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Hi. I Recently Had An Barium Swallow Test And The
Question: hi. i recently had an barium swallow test and the radiologist said i have mild tertiary contractions which may suggest mild motility. is there anyway to reverse this or treatment? is this life threating? or a condition that will land me with a feeding tube?
Brief Answer:
Contracture on Barium study
Detailed Answer:
Hi...
Welcome to the "Ask a Doctor" service.
I am Dr. Ajeet XXXXXXX
I have gone through your query and here is my opinion.
As you have only a minimal contracture with mildly decreased motility, my clinical acumen says that it is not of severe intensity and does not have any clinical significance.
At least for sure, this is not life-threatening.
Such a patient is usually subjected to tests like electromanometry, FESS, Ph Studies etc as a part of further evaluation.
This condition can not be reversed by medical management but such patients can usually be well managed by
Dilatational procedures, diet modifications, swallowing techniques, compensatory mechanisms, BOTOX injection, and multiple medications to increase gut motility.
Very rarely patient needs enteral feeding or surgical procedures.
Enteral feeding with a feeding tube is reserved for patients who are unable to achieve adequate alimentation and hydration by mouth.
The most common surgical procedure in severe cases is myotomy to reduce the resistance of the outflow tract.
Hope that I have answered your query.
Let me know if I can assist you further.
Regards
Contracture on Barium study
Detailed Answer:
Hi...
Welcome to the "Ask a Doctor" service.
I am Dr. Ajeet XXXXXXX
I have gone through your query and here is my opinion.
As you have only a minimal contracture with mildly decreased motility, my clinical acumen says that it is not of severe intensity and does not have any clinical significance.
At least for sure, this is not life-threatening.
Such a patient is usually subjected to tests like electromanometry, FESS, Ph Studies etc as a part of further evaluation.
This condition can not be reversed by medical management but such patients can usually be well managed by
Dilatational procedures, diet modifications, swallowing techniques, compensatory mechanisms, BOTOX injection, and multiple medications to increase gut motility.
Very rarely patient needs enteral feeding or surgical procedures.
Enteral feeding with a feeding tube is reserved for patients who are unable to achieve adequate alimentation and hydration by mouth.
The most common surgical procedure in severe cases is myotomy to reduce the resistance of the outflow tract.
Hope that I have answered your query.
Let me know if I can assist you further.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
from your experience, do these types of mild conditions increase to severe rapidly? or is there any thing i can do to make it worse?
ive attached a picture of my diagnosis, can you take a look and comment on that. im pretty nervous as you can probably tell...thank you
ive attached a picture of my diagnosis, can you take a look and comment on that. im pretty nervous as you can probably tell...thank you
Brief Answer:
Contracture on Barium study
Detailed Answer:
Welcome back.
I have gone through your report and as per my clinical acumen,don't find anything worrisome.
You should stop overthinking.
These type of pathology are usually not progressive.
To relieve your symptoms of GERD,you need to make some dietary and life style modifications.
Avoid tea,coffee.
Avoid alcohol.
Avoid junk.
Avoid spicy and greasy foods.
Have plenty of raw vegetables and fruits.
Be physically active.
Avoid eating anything after 8PM.
Have small and frequent meals instead of large 3 meals.
Sleep with your head elevated by around 35 degrees.
Your clinician may prescribe you some drugs like proton pump inhibitors and pro kinetics.
Stay healthy.
Regards.
Contracture on Barium study
Detailed Answer:
Welcome back.
I have gone through your report and as per my clinical acumen,don't find anything worrisome.
You should stop overthinking.
These type of pathology are usually not progressive.
To relieve your symptoms of GERD,you need to make some dietary and life style modifications.
Avoid tea,coffee.
Avoid alcohol.
Avoid junk.
Avoid spicy and greasy foods.
Have plenty of raw vegetables and fruits.
Be physically active.
Avoid eating anything after 8PM.
Have small and frequent meals instead of large 3 meals.
Sleep with your head elevated by around 35 degrees.
Your clinician may prescribe you some drugs like proton pump inhibitors and pro kinetics.
Stay healthy.
Regards.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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