Doctor insights on:
Esophageal Pulsion Diverticulum
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
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
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
Hiatal hernia or gastroesophageal reflux disease produce a feeling of lump in throat? other symptoms bloating, regurgitation. .especially afte meals.
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
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
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
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
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
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
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
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
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 moreSee 1 more doctor answer
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
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
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