Doctor insights on:
Esophageal Motility Disorders In Children
I have recently been diagnosed with an esophageal motility disorder and was told my muscles just don't work properly and there is no cure. What now?
Several options: There are several potential treatments, including motility drugs, implants to stimulate esophageal motiliity. ...Read more
How to understand nonspecific neuromuscular disorder causing esophageal motility disorder (inadequate peristalsis) if no diagnosis known & normal bloodtests?
Muscle coordination: The esophagus is just a long muscle. There has to be coordination to push food from your mouth to your stomach and sometimes the coordination of this muscle does not work effectively leading to a motility disorder. Just like your skeletal muscles sometimes cramp and get tired and don't work well this same process can happen to the esophagus muscle. ...Read more
Please suggest natural reliefvfor esophagus motility disorder? E.g.exercise, diet, lifestyle change?
None: Stop steroid nasal spray, Make your carbonated drink flat before you consume, don't go to bed immidiately with full stomach. Stay upright for a hr or so. Keep the head end of bed raised 15-30 deg. Limit irretant, hot, spicy food. ...Read more
I have slight esophagus motility problem caught in manometry (Taking librax). Is it safe to do weight lifting and running exercises with this disorder?
Possible but: Not likely much of a contribution. As strokes do frequently cause swallowing problems but they tend to be of the type that involves the muscles of the tonge/back of the mouth/throat instead of the motility of the esophagus - that tends to be more of a complicated age related process. ...Read more
I have had a lot of testing done, and I have bile reflux, weak les valve, and weak esophagus motility. Crying makes the muscles hurt around valve. Intraadominal pressure makes worse. Why?
Difficult: Why was the testing done, recurrent nausea, let's say. Are you crying all the time? Are you having insomnia, daytime fatigue and panic attacks? One good drug that if often overlooked is Mirtazapine before bed. It helps insomnia, nausea and mood. The's may help? I an not sure about the "valve" but let's say where your stomach and esophagus meet doesn't close well. Reflux is a problem, prilosec. ...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
Any procedures for someone to stop reflux if they have weak les valve with some weak motility in esophagus. Regurdigation bad and I'm on dexilant (dexlansoprazole). Any suggestions since reg. Surgery not an option.?
Options: There are some endoscopic procedures, the best of which is called stretta. If this doesn't work, there are a variety of surgical procedures to perform a fundoplication or place a magnet bracelet around the valve (linx). See e general or thoracic surgeon with experience in anti-reflux procedures to find out what is best for you. ...Read more
Hi, I've chrons disease now 15 years. Can this have an effect on my sperm motility and morphology?
Maybe: If you are ill with any disease, then fertility could be impaired. Fevers and weight loss are the worst culprits for reducing fertility with chronic disease. Some medications (especially sulfa-based agents like sulfalazine) can also impair fertility. In the absence of these, fertility is remarkably robust. ...Read more
I don't think so: I would think by its very nature there are cramps involved ...Read more
Can frequent and excessive use of stimulant laxatives in a short time cause GI motility disorders?
Laxatives: Short answer is possibly as limited use should not cause severe problems. But if the underlying reason you are using stimulant laxative is a GI motility problem, then it might worsen that situation. Best to avoid frequent use and address underlying reasons for use. If it is related to an eating disorder, please get that addressed. ...Read more
I'm NPO on TPN for a motility disorder my stool is sticky and Grainy is that normal for TPN it never happened before should I contact my Gi?
Please doctor this ma results and how is my chances of giving birth and am I fit to produce children. Motility. Active 50% sluggish 25% non motile 25%?
Likely: Normal sperm motility is usually > 50% but with 25-50% active, there is usually not a problem with fertility. Time to testing can affect results as well. Other factors important are the number of sperm and the appearance of the sperm. Normal is >20 million/ml. This varies somewhat from time betwen ejaculates. Until you are ready to have children, use protection with sex. ...Read more
When I eat food my throat tightens badly, seemingly from being twisted by a motility disorder. I also get chain spasms and chest pain. No acid reflux.
Further evaluation: You may suffer from spasms of the esophagus that may require further evaluation by your internist ...Read more
Focal scleritis, global motility disorder, mitral valve regurgitation & stenosis, tricuspid valve regurgitation, paroxysmal atrial fibrillation, venous insufficiency, Raynaud, hypothyroidism, epilepsy, small/large fiber neuropathy. Related somehow?
Sphincture failure: The failure of the sphincture at the bottom of the esophagus to prevent the return of food, acid, and liquid in the stomach from come back into the esophagus is the cause. The lining of the esophagus has symptoms (burning and pain) when exposed to the lower ph of the stomach acid. Additionally a hiatel hernis oftyen allows for acid reflux to occur. ...Read more
Esophageal disorders: ...are conditions that affect the first 40cm of the gut=the esophagus. These may include structural, motility, inflammatory, and infiltrative disorders. ...Read more
Dangerous combo: Barrett's esophagus implies chronic inflammation and risk of cancer. If you're purging by vomiting, this is an even more dangerous situation. You need focused treatment of both your eating disorder and your esophagus. There are inpatient and intensive outpatient eating disorder programs: http://tinyurl. Com/kyedojd a GI specialist needs to be part of your treatment team also please get started. ...Read more
See below: Perforated or ruptured esophagus is not common and can be very serious in some conditions. Sometimes it can happen after an endoscopy procedure, and sometimes after marked forceful vomiting. Sometimes surgery is needed, and sometimes it is treated with antibiotics. It needs urgent medical evaluation. ...Read more
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
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
Barrettes esophagit.: It is possible.Get a more detailed answer ›
Why do some people get erosive esophagus and others just get non-erosive esophagus reflux disease?
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
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