This is a condition resulting from motility disorders of the esophagus ranging from absent peristalsis to hyperperistalsis and spasm. Diffuse esophageal spasm typically causes substernal chest pain in association with difficulty in swallowing (dysphagia) of both liquids and solids. The pain may be severe and may awaken the patient from sleep. Liquids that are very hot or cold may aggravate the pain. With time, this disorder may evolve into achalasia (failure to relax smooth muscle fibers of the gastrointestinal tract). There may be reflux of recently swallowed food. Combinations of all of these with abnormal lower or upper esophageal sphincter function complete the clinical picture. Esophageal spasm may also produce a severe pain in the absence of dysphagia that is indistinguishable from angina pectoris . This pain is often described as a substernal squeezing pain and may occur in association with exercise. A specific cause is seldom found, but there may be associated reflux esophagitis (i...
A few weeks ago in a telephone conversation with my mom, she mentioned that one of my sisters had been having some problems with her stomach for the last month or so. Being concerned, I called my sister directly to talk to her about what was going on.
"I don't know," she said. I'm eating a healthy diet, but for the last month or so I've had a lot of diarrhea and even some vomiting. And my stomach hurts so much after I eat that I just don't want to eat anymore."
"What are you eating?" I asked.
"You know, healthy stuff. Fruits and vegetables and high fiber bread."
I explained to her that a healthy diet isn't healthy if it's making you sick. And if it's making you sick then you have to do something to figure out what is causing the symptoms. First, change what you're eating so that you can eat and get some nourishment into your body. And second, make an appointment with a gastroenterologist to discuss the problems.
"It's especially important to see a GI...
Can Are my frequent headaches and stomach pains related?
Hi, I am a 21-year old female who suffers from many headaches. It seems like I have been battling headaches for as long as I remember. When I was younger, I would get such bad headaches that I would cry all night long because I was in so much pain, enough that I wouldn't get any sleep. At that time, my family doctor told me that the cause of my headaches was my lack of vision and that I needed glasses. Now, I have been wearing glasses for over 15 years, and my headaches are still very present. And that's the least of it because I often get very bad migraines as well. They are bad enough that I feel dizzy, nauseous, and basically I am in a lot of pain. Light bothers me, loud noises bother me, and etc. For a 21-year old, I may be wrong, but it doesn't seem right. I shouldn't be getting so many headaches/migraines right? It's almost daily now, and that's not all as well. Now when I get my headaches, I have a ...
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