Re: What is your opinion on cleaning out the E?

[Guest guest]

I did it constantly. If the food didn't go down I brought it back up right

away.

>

> Hi all,

> Spoke with a surgeon yesterday, and when I told him that I cleaned out the E

every night, he

>

> 1. Didn't know what that meant

> 2. Advised me against it, strongly!!!! I'm not sure why, but the best I could

understand was that it was bad for the esophagus.

>

> My question is, what are you supposed to do when you have a half gallon of

liquid/mucus/bolus in there and either the LES is too tight or something is

stopping it up? What about if you have some spinach or something that won't go

down? The worst spasms/symptoms I ever had were when I left some food in there

overnight, and I got NCCPs and no relaxation of the LES for a week. I really

think that cleaning out the E every night has been what has kept me healthy

enough to nurse my E back to semi-normal health.

>

> What do you think? Has any research been done on the effects of purposely

throwing up? From what I am aware, you're not throwing up acid because you do it

a couple hours after you eat, so the stomach is empty, it's just mucus and bits

and pieces that come up. Have any other doctors advised against this? Has

anyone perforated their esophagus from purposely or accidently throwing up?

>

> Thanks for your comments,

>

>

[Guest guest]

Hi , I have been very careful for the past 4 years since my

esophagectomy. I never eat after 6:00 and drink water in the evening. I had a

recent scare when I was out in the sun too long and had a touch of sunstroke. I

am living proof that a person can definitely " throw up " after and esophagectomy.

The sun and heat caused everything to come up. Ironically, we had just

discussed this a few weeks ago and I insisted that I had never " thrown-up " in

four years! Just drink a lot of water and make sure everything is clear before

sleeping. How could that possibly be bad? Congratulations !!! I am

going to bed, but I read your good news! Discipline and routine and good

judgement make living with Achalasia a lot easier. ,Thunder Bay,

Ontario

[Guest guest]

" Discipline and routine and good judgement " make everything a lot easier, if I

can modify that and preach to my teenagers (and myself.)

>

>

> Hi , I have been very careful for the past 4 years since my

esophagectomy. I never eat after 6:00 and drink water in the evening. I had a

recent scare when I was out in the sun too long and had a touch of sunstroke. I

am living proof that a person can definitely " throw up " after and esophagectomy.

The sun and heat caused everything to come up. Ironically, we had just

discussed this a few weeks ago and I insisted that I had never " thrown-up " in

four years! Just drink a lot of water and make sure everything is clear before

sleeping. How could that possibly be bad? Congratulations !!! I am

going to bed, but I read your good news! Discipline and routine and good

judgement make living with Achalasia a lot easier. ,Thunder Bay,

Ontario

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

wrote:

>

>

> 2. Advised me against it, strongly!!!! I'm not sure why, but the best

> I could understand was that it was bad for the esophagus.

>

He may have mistaken your description as induced vomiting instead of

regurgitation. Vomiting is forceful (regurgitation is not) and can tear

the lining of the esophagus (Mallory-Weiss tear). Vomiting also brings

up stomach juices that can harm the esophagus, especially if it is

chronic. Esophageal regurgitation has neither of these problems. If

regurgitation causes gaging and so leads to vomiting then you could have

those problems. You should be able to tell if you are just regurgitating

or vomiting.

When achalasia is in a bad state it often causes us to regurgitate

uncontrollably. One thing people fear is regurgitating in public. Some

people with achalasia do a lot of regurgitation even though they don't

want to. Even with all this regurgitation going on I don't think anyone

in this support group has had a problem with it. There has been some

tears but I think those were probably from vomiting. Of course you don't

want to regurgitate in your sleep, but that is not something he is

talking about.

notan