Top
40
Doctor insights on: Esophgial Stricture Dilation With Biopsy

Share
1

1
Dilation of closed cervix/hysteroscopy/endo biopsy was done in the operating room. Could not be done in the office because of my size? Normal weight

Dilation of closed cervix/hysteroscopy/endo biopsy was done in the operating room. Could not be done in the office because of my size? Normal weight

Probably not: Usually procedures are done in the operating room if an extensive procedure is expected. It's easier to obtain more tissue, have access to more equipment, or more types of anesthesia are available for your comfort. Ask your doc. Most office procedures are simple hysteroscopy (take a peek) or simple emb (biopsy). An or setting makes it easier to perform a full d;c and obtain more tissue. ...Read more

Dr. Steven Griggs
2 Doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


2

2
No procedures done and cervix closed up. Reasons? Cervix then reclosed up after dilation/hysteroscopy/endo biopsy in 1 month? Why? Cancer? How 2 prevent

No procedures done and cervix closed up. Reasons? Cervix then reclosed up after dilation/hysteroscopy/endo biopsy in 1 month? Why? Cancer? How 2 prevent

Not cancer: The cervix closing has more to do with your collagen and how you form scars then it does with cancer. I'm assuming your dilation and biopsy were normal. Not much you can do to prevent. It just happens to some women. Be sure to follow up with your gynecologist and follow all their recommendations. If family h/o uterine, ovarian or breast cancer then ^ surveillance. ...Read more

3

3
1.8mm dilation on tail of pancreas with surrounding isoechoic changes, biopsy was taken, waiting on results. Chances this is cancer?

1.8mm dilation on tail of pancreas with surrounding isoechoic changes, biopsy was taken, waiting on results. Chances this is cancer?

I feel your pain: I know waiting is the hardest thing, but you need more info. U/S is rarely the only test for the panc. (although iso echoic is good). We use contrast CT and esp. Contrast MRI to help. Of course tissue is the issue.
Absent a strong family history of panc. Ca, the odds are almost overwhelmingly in your favor at 40 yo.
I assume the 2 mm is the pancreatic duct, which can have normal variants. ...Read more

5

5
Upper Endoscopy went great! Got dilation. Everything looked good except for possible monilial Esophagitis. Biopsys taken. What's treatment for that?

Upper Endoscopy went great! Got dilation. Everything looked good except for possible monilial Esophagitis. Biopsys taken. What's treatment for that?

Fluconazole: Major predisposing factors for esophageal Candidiasis include antibiotic use, radiation therapy or chemotherapy, hematologic malignancies, immunodeficiency (HIV, solid organ transplant patients),
advanced age, alcoholism and malnutrition.Candida esophagitis requires systemic antifungal therapy such as Fluconazole. Other agents are available if resistant infections ...Read more

6

6
My cervix closed up within 1 month of having it dilated/hysteroscopy/endometrial biopsy done at the same time. Why might it have closed up so quickly?

Cervix.: Usually after that procedure, the cervix returns to normal very quickly. I'm not sure in what context you doctor said it closed up. He or she may have just meant that it is healed. I've never seen a patient have the cervix scar up shut after an endometrial biopsy with hysteroscopy. ...Read more

7

7
Skin biopsy of forehead came back with invaginating and dilated follicle with dermal fibrosis. Dr took another biopsy what are they looking for?

Skin biopsy of forehead came back with invaginating and dilated follicle with dermal fibrosis. Dr took another biopsy what are they looking for?

Skin biopsy: There are a number of benign skin tumors that arise from the hair follicle that can masquerade with features described in the biopsy. Without the ability to view the slide (s) nor read the actual report, my best guess is that they are rebiopsing to rule out certain variants that are still benign but are prone to recur and/or they simply want a better representative sample of the surrounding tissues ...Read more

9

9
Office hysteroscopy and biopsy. 2 full-term csection preg. But first dilated only to 5cm and 2nd emergency section. Never had vaginal birth. No issues with pap smears etc. Worried about pain issues?

Office hysteroscopy and biopsy. 2 full-term csection preg. But first dilated only to 5cm and 2nd emergency section. Never had vaginal birth. No issues with pap smears etc. Worried about pain issues?

Worried: I do not know what type of anesthesia is planed. Best discusse it with your gynecologist. Usually office procedure of that type is done under local (paracervical block) anesthesia and sedation, and that does not cause discomfort. ...Read more

10

10
Had a skin biopsy of nose that said actinic keratosis with dilated pore of winer. How likely is this to be wrong and be a Squamous Cell Carcinoma?

