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Doctor insights on: Esophageal Monometry

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Whats an esophageal manometry?

Whats an esophageal manometry?

EM studies: Esophageal manometry (em) is a probe, typically passed transnasally, into your esophagus. The probe is sensitive to pressures generated when esophagus muscles contract during swallowing. Probe measures muscle coordination during swallowing, as well as function & effectiveness of both upper & lower esophageal sphincters. Motility disorders, situational spasms, & gerd contributants are measured. ...Read more

Dr. Vitaly Fishbein
24 doctors shared insights

Esophageal Manometry (Definition)

Em is a diagnostic tool that permits assessment of esophageal motility. A thin, pressure-sensitive catheter is inserted into the esophagus to measure peristalsis and the function of the upper ...Read more


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Who needs esophageal manometry?

Swallowing problems: Test is best to look for problems with the muscles of the esophagus, how they function and what could be going on when they are not functioning and a person is having difficulty swallowing or undefined chest pain without clear source. Best for diagnosing things like achalasia and esophageal spasm and hypomotility. ...Read more

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Whats GERD gastro esophageal reflux disease?

Whats GERD gastro esophageal reflux disease?

GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more

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Could barium swallow test show esophageal erosions?

Could barium swallow test show esophageal erosions?

Possibly: A well performed barium swallow can show esophageal erosions. An endoscopy might be better, though, as they can take a biopsy of abnormal looking tissue. ...Read more

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Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Not usually: Esophageal atresia with or with out fistula is usually sporadic. There area a few cases ( and i mean very few) in the literature where a parent had ea-tef and had a child with same. It is reportable. ...Read more

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Could esophageal dilation with upper endoscopy cause pericarditis?

Could esophageal dilation  with upper endoscopy  cause pericarditis?

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

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Can a barium swallow detect esophageal cancer?

Yes,: but endoscopy is better, and any abnormality that looks like cancer detected on barium swallow will need an endoscopy/biopsy anyway. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read more

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All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. Help?

All the swallow problems, finally an edoscopy. Dr says esophagitis seen,  corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. 
Help?

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

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Trans nasal esophagoscopy cost?

Trans nasal esophagoscopy cost?

Varies: If you are paying cash for this procedure the cost can vary widely. From a from a few hundred dollars to $1000 or more depending on the practitioner. If you have been recommended to have the procedure and you have no insurance i suggest you talk with your doctor about the cost first and see if allowances can be made for you. ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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Who needs esophageal pH test?

Who needs esophageal pH test?

Who…: Esophageal ph monitoring is used to diagnose gerd effects, to determine the effectiveness of medications that are given to prevent acid reflux, and to determine if episodes of acidic reflux are causing episodes of chest pain. ...Read more

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What causes lower esophageal sphincter relaxation failure?

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 more

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In a esophagogastric junction biopsy, what does hyperplastic esophageal squamous mucosa with rare intraepithelial eosinophil mean ?

In a esophagogastric junction biopsy, what does hyperplastic esophageal squamous mucosa with rare intraepithelial eosinophil mean ?

Not much: This is a benign diagnosis. If there were more eosinophils, we'd be more confident that reflux is present. Hyperplasia doesn't really mean much here. The key is what the biopsy report doesn't mention -- there's evidently no cancer, no severe inflammation or tissue damage. This will be correlated with the other information and a plan implemented. ...Read more

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What does extensive enterogastric biliary reflux mean?

What does extensive enterogastric biliary reflux mean?

Bile into stomach: The usual detection is during hida scan or nuclear medicine study, the isotope which mimics bile is seen going back into the stomach mostly after stimulation by cck. Endoscopy of the stomach can actually see bile in stomach. The problem is bile gastritis or irritated stomach from bile affecting stomach lining.There is usually motility disorder of duodenum, moving reverse direction. Medication. ...Read more

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What can be done for oesophageal spasm..Normal barium swallow...Gastroscopy showed ulcers. ?

What can be done for oesophageal spasm..Normal barium swallow...Gastroscopy showed ulcers.  
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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 more

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Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Not always.: Although it is possible to detect these problems during outpatient endoscopy, imaging in the form of ct scans or pet scans may be required to detect some throat tumors. Often an exam under anesthesia is also required to biopsy and detect full extent of throat tumors. ...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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Esophagitis grade 2 becomes barrettes esophagus?

Esophagitis grade 2 becomes barrettes esophagus?

Possible: To avoid worsening symptoms and possible transformation to Barrett's, I strongly recommend close follow up by a GI specialist for proper treatment and monitoring. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more