Aa
Can it be ALS no eeg or muscle conduction test done
I had hoarseness then I had an endoscopy because of a sliding hernia with somewhat of Barrett esophagus a few weeks after that I developed impaired speech and great difficulty swallowing. I was tested for myestenia graves and neurologist said that was negative. I then was sent to the ALS clinic at the local hospital without the test to confirm ALS the doctors believe I have it . however i dont have any other symptoms other than the above mentioned I am about 8 mths into this. with no progression.any ideas on next step.
I also have mid size dog can it be advanced lyme ? reg. blood test and western blot test both negative.
I also have mid size dog can it be advanced lyme ? reg. blood test and western blot test both negative.
MEDICAL PROFESSIONAL
Hi! I am sorry--this is the answer to your query--I posted answer to some other query here!
If you do not have any of the above neurological problems then there is a huge chance that you have achalasia as you also probably have some amount of regurgitation due to sliding hernia. This occurs when your lower esophageal muscle (sphincter) doesn't relax properly to let food enter your stomach. Specific tests for diagnosis of achalasia include barium swallow and esophageal manometry (or motility study).
Other possibility is a nerve damage. Swallowing has 3 phases, oral, pharyngeal, and esophageal. Hence it is important to analyze the pattern of dysphagia or difficulty in swallowing and important to know which phase is affected the most. Postoperative dysphagia is analyzed by videofluroscopic swallow studies. Depending on the pattern, the injury may be to the hypoglossal nerve, pharyngeal nerve, superior laryngeal nerve, esophageal plexus of vagus nerve or compression of a spinal nerve.
A comprehensive investigation is required keeping all the points in mind. Please consult your doctor regarding this. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
If you do not have any of the above neurological problems then there is a huge chance that you have achalasia as you also probably have some amount of regurgitation due to sliding hernia. This occurs when your lower esophageal muscle (sphincter) doesn't relax properly to let food enter your stomach. Specific tests for diagnosis of achalasia include barium swallow and esophageal manometry (or motility study).
Other possibility is a nerve damage. Swallowing has 3 phases, oral, pharyngeal, and esophageal. Hence it is important to analyze the pattern of dysphagia or difficulty in swallowing and important to know which phase is affected the most. Postoperative dysphagia is analyzed by videofluroscopic swallow studies. Depending on the pattern, the injury may be to the hypoglossal nerve, pharyngeal nerve, superior laryngeal nerve, esophageal plexus of vagus nerve or compression of a spinal nerve.
A comprehensive investigation is required keeping all the points in mind. Please consult your doctor regarding this. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
MEDICAL PROFESSIONAL
Hi!
I am sorry to hear about your medical problems. Symmetric hyperreflexia is usually seen in hypocalcemia or low calcium, hypomagnesemia or low magnesium and in hyperthyroidism. This may also cause twitches and rossolimo type of reflex. Please discuss with your doctor. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
I am sorry to hear about your medical problems. Symmetric hyperreflexia is usually seen in hypocalcemia or low calcium, hypomagnesemia or low magnesium and in hyperthyroidism. This may also cause twitches and rossolimo type of reflex. Please discuss with your doctor. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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