Re: Re: For Ray, Coca-Cola case report.

[Guest guest]

hi all~

is diet coke helpful as well for anyone or does it have to be regular coke?

thank you.

christa

ohio

>________________________________

> From: mer <ray_me_99@...>

>achalasia

>Sent: Monday, June 11, 2012 8:09 PM

>Subject: Re: For Ray, Coca-Cola case report.

>

>

>

> 

>

>Hi notan

>Thanks notan for the articles on Coke.

>My history on Coke was about 5 years ago bought a medical book on stomach and

Achalasia, was a 2005 book..

>

>http://www.amazon.com/Doctors-Guide-Gastrointestinal-Health-Diverticulitis/dp/0\

471462373/ref=la_B001HCU9V0_1_1?ie=UTF8 & qid=1339457417 & sr=1-1

>

>It had several pages on Achalasia and confirmed that carbonated beverages helps

loosen

>The LES and may improve symptoms. The expanding CO2 helps to push the food

through the LES.

>At the same time sent me a private email explaining how he used diet

Coke.

>

>For the last 22 years went each day to Mcs for coffee, then finally

coffee would not go through., so I went to the fountain and drank the CO2 off

the top of the Coke for 10 minutes, finally the coke passed through the LES. I

did this for 6 months, then the HOT coffee started to work.

>

>Coke has something great in it, I remember 50 years ago when my kids got the

flu, and were throwing up green, the Doctor said to go to the drug store and get

Coke syrup, it stopped the throwing up. I use Coke a lot, even for indigestion,

also for hiccups, Today I try to keep it to one a day as my sugar is near the

top, about 100.

>

>Today I am not perfect, maybe 50 % better than went it all started; believe it

was at age 75. The secret is MANAGING the Achalasia, but if I was young earning

a living I would have a dilation ay least. A cure will be found, probably not in

my life time.

>

>Fast walking, breathing deep, expanding the lungs helps to push the food

through the LES. Have not tried Mountain Dew, has more caffeine but seems to be

lacking the Phosphoric acid in Coke. Ingredients seem to differ for each

country. If it has a lot of CO2, that may work.

>

>Ray CA OC 81 no HM or dilation, very active.

>

>

>>

>> Maybe you have seen these before. I thought you would find them interesting.

>>

>> Oesophageal food impaction in achalasia treated with Coca-Cola and

>> nifedipine

>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

>> " She was treated successfully with nifedipine, in combination with

>> Coca-Cola... "

>>

>> It has a description of the carbonation breaking up the food similar to

>> the effect I was trying to show with the carbonation photos.

>>

>> There is another paper that suggest carbonation can be use to " distends

>> the esophagus and propel the food " In this case tartaric acid and sodium

>> bicarbonate were used to produce the effect but it was not in achalasia.

>> Notice what happened in the study listed after it. You don't want to

>> create a tear so that type of method needs to be used with caution. A

>> soda is a much less forceful way to produce pressure unless a person was

>> quickly drinking a full drink.

>>

>> Acute esophageal food impaction treated by gas-forming agents.

>> http://www.ncbi.nlm.nih.gov/pubmed/6294735

>>

>> Use of gas-forming agents in esophageal food impactions.

>> http://www.ncbi.nlm.nih.gov/pubmed/2837929

>> " A success rate of 65% was achieved, with one patient suffering a

>> mucosal tear of the esophagus. Recommendations are made to limit the use

>> of such gas-forming agents to impactions less than six hours old and in

>> patients without chest pain. "

>>

>> Dislodgement of impacted oesophageal foreign bodies with carbonated

>> beverages.

>> http://www.ncbi.nlm.nih.gov/pubmed/3791858

>>

>> Also of interest is:

>>

>> Proteolytic enzymes for oesophageal meat impaction.

>> And

>> Effervescent agents for oesophageal food bolus impaction.