Had a skin biopsy of nose that said actinic keratosis with dilated pore of winer. How likely is this to be wrong and be a Squamous Cell Carcinoma?

Why do you ask?: This is one of the most basic calls for a pathologist. It is like asking a zookeeper to identify an elephant. If you are worried for whatever reason, ask for a second pathologist to sign off. ...Read more

12

12
Is it normal to have urethral dilation for stricture for the second time?

Is it normal to have urethral dilation for stricture for the second time?

Urethral dilation: It is not unusual but there are other therapies that may provide better long term management of your symptoms. A true "urethral stricture"is quite rare in women. The symptoms that are being addressed are usually due to bladder over activity that can be confirmed by urodynamic studies and tested with medications. ...Read more

13

13
Urethtal pain ongoing and discomfort sometimes freqeuncy. Previous dilation for urethtal stricture 3 years ago. Why does urethra hurt most days?

Here are some...: Please refer the specific concerns about urethral stricture-related symptoms to your treating urologist, who would know more about you than others on line. Clinically, the care of urethral stricture is a lifelong matter but at different pace and evolution. To get things done correctly, follow instructions as described in http://www. Formefirst. Com/eNewsletter06.html. Thereby, you gain much insight. ...Read more

14

14
I had an egd for reflux. The dr told my wife that he found a very tiny stricture while he was there and ballooned it out. He said it was nothing to worry about and didn't take a biopsy. Now I'm worried?

Discuss worries: It is always best to discuss your worries with the Dr. Who did the EGD. The stricture ismore a tightening of the area and through a visual inspection during the EGD may not have any thing in particular to biopsy, but simply more an area that needed to be dilated-which the Dr. Did. Worry will only increase the chances of increasing acid so stop worrying and simply discuss with Doc. Best wishes. ...Read more

15

15
I had urethral dilation, for a stricture 4 days ago. Can I take saw palmetto i"am 48 years old?

Urethral stricture: Although there is some evidence to suggest that Saw Palmetto works with benign prostatic hypertrophy, I know of nothing to suggest it helps with strictures. This is a mechanical obstruction that responded best to dilatation. I would follow the advice of my urologist. ...Read more

16

16
I have been diagnosed with a tight stricture of the distal sigmoid colon, due to Chron's disease - biopsy showed severe inflammation. What next?

Conservative: Care having "failed" surgery may be indicated... This is COMPLEX and requires evaluation far BEYOND what is available here on HEALTH TAP PRIME.

Good Luck

Dr Z ...Read more

17

17
Had egd for reflux dr said he found a tiny stricture that he ballooned out. He said it was nothing to worrie about. I'm scared of cancer becasue he didn't take a biopsy of it. Am I over reacting?

Had egd for reflux dr said he found a tiny stricture that he ballooned out. He said it was nothing to worrie about. I'm scared of cancer becasue he didn't take a biopsy of it. Am I over reacting?

Esophageal cancer: Malignant conditions may also cause a stricture, or narrowing of the esophagus. There are about 11, 000 new cases of cancer of the esophagus diagnosed yearly. This form of cancer is correlated with smoking or excessive alcohol ingestion, particularly in young adulthood. It is more frequent in men than women and also more frequent in African-American people than Caucasians. ...Read more

18

18
7 days ago I had urethral dilation to clear up a stricture underneath my scrotum. Had the cath removed Monday and it hurts to masturbate. Isthisnormal?

7 days ago I had urethral dilation to clear up a stricture underneath my scrotum. Had the cath removed Monday and it hurts to masturbate. Isthisnormal?

Expected: Give the trauma from the dilatation at least a week to heal before trying masturbation.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

20

20
What are the possiblity of recurrence in urethral membranous stricture dilatation. Will it be worse if it recurred?

What are the possiblity of recurrence in urethral membranous stricture dilatation. Will it be worse if it recurred?

Here is reality...: Since life is a one-way street of accumulation, modification, & continuation, and urethral dilation is a form of minor injury to stretch the scar-related urethral narrowing, especially at membranous urethra, its recurrence is almost a rule but with a wide interval. Hence, always be followed with realistic diligence & vigilance. Due to 400-leter space limit, I love to chat with you via 734-846-2699 ...Read more

21

21
I've read that urethral dilatation need to be redone hundreds of times and may worsen the stricture. Is this true concerning the membranous stricture?

