#esophagram

[heatlightning-mp3]

made the mistake of eating crackers to chase down my meds and threw up all over the kitchen 🤠 wow i am truly living the dream

[detentiontrack]

Forcing myself to eat even though I’m nauseous because I have an esophagram tomorrow

[alternativemedicinecrimson]

Curative Patient-Specific Approach of Achalasia

Opinion

Achalasia is a chronic disease and all current treatments are in the palliative setting, focusing on decreasing the outflow resistance of the esophagogastric junction [1]. This relatively rare disorder is due to primary motor disfunction, characterized by the absence of relaxations of the Lower Esophageal Sphincter (LES) and peristalsis along the esophagus [1]. Up to 50% of patients with achalasia experience heartburn, dysphagia, and weight loss. Regurgitation of food causes hoarseness and pneumonia. The exact etiology of this condition is unknown; however viral, autoimmune triggers, and neurodegenerative diseases are often afflicted to its presentation [2]. The incidence of achalasia varies between 2 to 3/100,000 inhabitants/year and increases with age, regardless of gender or race [3-8]. Sporadic idiopathic achalasia is the most common form and occurs secondary to the destruction of the myenteric plexus that coordinates the contraction and relaxations of LES [9-12]. In patients with achalasia barium esophagram and upper gastrointestinal endoscopy are mainly performed to rule out the presence of cancer and candidiasis. High-Resolution Manometry (HRM) is the gold standard for the diagnosis of esophageal motility disorders. HRM provides functional imaging of the esophagus and after the analysis according to the Chicago classification, a hierarchical categorization of motility disorders is made. This classification is also used for treatment outcome prediction. Some studies have shown that type II achalasia is an initial phase with pan-esophageal pressurization, while type I is a later phase with the complete absence of any contraction. And type III, characterized by premature spastic contractions, may represent a different pathological process [2]. Management of achalasia is aimed at reducing the pressure of the LES by using botulinum toxin injection or myotomy of the LES muscle [13- 16]. Laparoscopic Heller Myotomy (LHM) has been the gold standard therapy [2,17-19]. The technique consists of an 8cm myotomy extending for 2.5cm onto the gastric wall and a Dor fundoplication [2]. Some prefer anterior fundoplication, with limited hiatal dissection, while a partial posterior fundoplication may keep the edges of the myotomy separated, decreasing the probability of recurrent symptoms. Peroral endoscopic myotomy, the method introduced in Japan, is performed by creating a long submucosal tunnel, followed by transection of the circular fibers for about 8cm-6cm on the esophagus and 2cm onto the gastric wall [2].

Read More About This Article: https://crimsonpublishers.com/acam/fulltext/ACAM.000658.php

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[ganitsoni]

Understanding Diagnostic Procedures for Esophageal Cancer

Esophageal cancer is a serious condition that affects the esophagus, the tube that carries food from the throat to the stomach. Early diagnosis is crucial for effective treatment and improved outcomes. This article will help you understand the various diagnostic procedures for esophageal cancer, providing a clearer picture of what to expect if you or a loved one is undergoing evaluation for this disease. If you're in Hyderabad, consulting the Best Cancer Doctor in Hyderabad can make a significant difference in your care and treatment journey.

What is Esophageal Cancer?

Esophageal cancer starts in the cells lining the esophagus. There are two main types:

Squamous Cell Carcinoma: This type begins in the flat cells lining the esophagus and is more common in the upper and middle sections.

Adenocarcinoma: This type starts in glandular cells that produce mucus and is more common in the lower part of the esophagus.

Symptoms of Esophageal Cancer

Early-stage esophageal cancer often has no symptoms. As the disease progresses, symptoms may include:

Difficulty swallowing (dysphagia)

Unintentional weight loss

Chest pain or discomfort

Persistent cough or hoarseness

Indigestion or heartburn

Vomiting

If you experience these symptoms, it is important to consult a doctor who may recommend diagnostic tests.

Diagnostic Procedures for Esophageal Cancer

To diagnose esophageal cancer, doctors use several procedures. Here are the most common ones:

Barium Swallow (Esophagram):

What it is: A special X-ray test where you drink a barium solution that coats the lining of the esophagus.

Purpose: Helps to highlight abnormalities in the esophagus on X-ray images.

Procedure: You will be asked to drink the barium solution, and then X-rays will be taken to detect any irregularities.