>> Both at:

>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

>>

>> The enzymes were not recommended. The acid in a cola in time would also

>> do some digesting of food in the esophagus but could also cause

>> heartburn if it sat there digesting food.

>>

>> I think only the first study listed at the top of this messages dealt

>> specifically with achalasia so the others may not apply as well. Also,

>> in that first study the LES was relaxed by using nifedipine, which is

>> good to know if you have some on had. Otherwise, if there is room for

>> some chocolate or mint and you have time for it to work it may help to

>> relax the LES a little before the carbonation.

>>

>> notan

>>

>

>

>

>

>

[Guest guest]

Hi Christa,

 

I can only speak for myself regarding the efficiency of carbonated beverage in

getting food down.

Years ago I was tested in front of a gamma camera that measured the actual

amount of food that went from the esophagus to the stomach. In this case it

measured what happened after I drank regular Coca Cola, which cleared all the

food particles to the stomach, where the plain water failed before I drank the

Coke. I find Diet Coke to be just as effective. Throughout my years with

achalasia I have found any carbonated drink very helpful in getting food down.

 

The reactions of others vary. Some of us have specific sodas that we prefer over

others. Some of us, for whatever reason, cannot tolerate carbonated beverages at

all. Some doctors specifically recommend it, while others specifically tell

their patients not to drink it.  As has been said numerous times on this site -

" we are all different. "

 

________________________________

From: Christa D. Deegan <christa1110@...>

" achalasia " <achalasia >

Sent: Monday, June 11, 2012 9:52 PM

Subject: Re: Re: For Ray, Coca-Cola case report.

 

hi all~

is diet coke helpful as well for anyone or does it have to be regular coke?

thank you.

christa

ohio

>________________________________

> From: mer <ray_me_99@...>

>achalasia

>Sent: Monday, June 11, 2012 8:09 PM

>Subject: Re: For Ray, Coca-Cola case report.

>

>

>

> 

>

>Hi notan

>Thanks notan for the articles on Coke.

>My history on Coke was about 5 years ago bought a medical book on stomach and

Achalasia, was a 2005 book..

>

>http://www.amazon.com/Doctors-Guide-Gastrointestinal-Health-Diverticulitis/dp/0\

471462373/ref=la_B001HCU9V0_1_1?ie=UTF8 & qid=1339457417 & sr=1-1

>

>It had several pages on Achalasia and confirmed that carbonated beverages helps

loosen

>The LES and may improve symptoms. The expanding CO2 helps to push the food

through the LES.

>At the same time sent me a private email explaining how he used diet

Coke.

>

>For the last 22 years went each day to Mcs for coffee, then finally

coffee would not go through., so I went to the fountain and drank the CO2 off

the top of the Coke for 10 minutes, finally the coke passed through the LES. I

did this for 6 months, then the HOT coffee started to work.

>

>Coke has something great in it, I remember 50 years ago when my kids got the

flu, and were throwing up green, the Doctor said to go to the drug store and get

Coke syrup, it stopped the throwing up. I use Coke a lot, even for indigestion,

also for hiccups, Today I try to keep it to one a day as my sugar is near the

top, about 100.

>

>Today I am not perfect, maybe 50 % better than went it all started; believe it

was at age 75. The secret is MANAGING the Achalasia, but if I was young earning

a living I would have a dilation ay least. A cure will be found, probably not in

my life time.

>

>Fast walking, breathing deep, expanding the lungs helps to push the food

through the LES. Have not tried Mountain Dew, has more caffeine but seems to be

lacking the Phosphoric acid in Coke. Ingredients seem to differ for each

country. If it has a lot of CO2, that may work.

>

>Ray CA OC 81 no HM or dilation, very active.

>

>

>>

>> Maybe you have seen these before. I thought you would find them interesting.

>>

>> Oesophageal food impaction in achalasia treated with Coca-Cola and

>> nifedipine

>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

>> " She was treated successfully with nifedipine, in combination with

>> Coca-Cola... "

>>

>> It has a description of the carbonation breaking up the food similar to

>> the effect I was trying to show with the carbonation photos.

