Guest guest Posted February 2, 2011 Report Share Posted February 2, 2011 Hi. I too am having problems with swallowing along with diaphram spasming every time i swallow something. Should be interesting to read any more posts on the subject. from the UK ________________________________ From: <tracy212@...> achalasia Sent: Wed, February 2, 2011 3:34:30 PM Subject: Re: Diaphragm spasm? Â Hi all! haven't posted in a while but read daily. diagnosed 2008, Heller/Dor 11/2008. things have been ok, much better after surgery. gained 25 lbs back ( not too happy about that, but in grand scheme shows dramatic improvement) in december had an episode of horrible epigastric pain for about 5 days. ended up at ER, dillaudid for the pain. off to Boston I go.. local hospital has no understanding of our condition. due to family history of pancreatic cancer a CT scan is done. CT shows enlargement of retrocrural lymph nodes. Doctor explains that these lymph nodes are near the diaphragm! Imagine my surprise when I see this post! have noticed increased spasms and difficulty swallowing again, things go through but really feeling things " hanging up " and taking longer to go through. Anyone feel that this is related? Looking forward to some insight from this fabulous group! Thanks from Mass > > For the 1st time I am getting spasms that seem to be at the center of my >diaphragm. It has been going on for about 30 minutes. They are about 30 seconds >apart & last just a few seconds. With regular esophageal spasms drinking cold >water helps me. Not working here. > > > I had my myotomy 2 years ago. > > Anyone had this experience? If you have, any tips for making it go away? > > At work & want it to go away!! > > Thanks > Kathy > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2011 Report Share Posted February 5, 2011 wrote: > ... CT shows enlargement of retrocrural lymph nodes. Doctor explains that these lymph nodes are near the diaphragm! ... Those nodes would be behind the crura of the diaphragm, between diaphragm and the spine in the retrocrural space. That is where the aorta is. The right crus and left crus come off the spine and cross on the other side of the aorta and then cross again around the esophagus forming the hiatus where the esophagus goes through the diaphragm. The crural diaphragm there also contributes to the pressure of at the LES and so even breathing changes the pressure at the LES. It isn't a big jump from the esophagus and the retrocrural lymph nodes. I don't know much about how the lymph system is connected to the organs but I would guess that retrocrural lymph nodes have connections to the esophagus. Did they say anything about the enlargement of them? Will they follow up on it? If not, I would bring it up with your PCP and see if he has an interest in it. Others have notice that their achalasia symptoms change with changes in their bodies, pregnancy, stress and such. Those lymph nodes may indicate that something is happening in your body possibly at or near your esophagus. It may or may not be connected to your symptoms. When I was a baby I had mono. All through my childhood I had swollen lymph nodes on my neck. I was told it was left over from the mono I had. Who knows. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2011 Report Share Posted February 6, 2011 wrote: > ... I have a CT scan then an upper GI the following week. this will take place in June. If I remember correctly when I had my mannometry there was something with the LES pressure not being consistent with a typical Achalsia patient. My symptoms had actually progressed and worsened pretty quickly, ... I am glad it is being followed up on. Like I said in another post, having an MRI or CT is like going fishing with a big net. You catch all kinds of things besides what you were fishing for. Much of what they can see now are things they never would have before so knowing just how important they may be is not clear. Until they learn more about all these new results I think it is good to keep an eye on what is found just to be safe. I don't think people go from having a normal manometry one day to classic achalasia the next. Studies report that the amount of neuron loss depends on the length of time a patient has had symptoms and the stage of the disease. Early on there is some loss but by end stage there may be complete loss of certain neurons at the LES. It may be that you were still early in the changes, or, it could be as we say, we are all different. notan Quote Link to comment Share on other sites More sharing options...
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