Possible: Response of a membranous urethral stricture to dilatation depends on several factors e.g. length of stricture, composition of stricture, ease of dilatation, etc....dense, long strictures respond poorly than short, soft strictures.... ...Read more

22

22
How painful is membranous urethral stricture dilatation?

Moderately painful: This most often done using local (Lidocaine) anesthesia in the office, The pain also depends on the severity of the stricture. If severe, an optical internal urethrotomy (cutting the stricture using a cystoscope) may be done with general anesthesia ...Read more

23

23
MRI showed smooth CBD stricture with intrahepatic dilatation. Pain only symptom. Blood normal. FDG PET normal. MRCP scheduled. How scared should I be?

MRI showed smooth CBD stricture with intrahepatic dilatation. Pain only symptom. Blood normal. FDG PET normal. MRCP scheduled. How scared should I be?

Not to worry: Magnetic resonance cholangiopancreatography (MRCP) is special type of MRI exam that produces detailed images of hepatobiliary and pancreatic systems, including the liver, gallbladder, bile ducts, pancreas and pancreatic duct. Study may require use of a contrast material that is injected into your bloodstream, the radiologist or technologist may ask if you have allergies of any kind. ...Read more

24

24
I have undergone surgery for urethral stricture in the year 2009.Perform self dilatation since then. Now again I am in trouble in urinating. Treatment?

I have undergone surgery for urethral stricture in the year 2009.Perform self dilatation since then. Now again I am in trouble in urinating. Treatment?

Based on evaluation.: Unfortunately, urethral stricture disease can be a difficult problem to manage with recurrences possible despite surgical treatment. Further treatment options would depend on a full re-evaluation of your current stricture, with physical exam and urethrography. The location, length, & degree of stricture will help determine treatment. Non -procedure options include self-catheterization. Good luck. ...Read more

25

25
RNY 4 months ago. Pantoprozole (40 mg /2x day). Had a stricture fixed w/ 2 dilations 4 weeks ago. Had 2 cavities filled today. Can I take 2 Advil (ibuprofen)?

RNY 4 months ago. Pantoprozole (40 mg /2x day). Had a stricture fixed w/ 2 dilations 4 weeks ago. Had 2 cavities filled today. Can I take 2 Advil (ibuprofen)?

Recommended: Advil (ibuprofen) is most commonly recommended to relieve mild pain. The Pantoprazole can help to decrease upset stomach symptoms due to the Advil (ibuprofen). ...Read more

26

26
I had an egd and an esophageal stricture dilated. I took a bite of a tortilla before remembering I had to eat soft foods only. Is this a problem?

HopeNotATortillaChip: You should know by now. If it doesn't feel stuck, if there's no pain, if you're not regurgitating what you swallow then you're OK. Best to find out what caused that stricture; that would help estimate if or when it might recur. But if any of the above symptoms develop, especially if your whole chest starts to feel on fire, get to an ER pronto for a checkup (and your check). ...Read more

27

27
I had an egd yesterday. They dilated a stricture and the report says I have la grade c.What does that mean? Also im being sent to a surgeon for hernia

Missing words: I am sorry but you pulled out words from a sentence that has to have other words or descriptions. Your question is incomprehensible without more context, history or results. ...Read more

28

28
Gall blader is removed surgically due to stone. Ultrasound says dilated CBD with tapering of distal end-? Stricture of CBD. What does this mean. Harmful?

Difficult to tell: The CBD is common bile duct it is a pathway that allow bile produced by the liver to enter into the duodenum (small intestine).If the common bile duct (CBD) is blocked then bile from the liver can't get out and it backs up into the liver. The report says that the CBD is wider then normal (dilated) and part where it exits into duodenum gets smaller (taper).Then somewhere it get narrower (stricture) ...Read more

29

29
I've got CD and my s bowel is dilated and mulitable strictures in both L and S. On LR diet and infliximab plus more. Does cola harm the bowel?

Not so much harm: The bigger concern with cola, and in general carbonated beverages, is the gas and bloating associated with the carbonation. There is some suggestion that soda might trigger flares but there isn't really any great data in regards to this. ...Read more

30

30
What to do if I have to get a biopsy n am scared?

Depends on type: Best thing to do is talk to your physician. A good physician should (in easily understood language) answer any questions you have about the biopsy to your satisfaction, and most importantly, be able to educate you in regards to the benefits and any potential complications of the procedure. Usually, biopsies have minimal risk associated with the procedure, depending on the site. ...Read more

31

31
My dr is doing a liver biopsy n march. Mystrand has 30-40 %cure rate. She said if liver is ok I can wait til next tx comes out n 2 yrs. What do u think?

