Re: 3 yr post op questions

[Guest guest]

Jade,

The manometry test will show if there is a blockage/obstruction at the LES

muscle or in the e, preventing food from entering the stomach.

BC

-

[Guest guest]

Hi Jade,

I am sorry they want to do another manometry. It does seem redundant. a year

after my surgery, I had to have the 24 hr Ph test. It started with manometry, I

had an NG tube placed in my esophagus and it stayed there for 24 hrs measuring

acid. Could this be what they want to do?

Thinking about you!!

>

> Hi everyone. I am new here and appreciate all the info you have posted.

> I have a question. I have been having heartburn pretty consistantly since my

surgery (saltine crackers are the fastest cure i've found) and have started

feeling the slow stuck feeling again. My dr. is sending me for another

manometry. the question is... wouldn't this be redundant, it seems to me that

the test results will show i have no motility? is it possible to have achalasia

and motility? or would this test possibly show more than just motility?

>

> thanks all.

>

> Jade

> ontario, canada

>

[Guest guest]

Jade wrote:

>

> ... wouldn't this be redundant, it seems to me that the test results

> will show i have no motility?

>

Manometry gets its name from manometer which is a device used to measure

pressure. The probe they use in the test has probably at least four

manometers in it and a high resolution version would have many. Another

test will show if any high pressure areas remain or have developed since

the surgery. If some are found then that knowledge may guide treatment.

Also it could show that the Lower Esophageal Sphincter, LES, has low

pressure and no high pressure areas. That knowledge could also be useful

in choosing treatment options.

> is it possible to have achalasia and motility?

>

Yes, the question is how much and where. It would be very unlikely to

have 100%. Also good to know. Sometimes it improves after surgery, but

not always.

notan

[Guest guest]

thank you for the ideas.  the most helpful thing about this site is having

enough knowledge to ask the right questions when you see the dr.'s.

 

 

jade

 

________________________________

From: notan ostrich <notan_ostrich@...>

achalasia

Sent: Tuesday, September 27, 2011 1:17:47 AM

Subject: Re: 3 yr post op questions

 

Jade wrote:

>

> ... wouldn't this be redundant, it seems to me that the test results

> will show i have no motility?

>

Manometry gets its name from manometer which is a device used to measure

pressure. The probe they use in the test has probably at least four

manometers in it and a high resolution version would have many. Another

test will show if any high pressure areas remain or have developed since

the surgery. If some are found then that knowledge may guide treatment.

Also it could show that the Lower Esophageal Sphincter, LES, has low

pressure and no high pressure areas. That knowledge could also be useful

in choosing treatment options.

> is it possible to have achalasia and motility?

>

Yes, the question is how much and where. It would be very unlikely to

have 100%. Also good to know. Sometimes it improves after surgery, but

not always.

notan

[Guest guest]

Yes, it is possible to have both achalasia and motility. Not permanently;

achalasia is progressive and the nerves will eventually die.

Motility can decrease slowly in a person even when a dead nerve plexus in the

LES has already forced surgery. All the nerves in the esophagus don't die at the

same time. A manometry can also be performed sloppily giving a false positive

(no motility) so that you are diagnosed as having no motility when you do.

That is what happened to me. My first test showed no motility at all on a

manometry done locally. Then the manometry done at the University 6 months after

my surgery showed I now had some motility but it was uncoordinated. A

miracle!!!!! Or someone made a mistake because swallowing sure felt the same.

The manometry done at the University was much more extensive than the one done

locally so I'm positive the first study was done improperly. All I did for the

first one was sip water on cue while the probe was lowered. The second took much

longer and involved swallowing portions of a flavored gel that was squirted into

my mouth. Parts were done with me sitting up and parts done with me partially

reclining.

That stuck feeling could just be the result of more nerve loss. Achalasia is

considered a progressive disease and they say eventually we will lose all

esophageal motility. You will have to learn how to eat to compensate for that

loss. I swallow frequently when I eat and I chew my food so thoroughly there is

almost nothing left to swallow. I never eat when I have no water available to

wash the food down. I don't eat before I go to sleep and I'm back to using a

foam wedge under my pillow at night. That allows gravity to pull saliva down

when I'm asleep. If I lie on my back, I will wake choking on my saliva.

When you have achalasia you depend on gravity to get food down. No trips to

outer space for us! At least for me this is happening slowly so I have time

become accustomed to the changes.

Milk works best for me for heartburn but I only get it infrequently. One glass

fixes it.

> Hi everyone. I am new here and appreciate all the info you have posted.

> I have a question. I have been having heartburn pretty consistantly since my

surgery (saltine crackers are the fastest cure i've found) and have started

feeling the slow stuck feeling again. My dr. is sending me for another

manometry. the question is... wouldn't this be redundant, it seems to me that

the test results will show i have no motility? is it possible to have achalasia

and motility? or would this test possibly show more than just motility?

>

> thanks all.

>

> Jade

> ontario, canada

>