Doctor insights on:
Emergently: In most cases a torn esophagus is an emergency (if perforated) b/c of the connection to the mediastinum where the heart and other important structures live. Concern is for bacteria or stomach contents to enter into that space and causing inflammatory reactions and infection. Thoracic and in some cases ENT surgeon would be involved in treatment.See 2 more doctor answers
Yes: You can rupture your esophagus in a car accident, but the forces required to do this usually produce other serious to mortal injuries at the same time. These injuries include rib fractures, collapsed lungs, torn aorta, and lung contusions. Fortunately modern air bags, seat belts, and car designs have reduced the number of these serious injuries significantly.See 2 more doctor answers
No: Unless it is inadvertent placed down the esophagus.
Can not chewing well & swallowing food tear esophagus? Chest hurt when swallowing cookie. Afterwards no symptoms, but can it be torn asymptomatically?
Unlikely: A complete tear of the esophagus from normal food would be very unlikely, and you'd know it if it happened (think lots of blood and pain). Esophageal stasis is a condition where normal motility in the esophagus is decreased, leading to pain and difficulty swallowing. The swallowing of hard crunchy foods can cause superficial but painful scratches to the lining of the esophagus.
Possibly.: It depends on the circumstances surrounding your so called purge. If you had been drinking, this could easily be a poswsible mallory weiss tear, where the lining of your esophagus and stomach are torn from binge drinking and wretching vomiting. If you ate a lot of food it could still be there but less likely. At any rate, you should go see a doctor real soon.
Can you tell me how the tear in Esophagus can be diagnosed and who is the specialist to see, GI or ENT?
Can Barium Swallow Test diagnose SMALL tear in Esophagus? How much mSV radiation do you get from this test? I''m not getting straight forward answers.
No diagnostic: Test, including Barium Swallow, is 100%. There are always false negatives. Amount of radiation depends on how many seconds of fluoroscopy is used during the exam. Tears in the esophagus, if full thickness, manifest as mediastinitis within several hours. If partial thickness, it can cause hemorrhage. Sounds like you have neither. Ask your doctor if you really need this test.
If you are suspected of having tear in esophagus, it it good idea to take liquid GI cocktail (Donnatal, Mylanta, Lidocane Viscus)?
Consult your GI doc: And esophageal tear is a very serious condition you should consult your primary doctor right the way
Which is better test to Dx small tear in esophagus due to impact? CT, MRI, or barium swallow test?
I prefer barium swal: I was trained to use barium swallow for esophageal tears. However, it is bad to use if the tear penetrates through full thickness of the wall. For this we may use a water soluble contrast. CT is an excellent tool for this but uses a lot of radiation. I would use this if there are complications to worry about or the initial swallow is non diagnostic. MRI is not good.
Which is better test to Dx mediastititis caused by potential tear in esophagus caused by impact of car collison? CT, MRI, or barium swallow test?
Do U have Achalasia: Achalasia is defined by absent peristalsis in the esophagus & incomplete relaxation of the lower esophageal sphincter (les). It may be a "primary" esophageal motility disorder, or "secondary" to cancers invading the les (pseudoachalasia), chagas disease from reduviid bug bites, amyloidosis, sarcoidosis, eosinophilic infiltration. Similar motor abnormalities can be seen with diabetes & ciip.
Narrowed esophagus: There are various disorders that can cause narrowed esophagus. The can range from benign (secondary to reflux or prior radiation or ingestion of caustic substance) to malignant (cancerous) the narrowing can also be caused by extrinsic (something pushing from outside) compression to esophagus. The best test to diagnose this is either esophagram or endoscopy. With endoscopy you can diagnose & treat.