Esophageal Motility Disorders
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- Опубліковано 16 чер 2024
- This Masters in Medicine webcast is one in a three-part series by Dr. Edgar Achkar. This webcast reviews esophageal motility disorders, including dysphagia and achalasia. Take the opportunity to also learn from Dr. Achkar in Medical Management of GERD and Eosinophilic Esophagitis.
To learn more about the Masters in Medicine series or to claim CME credit, visit www.ccfcme.org/Masters
The video was produced by the Cleveland Clinic Foundation Center for Continuing Education.
I've had chest pain for years and was never given a reason why. I recently got a soft diagnosis of slow esophageal motility.
Great information, so glad I found this.
I found this an excellent video as I've got these symptoms and had some of these tests. I'm waiting to see a specialist.
Great Video.
Fantastic job!
So targeted and informative
Thanks doc
Thank you Dr. Very well explained.
excellent, wish my doctors had his intelligence.
good video
amazing explanation, very useful, thanks!
Thank you prof
Getting ready to have the P.O.E.M surgery, this explains a lot and helps me to understand my options. I had the Botox once but prefer the surgery for a longer term cure.
How did your surgery go… did it fix the problem
How was the botox did for you? Since I will have botox then 18 days later I will have the HM.
Julie Smith Artist how was your surgery
How did the surgery go?
how did u get approved for the poem surgery
Fantastic😇
The upper and lower parts hurt all the time . I've had tests done in PA ( my own process of elimination , Achalasia,Ear nose and throat ) all test were negative . Last year my son took me to NJ and then I found out my Esophagus was swollen with severe inflammation meanwhile I've been in pain for 2yrs. I don't suffer from gerd or acid reflux but PA was trying to treat me for it 😲 I have no life , my anxiety is way up and I get migraines . Feels like I'm walking around carrying 50lbs around my neck . 😭
Me too! It’s only getting worse…migraines and pain/trouble swallowing…😢
@@LisaWhitneySprague Don't give up ! I'm still fighting . Now in NY
I pray things are better for you in Jesus' name. AMEN. I pray your strength in the Lord in the mighty and matchless name of Jesus Christ of NAZARETH. The name above ALL names. AMEN. Be led by the spirit of God on how to deal with this and as to what hospital or doctor you should seek.
Thabk You!
I get painful spasms when carbonated drinks are swallowed and sometimes when I want to burb. It hurts like hell. Been struggling with this for about 10-15 years now. Going to have a barium swallow tomorrow, because I've been having problems the past week swallowing solids and liquids. Cannot belch, and when I do, it hurts the same as the spasms when drinking fizzy drinks. Great video this.
When you get spasm take one spoon of natural original hony mix it with cup of water and drink it it is very help .
I pray things are better for you, and they found out what is going on in Jesus' name. AMEN. From my understanding, soda can cause that issue.
How could I talk to this doctor
Thank you. I'm a Cleveland Clinic patient recently diagnosed with Jackhammer esophagus. I'd never heard of it before. During the monametry the nurse actually said wow, hehe. I have no gerd, or very infrequently, and it is easily controlled with an antacid(calcium) tablet. I do have severe, extreme esophageal pain on swallowing, liquid/solid,hot/cold,dry/moist doesn't seem to be factors. From just below my adams apple, to just about the bottom of my breastbone. It does not happen every swallow, but it does happen every day. The pain is intense and excruciating, but thankfully usually lasts less than 2 minutes that actually feel like about 2 hours. Scoped twice, all good. Weight loss is hard to explain. I'm usually only willing to go through 1 heart attack per meal, if I get a second, well it's just not worth eating or drinking at that point.
Can you tell me in what way the tablets help
how are you now? hope you're better
@@Jana-ne6km I have been on Tofrinil (imipramine) for 2 years or so now. It is an anti-anxiety pill that has an off-label effect. It reduces esophageal spasms. Started at 1/2 pill a day and quite literally cut the symptoms by half. Went up to a full pill everyday and it is actually working. At most I get spasm's maybe once every other month or so. Absolutely incredible difference. From daily spasm's to so infrequently that they are noteworthy when they happen. I don't think I've ever taken a drug that was so effective so quickly. I hope this helps.
