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Doctor insights on: Impaired Esophageal Motility

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Can stroke affect esophageal motility?

Can stroke affect esophageal motility?

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

Motility (Definition)

The ability to move spontaneously and actively, consuming energy in the process. It can also refer to an organism's ability to move food through its ...Read more


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Does excess gastrin reduce stomach motility which delays gastric emptying?

Does excess gastrin reduce stomach motility which delays gastric emptying?

It can: gastrin actually a stimulant to the acid patient with high gastrin level has many ulcers and they could have some thing we called ZOLLINGER-ELLISON SYNDROME. whic hard to treat and could be associated with a tumor in the pancreas, and could be associated with MEN stand for multiple endocrine neoplasm. to answer your question. yes it can effect the gastric motility, and might delay gastric emptying ...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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Dose gastric motility deteriorate when using jejunul tube feeding

Dose gastric motility deteriorate when using jejunul tube feeding

Slows down: You are essentially bypassing the stomach ( gastric area) and feeding right into the intestines. Thus the motility of the stomach would be less in instances in which you are feeding directly into the intestines. ...Read more

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Confusion between esophageal spasm or heart disorder?

Confusion between esophageal spasm or heart disorder?

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

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Can esophageal cancer cause swallowing disorders?

Can esophageal cancer cause swallowing disorders?

Yes: The major disorder is the inability to swallow food or liquid comfortably. Esophageal cancer is generally circumferential, like a doughnut. The hole or the lumen becomes smaller as the cancer grows, making it difficult for food and then liquid to pass through. This is called dysphagia. It can be treated with radiation, placing a stent or surgery with removal and replacement of the esophagus. ...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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Diagnosed with gastroparesis, slow transit bowel and tight sphincter/rectal muscle problems. Help!?

Diagnosed with gastroparesis, slow transit bowel and tight sphincter/rectal muscle problems.  Help!?

High sympathetic : High sympathetic nervous system activity will slow transit time, reduce ability to digest food, increase sphincter tone. Avoid calcium supplements (calcium increases sympathetic tone), consider magnesium supplmentation (magnesium blocks effects of calcium) see your doc. Good luck! ...Read more

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What causes impaired gastrointestinal absorption rate?

What causes impaired gastrointestinal absorption rate?

At the cell level...: Inflammation of the lining of the small intestine, in conditions such at crohn's disease and ulcerative colitis, and impact gastrointestinal absorption. Also certain food sensitivities, such as to gluten, can cause changes to the lining of the intestine, thus slowing absorption. Malabsorption can lead to weight loss, vitamin deficiencies and abnormal stools. See your physician. ...Read more

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How to understand nonspecific neuromuscular disorder causing esophageal motility disorder (inadequate peristalsis) if no diagnosis known & normal bloodtests?

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 dont work well this same process can happen to the esophagus muscle. ...Read more

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Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?

Reflux: Gastroparesis, or delayed gastric emptying, causes reflux - not the other way around dairy intolerance can cause increased gas and more gas means more burping and more burping means more reflux. ...Read more

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Can Acid reflux cause esophagus spasm and thus dysphagia?

Can Acid reflux cause esophagus spasm and thus dysphagia?

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

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4.5 ml vol semen collection with 40% rapid 13% slow 42% immotile 5% nonprogressive and 95% abnormal. Motility is 300.2 sperm count 115.0. Infertile?

4.5 ml vol semen collection with 40% rapid 13% slow 42% immotile 5% nonprogressive and 95% abnormal. Motility is 300.2 sperm count 115.0. Infertile?

See your doctor: Typically 2-3 semen analyses are obtained over 3 months before any final conclusion is made regarding baseline quality and quantity. Commonly used values: volume>2.0 ml, ph 7.2-7.8, concentration >20 x 10^6/ml, motility >50%, morphology >30% with normal morphology, WBC <1 x 10^6/ml. Based on your values, fertility may be very challenging, but your doctor can help rule out causes, such as infection. ...Read more

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Difficulty swallowing? Is that esophageal disorder or cancer?

Difficulty swallowing? Is that esophageal disorder or cancer?

Needs more eval: These symptoms could indicate either. Make an appointment with your primary care physician or a gastroenterologist. Common tests would include an upper endoscopy or an esophagram. ...Read more

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What could cause excessive bile production, resulting in gastritis/duodenitis? Egd revealed the former. Gastric empty study normal.

What could cause excessive bile production, resulting in gastritis/duodenitis? Egd revealed the former. Gastric empty study normal.

Stick with your doc: You are already well down the road to discovering your problem. Sounds like there might be some bile reflux. Controversial topic. Relationship between symptoms and bile reflux is not clear. It is not likely excess bile production that produces gastritis and it is not likely the sole cause of your symptoms. You need a good doc who can explain the details and meaning of your findings. ...Read more

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4yr old. asd, gastric reflux, low iga,allergic related mediated gastrointestinal dysmotility. Black bloos streaks stool. Pain esophagus stomach. What?

4yr old. asd, gastric reflux,  low iga,allergic related mediated gastrointestinal dysmotility.
Black bloos streaks stool. Pain esophagus stomach. What?

