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Esophogeal Dysmotility

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Posted 9/10/2015 9:40 PM (GMT 0)
Hi again,

I posted earlier regarding my gastritis but forgot to mention that I had been diagnosed with Esophogeal Dysmotility through an upper gi series, which I know isn't as thorough as an endoscopy.

I had an endoscopy after the gi series but no dysmotility was mentioned to me. I've had chest tightness and pain.I also have pain between the stomach and chest which goes to my back at times. It would happen after the burning and churning started in my stomach and would rise up. I had asked one doctor about the dysmotility problem and he just shrugged his shoulders at me as if to say "no big deal".

Now I am confused if the chest tightness/pain comes from my gastritis or my esophagus. I'd think my GI doc would have told me if he saw severe dysmotilty through the endoscopy? Any thoughts or advice would be appreciated?

He did give me bentyl to take as needed for spasms, but I haven't found that it's really helped.

All of this sends my anxiety shooting through the roof!

Post Edited (LotusLove) : 9/10/2015 7:18:49 PM (GMT-6)

Posted 9/11/2015 10:33 AM (GMT 0)
Chest pain radiating to the back will be from stomach acid coming up into your esophagus and hurting it. If you've just started protonix then that should help with it though it will probably take a bit longer to quieten down than the stomach does, as the esophagus isn't really designed to protect itself from acid so takes longer to heal. Dysmotility cant really be diagnosed by endoscopy it needs the manometry test, have you had this? Is your esophagus too weak or does it spasm?

I have a motility problem in that my esophagus doesn't contract hard enough, but I dont really think that is the cause of my heartburn, that's just because things come up from my stomach and the sphincter at the top of my stomach is too weak.

If you have a weak esophagus then Bentyl will probably just make it worse, I have been on Domperidone and Reglan to increase my esophagus motility which help a bit but are no cures. But if you do have spasms rather than just regular heartburn then Bentyl should help and those drugs will make it worse. So its important to get a proper diagnosis. It sounds like heartburn though so I would avoid things like mint and coffee which should help.

It can be hard to juggle gastritis and heartburn together, I tend to subconciously put more pressure on my stomach when it is in pain which forces more things up into my esophagus so that may be contributing to your problems. It should settle down in time though now that you're on the right medication. You can also try taking some paracetemol to help with the pain, I find it can take the edge off at times.
Posted 9/11/2015 4:02 PM (GMT 0)
Hi Andy,

I haven't had the manometry test but just looked it up and it sounds scary to me, ugh.

I had an upper gi series and on that report the doctor listed mild reflux and esophageal dysmotility.
Posted 9/12/2015 5:30 PM (GMT 0)
OK, well I'd be tempted to see or call them again and ask them exactly what that means, its possible they saw your esophagus spasming or something. Or they may have seen something odd when you swallowed the barium like it pushing things up at points instead of down. If they prescribed you Bentyl then Im guessing they saw something like spasms but it can be hard to distinguish between a spasm and heartburn so Bentyl may not always help.
Posted 9/12/2015 9:51 PM (GMT 0)
Hi ,

I am going to ask the doctor what he thinks next appointment. I definitely have had the sharp, shooting pains up my back due to the gastritis. They actually made me jump at times.

I do notice when I start to get the burning/rumbling/bloating from the gastritis, it's usually accompanied by chest tightnes/discomfort. It starts in my upper stomach and travels upwards although sometimes it stays concentrated in the stomach area. When the feeling rises up, it feels as though I swallowed a basketball and it's stuck between the area under my breastbone.

I should probably just concentrate on healing the gastritis first and see how everything else feels overall.

Post Edited (LotusLove) : 9/12/2015 3:55:14 PM (GMT-6)

Posted 9/12/2015 9:59 PM (GMT 0)
Hi,
I had a scope on my stomach and the dr said I had no hital hernia.
I told him I had trouble taking the prolesic and asked him how two come off of the prolesic. He said every other day and after 2 weeks drop it. I can't as I find I am in a lot of pain in my stomach and I feel it was s my liver that hurts. I also have been taking .0.5 mg of
Clonzapam and like a dummy I took 2. God the shaking got worse and I have a headache. I I think I will go the other way and eventually reduce the pill two 1/2 of the .0.05'until I see my dr .it
Posted 9/13/2015 10:38 AM (GMT 0)
There are other PPIs you can try if you have side effects from prilosec, be sure to take them first thing in a morning and eat 30 mins later with a meal with some protein. Is your pain on your right hand side under the ribs? That sounds like your gallbladder, have they done an ultrasound or Hida scan?
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