@@Duck420Ag thank you for the update. I'm glad you're a lot better now
I agree
My doctor / gastro specialist told me she hasn't been able to determine what is causing my problems . She has had 7 months to do so and still has no answer . Her last response was "sometimes these things happen and fix themselves" and gave me more pills ............ right on doc , good work ..... let's give up and not find a second opinion or try harder to figure it out ......... what a joke . I have dysphagia and trouble moving the food along it seems . I sometimes have some acid / heart burn too but apparently she cant find out whats wrong ... just wait for it to "fix itself"
+CloudOfAries Have you already had a barium swallow and done manometry? If so what were the results? (I wish i could see the images)
yea its gr8 m8 im where u r 2
they are paid well to do a job that they just dont!-thanks doc.
wait for the lies they start spinning thats a joke 2 good luck and i hope its not as long 4 u as it has been 4 me (6 years and going still)
Tina Sims so is it the vagus nerve causing the problem?
I know this is an old conversation, but I want to ask everyone a question. My mom had/has achalasia, and I was wondering if any of you have a bedroom/ bed that is really close to a SMART METER on the house/apartment??? I believe and have a strong feeling that high radiation from the SMART METER may have played a roll in my mom losing the nerve function that helps swallow. I would be very grateful if you could tell me, I am asking everyone who has swallowing issues.
Also, nerves that die ARE POSSIBLE TO REGENERATE using oxygen therapy, or other supplements that restore nerves, such as PQQ, CDP Choline, Magnesium, etc....so many options, but oxygen therapy is BEST for restoring nerves. Please do not give up!
I have questions I just had barium test but the doctors told me that my pop would turn white but it didn't
Easy to diagnose are you out of your mined It took 15 years two operations and twenty different doctors to fined out what is wrong with me.
What was wrong with you?
Are you still have problem now?
@@jamesark9926 think his fingers have seized up too
U still alive...?
It is probably easy to diagnose when you have a good and caring doctor.
I have a twisted Esophagus and the spasms are bad ,I find food comes out of my noise at night.Food sits in the esophagus and I brings my food and fluid up .i had barium and it was not emptying. What next?
I have these problems
good video. knowledge still needs updating though. unfortunately few doctors in the world know what's really going on. Gastro docs need to train harder than ever now, so many new symptoms presenting in the population.
Causality is being further understood also, especially in the context of diet and the immune system.
WOW
I have been diagnosed with Gastro Esophageal Dismotility Disorder, i had a Botox injection to no avail lasted about a week or so i am weighing my options to dialation or Myotomy. I'm just not a fan of them shoving that tube down my throat LOL makes me gag.
Did you say the botox only lasted a week?! but anyway how did the botox do when you had it?
hi there, after 4years any changes? i have the same issue
Any update?
@@summerbrown5420 Sorry it took so long! i ended up with having surgery where my sphincters' muscle was surgically replaced giving me 75% improvement i still regurgitate on some foods that are dry or stringy like pork and beef roasts and foods like breads pizza crusts etc...still give me difficulties.
@@H.A-Osei still have the issues just not as bad, read my reply to summer on this post.
Is a hiatal hernia a esophageal motility disorder?
I have that
@@marleanamarlianamont5939 how do you know if you have a Esophageal Motility Disorder ????
@debbiec6216 hiatal hernia is different thn EMD I took an upper GI test/barium swallow test, and my results came back under impression/findings it said I have GERD AND slow swallows and EMD
and a few days later the doctor confirmed my diagnosis.
@debbiec6216 My symptoms are painful bloating, especially at night. I can't sleep, constantly regurgitate, and throwing up once in a while, especially when my stomach is empty, super nauseated,
heart burns, and feeling full fast, and feeling as if food is stuck in the hit of my stomach.. slight cough at night, and constant cleaning my throat after eating... I dont get chest pain as that's one of the common symptoms people get.
@@marleanamarlianamont5939 I am so sorry you have to go through this. I really wished you was feeling 100% better. I get bloated and my stomach feels full fast . What I need to do is, find out how big my Hiatal Hernia in size .......I been taking Betaine HCL for acid reflux , Zinc Carnosine for Esophagus and Slippery Elm . Plus I take vitamin A, B1 and B12, Calcium, D3/K2, and vitamin "E" . It's been helping. I don't get heartburn either .
