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Doctor insights on: Torn Esophagus

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How is a torn esophagus treated?

How is a torn esophagus treated?

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

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more


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What can cause a torn esophagus?

What can cause a torn esophagus?

Many things: Spontaneous rupture can be caused by vomiting. Other causes are iatrogenic, or caused by accidental instrumentation, such as endoscopy. ...Read more

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What do I do to fix a torn esophagus?

What do I do to fix a torn esophagus?

Surgery ASAP!!!!!: A true torn or ruptured esophagus is a surgical emergency as food and saliva can leak into the chest cavity. It usually needs immediate surgery to avoid a very nasty, life threatening infection. ...Read more

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How is a torn esophagus detected and fixed?

How is a torn esophagus detected and fixed?

Imaging / Surgey: Detected most commonly with ct scan though other testing may detect it. It can at times heal on its own but others may require surgery. ...Read more

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Can you get a torn esophagus or worse, in a car accident?

Can you get a torn esophagus or worse, in a car accident?

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

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Can not chewing well & swallowing food tear esophagus? Chest hurt when swallowing cookie. Afterwards no symptoms, but can it be torn asymptomatically?

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

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Blood while purging. Could it be tear in esophagus?

Blood while purging. Could it be tear in 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. ...Read more

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Can you tell me how the tear in Esophagus can be diagnosed and who is the specialist to see, GI or ENT?

Can you tell me how the tear in Esophagus can be diagnosed and who is the specialist to see, GI or ENT?

Depends on: Location. Endoscopy or CT scan is probably most productive. If the tear is at the junction between stomach and esophagus, the usual location, then GI. If it is in the neck or throat, probably ENT. ...Read more

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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.

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

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If you are suspected of having tear in esophagus, it it good idea to take liquid GI cocktail (Donnatal, Mylanta, Lidocane Viscus)?

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

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Which is better test to Dx small tear in esophagus due to impact? CT, MRI, or barium swallow test?

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

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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?

Barium Swallow: The first line test is a barium swallow with water soluble contrast. Depending on the results from that exam at Chest CT is the next line exam. ...Read more

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My lower esophagus has formed into a s shape why?

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

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Are esophagus spasms dangerous?

Highly inconvenient: Not life threatening but could indicate significant underlying reflux ...Read more

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I feel something stuck in esophagus?

I feel something stuck in esophagus?

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

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What to do if my esophagus is damaged?

See your doc: It is unclear of how you think this has happened but need to see a physician for the diagnosis. Need either an upper endoscopy or x-rays called an UGI to reveal further what is going on. Eliminate for now any alcohol or caffeine until this is evaluated. ...Read more

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What are the sunrooms of a bad esophagus?

What are the sunrooms of a bad esophagus?

Metaphor?: Before mis-answering your question, did you mean "sunrooms" or "symptoms" please? ...Read more

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What causes my esophagus to be restricted?

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

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What causes holes to tear in the esophagus?

Rare: Esophageal perforations are not common. It can occur in the setting of excessive vomiting or retching. Also possible with a prolonged food impaction or even severe pill esophagitis. ...Read more

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What are the tests for barrett's esophagus?

Endoscopy: An endoscopy and biopsy is needed to assess the barrett's and decide if there are precancerous cells that require more aggressive therapy. ...Read more

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How is barrett's esophagus typically treated?

How is barrett's esophagus typically treated?

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

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What are the symptoms of barrett's esophagus?

What are the symptoms of barrett's esophagus?

Heartburn or none: Patient with heartburn tend to have barrett's more commonly but a good portion of patients with barretts are asymptomatic. ...Read more

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Describe the features of barrett's esophagus.?

Describe the features of barrett's esophagus.?

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

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What is this pain in the esophagus, that I am having, caused from?

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

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What is a web in esophagus?

Web: A thin mucosal membrane protruding into the lumen of the esophagus. This "web" narrows the esophagus. Usually there are no symptoms, but if severe can cause partial obstruction of the esophagus resulting in regurgitation and difficulty swallowing. ...Read more

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What is a tortuous esophagus?

What is a tortuous esophagus?

Not straight: This means that instead of the esophagus goin straight from the mouth to the stomach, it is curved irregularly. This is usually due to a large hiatal hernia, but can also be seen without a hernia, usually in older patients (age undefined!). Hope this helps! ...Read more

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Does endoscopy look at esophagus?

Does endoscopy look at esophagus?

Yes: Upper endoscopy can look at the esophagus, stomach and most of the duodenum. ...Read more

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Does tobacco affect the esophagus?

Tobacco....: Liam,
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