Endoscopy:

What it is: A procedure where a thin, flexible tube with a light and camera (endoscope) is inserted down your throat to view the esophagus.

Purpose: Allows direct visualization of the esophagus and helps in taking biopsy samples if abnormal areas are seen.

Procedure: The doctor gently guides the endoscope down your throat while you are under sedation to check for abnormalities or tumors.

Biopsy:

What it is: The removal of a small tissue sample from the esophagus for laboratory analysis.

Purpose: To confirm the presence of cancer cells and determine the type of esophageal cancer.

Procedure: During an endoscopy, the doctor may use special tools to take a tissue sample from the suspicious area.

Endoscopic Ultrasound (EUS):

What it is: A procedure that combines endoscopy and ultrasound to get detailed images of the esophagus and surrounding tissues.

Purpose: To assess the depth of tumor invasion and check for nearby lymph node involvement.

Procedure: An endoscope with an ultrasound probe is inserted into the esophagus to create detailed images and guide needle biopsies if necessary.

CT Scan (Computed Tomography):

What it is: A series of detailed X-ray images taken from different angles to create a comprehensive picture of the chest and abdomen.

Purpose: To determine the size of the tumor, its location, and whether it has spread to other organs.

Procedure: You lie on a table that slides into a CT scanner. A contrast dye may be used to enhance the images.

PET Scan (Positron Emission Tomography):

What it is: An imaging test that uses a radioactive sugar solution to detect cancer cells, which absorb the sugar more actively.

Purpose: To identify cancer spread (metastasis) to other parts of the body.

Procedure: You receive an injection of the radioactive sugar solution, then lie still while the PET scanner detects areas of high radioactivity.

Bronchoscopy:

What it is: A procedure where a thin tube (bronchoscope) is inserted through the nose or mouth to examine the airways and lungs.

Purpose: To check if the cancer has spread to the trachea or bronchi.

Procedure: The doctor inserts the bronchoscope while you are under sedation to inspect the airways and take tissue samples if needed.

Finding the Best Cancer Doctor in Hyderabad

For those in Hyderabad, getting the best possible care for esophageal cancer is essential. The Best Cancer Doctor in Hyderabad can provide expert diagnosis, treatment options, and compassionate care. These specialists use the latest medical technology and have extensive experience in treating esophageal cancer, ensuring you receive the best possible outcomes.

Conclusion

Esophageal cancer is a serious disease that requires timely and accurate diagnosis for effective treatment. Recognizing the symptoms and understanding the diagnostic procedures can help you navigate the process more confidently. If you or someone you know is experiencing symptoms like difficulty swallowing, unexplained weight loss, or persistent chest pain, seeking medical advice promptly is essential. In Hyderabad, consulting the Best Cancer Doctor can make a significant difference, offering advanced treatments and expert care. Early detection and advances in treatment offer hope for better outcomes and improved quality of life for those affected by esophageal cancer.

[storelatina]

Esophagram: what it is, what it is for and how it is done - https://storelatina.com/?p=21582

[heatlightning-mp3]

esophagram doneee. so nervous it wont show anything 😭

[faithnself]

#chiari #choking #swallowstudy #esophagram #physician #speechpathologist #ent https://www.instagram.com/p/CMAqoRcJUiT/?igshid=raf16x2mn4rq

[aperrine111]

Double Booked: My Busy Day of Disappointments

Double Booked: My Busy Day of Disappointments

I went to another appointment at my urologist’s office.  It was originally scheduled as a bladder instillation, but last week’s instill gave me a massive Urinary Tract Infection (UTI).  We discussed my options, which were few to begin with and decided to continue with the series of instillations before moving onto one of the surgical options.  I was really disappointed to learn that there is only…

[magickalmason]

Mobility for Mason, please signal boost!

Help me become independently mobile!

Hello, I am Mason Trevino, a 21-year-old disabled trans man living with chronic fatigue syndrome (CFS), otherwise known as myalgic encephalomyelitis (ME). My disease started around December 2019 and has progressively worsened.

This is an autoimmune disease characterized by profound fatigue, sleep abnormalities, pain, and other symptoms that are made worse by exertion. Basically it is always feeling exhausted but it never gets better with rest or sleep. I have full body pain in all of my muscles, muscle weakness and joint pain, sleep abnormalities such as excessive sleeping, daytime sleepiness, disproportionate nightmares, and cognitive issues such as memory loss, confusion, and lack of concentration. This is known as brain fog.