I'm with her: I'm not a gastroenterologist but this makes sense. I'm glad you've got the courage to try for a cure, but if we're going to wait on treatment, we want to be sure it's not taking an accelerated course to liver failure / death. I'd get that biopsy and not settle for any other measure. ...Read more

32

32
I had an upper endoscopy yesterday n he said everything looks fine but he took a biopsy. Why would he take biopsy if everything is fine?!

I had an upper endoscopy yesterday n he said everything looks fine but he took a biopsy. Why would he take biopsy if everything is fine?!

Testing for Hpylori: Gastroenterologists typically take a biopsy of the stomach lining near the antral mucosa. This is sent to the pathologist who will look under the microscope and use special stains or not. They are looking for a curved gram negative flagellated bacillus named helicobacter pylori. Hp causes more than 90% of duodenal ulcers and up to 80% of gastric ulcers. Infected perons have an increased risk of ca. ...Read more

33

33
Samples taken for biopsy during my colonoscopy yesterdy. Today I am having pain on n off in som random places in lower abs. Anything serious? Can I take vitamn K n multi vit for biopsy wounds to heal?

Samples taken for biopsy during my colonoscopy yesterdy. Today I am having pain on n off in som random places in lower abs. Anything serious? Can I take vitamn K n multi vit for biopsy wounds to heal?

Colonoscopy: It's not unusual to have mild discomfort shortly after colonoscopy. This is not due to the biopsies, but to residual air left behind after the procedure. If you have severe pain or persistent tenderness in your abdomen, call your Gastroneurologist immediately. Vitamin K and MVI's will not help the biopsy sites heal any faster. They do not cause pain and will heal just fine on their own. Good luck. ...Read more

34

34
What anaethesia to use for biopsy of growing black spot under tongue of a 5 y/o?

What anaethesia to use for biopsy of growing black spot under tongue of a 5 y/o?

Talk with an ENT: Biopsies at this age can be very hard to do. I would recommend having a little sedation in the operating room, so that the experience is not traumatic for the child and it is doe safely. ...Read more

36

36
My son had a skin biopsy (7 yrs). N the report says perivascular lymphoctic infiltrate with extravasated rbc. I need to know what does it mean.

My son had a skin biopsy (7 yrs). N the report says perivascular lymphoctic infiltrate with extravasated rbc. I need to know what does it mean.

Possibly viral: Many reactions to viruses have histology (microscopic appearance) with this description. Would need to see the entire report and slide to be sure. ...Read more

37

37
Fibroadenoma in 33 y old. Report: oval, well circumscribed lesion 0.4 inch wide. Birad 3. follow up 3 mths. No biopsy done. Chance of being cancer?

Fibroadenoma in 33 y old. Report: oval, well circumscribed lesion 0.4 inch wide. Birad 3. follow up 3 mths. No biopsy done. Chance of being cancer?

It is a benign tumor: Fibroadenoma is a common condition among the young females. The diagnosis is frequently made on physical examination and confirmed with a mammogram. A biopsy is not required unless it starts to grow and increase in size. So you can watch it for 6 months up to one year and note any change in size and have a follow up visit with your doctor at least once yearly. ...Read more

38

38
Age 25 F, For an year hvv rt post cervical lft supraclav bilateral axillary n mesentric few and sub centi nodes, needle biopsy of supraclav is reac?

Age 25 F, For an year hvv rt post cervical lft supraclav bilateral axillary n mesentric few and sub centi nodes, needle biopsy of supraclav is reac?

Lymph nodes: Would consider biopsy, could be reactive or castlemans or due to underlying celiac, autoimmune or other condition f/U with doctor /urgent care ...Read more

39

39
I'm hypo taking levo 25mcg have 3 mm cyst dr saying can't do biopsy/surgery is it cancerous what should I do next some saying don't eat dairy n meat?

I'm hypo taking levo 25mcg have 3 mm cyst dr saying can't do biopsy/surgery is it cancerous what should I do next some saying don't eat dairy n meat?

Whoa: First, you need to ignore "pop" advice about dietary restrictions for this-or-that. They're made up by people pretending to be your friends -- they're not. A 3 mm thyroid cyst is almost always a colloid nodule, utterly and totally benign, and not worth pursuing. The imaging folks can tell. I'm sorry the world has people who are bent up upsetting and confusing you. Be glad for good health. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more