Barium Results & Qs about Transnasal Esophography?

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belljar1995
Regular Member


Date Joined Dec 2011
Total Posts : 93
   Posted 12/5/2011 1:46 PM (GMT -6)   
Hi all,
I had my barium swallow test this morning and fortunately I got a debrief from the radiologist right while I was there. Another "fortunate" thing was that I did have some problems swallowing the barium pill and the barium crackers. But the radiologist told me that there are no masses or tumours that he can see (whew!) and that things are likely "sticking" high up (throat/upper esophagus area)...because the muscles are "tight".

He said I might needs some swallowing therapy (?)

It seems odd though--the swallowing issue happened very suddenly...so it doesn't all make sense to me...I'm hoping to get some more clarification once the manometry and GI endoscopy are done.

I was wondering if anyone has had the "transnasal esophagraphy" ? I heard this does not require sedation and they can see everything they would normally see in a endoscopy (but they can't do biopsies). There is an ENT not too far from me who does this (and also a voice clinic not too far who do it too).

Has anyone tried this?

bcfromfl
Regular Member


Date Joined Nov 2011
Total Posts : 417
   Posted 12/5/2011 2:22 PM (GMT -6)   
The advantage of this procedure is that it allows the physician a quick "look-see" without sedation, and it is probably cheaper because it doesn't require anesthesia. The doctor can visually check for Barrett's, and be done in a few minutes.

The disadvantage is that, in terms of diagnosing reflux, it doesn't really get you anywhere if you have NERD, or non-erosive reflux disease. There is basically nothing to see. The best tool for nailing down a diagnosis is the 48-hour Bravo pH study, which requires a traditional endoscopy to implant the transmitter. Also, a traditional endoscopy allows for biopsies (like eosinophil counts).

"Swallowing therapy?" If your dysphagia is caused by reflux, no amount of physical therapy will correct the condition as long as reflux is present.

-Bruce

Post Edited (bcfromfl) : 12/5/2011 12:57:32 PM (GMT-7)

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