Abdominal pain : You gave obviously been to a whole conference of physicians. You already have a huge list of legitimate GI diagnoses. If the stool is still bloody/black you need to do more. Sorry. Add these to your find out list- mechel's diverticula, h pylori, c diff, milk allergy, and endoscopy. Perhaps you need a second opinion from another doctor and hospital. Your persistence will be best solution ! ...Read more

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Does cilia dysfunction lead to difficulty swallowing?

Does cilia dysfunction lead to difficulty swallowing?

Cilia dyskinesia: Yes, other symptoms include: Respiratory distress as a newborn. Chronic cough. Pneumonia, bronchitis and other recurring infections. Excess mucus. Difficulty clearing mucus. Middle ear infections. Hearing loss. Severe sinus infections. ...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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Can stroke affect esophageal motility?

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

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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 dont work well this same process can happen to the esophagus muscle. ...Read more

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Please suggest natural reliefvfor esophagus motility disorder?e.g.exercise, diet, lifestyle change?

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

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I have slight esophagus motility problem caught in manometry(Taking librax). Is it safe to do weight lifting and running exercises with this disorder?

I have slight esophagus motility problem caught in manometry(Taking librax). Is it safe to do weight lifting and running exercises with this disorder?

Yes: However, if you are noticing more symptoms, either reflux like symptoms or difficulty with swallowing food, then you should lay off the weightlifting and consult your primary care doctor or your gastroenterologist before proceeding. Good luck. ...Read more

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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?

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

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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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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.?

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

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Ways to improve sperm volume and motility?

Ways to improve sperm volume and motility?

Correctable cause?: If the results are low on two tests, you should be evaluated for a cause. A physical exam along with testing for endocrine abnormalities are necessary. The most common finding would be a varicocele (15%), which can be corrected and may return normal numbers of sperm. Heat exposure (fever, hot baths) can cause this. For hormonal problems, stimulation of sperm production with medicines might work. ...Read more

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Chances of successful IUI at age of 35wid 25%motility?

Chances of successful IUI at age of 35wid 25%motility?

Variable: Iui increases the chances of pregnancy from about 17% per cycle to just over 20% per cycle. It is commonly used when sperm counts or motility are lower than "normal". However, i treated a couple successfully four times with IUI with a count of 400, 00/cc with less than 10% motility. ...Read more

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Can i get pregnant while my husbands motility is 20 for a and 20 for b?

Can i get pregnant while my husbands motility is 20 for a and 20 for b?

Yes: As long as there is some motility, pregnancy is a possibility. The lower the motility, the lower the likelihood, though. ...Read more

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What is sperm motility?

Sperm motility: Grading scale: 0 = no motion. 1 = some head or tail movement, but no forward progress. 2 = feeble forward progress, not likely fast enough to swim against the current through the fallopian tube. 3 = rapid forward progression 4 = frenzied swimming (rarely seen in human sperm). ...Read more

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How to increase sperm motility?

How to increase sperm motility?

Sperm motility: Check for possible varicocele(varicose veins) along spermatic cord; wear boxer shorts instead of tight clothing; avoid drugs like cocaine, marihuana; avoid hot tub baths. ...Read more

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How can I boost sperm motility?

You can't (mostly): Most experts say you can't. Even if low you don't need to boost motility already in a normal range. Common sense like reduced alcohol and no tobacco helps some men, but it's a very small change. Men with anatomic abnormalities sometimes improve mot through surgery. Some fertility specialists and uroplogists have good experiences with using supplements and drugs, but no good studies back this up. ...Read more

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How can I improve sperm motility?

See a Doctor: Why is your sperm motility low? Have you been checked by a Urologist? Yo may have a varicoele that can be removed and your sperm motility can get better. also, do not expose your scrotum to heat. Avoid jacuzzis. Avoid jobs that increase your heat exposure. ...Read more

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How can improve sperm count & motility?

How can improve sperm count & motility?

Healthy lifestyle: By eating a healthy diet, maintaining a good weight, avoiding testicular overheating from saunas, hot tubs, etc., avoiding tobacco, and other substance abuse as well as exposure to toxins such as radiation and chemical exposure, you will be able to optimize your sperm count. ...Read more

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How can you address low sperm motility?

You can't (mostly): Most experts say you can't. Even if low you don't need to boost motility already in a normal range. Common sense like reduced alcohol and no tobacco helps some men, but it's a very small change. Men with anatomic abnormalities sometimes improve mot through surgery. Some fertility specialists and uroplogists have good experiences with using supplements and drugs, but no good studies back this up. ...Read more

Dr. James Lin Dr. Lin
3 doctors agreed:
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Can low sperm count/motility be treated?

Dr. James Lin Dr. Lin
3 doctors agreed:
Can low sperm count/motility be treated?

Possible with...: If potential underlying causes were suspected, such as varicocele, vas obstruction, etc., surgical correction can be done and may help. For idiopathic condition, empirical use of clomiphene for 6 months may be tried. Of course, female partner needs to be evaluated because female factors for infertility counts for 40% of times wholly and 20-30 % of times partially. ...Read more

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What is 'good' sperm count and motility?

What is 'good' sperm count and motility?

20million per ml: Who criteria state that normal counts are above 20million per cc of semen. Some other studies say that pregnancy rates fall when sperm concentration are below 15 million per cc. Motility and morphology and semen volume are other important parameters. ...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