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Dysphagia Message Board


Digestive Disorders Board Index


Hi. I'm a 37 yr old female. I have a history of GERD, had an esophageal stricture 15 years ago which was stretched and it helped me once that took place. I have chronic mesenteric adenitis due to IgA Deficiency that I've apparently had since birth which is why I am prone to GI upsets of all kinds. Currently on Nexium for the GERD.

Anyway, about one year ago I had difficulty swallowing again. Since I've had so many scopes in the past I wondered if I could just have an upper GI to see what was transpiring. Had just that and it showed that there was no esophageal stricture present BUT what I did have going on was called Hypotensive Esophagus, meaning the barium flowed fine until it reached my lower end of the esophagus, and only when I was lying down, the barium sort of sat there and didn't completely empty in the normal time that it should have. So it was termed a non specific dysmotility of the esophagus, with slower contractions than normal and the gastroenterologist said this was due to chronic, long standing GERD. I was checked to make sure I didn't have any connective tissue disease like Scleroderma or any other and all blood tests came back fine. The Gastro doc said I could get the mammotry sp? test done but that would only show what we already know, hypotensive esophagus, which causes feelings of fullness and some dysphagia, and things don't clear as quickly. I have been battling this for a year now. If I eat a heavy meal I feel like the food backs up all the way into my throat sometimes, I feel horribly bloated and nauseated. My breathing feels off too along with this. I also feel like my stomach muscles are in a tense state as I eat and swallow as well. I can't really explain it but I wonder if anyone also has this as well?

My question is this... can a hypotensive esophagus cause the fullness feelings and nausea I am experiencing? My doctor said in my recent visit he wants me to have a stomach emptying scan just to be sure my stomach isn't involved but he doesn't think so, he thinks all my symptoms are from the dysmotility of the esophagus.

I just wanted opinions on esophageal dysmotility, in particular, the type I have, and if it can cause the symptoms I'm experiencing and if so, is there anything I can do to lessen the symptoms? I hate battling this daily. I don't really care about the dysphagia because things eventually move through but it's the nausea that I cannot stand. That feeling of fullness and queasy feeling is driving me crazy.

Thanks.
hi,thank you for your reply in the reflux board,im afraid i cant help with any of your questions as i dont know much about this condition. ive been ill for almost 6 months now with stomach pains,nausea and severe wait loss,chest problems and various aches and pains and im just desparate to find out what is wrong with me!!! its taken over my live and is just horribble!!! ive had some tests and having endoscopy and colonoscopy next wk but im now worry about what to do if it doesnt show anything!!! how do they diagnose dtsmotility then???
i hope you find someone on here who can answer your questions! x
I have never heard the term dysmotility, but I have NO motility in my esophagus. When they were trying to find out why I couldn't swallow, the scope proved I have No motility. In 1981 I had the dilitation of the esophagus and it ruptured in 3 different places which resulted in a hospital stay of 17 days. They cannot fix the motility, I watch what I eat, no meat or anything very solid. I have had the nausea and very full feeling off and on but nothing like it was before. Still there are foods that just do not want to go down, I have had to go to emergency to have them take the stuck food out. I suggest to you to watch closely what you eat, bread will also give trouble as it just turns into a little dough ball.

I took prilosec for years for the acid reflux, it did help. I don't take anything right now, I have Prilosec OTC if I need it, but I think the real problem is the food you eat. You just have to be careful. I made a meatloaf with ground turkey, and it gave me a problem going down as it turkey can really be dry.
Hope this was of some help to you and wishing you the best.

Sunny
hi, suffered all my life with this and stomach ulcers. now watching my 2nd child with even more of the same problems......try gaviscon before each meal it is great and yogurt twice a day...and alovera juice.......life does not need to be uncomfortable
Hi

Not sure if you've had any replies yet to your enquiry about Oesophageal Dysmotility. I am 43 and have recently been diagnosed with this and have it quite severely apparently. I do not have GERD though.

The symptoms you describe are very similar to mine so it could be they are caused by the same thing. [B]**I am not a doctor.** [/B][U]I have been able to lessen my symptoms through trial and error by:[/U]


1. [U]Never eating large amounts[/U]. Even a regular size meal can be a problem. I eat little bits often. [U]Instead of having 3 meals a day, I have 6 very small ones.[/U] If I transgress, my oesophagas lets me know it isn't happy! The less your oesophagas has to deal with at any time, the happier it is.

2. [U]Chew, chew, chew like a cow[/U]! I chew everything very well, and chew it up small before swallowing. And, I [U]eat slower [/U]and make sure that I am [U]sitting up straight[/U], as gravity is a grood helper!

3. [U]Not eating (or drinking, if possible) 2-3 hrs before going to bed[/U]. That way, if it takes a few hours to get to the stomach, it will hopefully be there by the time you are laying down to sleep. If [U]you are prone to GERD it is a good idea to avoid foods that cause this[/U], as they stay there in the oesophagas longer like everything else and may cause heartburn etc.

4. [U]Eating softish things[/U]. An indispensible item I have is a slow cooker (to make meat a lot softer to eat). I now eat a lot of mince, chicken and fish as steak gives me problems. I told my gastro speciallist what I did to lessen the symptoms and he tells me that it is what I should be doing. He also told me that if you put steak in a blender and blend it, it still tastes like steak! LOL!

5. Bread can be murder to your oesophagas if you have dysmotility. It should be avoided, along with very dry foods, and nuts!


