Doctor insights on:
Esophageal Spasm Pregnancy
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
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
BY RULING OUT HEART: Since symptoms of both conditions can be chest pain and coronary spasm is more serious condition, it is first step to rule out coronary spasm first by ekg, angiography;echocardiogram and if coronary spasm is ruled out than tests to confirm esophageal spasm can be undertaken like endoscopy and/or manometry esophageal spasm is very rare and often symptoms of chest pain may be due to gerd. ...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
YES: However you will need to be checked for gallbladder disease, pancreatic disease, and you will need medication to inhibit stomach acid. I suggest GI evaluation and abdominal ultrasound. Do not ignore these symptoms. ...Read more
No known cause: There is no known cause of esophageal atresia. It happens in about 1 out of 3000-4000 babies, which is 3 kids out of 10, 000 born. The esophagus (tube for food flow to stomach) and the trachea (tube for air flow to lungs) develop from the same part of an embryo. Because life is not perfect, once in a while the two tubes form an incorrect connection or a blind-ended tube. ...Read moreSee 1 more doctor answer
Sure, see GI doctor: Difficulty swallowing ("dysphagia") can be distinguished as a "transfer" problem (difficulty moving food from mouth to top of esophagus), "transit" problem (difficulty moving food down the esophagus), "spasm", gerd (due to sphincter problems), or obstructive (webs, rings, strictures, ulcer, tumor). Best to see a gastroenterologist (gi doctor) for evaluation and treatment. ...Read more
Be sure of diagnosis: Difficulty swallowing ("dysphagia") can be distinguished as a "transfer" problem (difficulty moving food from mouth to top of esophagus), "transit" problem (difficulty moving food down the esophagus), "spasm", gerd (due to sphincter problems), or obstructive (webs, rings, strictures, ulcer, tumor). Best to see a gastroenterologist (gi doctor) for evaluation and treatment. ...Read more
Hard to Know: Proctalgia fugax- brief episodes of rectal pain generally associated with, unpredictable spasm like pain that is often described by patients as: very sharp and twisting, lancinating, cramping, can awaken you from sleep. Last from seconds to as long as 30 minutes, feels exactly like sphincter muscle spasms, however- your doctor will still exam to rule out, lesions, fissures in that region. ...Read more
Hypothyroid causes muscle weakness does it leads to GERD by loosening the esophageal sphincter muscle?
Maybe!: Thanks for asking b/c until i just searched, i would've thought no. While i can't find any traditional evidence linking the two, enough people have written online to various forums complaining about such a link that it can't be a coincidence. My guess is that we need to treat one's hypothyroidism aggressively & adequately enough to regain les strength. I look forward to what GI colleagues say. ...Read more
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
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Esophageal manometry showed muscles weak, hardly pushing food. Also chronic throat clearing & constipation. Could this be a vagus nerve problem?
Unlikely: Preeclampsia, the state before eclampsia, which is seizures in pregnancy, is diagnosed as mild or severe. Mild depends soley on bp, greater than 140/90, or not pre-existing before 20 weeks, and proteinuria. Severe needs the mild conditions, then adds either a higher bp, more protein, visual changes, and headache, with a few others, but elevated BP is required. ...Read more
Anal pain&stool leakage,did a colonoscopy& everything seemed normal.I think I have sphincter spasm which causes constipation which worsens spasm??
Increase Fiber: This sounds terrible for you. Chronic constipation can result in anal pain and spasm. Ideally, increasing your fiber by eating a lot of vegetobles -- I recommend a pound per day -- will soothe your constipation and provide your daily dose of fiber. With a normal colonoscopy, often we have to circle back to lifestyle modification to help. Also try 4 prunes a day. Very effective for constipation. ...Read more