>>

>> There is another paper that suggest carbonation can be use to " distends

>> the esophagus and propel the food " In this case tartaric acid and sodium

>> bicarbonate were used to produce the effect but it was not in achalasia.

>> Notice what happened in the study listed after it. You don't want to

>> create a tear so that type of method needs to be used with caution. A

>> soda is a much less forceful way to produce pressure unless a person was

>> quickly drinking a full drink.

>>

>> Acute esophageal food impaction treated by gas-forming agents.

>> http://www.ncbi.nlm.nih.gov/pubmed/6294735

>>

>> Use of gas-forming agents in esophageal food impactions.

>> http://www.ncbi.nlm.nih.gov/pubmed/2837929

>> " A success rate of 65% was achieved, with one patient suffering a

>> mucosal tear of the esophagus. Recommendations are made to limit the use

>> of such gas-forming agents to impactions less than six hours old and in

>> patients without chest pain. "

>>

>> Dislodgement of impacted oesophageal foreign bodies with carbonated

>> beverages.

>> http://www.ncbi.nlm.nih.gov/pubmed/3791858

>>

>> Also of interest is:

>>

>> Proteolytic enzymes for oesophageal meat impaction.

>> And

>> Effervescent agents for oesophageal food bolus impaction.

>> Both at:

>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

>>

>> The enzymes were not recommended. The acid in a cola in time would also

>> do some digesting of food in the esophagus but could also cause

>> heartburn if it sat there digesting food.

>>

>> I think only the first study listed at the top of this messages dealt

>> specifically with achalasia so the others may not apply as well. Also,

>> in that first study the LES was relaxed by using nifedipine, which is

>> good to know if you have some on had. Otherwise, if there is room for

>> some chocolate or mint and you have time for it to work it may help to

>> relax the LES a little before the carbonation.

>>

>> notan

>>

>

>

>

>

>

[Guest guest]

thank you.   i am going to try the diet coke.  

>________________________________

> From: RICHARD FRIEDMAN <cynmark24@...>

> " achalasia " <achalasia >

>Sent: Monday, June 11, 2012 11:56 PM

>Subject: Re: Re: For Ray, Coca-Cola case report.

>

>

>

> 

>

>Hi Christa,

> 

>I can only speak for myself regarding the efficiency of carbonated beverage in

getting food down.

>Years ago I was tested in front of a gamma camera that measured the actual

amount of food that went from the esophagus to the stomach. In this case it

measured what happened after I drank regular Coca Cola, which cleared all the

food particles to the stomach, where the plain water failed before I drank the

Coke. I find Diet Coke to be just as effective. Throughout my years with

achalasia I have found any carbonated drink very helpful in getting food down.

> 

>The reactions of others vary. Some of us have specific sodas that we prefer

over others. Some of us, for whatever reason, cannot tolerate carbonated

beverages at all. Some doctors specifically recommend it, while others

specifically tell their patients not to drink it.  As has been said numerous

times on this site - " we are all different. "

> 

>

>

>

>________________________________

>From: Christa D. Deegan <christa1110@...>

> " achalasia " <achalasia >

>Sent: Monday, June 11, 2012 9:52 PM

>Subject: Re: Re: For Ray, Coca-Cola case report.

>

>

> 

>

>hi all~

>is diet coke helpful as well for anyone or does it have to be regular coke?

>thank you.

>christa

>ohio

>

>>________________________________

>> From: mer <ray_me_99@...>

>>achalasia

>>Sent: Monday, June 11, 2012 8:09 PM

>>Subject: Re: For Ray, Coca-Cola case report.

>>

>>

>>

>> 

>>

>>Hi notan

>>Thanks notan for the articles on Coke.

>>My history on Coke was about 5 years ago bought a medical book on stomach and

Achalasia, was a 2005 book..