CFS sufferers have PEM, which is post-exertional malaise, meaning exercise only makes everything worse, therefore I'm unable to exercise or do anything that is hard on my body, even walking for any distance. I need a cane most days because my legs are so weak that my knees buckle and I fall. Stairs are especially my enemy. Headaches, depression, and anxiety are other symptoms, and from this my depression has neared the extreme. I also suffer from nausea, eating problems (and have lost a substantial amount of weight due to disturbed appetite), chronic back pain, weak immune system, circulation problems causing cold feet and hands, and dizziness that results in frequent fainting spells.

This is a life-long incurable disease which most doctors still believe is only psychosomatic, and there is no test to officially diagnose it. The cause is unknown. Therefore it's nearly impossible to receive approval for disability benefits for it.

I have had over 20 blood tests, a thyroid test, CT scan, esophagram, ultrasound, MRI, and countless other tests such as Lyme disease and celiac disease tests to rule everything out. It is hard to do basic chores such as washing dishes, and hard to take care of myself sometimes when it comes to things like showers because I have to sit down for it. I do not have a license or car, and so I have no transportation. I used to walk or bike ride everywhere but now it causes me a lot of pain, I have to take many breaks, and recently just walking from the beginning of my street to my house caused me to collapse on the concrete. I rarely leave my house now and errands such as grocery shopping is so hard on my body. Even walking to the nearest bus stop has become a serious problem.

This fundraiser is for a power wheelchair so I can become independently mobile. I'll be able to leave my house and go places, run errands, and in general, have a better quality of life. My cane helps but it is not enough and I struggle constantly.

This wheelchair has been carefully selected as exactly what I need. It's foldable and can fit into compact spaces. It has plenty of battery power so I will be able to get around when I need to, but it’s very expensive, and I need your generosity to help pay for it. I am unable to work due to this disability so I currently have no income and can't get any help to pay for it through disability services because this illness isn't seen as "real" enough. With this wheelchair, I may even be able to start working again.

This chair costs $2,550 before tax. If you can, please help by donating and/or sharing. My birthday is on the 20th and it would be the greatest gift if you can donate or share. Even if it's only a dollar it helps! Thank you so much for reading and helping out if you can.

Venmo: @magicalmason

Cash App: $magicalmason

https://rehabpulse.com/products/mobility/powerchairs-scooters/folding-power-wheelchair/pw-999ul-lightest-power-folding-wheelchair.html

[briarpatch-kids]

In recovery from the Esophagram. Took two whole doses of propopfol to put me out lmao

[awinchestershell]

Finally got my esophagram (idk if I spelled that right) scheduled. Gotta fast for ten hours before the test, so they scheduled it at 8:20 in the morning. Only problem is the place is 15 miles away. Which means I’m waking up at 7:00 am :(

[guayamas]

For the past 7 months I’ve been plagued with this mysterious health problem. Breathing problems + my throat closing + weakness + lack of energy + sharp pains in my chest + not being able to eat. It’s messing with me mentally and I’m doing my absolute best to have faith in the divine and be thankful for these trials. ( because that’s what I’m convincing myself this is. trials to suffer and seek divine ) I keep telling myself life isn’t too bad despite the issues. But it’s all getting to me. That and the fact medical bills aren’t cheap. A few emergency room + urgent care visits. On top of that cardiologist visit, ENT visit, xrays done, an esophagram done. I’m exhausted. I just try to pray whenever I feel these horrible thoughts, but genuinely I’m even getting tired of that too. Oh God I forgot to mention SLEEP. I cannot sleep at all during the nights because of the breathing problems. And because of that : I have migraines daily. I feel so delirious most of the day.

[wetread]

Season 9 Case 6

Hx: survey CXR after MVA

Answer: Continuous Diaphragm sign of Pneumomediastinum 

The heart rests on the medial diaphragms, so normally they are silhouetted out. When we see them (blue arrows) it means there is air between the heart and diaphragm 

This can be seen with pneumomediastinum or pneumopericardium. 

 There is a more subtle lucency about the high left heart border (yellow arrow) which is also consistent with pneumomediastinum. 

These findings can be difficult to see on CXRs, esp when not involving the neck/axilla. 

Multitude of causes but besides penetrating trauma, my experience has been tracheobronchial barotrauma is very common.   

