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Doctor insights on: Esophageal Pulsion Diverticulum

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What's an oesophageal diverticula?

What's an oesophageal diverticula?

Esophageal pouch: An esophageal diverticulum is an out-pouching in a weak area of the esophageal (tube from throat to mouth) lining. ...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


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Is zenker diverticulum painful?

Is zenker diverticulum painful?

Usually not: The most common symptoms are weight loss, difficulty swallowing, regurgitation of food, and sometimes malnutrition. Treatment is usually based on the size of the diverticulum and the patients symptoms. ...Read more

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What's zenker's diverticulum?

What's  zenker's diverticulum?

Outpoucing: Of the upper esophagus usually caused by high pressures transmitted across the ues. ...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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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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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

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Vomiting heartburn digestion problems maybe appendix hernia ulcer?

Vomiting heartburn digestion problems maybe appendix hernia ulcer?

Possibilities: With the symptoms you've described, appendicitis is unlikely. More likely are a hiatal hernia or an ulcer. Avoid alcohol, spicy foods, and stay upgright (don't lay flat) 2 hours after eating. You can also try some over the counter antacids. If your symptoms persist you should see your doctor as an upper endoscopy might be informative. ...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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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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I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?

I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal  reflux likely ?

LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more

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Would having a normal looking esophagus, norm barium swallowing, norm MRE of small intestines, rule out esoph. motility disorders?

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

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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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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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Had manometry-les doesn't relax.Endoscope-sphincter action visually absent.What does this mean? Regurgatation, trouble swallowing, feel lump tthroat.

Had manometry-les doesn't relax.Endoscope-sphincter action visually absent.What does this mean? Regurgatation, trouble swallowing, feel lump tthroat.

Poss achalasia: Sometimes les doesn't relax causing delayed passage of food or liquid from esophagus into stomach, usually worse with solids. Discuss with GI doctor to make sure nothing more serious going on. ...Read more

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Is heart burn & globus sensation a sign of a hital hernia? Or more likely acid reflux.

Is heart burn & globus sensation  a sign of a hital  hernia? Or more likely  acid reflux.

GERD: Heart burn & globus sensation can be in both Hiatal Hernia and Gastro-Esophageal Reflux Disorder(GERD) Other symptoms of Hiatal Hernia are- bloated feeling after eating, belching, difficulty swallowing, chest or abdominal pain, vomiting blood or passing black stools or shortness of breath. See Gastroenterologist for Diagnosis, discuss endoscopy; have Treatment. See Psychiatrist for stress. ...Read more

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Causes of esophageal burning? Have eoe and esophageal dismotility.

Causes of esophageal burning? Have eoe and esophageal dismotility.

Esophagitis: Eosinophilic esophagitis can cause spasm and delay in esophageal motility. Are u currently being treated? You need to be on a ppi +/- a inhaled steroid that should be swallowed to treat the inflammation.. The burning most likely represents acid reflux that you are having in addition to eoe. You should consult with your GI as soon as possible. ...Read more

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis.  2010 had a fundoplication.  Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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Is balloon dilation of the lower esophageal sphincter painful?

Is balloon dilation of the lower esophageal sphincter painful?

Could be: Dilation is a controlled tear. Some patients do experience chest pain after a dilation. Severe pain is worrisome for too large a tear or perforation of the esopaghus. ...Read more