Doctor insights on:
What Is The Treatment For Tortuous Esophagus
Motility disorder: It could be a motility disorder such as distal (formerly diffuse) esophageal spasm or a nutcracker esophagus. High resolution Manometry is the test to find out. A small tube is placed into the esophagus and you swallow water 10 times. It measures the valve pressures and the coordination and strength of the muscle contractions. Hope this helps! ...Read more
I have had a cough and wheezing for 5 months. I have a history of gerd and I'm now wearing a bravo. My EGD showed a tortuous distal esophagus. Ph 1.4?
Gerd: The cough and wheezing may or may not be related to your gerd. Nevertheless I recommend that you consult a pulmonologist as you may have adult onset asthma. Either way you will be treated for your prolonged cough and wheezing by an appropriate specialist. Let the gastroenterologist treat your gerd. ...Read more
I have a tortuous esophagus, twisted stomach, hiatus hernia. Surgery is required. What type of surgeon should I research and prognosis for recovery?
Foregut Specialist: Sounds like you have a paraesophageal hernia, typically associated with difficulty swallowing, chest pain/pressure, anemia, and sometimes GERD. This is a difficult operation most surgeons don't do. Look for one with extensive experience. Usually a general surgeon, but some thoracic surgeons do this laparoscopically, which is the best way to go. Hope this helps ...Read more
Is there a treatment for internal carotid artery (tortuous) with left ear constant whooshing, mitral valve prolapse too?
Yes: For the noise in your ear they make noise damper devices. There is no medication in surgery would do a lot more harm than good as long as the blood flows normal in your Carotid artery. As far as mitral valve prolapse and you do have to have more information from your doctor cardiologist regarding treatment in most prolapse and without Regurgitation mitral valve does not require any treatment ...Read more
Unclear: Your question is unclear. Not enough details. ...Read more
Barrett's risk & tx: Barrett's epithelium replaces the part of your esophagus that is damaged by reflux. Yearly risk of barrett's tissue turning into cancer is low, but roughly 65x likelier than in patients without barrett's. Prevention & early detection is key, & treatment of gerd is important in patients predisposed by longstanding reflux. Dysplasia in barrett's needs close follow-up, can be endoscopically destroyed. ...Read more
After surgery: Side effects after esophagectomy (removal of esophagus and replacement with the stomach) for cancer include weight loss, reflux, loss of appetitie, and feeling full (early satiety). Reflux is because the sphincter between the esophagus and stomach is removed. Keys to avoid those side effects are sleeping at 30 to 40 degree angle. And eating 6 small meals a day instead of 3 large meals. ...Read more
Depends on severity: Depending on the severity and the location, the treatment could vary. Best discussed with your doctor. ...Read more
I just had a upper endoscopy today and found that I have salmon colored musosa from 44-45 esophagus, is barrett esophagus always the cause of this problem, treatment options, biopsies were taken.
Ask your doc: This is a question you should have asked the doctor who did the scope. He likely had obtained a biopsy on the abnormal mucous membrane and can give you a more accurate answer. As with all future doctor encounters, be sure to ask questions regardless how fundamental they may seem. ...Read more
My grandad has just been diagnosed with esophagus cancer & 2 blood clots on his lungs what treatment will he get as apparently wharf in can't be used?
Injectable: Lovenox (enoxaparin) is the drug of choice if warfarin cannot be used ...Read more
Life expectancy esophagus cancer with mets to bones, sick for 6 months and got mets about 2months ago, 63 years old no treatment, can't eat. Only TPN?
You should consider: Consider taking treatment especially to open up your esophagus so that you can eat and enjoy your life. It is easy to open the esophagus with radiotherapy. This treatment is free from any serious side effects. The medical treatments for this cancer are not useful once it spreads to bones. Most patients live 6-12 months but there are exceptions. ...Read more
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
Dear doctor my aunt has under gone esophagus cancer treatment & later to that she has developed a hole in esophagus. Any remedy for this conditio?
Esophageal fistula?: Most likely she the tumor that is eroding into and caused fistula, indicative of advanced cancer, non curable at this stage, various palliative measures are possible to make her comfortable at this endstage, like placing a silicone tube in side, or feeding with gastrostmy tube. And taking help from hospice care and make her life as comfortable as possible. ...Read more
Did you hear about Endostim (electrostimulation) for treatment GERD? Any experience with it? I have gerd les=5mmhg and non-working esophagus. Thanks
Yes: In the people in whom it works it can be life changing! ...Read more
I hear the mayo clinic had a new treatment for acid reflux. This consisted of a magnet bead type ring placed around the esophagus. Good idea?
If it works, yes: For many the alternative is a lifetime of taking acid reducers so if this stops acid and/or food from backing up from the stomach to the esophagus by recreating a pressure gradient, it sounds useful. ...Read more
Father in law, 55, heavy smoker/drinker. Stage IV liver, lung and esophagus. Refusing treatment. Lost 50# in 6 months. Prognosis? Time frame?
Poor prognosis: Tough to give any exact dates, especially without knowing all the information and especially without examining him. Prognosis is certainly poor for your uncle and it appears with the information you provided, the end may be near. Hospice should be involved with his care asap if not. Best wishes. ...Read more
Burned Esophagus: It depends what burned it... Your own stomach acid is quite different than lye ingestion. Assuming it's from your own acid (gerd) you could take Prilosec otc but I would also consult with your doctor... Sometimes it's a treatable infection (h. Pylori) or a more serious issue that needs attention from a GI physician. ...Read more
No great therapy: Chew food well, earring sitting up and wash down with liquids. ...Read more
Chest PAIN from DES: Des is a motility disorder of esophageal function. The muscles of the esophagus forcibly tighten, typically unpredictably, resulting in severe chest pain. Distinguish this from situational esophageal spasm, "nutcracker esophagus", and of course non-esophageal causes of chest pain. Speak with your gastroenterologist about rx options to minimize attacks, where to go, what to take when pain develops. ...Read more