Patient's Query
Hi doctor,
What do these test results mean? Esophageal mobility: % failed 30, % weak 40, % ineffective 70. EGJ outflow obstruction, median IRP 19.8. I am having acid reflux and taking medications for gastroesophageal reflux disease (GERD).
Hi,
I am glad you chose icliniq for your medical-related queries.
I understand your concern and will try to help you with it.
Can you send the endoscopy report? Looks more like EGJ outflow obstruction than achalasia cardiac. Anti-reflux surgery alone will not help. May need a myotomy too. Will give a definite comment once I see the pending reports.
Thank you.
I appreciate your trust in icliniq.com and for giving me the chance to serve you.
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Patient's Query
Hi doctor,
Thank you for the reply.
My endoscopy came back normal.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
You have motility disorder as a part of esophagogastric junction (EGJ) outflow obstruction. The pressure at EGJ is high. If your symptoms are severe and not controlled with medicines, you need to undergo surgery. Myotomy to relieve pressure (IRP) combined with fundoplication to address reflux is the best option available now.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
I am confused though. If there is a lot of pressure at my LES then why am I constantly burping and having reflux? Would I not reflux? Can you explain to me the results? My current symptoms are coughing, throat clearing, a lot of belching, and some heart burn. I have not noticed a lot of swallowing problems.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Here, it is incomplete action of the distal sphincter clubbed with ineffective motility of the proximal esophagus. The stasis or ineffective forward movement can result in reflux-like symptoms of night cough, throat irritation, retrosternal discomfort, etc. You can try dietary and lifestyle modifications for a while if not yet done so far.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
I have spoken to my doctor. He is afraid to do any surgeries on me. He is afraid that a myotomy will give me too much acid reflux after the procedure. Also, I brought up to him the myotomy and the partial wrap. He is afraid that the wrap will interfere with my swallowing and feeding food into my stomach because of my poor paralysis. Have you ever done this? Was it successful? He is considering balloon dilation and Botox, but I do not see how that will help much. What do you think? If you were me, what plan of action would you take?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
It is the outcome of surgery in 30% that makes everyone bit worrying. Practically 30% may have poor results after surgery. Balloon dilatation and Botox can be considered before surgery. I would also try a non-surgical option if the results of surgery can be achieved well with them.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thanks for the reply.
My doctor wants to try a dilation and botox next week. I am nervous that it will make me worst. Will it relax my LES to much? I am wondering if I will develop worsts reflux. Also, why does this condition make me cough and clear my throat all of the time?
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Nothing wrong in giving a try with dilation and botox. These help well in 70% patients. Reflux though can happen can be controlled with medical and dietary modifications. The reflux from inadequate motility is probably irritating your throat. Hope you are following measures to minimize the reflux especially nocturnal.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Patient's Query
Hi doctor,
Thank you for the reply.
The dilation I had helped me for a few months. My swallowing difficulties have begun returning. I have made it appropriate to talk with my doctor about getting another done. My question is, do you think the motility in my esophagus will be worst when pregnant? Get worst during and remain worst after? I am wondering if I will be able to manage if I do get pregnant again. Have you had any experience with this sort of problem before?
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
Reflux symptoms can worsen during pregnancy. The raised intra-abdominal pressure during pregnancy contributes to this. So when you have a background reflux disorder, we can expect some worsening. Medical measures will help to tide over this. However, I had dealt with EGJ (esophagogastric junction) obstruction. I have not encountered a pregnant patient with the same.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
Same symptoms don't mean you have the same problem. Consult a doctor now!
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