Doctor insights on:
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 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
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
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
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
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
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