Guest guest Posted March 7, 2012 Report Share Posted March 7, 2012 Yesterday Taniea had an exploratory scope looking for any strictures that could be causing her continuing swallowing issues. Dr. Castens said that he didn't see any strictures or significant stretching or dilation. But he did decide to dilate her to 20mm and diagnosed her with a tortuous esophagus. When I questioned him concerning this new find he said that usually it's a sign of sigmoid esophagus and that it is a common cause of Achalasia? Shamira Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2012 Report Share Posted March 7, 2012 Shamira wrote: > > ... When I questioned him concerning this new find he said that > usually it's a sign of sigmoid esophagus and that it is a common cause > of Achalasia? > It isn't a cause it is a result of achalasia but it can be a cause of difficulty swallowing for people with achalasia. It is part of the later stages of achalasia. Not as common in stage I or II as it is in stage IV. With achalasia the esophagus starts out straight but tends to become longer over time. As it does it begins to bend and droop this is termed tortuous if it looks like the letter S then it is sigmoid. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2012 Report Share Posted March 7, 2012 Thank you Notan for helping me understand this. So then what if any do you think should be the next step in treatment. The doctor that found her esophagus tortuous was only consulting with her regular Gi. He mentioned nothing about treatment. Sent from my Motorola ATRIXâ„¢ 4G on AT & T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2012 Report Share Posted March 7, 2012 Shamira wrote: > > Thank you Notan for helping me understand this. So then what if any do > you think should be the next step in treatment. The doctor that found > her esophagus tortuous was only consulting with her regular Gi. He > mentioned nothing about treatment. > I wouldn't know what treatment she should have. I would suggest that if you are not already doing so that treatment be decided with a doctor that is an expert in achalasia not just other GI issues. Also the 20mm dilatation sounds like a standard dilatation done while doing routine endoscopy but not typical of what is needed to treat achalasia. I don't know how small she is or what kind of problems she was having, or not. That could have effected size choice. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2012 Report Share Posted March 7, 2012 You are right there also Notan, Dr. Castens said that he wanted to dilate for strictures first. See how it goes then maybe dilate for Achalasia. Sent from my Motorola ATRIXâ„¢ 4G on AT & T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 Day 3 after the last scope and minor dilation and at the moment Taniea is eating everything in sight. I know that it could last and it may not. But I share our worst with you all I can definitely share our best. Sent from my Motorola ATRIXâ„¢ 4G on AT & T Re: Taniea Shamira wrote: > > Thank you Notan for helping me understand this. So then what if any do > you think should be the next step in treatment. The doctor that found > her esophagus tortuous was only consulting with her regular Gi. He > mentioned nothing about treatment. > I wouldn't know what treatment she should have. I would suggest that if you are not already doing so that treatment be decided with a doctor that is an expert in achalasia not just other GI issues. Also the 20mm dilatation sounds like a standard dilatation done while doing routine endoscopy but not typical of what is needed to treat achalasia. I don't know how small she is or what kind of problems she was having, or not. That could have effected size choice. notan Quote Link to comment Share on other sites More sharing options...
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