manometry/gastric emtying result any experience

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joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 6/6/2010 8:15 AM (GMT -6)   
My manometry results were normal except 30% of swallows showed low distal amplitudes. what does this mean, can i still have surgery? will the surgeon know this. my condition is worsening and now i have a hiatal hernia, that i did not have last year. Also, my gastric emptying results said i had delayed gastric emtying. again, the results showe 12% of food left after 4 hours. the gi was not concerned. is that minor delay or significant. any help is appreciated. thank you all for your help during this tough time

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 6/6/2010 12:34 PM (GMT -6)   
joe1619-
I don't know if those results would stop you from having surgery or not, but I am quite certain your surgeon would know. If your GI wasn't concerned about the 12% delay it seems that there might be a normal range and this may be within it.
There are a lot of people who have hiatal hernias and never know it or have any issues with it.

Please try to relax and not stress too much over this. Extra stress will only make your symptoms worse. I can speak from way too much experience. Oh, and try not to go nuts with looking everything up on the net either.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/6/2010 1:52 PM (GMT -6)   
I was told I had tericery(?) movements in my swallowing, but the surgeon said it was nothing.

If it's serious the GI will tell you.

Joy

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 6/7/2010 1:16 PM (GMT -6)   
Surgery won't fix your swallowing difficulties or gastric emptying, but it's essential that the surgeon has asked for the tests because it makes a critical difference in the type of surgery to perform.

I have low swallowing ability, so when I had to have my fundoplication the surgeon did a partial wrap - a Toupet Fundoplication - so that I can swallow past the wrap.

For the emptying it's possible to just make a few changes in your diet. I won't promote the available medications (USA) because metoclopramide gave me muscle twitches that took months to resolve, and there are no others that work. For the low amplitude of swallowing you have to beware of trying to swallow anything too large, like vitamins, calcium, other tablets. Coated capsules seem to go down better. Sometimes I have to concentrate hard to not take a quck breath when a pill gets stuck. Gagging is one thing, but inhaling it is worse. I often take tablets with milk to coat them.

Most people get a common hiatal hernia sometime as they age. It's usually of no consequence. It makes only a little difference in the surgery because the opening has to be stitched closed. The type of hernia where the stomach stays stuck in the chest IS dangerous because the stomach can twist and strangulate. But that's rare and they would probably have told you about it.
Alcie
 
 


joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 6/7/2010 6:52 PM (GMT -6)   
thank you all for your responses. you are very kind to share your insight.
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