>>

>>http://www.amazon.com/Doctors-Guide-Gastrointestinal-Health-Diverticulitis/dp/\

0471462373/ref=la_B001HCU9V0_1_1?ie=UTF8 & qid=1339457417 & sr=1-1

>>

>>It had several pages on Achalasia and confirmed that carbonated beverages

helps loosen

>>The LES and may improve symptoms. The expanding CO2 helps to push the food

through the LES.

>>At the same time sent me a private email explaining how he used diet

Coke.

>>

>>For the last 22 years went each day to Mcs for coffee, then finally

coffee would not go through., so I went to the fountain and drank the CO2 off

the top of the Coke for 10 minutes, finally the coke passed through the LES. I

did this for 6 months, then the HOT coffee started to work.

>>

>>Coke has something great in it, I remember 50 years ago when my kids got the

flu, and were throwing up green, the Doctor said to go to the drug store and get

Coke syrup, it stopped the throwing up. I use Coke a lot, even for indigestion,

also for hiccups, Today I try to keep it to one a day as my sugar is near the

top, about 100.

>>

>>Today I am not perfect, maybe 50 % better than went it all started; believe it

was at age 75. The secret is MANAGING the Achalasia, but if I was young earning

a living I would have a dilation ay least. A cure will be found, probably not in

my life time.

>>

>>Fast walking, breathing deep, expanding the lungs helps to push the food

through the LES. Have not tried Mountain Dew, has more caffeine but seems to be

lacking the Phosphoric acid in Coke. Ingredients seem to differ for each

country. If it has a lot of CO2, that may work.

>>

>>Ray CA OC 81 no HM or dilation, very active.

>>

>>

>>>

>>> Maybe you have seen these before. I thought you would find them interesting.

>>>

>>> Oesophageal food impaction in achalasia treated with Coca-Cola and

>>> nifedipine

>>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

>>> " She was treated successfully with nifedipine, in combination with

>>> Coca-Cola... "

>>>

>>> It has a description of the carbonation breaking up the food similar to

>>> the effect I was trying to show with the carbonation photos.

>>>

>>> There is another paper that suggest carbonation can be use to " distends

>>> the esophagus and propel the food " In this case tartaric acid and sodium

>>> bicarbonate were used to produce the effect but it was not in achalasia.

>>> Notice what happened in the study listed after it. You don't want to

>>> create a tear so that type of method needs to be used with caution. A

>>> soda is a much less forceful way to produce pressure unless a person was

>>> quickly drinking a full drink.

>>>

>>> Acute esophageal food impaction treated by gas-forming agents.

>>> http://www.ncbi.nlm.nih.gov/pubmed/6294735

>>>

>>> Use of gas-forming agents in esophageal food impactions.

>>> http://www.ncbi.nlm.nih.gov/pubmed/2837929

>>> " A success rate of 65% was achieved, with one patient suffering a

>>> mucosal tear of the esophagus. Recommendations are made to limit the use

>>> of such gas-forming agents to impactions less than six hours old and in

>>> patients without chest pain. "

>>>

>>> Dislodgement of impacted oesophageal foreign bodies with carbonated

>>> beverages.

>>> http://www.ncbi.nlm.nih.gov/pubmed/3791858

>>>

>>> Also of interest is:

>>>

>>> Proteolytic enzymes for oesophageal meat impaction.

>>> And

>>> Effervescent agents for oesophageal food bolus impaction.

>>> Both at:

>>> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

>>>

>>> The enzymes were not recommended. The acid in a cola in time would also

>>> do some digesting of food in the esophagus but could also cause

>>> heartburn if it sat there digesting food.

>>>

>>> I think only the first study listed at the top of this messages dealt

>>> specifically with achalasia so the others may not apply as well. Also,

>>> in that first study the LES was relaxed by using nifedipine, which is

>>> good to know if you have some on had. Otherwise, if there is room for

>>> some chocolate or mint and you have time for it to work it may help to

>>> relax the LES a little before the carbonation.

