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. ...Read more
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. ...Read more
No: Unless it is inadvertent placed down the esophagus. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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 ...Read more
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. ...Read more
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. ...Read more
Eating: Sometimes ingested items not fully chewed can get stuck in esophagus. Chicken and fish bones sometimes leave sensation because of scratch in esophagus or pharynx leave stuck sensation. Narrowings (stenoses) of esophagus from surgery, reflux esophagitis, hernia and congenital abnormalities can cause holdup of materials. ...Read more
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. ...Read more
Anti reflux Rx: Be is a complication of chronic reflux; may be painless. Cells in lower esophagus look like intestinal cells, would be ok if they weren't esoph. Cells; less resistant to chemical onslaught. Pre-cancerous. 1% of barrett's pts. May develop adeno (gland) ca of esoph. Rx with aggressive med rx, ppi twice a day, and follow up endoscopy to check for "dysplasia"-more cancer-like; can remove by scope. ...Read more
Change in lining: Barrett's esophagus is when there is irritation to the area between the esophagus and stomach, causing the cells there to change from one form to another. The reason this is important is because the changed cells have a relatively high (compared to normal people) chance to progress to cancer. You would need endoscopy to find and treat this condition. ...Read more
Spasm: The esophagus is very muscular to move food from your mouth o your stomach. Sometimes these muscles cramp up into a spasm, which causes a severe pain. Please contact your primary provider to evaluate this further if it dosen't resolve soon ...Read more
As a young LAD out of Med School I opted to join WHO to eradicate Smallpox.
My assignment was a remote tribal also inhabited by snakes.
some causing instant death and the rest swallow you a whole.
Tabaco is about the same. It strikes each and every organ of our system, For Oesophagus it leaves the gift of Cancer, devastating, terminal and painful.
Quit. ...Read more