Barium swallow - results normal

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Andy1986
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Date Joined Dec 2012
Total Posts : 1178
   Posted 3/14/2013 5:32 AM (GMT -6)   
So I had my barium swallow today after my ph test came back normal, and my GI said I hadn't come off the PPIs long enough.

But my barium swallow was normal, he got me to roll around and cough and said there was absolutely no sign of reflux. He said everything was opening and closing ok, and that there was also no sign of a hiatus hernia, which my endoscopy a few months ago diagnosed.

I am at a bit of a loss at to what to do now. My GI has discharged me to a surgeon for NF, but none of the tests so far have confirmed the problem is reflux. I have constant pain in my esophagus and a lump in my throat. The pain only eases if I sit down for 30 minutes or more. It also gets worse if I walk around for any length of time and is worse after eating and moving around.

But saying that the pain also gets worse after I DONT eat for a long period. It feels like my esophagus is constricting and usually it will feel a bit better after eating, like the food soothes it or something. It isnt spasms, just constant pain.

Im going to go back to the GI, I dont want to get NF until we're more sure it's reflux. My pH test did show some reflux but nothing abnormal, is it possible im getting reflux infrequently but my esophagus is constantly inflamed by it, hence causing me pain?

I've also had a look at eosinophilic esophagitis, could it be this? - I've had a problem of food getting stuck in my esophagus all my life, manometry showed weaker than normal esophagus. Endoscopy didnt see any 'rings' though.

Post Edited (Andy1986) : 3/14/2013 4:55:52 AM (GMT-6)


Mollymarie
Regular Member


Date Joined Mar 2013
Total Posts : 58
   Posted 3/14/2013 6:11 AM (GMT -6)   
Hi Andy,

The first time I had a barium swallow, it came back as being normal with no reflux but from the gastroscopy it was very abnormal. My pH test came back as very mild but I was having a good day. What did your mannometry say? Mine said that the valve was very floppy and it was that combined with the scope that made the surgeon go ahead with the NF. The surgeon is the expert and not the GI which sounds daft. The surgeon will be able to advise you about your results.

You sound very similar to me in terms of symptoms and although I've just been told that my wrap isn't intact, I'm glad I had it done.

Have they explored other options such as gallbladder and gastric emptying? There are so many things that can cause this pain. If your surgeon is a general surgeon like mine was then he'll be able to talk to you about other causes if you ask him/her. I'm presuming from the time you've posted that your a Brit (or a night owl ;-)) if that's the case and you want to see your GI again then demand to with your GP, it's your right. But seriously I would trust your surgeon more and just meet with him. Meeting with him doesn't mean going for surgery and British surgeons aren't the ogres they used to be ;-)

You need to get that pain sorted. Good luck.

Mol
Xx

Andy1986
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Date Joined Dec 2012
Total Posts : 1178
   Posted 3/14/2013 6:32 AM (GMT -6)   
Thanks Molly. My manometry showed my LES was normal, although my esophagus had weak contractions. My endoscopy showed mild inflammation in esophagus, mild gastritis and large hiatus hernia (which has apparently since gone). I just dont want to go for surgery until Im sure thats what it is. I know hernias slide so its possible it wouldnt come up in the test, but i was having some symptoms during the test, and on the day of the PH test which makes me weary that there is something else going on.

Can surgeons schedule tests as well? If so I may just go to see the surgeon then, but Im not going through with a surgery until they have at least some evidence that my reflux is causing the problems. Up until now its just my explanation of the symtoms but I could easily be wrong, its only occasional that I actually feel as if I have reflux, for me its just constant pain, especially when I fast which makes no sense to me!

I have had a problem with dsyphagia all my life, which is why Im now thinking maybe its Eosinophilic esophagitus causing chronic inflammation, for some reason I wasnt tested for it during my endoscopy and Id prefer to at least try the medication for it before going through with a surgery to see if that is it.

Post Edited (Andy1986) : 3/14/2013 5:35:03 AM (GMT-6)


reet22
Regular Member


Date Joined Jan 2013
Total Posts : 146
   Posted 3/14/2013 6:58 AM (GMT -6)   
Hi andy. Yes the surgeon can organise tests, mine organised an endoscopy and barium x-ray for me. So you could see what he says it is another rain to pick! Best wishes Rita

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1178
   Posted 3/14/2013 7:09 AM (GMT -6)   
Thanks, think Ill do that then because I wasnt very impressed with the GI I had
GERD - Hiatus Hernia, Anxiety and Depression

Mollymarie
Regular Member


Date Joined Mar 2013
Total Posts : 58
   Posted 3/14/2013 7:25 AM (GMT -6)   
Hi Andy,

Yeah like Rita said your surgeon can do tests and will definitely do a scope before doing an NF. If you have Dysphagia maybe it would be worth asking if that's causing the pain and inflammation. My surgeon said that Dysphagia can cause inflammation due to things getting stuck/ being slow. Definitely go and see him, he won't even offer the NF if he's not happy the tests show reflux. But your right regarding the hernia, they do move all the time. All my tests showed no hernia but when he went in to do the NF, the hernia was massive!

Mol
Xx

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1178
   Posted 3/14/2013 7:47 AM (GMT -6)   
I dont think the dsyphagia causes pain itself, ive been on liquid diets and such before and it actually seems to make it worse. Sometimes I get relief if i take a huge mouthful and swallow, maybe it stretches and opens up the esophagus?

Its not really a problem itself, I just drink some water and it washes it down, had it all my life but never any pain with it, but if its indicative of EE Id like to get tested for it.
GERD - Hiatus Hernia, Anxiety and Depression
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