>>>

>>> notan

>>>

>>

>>

>>

>>

>>

>

>

[Guest guest]

After my first myotomy in 2003, I was unable to drink any carbonated beverages

without getting severe chest pain.  I had a second myotomy in October last

year, and since then have no problem with carbonation.  It does seem, in fact,

to help at least somewhat in my swallowing.  I did ask the surgeon why this

might happen, and she told me that nothing she did should have made this

difference.  The second surgery extended the original myotomy and also removed

the wrap.  So I have no idea why I can now drink carbonation, but am extremely

thankful!

mike in WI

________________________________

From: RICHARD FRIEDMAN <cynmark24@...>

" achalasia " <achalasia >

Sent: Monday, June 11, 2012 10:56 PM

Subject: Re: Re: For Ray, Coca-Cola case report.

 

Hi Christa,

 

I can only speak for myself regarding the efficiency of carbonated beverage in

getting food down.

Years ago I was tested in front of a gamma camera that measured the actual

amount of food that went from the esophagus to the stomach. In this case it

measured what happened after I drank regular Coca Cola, which cleared all the

food particles to the stomach, where the plain water failed before I drank the

Coke. I find Diet Coke to be just as effective. Throughout my years with

achalasia I have found any carbonated drink very helpful in getting food down.

 

The reactions of others vary. Some of us have specific sodas that we prefer over

others. Some of us, for whatever reason, cannot tolerate carbonated beverages at

all. Some doctors specifically recommend it, while others specifically tell

their patients not to drink it.  As has been said numerous times on this site -

" we are all different. "

 

[Guest guest]

I like you have problem with carbonation drink before and after my myotomy

that was on April th 18th of this year.  Dark cola's are worse than the light

cola's, but the light cola's I can only take a small glass.  A full can causes

problems for me.

From: Robin M <rmarsack@...>

Subject: Re: For Ray, Coca-Cola case report.

achalasia

Date: Thursday, June 14, 2012, 12:17 PM

 

Wild - I know everyone is unique, but this is something that definitely never

helped me, even pre-myotomy. I had my myotomy in Dec, 2010, and I still cannot

drink carbonated anything while I'm eating food. I can barely manage carbonated

drinks if I'm not eating

> >>

> >> Maybe you have seen these before. I thought you would find them

interesting.

> >>

> >> Oesophageal food impaction in achalasia treated with Coca-Cola and

> >> nifedipine

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

> >> " She was treated successfully with nifedipine, in combination with

> >> Coca-Cola... "

> >>

> >> It has a description of the carbonation breaking up the food similar to

> >> the effect I was trying to show with the carbonation photos.

> >>

> >> There is another paper that suggest carbonation can be use to " distends

> >> the esophagus and propel the food " In this case tartaric acid and sodium

> >> bicarbonate were used to produce the effect but it was not in achalasia.

> >> Notice what happened in the study listed after it. You don't want to

> >> create a tear so that type of method needs to be used with caution. A

> >> soda is a much less forceful way to produce pressure unless a person was

> >> quickly drinking a full drink.

> >>

> >> Acute esophageal food impaction treated by gas-forming agents.

> >> http://www.ncbi.nlm.nih.gov/pubmed/6294735

> >>

> >> Use of gas-forming agents in esophageal food impactions.

> >> http://www.ncbi.nlm.nih.gov/pubmed/2837929

> >> " A success rate of 65% was achieved, with one patient suffering a

> >> mucosal tear of the esophagus. Recommendations are made to limit the use

> >> of such gas-forming agents to impactions less than six hours old and in

> >> patients without chest pain. "

> >>

> >> Dislodgement of impacted oesophageal foreign bodies with carbonated

> >> beverages.

> >> http://www.ncbi.nlm.nih.gov/pubmed/3791858

> >>

> >> Also of interest is:

> >>

> >> Proteolytic enzymes for oesophageal meat impaction.