I hope this helps and that you also can find some relief of your symptoms. Like mine, they may never go completely, but at least you can lessen them so that you can eat more comfortably.
Mitch

I had the esophageal manometry and was diagnosed with a hypotensive esophagus. I also have the horrible feeling of fullness, bloating, and nausea with each meal. I can also feel the food backing up into my throat. This has led to Laryngeal Pharyngeal Reflux with damage to my throat and vocal cords.

I mainly have problems with liquids. Seems to be the opposite of everyone else. I do better with solid food and it seems to be just the liquids that cause me the most problems. I can't drink liquids with my meals at all. I also stay dehydrated b/c water is one of the worst liquids for me. Water comes back up so bad. If I bend over I will almost vomit....

My doctor said it was caused by long term GERD and acid damage. However I never have heartburn and all of these problems surfaced suddenly 1 year ago...

I have not been tested for scleroderma. My doctor said since I didn't have any other symptoms then this was not the case.....

It is a very uncomfortable condition. And for a while I thought I was alone with this diagnosis. There isn't much information out there on it...

Tiger
[QUOTE=TigerGalLE;4119682]Mitch

I had the esophageal manometry and was diagnosed with a hypotensive esophagus. I also have the horrible feeling of fullness, bloating, and nausea with each meal. I can also feel the food backing up into my throat. This has led to Laryngeal Pharyngeal Reflux with damage to my throat and vocal cords.

I mainly have problems with liquids. Seems to be the opposite of everyone else. I do better with solid food and it seems to be just the liquids that cause me the most problems. I can't drink liquids with my meals at all. I also stay dehydrated b/c water is one of the worst liquids for me. Water comes back up so bad. If I bend over I will almost vomit....

My doctor said it was caused by long term GERD and acid damage. However I never have heartburn and all of these problems surfaced suddenly 1 year ago...

I have not been tested for scleroderma. My doctor said since I didn't have any other symptoms then this was not the case.....

It is a very uncomfortable condition. And for a while I thought I was alone with this diagnosis. There isn't much information out there on it...

Tiger[/QUOTE]

Tiger,

Wow, I can so relate! Did you also have you stomach tested for dysmotility as well? I also found out my stomach will go too slow AND too fast at the drop of a dime if you can believe that. So my esophagus is slow and delayed in emptying, my stomach is too slow and too fast depending. It's quite a mess!

I hear you about the bending over! Just the other day I was at a casino with my mom and I was drinking some diet soda. I bent over and it's like what I swallowed came back up into my mouth! I suddenly became nauseated and felt totally off.

This condition is horrible.

Are you taking any medications for it?

Michelle
The only medication I am on is Nexium 40mg twice a day. My doctor said there really wasn't anything to help with esophageal dysmotility... I have not had the stomach study done but I do know reglan can help with delayed gastric emptying.

The nexium has helped with the acid that was damaging my throat and vocal cords. But there isn't anything that has helped with the feelings of fullness, nausea, and bloating. I just eat small portions and don't drink liquids with my meals....
Yes, I am on Zegerid for the acid reflux. I think it helps in that I would be a lot worse if I wasn't on it yet I still get the acid taste sometimes even on the medication.

Did your doctor explain why the hypotensive esophagus would cause the feelings of fullness, nausea and bloating? My doctor only told me that it is due to longstanding GERD but did not bother to explain WHY a hypotensive esophagus would cause the above symptoms.

I also eat small portions and do not drink liquids with my meals.
I wanted to update. I had an episode of tonsillitis a few weeks ago and I had to go see my primary care doc. After some antibiotics I was all better. I went to my follow up appointment today. My primary care doc is aware of my reflux issues and I did mention to her that I think my tonsillitis was related to my reflux. I mean when food/acid/bile are constantly refluxing up into the back of your throat I'm sure it effects your tonsils. I asked for a Rx of reglan today. She honored my request finally! My GI doctor has never offered me reglan and I was always too chicken to ask. Reglan is supposed to increase the motility of your GI tract.... With me having a hypotensive esophagus you'd think this would help. Anyway, I'm going to give it a try and see if it helps.

Mitch, have you ever tried reglan before?

PS I still take Nexium 40mg twice a day. I no longer have the feeling of a lump in my throat which is wonderful, but I can still feel reflux everyday after every meal.
I know it sounds wacky to many, but my suggestion is to try a chiropractor. It can't hurt, but you will probably know pretty quickly if this can help.

I got to this thread because I have had the lump in the throat feeling, as well as some swallowing issues. It happens when my neck is out. Even the chiropractor isn't familiar with these problems, but their whole philosophy is making sure everything is aligned, so that there is no interference with nerve impulses coming from the brain, so that your body is able to work the way it's supposed to work.

I have had some weird things disappear immediately, and others go away gradually.

A friend just started taking her daughter, who has had terrible GERD for a long time, and she hasn't complained of it once since she started seeing the chiropractor.

What can you lose? It might not solve your problem, but what if it does?
Do go ahead with the stomach emptying process; that was mt nex step after my3=yr esophagus dysmotility; my stomach only empties 20% in 2 hours and the GI specialist at Northwestern said he's never seen such a poor result and there was nothing further he could do for me. I hae stsrenic sclerosis (scleroderna and an only now ear small bits of food/ I take TPN almost all the time to stay alive; a year ag o I could take in food, but it was bec I was on steroids, which had some nery negative side effects, like very serious muscle loss inmy legs.

How are you doing now?

ynn





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