Doctor insights on:
Herbal Treatment For Abnormal Esophagus Motility
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
I have slight esophagus motility problem caught in manometry (Taking librax). Is it safe to do weight lifting and running exercises with this disorder?
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
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
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
Did you hear about Endostim (electrostimulation) for treatment GERD? Any experience with it? I have gerd les=5mmhg and non-working esophagus. Thanks
Yes: In the people in whom it works it can be life changing! ...Read more
My grandad has just been diagnosed with esophagus cancer & 2 blood clots on his lungs what treatment will he get as apparently wharf in can't be used?
Injectable: Lovenox (enoxaparin) is the drug of choice if warfarin cannot be used ...Read more
Unclear: Your question is unclear. Not enough details. ...Read more
Depends on severity: Depending on the severity and the location, the treatment could vary. Best discussed with your doctor. ...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
I am 24.I have total dysmotility of esophagus, severe GERD, LES=3mmhg & Aerofagia. Its been 2y.IPP, procinetic, diet not helping. Any treatment solution?
GERD: ...can at times be very difficult to treat. If you have been on a PPI and a prokinetic agent, and obviously have had tests done, then you must be seeing a gastroenterologist. It is possible you need a higher dose or different medication. In some cases, even surgery is necessary for GERD. I would return to your G.I. doctor to see what the next step is in treatment and/or evaluation. Good luck! ...Read more
Dear doctor my aunt has under gone esophagus cancer treatment & later to that she has developed a hole in esophagus. Any remedy for this conditio?
Esophageal fistula?: Most likely she the tumor that is eroding into and caused fistula, indicative of advanced cancer, non curable at this stage, various palliative measures are possible to make her comfortable at this endstage, like placing a silicone tube in side, or feeding with gastrostmy tube. And taking help from hospice care and make her life as comfortable as possible. ...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
Life expectancy esophagus cancer with mets to bones, sick for 6 months and got mets about 2months ago, 63 years old no treatment, can't eat. Only TPN?
You should consider: Consider taking treatment especially to open up your esophagus so that you can eat and enjoy your life. It is easy to open the esophagus with radiotherapy. This treatment is free from any serious side effects. The medical treatments for this cancer are not useful once it spreads to bones. Most patients live 6-12 months but there are exceptions. ...Read more
What is/does a "suboptimal bolus transit" mean? What does "mild nonspecific motility anomaly" mean? What is the treatment for both?
I am assuming: This is for an esophogram. Means the material your ingested goes through your intestinal tract (esophagus) not in an optimal way. They best thing is to discuss this with your doctor who ordered the test. ...Read more
Barrett's risk & tx: Barrett's epithelium replaces the part of your esophagus that is damaged by reflux. Yearly risk of barrett's tissue turning into cancer is low, but roughly 65x likelier than in patients without barrett's. Prevention & early detection is key, & treatment of gerd is important in patients predisposed by longstanding reflux. Dysplasia in barrett's needs close follow-up, can be endoscopically destroyed. ...Read more
Semen analysis: motility 50%, sluggish 30%, non motile 20% and count 70 million... Is it normal or my husband need a treatment?
It is fine: Each time a sperm count can vary but he has significant motility and good number, . ...Read more
After surgery: Side effects after esophagectomy (removal of esophagus and replacement with the stomach) for cancer include weight loss, reflux, loss of appetitie, and feeling full (early satiety). Reflux is because the sphincter between the esophagus and stomach is removed. Keys to avoid those side effects are sleeping at 30 to 40 degree angle. And eating 6 small meals a day instead of 3 large meals. ...Read more
I just had a upper endoscopy today and found that I have salmon colored musosa from 44-45 esophagus, is barrett esophagus always the cause of this problem, treatment options, biopsies were taken.
Ask your doc: This is a question you should have asked the doctor who did the scope. He likely had obtained a biopsy on the abnormal mucous membrane and can give you a more accurate answer. As with all future doctor encounters, be sure to ask questions regardless how fundamental they may seem. ...Read more
I hear the mayo clinic had a new treatment for acid reflux. This consisted of a magnet bead type ring placed around the esophagus. Good idea?
If it works, yes: For many the alternative is a lifetime of taking acid reducers so if this stops acid and/or food from backing up from the stomach to the esophagus by recreating a pressure gradient, it sounds useful. ...Read more
My husband have low semen count, non motility, we expecting a baby for 4 yrs. We had all fertility tests, no other problem found. Pls Suggest a treatment?
Here are some. ..: I assumed he has been confirmed: no varicocele, normal hormone profile, in good health, no? For infection in semen, and as well, your wife has been checked out to be ok in period and have patent Fallopian tubes. If so, try using Clomid (clomiphene) for 6 months under a close monitoring hormonal levels and semen analysis in 3-6 months before considering IUI, IVF, adoption, etc. Detail? Ask Doc timely. ...Read more
Father in law, 55, heavy smoker/drinker. Stage IV liver, lung and esophagus. Refusing treatment. Lost 50# in 6 months. Prognosis? Time frame?
Poor prognosis: Tough to give any exact dates, especially without knowing all the information and especially without examining him. Prognosis is certainly poor for your uncle and it appears with the information you provided, the end may be near. Hospice should be involved with his care asap if not. Best wishes. ...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
Hi Doctor, I'm trying to be conceive ;but, my husband has been taken metronidazole 250 mg for 10 days (for H.pylori treatment). does it may affect on sperm motility and chance of my conception?
No: Donot worry it will not effect your chance of conception ...Read more
I'm just wondering, if you went to a osteopath would they use herbal medicines as part of their treatment?
Maybe: It depends on the specialty of the physican and her/his specific practice when it comes to herbal remedies. ...Read more
I don't know: You know I'm a medical doctor and I really don't know what herbs can help but I'm great at telling you what medicines will help. ...Read more