulum which was not seen with upper endoscopy 2 months ago?

Eso diverticulum: This is possible but not very common. The reason for this may be the fact that the endoscopy failed to diagnose the diverticulum or that it developed in the interim. Barium swallow is very sensitive test for diverticulum. Also, doing an endoscopy in this case can be dangerous since the endoscope may perforate the diverticulum. ...Read more

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Severe reflux all the way to mouth every day, but all tests (endoscopy, manometry, barium swallow, and Brava) all come back as normal...what is it?

GERD: also called acid reflux. Before the treatment it is first necessary to understand what causes GERD. Life style modification and pharmacological treatment are 2 most common methods to manage GERD. ...Read more

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Dr. John To Dr. To
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I can't swallow properly. Had an endoscopy, barium swallow and ultrasound that showed nothing. Why is my throat feeling constricted?

Dr. John To Dr. To
4 doctors agreed:

Idk: it is an unfortunate term but you probably have Globus Hystericus. Did you have a swallowing study with a speech pathologist ? It might show abnormal swallowing mechanics not shown on the barium swallow. 24 hour pH probe monitor in the esophagus might show gastroesophageal reflux ...Read more

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I did barium swallow test it suggested sliding hiatus hernia.Abt 2 yrs later i did endoscopy at another lab which showed reflux esophagitis.

I did barium swallow test it suggested sliding hiatus hernia.Abt 2 yrs later i did endoscopy at another lab which showed reflux esophagitis.

Hernia and reflux: The two things you are talking about are consistant. The hernia is a weakness in the distal esophagus and this then allows acid to burn your esophagus(reflux esophagitis). For help , no caffine at night, no eating after dinner(3 hr. Before bedtime) and medication to stop acid production. ...Read more

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Had a barium swallow report said there are moderate anterior vertebral osteophytes at c5/6 c6-7 where on earth is that? Now they say endoscopy.Had test for post nasal drip issues so now I am confused

Had a barium swallow report said there are moderate anterior vertebral osteophytes at c5/6 c6-7 where on earth is that? Now they say endoscopy.Had test for post nasal drip issues so now I am confused

Osteophytes common: The osteophytes are anterior bone spurs from lower cervical spine disc degeneration and common at your age. Rarely they can cause trouble with swallowing by imping on the esophagus. The ba swallow and proposed endoscopy are likely looking for esophageal reflux or other lesions .Reflux has been associated with upper respiratory problems. ...Read more

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I have had chronic throat clearing for several months. Larynoscopy, endoscopy, barium swallow all negative. Nexium, (esomeprazole) nasacort didn't help. Any ideas?

I have had chronic throat clearing for several months.  Larynoscopy, endoscopy, barium swallow all negative.  Nexium, (esomeprazole) nasacort didn't help.  Any ideas?

Habit: Since it developed over the last few months my first thought would be a post nasal drip possibly caused by allergies. However, if the nasacort (triamcinolone) has not helped and tests have ruled out the other possiblities, it may just be a habit that you developed. ...Read more

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Still feel poisoned & have back pain when i eat any fat. Endoscopy, colonoscopy, barium swallow, ultrasound & CT abdomen = normal. What next? Ercp?

Still feel poisoned & have back pain when i eat any fat.  Endoscopy, colonoscopy, barium swallow, ultrasound & CT abdomen = normal.  What next?  Ercp?

Can you be more...: ...Specific with your symptoms and presentation? That being said, has biliary dyskinesia been considered, and a cck-hida scan been pursued? ...Read more

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Blood feels poisoned and back pain after meals. Endoscopy, colonoscopy, barium swallow=normal. Abdomen ct=possible chronic cystitis. Uti causing pain?

UTI probably: Extensive work up is reassuring. Yes chronic cystitis and urinary tract infection could cause low to mid back pain especially if there is an extension causing kidney infection. Continue to follow with your doctor as urinalysis and urine culture and appropriate antibiotics may correct the problem. ...Read more

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What happens during a modified barium swallow?

What happens during a modified barium swallow?

Nothing too exciting: We can't take pictures of your GI tract very well, so as a substitute you swallow dense material (barium) which coats your tract and they take pictures, as it goes down or after it goes down, to look for structural abnormalities. Basically you swallow a few gulps, turn a few different positions, maneuver in a few different ways for the camera. It's pretty harmless. ...Read more

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Can a barium swallow dx varices???

Yes, it could: possibly diagnose esophageal varices, but it is not the best way to do so. ...Read more

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Has anybody had a X-ray barium swallow?

Yes: I am a radiologist. What is your exact question. There are different types looking for different things. There is a single and double contrast study. It evaluates swallowing the function of the esophagus and to determine if u have reflux or a hiatal hernia. It can also check for inflammation or ulcers or cancer. Be specific on ? ...Read more

Dr. Charles Cattano
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Endoscopy (Definition)

Endoscopy broadly refers to the direct visualization of the intestinal tract by way of a flexible, fiberoptic scope. Generally, the term is used to describe evaluation of the esophagus, stomach and duodenum (upper endoscopy), or the ...Read more