> >> And

> >> Effervescent agents for oesophageal food bolus impaction.

> >> Both at:

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

> >>

> >> The enzymes were not recommended. The acid in a cola in time would also

> >> do some digesting of food in the esophagus but could also cause

> >> heartburn if it sat there digesting food.

> >>

> >> I think only the first study listed at the top of this messages dealt

> >> specifically with achalasia so the others may not apply as well. Also,

> >> in that first study the LES was relaxed by using nifedipine, which is

> >> good to know if you have some on had. Otherwise, if there is room for

> >> some chocolate or mint and you have time for it to work it may help to

> >> relax the LES a little before the carbonation.

> >>

> >> notan

> >>

> >

> >

> >

> >

> >

>

>

[Guest guest]

Before my myotomy I could drink carbonated drinks as long as I wasn't eating

After the myotomy I can drink carbonated beverages without any problems. It

is one of those quirky things with A.

S

-- Re: For Ray, Coca-Cola case report.

achalasia

Date: Thursday, June 14, 2012, 12:17 PM

Wild - I know everyone is unique, but this is something that definitely

never helped me, even pre-myotomy. I had my myotomy in Dec, 2010, and I

still cannot drink carbonated anything while I'm eating food. I can barely

manage carbonated drinks if I'm not eating

> >>

> >> Maybe you have seen these before. I thought you would find them

interesting.

> >>

> >> Oesophageal food impaction in achalasia treated with Coca-Cola and

> >> nifedipine

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

> >> " She was treated successfully with nifedipine, in combination with

> >> Coca-Cola... "

> >>

> >> It has a description of the carbonation breaking up the food similar to

> >> the effect I was trying to show with the carbonation photos.

> >>

> >> There is another paper that suggest carbonation can be use to " distends

> >> the esophagus and propel the food " In this case tartaric acid and

sodium

> >> bicarbonate were used to produce the effect but it was not in achalasia

> >> Notice what happened in the study listed after it. You don't want to

> >> create a tear so that type of method needs to be used with caution. A

> >> soda is a much less forceful way to produce pressure unless a person

was

> >> quickly drinking a full drink.

> >>

> >> Acute esophageal food impaction treated by gas-forming agents.

> >> http://www.ncbi.nlm.nih.gov/pubmed/6294735

> >>

> >> Use of gas-forming agents in esophageal food impactions.

> >> http://www.ncbi.nlm.nih.gov/pubmed/2837929

> >> " A success rate of 65% was achieved, with one patient suffering a

> >> mucosal tear of the esophagus. Recommendations are made to limit the

use

> >> of such gas-forming agents to impactions less than six hours old and in

> >> patients without chest pain. "

> >>

> >> Dislodgement of impacted oesophageal foreign bodies with carbonated

> >> beverages.

> >> http://www.ncbi.nlm.nih.gov/pubmed/3791858

> >>

> >> Also of interest is:

> >>

> >> Proteolytic enzymes for oesophageal meat impaction.

> >> And

> >> Effervescent agents for oesophageal food bolus impaction.

> >> Both at:

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

> >>

> >> The enzymes were not recommended. The acid in a cola in time would also

> >> do some digesting of food in the esophagus but could also cause

> >> heartburn if it sat there digesting food.

> >>

> >> I think only the first study listed at the top of this messages dealt

> >> specifically with achalasia so the others may not apply as well. Also,

> >> in that first study the LES was relaxed by using nifedipine, which is

> >> good to know if you have some on had. Otherwise, if there is room for

> >> some chocolate or mint and you have time for it to work it may help to

> >> relax the LES a little before the carbonation.

