Doctor insights on:
Ineffective Esophageal Motility Disorder
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
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
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
I have slight esophagus motility problem caught in manometry (Taking librax). Is it safe to do weight lifting and running exercises with this disorder?
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
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
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 don't think so: I would think by its very nature there are cramps involved ...Read more
I'm NPO on TPN for a motility disorder my stool is sticky and Grainy is that normal for TPN it never happened before should I contact my Gi?
When I eat food my throat tightens badly, seemingly from being twisted by a motility disorder. I also get chain spasms and chest pain. No acid reflux.
Further evaluation: You may suffer from spasms of the esophagus that may require further evaluation by your internist ...Read more
Focal scleritis, global motility disorder, mitral valve regurgitation & stenosis, tricuspid valve regurgitation, paroxysmal atrial fibrillation, venous insufficiency, Raynaud, hypothyroidism, epilepsy, small/large fiber neuropathy. Related somehow?
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
No great therapy: Chew food well, earring sitting up and wash down with liquids. ...Read more
Hi, I know it´s risk, but my question is. I want to know what will happen, if I go to fundoplication? . I have GERD 3mmhg and dysmotility of esophagus
Depends.: Surgery for gerd certainly can help symptoms, but as with any surgery, there can be complications and long-term side effects. Currently, surgery is recommended for gerd only if the patient is refractory to medical therapy. Have you had a good trial of anti-reflux medications? Did they work? These are questions that you will need to answer with your physician before considering any sort of surgery. ...Read more
Hi, it seems like scleroderma. I have dysmotility of esophagus and les 3mmhg but rheuma. Said no scleroderma and my doctor disagree all tests negative?
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
I have dysmotility of esophagus and GERD 3mmhg (scleroderma). Will be posibble to do fundoplication in the future if my esophagus will be ok? Thanks
Would nonspecific esophageal dysmotility make botox injjection for damaged recurrent laryngeal nerve contraindicated? Are there better options?
Botox for RLN?:
Unspecific esopageal dysmotility should not be affected by laryngeal Botox treatment.
It is difficult to suggest options since I am unclear of what your voice and swallowing issues are, what caused the rln damage and what your vocal cords actually look like. Are you under the care of an ent/ otolaryngologist/ laryngologist? ...Read more
Hi, can GERD cause esophageal dysmotility? I don´t mean achalasia or sclerodermia. Only GERD (les 3mmhg). I have both and non specific. Thanks
They go together: Your les (lower esophageal sphincter) is hypotensive. The pressure is too low. Normally it should be above 10mmhg. Therefore acid from the stomach can freely go up to your esophagus and therefore gerd. If your physician told you that rest of manometry was unremarkable, you may still have scleroderma. Some foods and medications can decrease the les pressure. Achalasia has a high les pressure. ...Read more
Hi, I have high dysmotility of esophagus with acid reflux - hypotensive les 3mmhg and it seems like scleroderma, but my skin and blood are ok. Thanks?
Not scleroderma: Well some people with scleroderma can have internal changes without skin changes, your history is missing a lot of information one can use to diagnose scleroderma. You need to see your rheumatologist to clarify your correct diagnosis. The rheumatologist and the gastroenterologist can work together to help clarify your diagnosis. ...Read more
Yes: Almost everyone will. Rarely does it pose a serious permanent problem. A few do, so if you are choking or it feels like food is getting stuck, contact your doctor so you can be evaluated. ...Read more
If extensive GI workup showed no structual problems or ca of esophagus (only esophageal dysmotility) is chonic sore throat & chest 2 yrs later gi?
Maybe: Your sore throat could certainly be a GI cause. I would recommend that you undergo evaluation for acid reflux to see if that is a cause for your sore throat. Esophageal dysmotility could contribute as well, although it depends on what kind of dysmotility you have (there are many). ...Read more
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
Meds for nonspecific esophageal dysmotility? Food sticks so heartburn & sore throat. Behavioral measures better (soft food, lots of water)?
Diet and maybe meds: A difficult problem. Be sure it is not related to nerve issues such as in diabetic gastroparesis. Trying to eat small meals throughout the day (grazing) can help. Be sure to avoid irritants such as caffeine and tobacco as both make heartburn worse by relaxing the muscles at the opening of the stomach. Some meds like Erythromycin and metochopramide may be needed to stimulate movement. Fluids good. ...Read more
Hi, I've chrons disease now 15 years. Can this have an effect on my sperm motility and morphology?
Maybe: If you are ill with any disease, then fertility could be impaired. Fevers and weight loss are the worst culprits for reducing fertility with chronic disease. Some medications (especially sulfa-based agents like sulfalazine) can also impair fertility. In the absence of these, fertility is remarkably robust. ...Read more
Can frequent and excessive use of stimulant laxatives in a short time cause GI motility disorders?
Laxatives: Short answer is possibly as limited use should not cause severe problems. But if the underlying reason you are using stimulant laxative is a GI motility problem, then it might worsen that situation. Best to avoid frequent use and address underlying reasons for use. If it is related to an eating disorder, please get that addressed. ...Read more
Esophageal disorders: ...are conditions that affect the first 40cm of the gut=the esophagus. These may include structural, motility, inflammatory, and infiltrative disorders. ...Read more
Barrettes esophagit.: It is possible.Get a more detailed answer ›
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