I have been experiencing a lot of difficulty swallowing and underwent an endoscopy that was normal. What can this be?
While it was correct to undergo an upper endoscopy to look for structural lesions to explain difficulty swallowing such as cancers and strictures, the workup should not stop there. You may have a motility disorder of the esophagus, where abnormal contractions of the esophagus can effect swallowing. This can be evaluated at first with a barium swallow/esophagram, and then if an explanation is not found, with esophageal manometry. The swallow is simple and involves swallowing barium. The manometry is more cumbersome, as while awake, a thin catheter is placed through the nose as at it enters the esophagus, pressures are measures. Elevated pressures in the esophagus or lack of esophageal contractions can lead to difficulty swallowing. If those tests are normal, perhaps the problem is aspiration. That can be caused by a defect in the swallowing mechanism, as a result of a ...
5-HTP is an amino acid produced by the human body from the essential amino acid L-tryptophan (LT), which is found in dietary proteins. It's clinical value is in it's ability to increase production of serotonin, and it has been used clinically for more than 30 years. 5-HTP occurs naturally in two places -- the human body and the seeds of the Griffonia Simplicifolia, a West African medicinal plant. Let's see if I can simplify this a bit: Food that contains LT in the proteins -> 5-HTP -> serotonin. Why is serotonin so important? Serotonin (also called 5-hydrotryptophan) is found in the cells of the brain and intestine and in the platelets of our blood. When the walls of blood vessels are damaged, serotonin is released from the platelets to constrict the blood vessel and prevent hemorrhage. In the tissue of the intestine, it acts as a stimulant to make the smooth muscle contract. Most people are probably most familiar with serotonin as it acts in the brain...
Generic Name: EXPECTORANT/ACETAMINOPHEN - ORAL Refenesen Chest Congest & Pain Oral Uses
This combination medication is used to temporarily treat
symptoms caused by the common cold, flu, allergies, or other breathing
illnesses (such as sinusitis, bronchitis). The expectorant helps thin and
loosen mucus in the lungs, making it easier to cough up the mucus.
Acetaminophen (APAP) is a non-aspirin pain reliever and fever
This medication is not usually used for ongoing coughs
from smoking, asthma, other long-term breathing problems (such as emphysema),
or coughs with a lot of mucus unless directed by your doctor.
Cough-and-cold products have not been shown to be safe or
effective in children younger than 6 years. Therefore, do not use this product
to treat cold symptoms in children younger than 6 years unless specifically
directed by the doctor. Some products (such as long-acting tablets/capsules)
are not recommended for use ...
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