Re: Cleveland Clinic Update....

[Guest guest]

geminiblue_99 wrote:

> ... I was wondering if

> anyone on here had spasms up high in their throat, like under the

> chin area? ...

Of course that is something you and your doctor need to explore, but

spasms can be felt in many places other than where you would think you

would feel them. Some people feel them in their jaw. Some even feel them

in their teeth or the roof of the mouth.

As to acid reflux. While it can happen with achalasia what seems to be

acid reflux most often turns out not to be. Reflux is generally related

to a LES that is open to often or is too weak. In achalasia the LES does

not open enough and may be too strong. The conditions seem like

opposites and some doctors will tell patients you can't have both but in

fact there are some people that do have both. In most cases though the

" reflux " is actually food and drink and saliva that have been trapped in

the esophagus. The acid, if not true acid reflux, is either acid in the

food and drinks or cause by fermentation of the trapped food. One way to

cause heart burn with achalasia, which could be mistaken for a spasm, is

to eat a slice of lemon and have it get stuck in the esophagus.

Association of achalasia and dental erosion

http://gut.bmj.com/cgi/content/extract/54/11/1665-a

" In achalasia, bacterial fermentation of food produces^ lactic acid,

with a minimum pH of approximately 3.5, which^ has the potential to

demineralise teeth if it reaches the mouth. "

Gastroesophageal reflux in achalasia. When is reflux really reflux?

http://www.ncbi.nlm.nih.gov/pubmed/9246028

" Use of pH 3 as a threshold clearly distinguished true reflux from food

fermentation... "

Society for Surgery of the Alimentary Tract - Esophageal Achalasia

" http://www.ssat.com/cgi-bin/achalasia.cgi "

" Heartburn is experienced by about 40% of patients. In untreated

patients this symptom is usually due to stasis and fermentation of food

or esophageal distension. "

notan

[Guest guest]

> > ... I was wondering if

> > anyone on here had spasms up high in their throat, like under the

> > chin area? ...

>

> Of course that is something you and your doctor need to explore,

but

> spasms can be felt in many places other than where you would think

you

> would feel them. Some people feel them in their jaw. Some even feel

them

> in their teeth or the roof of the mouth.

>

> As to acid reflux. While it can happen with achalasia what seems to

be

> acid reflux most often turns out not to be. Reflux is generally

related

> to a LES that is open to often or is too weak. In achalasia the LES

does

> not open enough and may be too strong. The conditions seem like

> opposites and some doctors will tell patients you can't have both

but in

> fact there are some people that do have both. In most cases though

the

> " reflux " is actually food and drink and saliva that have been

trapped in

> the esophagus. The acid, if not true acid reflux, is either acid in

the

> food and drinks or cause by fermentation of the trapped food. One

way to

> cause heart burn with achalasia, which could be mistaken for a

spasm, is

> to eat a slice of lemon and have it get stuck in the esophagus.

>

> Association of achalasia and dental erosion

> http://gut.bmj.com/cgi/content/extract/54/11/1665-a

> " In achalasia, bacterial fermentation of food produces^ lactic

acid,

> with a minimum pH of approximately 3.5, which^ has the potential to

> demineralise teeth if it reaches the mouth. "

>

> Gastroesophageal reflux in achalasia. When is reflux really reflux?

> http://www.ncbi.nlm.nih.gov/pubmed/9246028

> " Use of pH 3 as a threshold clearly distinguished true reflux from

food

> fermentation... "

>

> Society for Surgery of the Alimentary Tract - Esophageal Achalasia

> " http://www.ssat.com/cgi-bin/achalasia.cgi "

> " Heartburn is experienced by about 40% of patients. In untreated

> patients this symptom is usually due to stasis and fermentation of

food

> or esophageal distension. "

>

> notan

Notan, thanks for the info. gemini

>