> >>

> >> notan

> >>

> >

> >

> >

> >

> >

>

>

[Guest guest]

Hi

Ime a big fan of the diet coke, drink so much cans each day but. Before i got my

dilatation i couldnt get a fizzy drink down. Other than that my dilatation aint

helped me one bit. My muscles r completely gone and the Dr has said my 2 options

r 1) to remain like i am, underweight, barely eating and when i do i get severe

chest pain, choking on food, coughing fits at night, irratable, weak. or 2) to

have an Oesophagectomy, which ive been told is a Major operation. I have been

reading up on it and all the info i find mentions cancers. My consultant said he

normally operates on patients once a year but normally they have cancer.  Ime a

bit concerned as to what i should do. He said my eating will never get back to

how it was previously but can i cope with the way i am right now for the rest of

my life.

 

Has anyone else had that procedure done and if so was it a success for you.

 

Thanks

pauline

________________________________

From: Suzanne Lee <suzannel130@...>

achalasia

Sent: Friday, 15 June 2012, 1:13

Subject: Re: Re: For Ray, Coca-Cola case report.

 

I like you have problem with carbonation drink before and after my myotomy

that was on April th 18th of this year.  Dark cola's are worse than the light

cola's, but the light cola's I can only take a small glass.  A full can causes

problems for me.

From: Robin M <mailto:rmarsack%40gmail.com>

Subject: Re: For Ray, Coca-Cola case report.

mailto:achalasia%40

Date: Thursday, June 14, 2012, 12:17 PM

 

Wild - I know everyone is unique, but this is something that definitely never

helped me, even pre-myotomy. I had my myotomy in Dec, 2010, and I still cannot

drink carbonated anything while I'm eating food. I can barely manage carbonated

drinks if I'm not eating

> >>

> >> Maybe you have seen these before. I thought you would find them

interesting.

> >>

> >> Oesophageal food impaction in achalasia treated with Coca-Cola and

> >> nifedipine

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3029598

> >> " She was treated successfully with nifedipine, in combination with

> >> Coca-Cola... "

> >>

> >> It has a description of the carbonation breaking up the food similar to

> >> the effect I was trying to show with the carbonation photos.

> >>

> >> There is another paper that suggest carbonation can be use to " distends

> >> the esophagus and propel the food " In this case tartaric acid and sodium

> >> bicarbonate were used to produce the effect but it was not in achalasia.

> >> Notice what happened in the study listed after it. You don't want to

> >> create a tear so that type of method needs to be used with caution. A

> >> soda is a much less forceful way to produce pressure unless a person was

> >> quickly drinking a full drink.

> >>

> >> Acute esophageal food impaction treated by gas-forming agents.

> >> http://www.ncbi.nlm.nih.gov/pubmed/6294735

> >>

> >> Use of gas-forming agents in esophageal food impactions.

> >> http://www.ncbi.nlm.nih.gov/pubmed/2837929

> >> " A success rate of 65% was achieved, with one patient suffering a

> >> mucosal tear of the esophagus. Recommendations are made to limit the use

> >> of such gas-forming agents to impactions less than six hours old and in

> >> patients without chest pain. "

> >>

> >> Dislodgement of impacted oesophageal foreign bodies with carbonated

> >> beverages.

> >> http://www.ncbi.nlm.nih.gov/pubmed/3791858

> >>

> >> Also of interest is:

> >>

> >> Proteolytic enzymes for oesophageal meat impaction.

> >> And

> >> Effervescent agents for oesophageal food bolus impaction.

> >> Both at:

> >> http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1726675/pdf/v022p00122.pdf

> >>

> >> The enzymes were not recommended. The acid in a cola in time would also

> >> do some digesting of food in the esophagus but could also cause

> >> heartburn if it sat there digesting food.

> >>

> >> I think only the first study listed at the top of this messages dealt

> >> specifically with achalasia so the others may not apply as well. Also,

> >> in that first study the LES was relaxed by using nifedipine, which is

> >> good to know if you have some on had. Otherwise, if there is room for

> >> some chocolate or mint and you have time for it to work it may help to

> >> relax the LES a little before the carbonation.

> >>

> >> notan

> >>

> >

> >

> >

> >

> >

>

>