Was recently diagnosed with Jackhammer Esophagus. Have chest pains that feel like I am having a heart attack and and nauseated 95% of the time. Had Motility Test to get these results. Not sure what to do next. LES problems I am told. Dr. is following me closely.
Any updates?
CURE! !!! This is amazing. I had this with chest pain. Raise your foods with MAGNESIUM (greens). . or a suppliment and it'll take care of itself. Look it up! Doctors are clueless. Went away in two days of suppliments for me. Cause could be not enough magnesium in the body. Also use Barley Powder for healing.
I have problems for several years and misdiagnosed. However I was finally given a name of my disorder which is Achalasia. I have been through many tests and even had the Botox injection once which worked for about one month. However now I am waiting to have my POEM surgery on February 16th. If you haven't been diagnosed and had a successful treatment, I would recommend you talk to your specialist about Achalasia.
I do not have the chest pains that feel like a heart attack anymore. I believe when I was having those pains is when the sphincter had spasms to the point of becoming so tight the food is not able to pass through anymore. When eating with this problem, the food moves down and sits in the esophagus just before entering into the stomach. Then the esophagus stretches from the food sitting there and also with the food there the phlegm glands produce more phlegm trying to move the food down into the stomach. The esophagus has no motility and then the food moves back up and appears to vomit back up.
I think it has something to do with the Fatty Liver. Take care of your liver and you will have great relief. There are many ways to help yourself as there is nothing in Allopathy for help
I used to get spasms. Most painful thing i have ever experienced. only last a few seconds but feels like hours.
Where do you get your spasm ..and what were you suffering from
I also get these spasms. Especially when carbonated drinks are swallowed. It hurts like hell. Been struggling with this for about 10-15 years now. Going to have a barium swallow tomorrow, because I've been having problems the past week swallowing solids and liquids. Cannot belch, and when I do, it hurts the same as the spasms when drinking fizzy drinks. Great video this.
@@Torursowden hey I did a endoscopy ... 2 weeks ago was having a lot of spasm... It turn out to be gastritis slight irritation of the stomach so it causes the spasm
@@skyfrass3033 i had an endoscopy 3 years ago. I have a tear in my diaphragm and my stomach is slipping through. Sliding hernia, but this past week was just on another level. Doc said it might be time for surgery.
@@Torursowden oh sorry to hear that sounds like it getting worst ... Only surgery can correct it cause tbh the medication they gave don't work been having problems with my stomach 2 years now nun seems to work ama just live with it
The banana + soy milk shake was a great way of recovery!
MultiMusik4 I don't think so...you have them in problem
MultiMusik4 I want to try the banana and soy milk ,can you please explain in what way it helps?
Opiate usage causes this issues
Do you have any reference for stating that? I used opiated for years as a result of spine issues and now have been diagnosed with Apalasia.
@@MariPosadeNochis My mother uses opiates (Dilaudid) for a year and now has esophageal spasms when eating harder foods she never had any of those issues before .I read it in many articles and medical journals that there is a very close connection between opiate use and esophageal problems
Mine started after a virus/wrong immune response.
Yep. I have been on suboxone for 3 years and have esophageal spasms, severe reflux and gerd, and am doing a barium swallow to figure out why meds aren’t working. It is crazy how bad gastro doctors are. They just don’t care to follow it though to a solution
NERVES ARE POSSIBLE TO REGENERATE!!! THIS DOCTOR IS SO FAR BEHIND SCIENCE.!!!! IT IS POSSIBLE!!!!
?
You’re a clueless moron
How? I have not seen that spoken about anywhere.
@@IAMGiftbearer It's not "spoken about" widely, you have to do some research on medical studies/findings. About 20 years or so ago doctors discovered that nerves can regenerate with very high oxygen therapy. All professional football and basketball players, and Olympians, and some very GOOD doctors who care about healing and not just medicating have known and use hyperbaric oxygen treatments to restore nerve and brain trauma/disease, as well as recover muscle function very quickly (for athletes).