Boerhaave's always seems to come up so inquire for correct hx (wretching/vomiting ?pill stuck?) and for  pleural fluid. Esophagram still gold standard to r/o

FYI: There does seem to be an association of this with inhaled illicit drug use (marijuana, cocaine). Typically in young males, ?barotrauma from breathe hold and deep coughing (I hear ) Condition is generally benign but often gets big w/u to exclude more concerning etiologies.

[jmreyes9]

I ATE ONLY ONE PETAL OF THE ORCHID

A Table for One at Chiba Japanese Restaurant

By Jesse Reyes 

Today, I was famished.  It was 11:00 o’clock in the morning.  I had not had anything to eat or drink for about thirteen hours.  I had just undergone an esophagram and upper GI series (X-ray exams to study my food pipe and stomach) ordered by my gastroenterologist.  When she performed an endoscopic exam of my esophagus and stomach a week before, she could not examine my stomach in detail because of a large amount of retained food in my stomach despite me not having had anything to eat for twelve hours.  She wanted to find out why the gastric retention of food.

After the X-ray exam, “I was so hungry I could eat a horse.”  So I decided to go to Royal Buffet.  I drove to the place from the Diagnostic Center where I had my X-rays only to find out that they were closed—today was Tuesday and they are always closed on Tuesdays.  I knew that before but due to my hunger, I had forgotten that information.

So I had to go ahead with Plan B—Chiba, a Japanese restaurant.  I was hoping that they would not be closed on Tuesday.  Otherwise I would have to go to Plan C—Brooster’s Charbroiled Chicken.  I heaved a sigh of relief when I parked in front of Chiba, the big word OPEN welcoming me with open arms. 

I ordered my usual dish—the sashimi which consists of seven pieces of raw fish: two pieces of white tuna, two pieces of red tuna and three pieces of salmon.  To get the gastric juices flowing they served the miso soup and cucumber salad before the main course.  There were also several pieces of ginger and the green wasabe which I don’t usually touch (because of a previous experience of burning my mouth, tongue and throat by tasting a tad of it!).  To make the presentation exquisite, they placed a lovely lavender orchid in the middle of the plate.

After consuming the delicious fare, only the orchid (and of course the wasabe) were left.  It took me a few minutes to decide whether to devour the orchid or not (I had been previously informed that this was totally edible),  I really hated to destroy the beauty of the flower, so I just plucked one petal and ate it.  It was delicious.  I decided to leave the rest of the orchid and marched my way out (after paying and giving the waiter a hefty tip, of course!).

Written on 1/17/23 in Chicago, IL and posted on Facebook the same day.  Other writings and poems of Jesse Reyes can be found in his blog: anadventurecalledlife.com.

[eublcome]

Textbook of Veterinary Diagnostic Radiology - Donald E. Thrall

EPUB & PDF Ebook Textbook of Veterinary Diagnostic Radiology | EBOOK ONLINE DOWNLOAD

by Donald E. Thrall.

Download Link : DOWNLOAD Textbook of Veterinary Diagnostic Radiology

Read More : READ Textbook of Veterinary Diagnostic Radiology

Ebook PDF Textbook of Veterinary Diagnostic Radiology | EBOOK ONLINE DOWNLOAD Hello Book lovers, If you want to download free Ebook, you are in the right place to download Ebook. Ebook Textbook of Veterinary Diagnostic Radiology EBOOK ONLINE DOWNLOAD in English is available for free here, Click on the download LINK below to download Ebook Textbook of Veterinary Diagnostic Radiology 2020 PDF Download in English by Donald E. Thrall (Author).

 Description Book: 

Learn the latest advances in veterinary diagnostic radiology! Textbook of Veterinary Diagnostic Radiology, 7th Edition, is a one-stop resource covering the principles of radiographic technique and interpretation for dogs, cats, and horses. Within this bestselling text, high-quality radiographic images accompany clear coverage of diagnostic radiology, ultrasound, MRI, and CT. User-friendly direction helps you to develop essential skills in patient positioning, radiographic technique and safety measures, normal and abnormal anatomy, radiographic viewing and interpretation, and alternative imaging modalities. This new edition has been thoroughly revised to include important advances in the field, information about contrast media, dental radiography, and more! Coverage of ultrasound imaging procedures such as the esophagram, upper GI examination, excretory urography, and cystography helps in determining when and how these procedures are performed in today's practice.Rewritten chapters

[heatlightning-mp3]

esophagram only showed mild dysmotility wheeee