Doctor insights on:
Endoscopy Vs Barium Swallow
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
Aspiration or not: Barium swallow is another name for an esophagram, which evaluates the esophagus for difficulties of food passing though. Modified barium swallow is done to determine whether someone can swallow certain different textures of food without aspirating on them (aka whether they can keep them out of their lungs). ...Read more
Yes: One of the easiest ways of performing laryngoscopy is with a flexible scope which is a long narrow tube with lenses contained within which is past down the nostril after utilizing a topical anesthetic spray. One can easily visualize the nasopharynx, full larynx, oro pharynx and pass behind the larynx to the piriform sinuses on each side where even early pathology can be defined. ...Read more
Esophageal Spasm: The treatment depends on the diagnosis. In this case ulcers may be indicative of reflux which can be treated with either medical or surgical options. However, that alone is unlikely the cause and other etiologies should be for the spasm should be excluded. ...Read moreSee 1 more doctor answer
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
How accurate is barium swallow xray vs upper endoscopy to detect stomach ulcer that i possibly had for 6 years?
Does swallowing liquid GI cocktail (Lidocane Viscus, Mylanta, Donnatal) coat the Esophagus? Does it obscure plain X-ray view of the Esophagus?
Transnasal endoscopy vs upper endoscopy to diagnose stomach ulcer? Which is more accurate? I perfer to be awake, can I request transnasal instead?
Depends: If your doctor just wants to see if there is an ulcer there, then the transnasal is great. However often they will want to biopsy it. They cannot do this through the transnasal approach. So have a conversation with your gastroenterologist to see what the likelihood is that he/she will want biopsies. ...Read more
Sometimes but not: Often. Egd examines esophagus, stomach, duodenum (technically small intestine, but only the very first part), and sometimes the first portion of jejunum, which is the true small intestine. The small intestine is about 30 feet long. Then there is the large intestine, or colon, for which you need colonoscopy. The middle 29+ feet is not accessble via endocsopy. ...Read more
More info: This test can give anatomical information the surgeon about the size and shape of a hiatal hernia if there is one. When done "properly", it can also give physiologic information about how well the esophagus can push solids and liquids into the stomach. This info can help determine if your are a good candidate for an anti-reflux procedure, be it endoscopic or laparoscopic. Hope this helps! ...Read more
Would having a normal looking esophagus, norm barium swallowing, norm MRE of small intestines, rule out esoph. motility disorders?
Need manometry: at this stage, you need high resolution manometry, probably best if done at academic medical center. ...Read more
Here's Answer #6: There are a variety of ways a barium swallow test can be conducted. The most common is simply having the patient swallow oral contrast while the radiologist watches the passage of barium down the esophagus. Sometimes different textures of barium are tested to see how each moves from the mouth to the esophagus and down. A modified barium swallow with speech therapist helps assess for aspiration. ...Read more
Location, location: Barium swallow is what it sounds like: swallow barium, shows up on xray film; looks at esophagus, stomach, upper small bowel (duodenum) if done as upper GI series. No prep, empty stomach. Barium enema looks at the colon (not so good for the rectum). After prep to clean colon, barium (with or without air for contrast) pumped into colon to get an outline on xray. ...Read moreSee 1 more doctor answer
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