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Esophagus is the muscular tube carrying the food and liquids from your mouth to the stomach.

As your mouth forces liquid or chewed food into your throat, your brain starts the process of swallowing. You utilize your voluntary nervous system to begin a swallow. Your involuntary nervous system takes control over your swallowing once the fluid or food enters the top of your esophagus.

Stretching from food or liquid arouses the smooth muscles making the walls of your esophagus. This stimulates a dense network of nerves inside your muscles. These nerves, called as intrinsic nerves, begin a coordinated muscle action known as peristalsis. Peristalsis squeezes your esophageal muscles from top to bottom. This aids in pushing food and liquid along. If you could see peristalsis, it would appear like a wave passing down your esophagus.

To keep food and fluids moving in the correct path, your digestive tract has special muscles along its course known as sphincters. Sphincters carry on like one-way valves. They relax to give food and fluid pass to your stomach and afterward tightens in preventing the backflow, known as reflux.

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What are the common esophageal issues?

When your esophagus is functioning properly, you may not be aware of it. However, when you attempt to swallow something too big, hot, or too cool, you can feel your esophagus. You may likewise become aware of your esophagus when an issue id developed. Common esophageal issues include:

  1. Achalasia. This condition means that you will experience difficulty in swallowing, called dysphagia. You may likewise have heartburn or chest pain.
  2. Corrosive injury: It is a devastating injury which carries illness. Corrosive ingestion is a common type of poisoning. Corrosive agents make extreme damage to the gastrointestinal (GI) tract.
  3. Gastroesophageal reflux disease (GERD): The acid made in the stomach leads to a burning feeling if it creeps into the esophagus. The main symptom is heartburn. Different symptoms can include cough, wheezing, nausea, vomiting and painful swallowing.
  4. Dysphagia: Dysphagia or trouble in swallowing is a symptom of a wide range of many medical conditions. These conditions can incorporate nervous system and brain disorders, muscle disorders, and physical blockages in the throat.
  5. Esophageal Cancer: It occurs when cancer cells grow in the esophagus, tube-like structure that runs from throat to stomach.

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GRED

Gastroesophageal reflux disease (GERD) happens when stomach acid continually flows back into the tube that is connected with your mouth and stomach (throat). This discharge (heartburn) can aggravate the lining of your esophagus. Visit Dr. E. Vimalakar Reddy for gastroesophageal surgery in Secunderabad

What Are the Signs and Symptoms of GERD?

Frequently, individuals who have GERD experience that they have the pain of acid reflux in the chest or stomach. This can endure up to two or three hours. Many will notice their heartburn is worse after eating.

Regurgitation — when food and fluid containing stomach acid returns up into the throat or mouth is likewise a sign of GERD. In any case, similar to heartburn, occasional regurgitation is common for everybody.

Other signs of GERD include:

  1. a sore, raw throat or hoarse voice
  2. a frequent sour taste of acid, particularly while sleeping
  3. a sensation of burping acid into the mouth
  4. difficulty in swallowing
  5. a feeling that food is trapped in the throat
  6. a sensation of choking that might awaken somebody
  7. a dry cough
  8. bad breath

When to see a doctor

Get your GERD treatment in Hyderabad if you have chest pain, particularly if you additionally have shortness of breath, or jaw or arm pain. These might be signs and symptoms of a heart attack.

Make an appointment with your best surgical gastroenterologist in Ramgopalpet if you:

  1. Experience serious or frequent GERD symptoms
  2. Take over-the-counter drugs for heartburn more than twice a week

Achalasia

Achalasia is a rare disorder where damaged nerves in your esophagus keep it from working as it ought to. Muscles at the lower end of your esophagus fail to enable food to enter your stomach. Make an appointment with Dr. E. Vimalakar Reddy for Achalasia treatment in Hyderabad

What are the symptoms of achalasia?

Achalasia symptoms grow gradually, with symptoms going on for months or years. Symptoms include:

  1. Difficulty in swallowing (dysphagia). This is the most common early symptom.
  2. Spewing of undigested food.
  3. Chest pain that comes and goes; pain can be extreme.
  4. Acid reflux.
  5. Cough at night
  6. Weight reduction/malnutrition from difficulty while eating. This is a late synonym.
  7. Hiccups, trouble in belching (more uncommon symtpoms)

What are the reasons for achalasia?

Achalasia is thought to happen when the nerves in the esophagus become harmed and quit working properly, which is the reason the muscles and ring of muscle don't work. The specific reason for this is obscure.

In certain individuals, it could be connected to a viral infection. It might likewise be related with having an autoimmune condition, where the body's immune system attacks healthy cells, tissue and organs.

In rare cases, achalasia may run in families.

How is achalasia treated?

Several treatments are available for achalasia that includes nonsurgical choices and surgical choices. The objective of treatment is to relieve your symptom by relaxing your lower esophageal sphincter (LES).

  1. Minimally invasive surgery
  2. Balloon dilation
  3. Meds
  4. Esophagectomy

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Corrosive injury

Corrosive ingestion can be a common form of poisoning. Corrosive agents lead to severe damage to the gastrointestinal (GI) tract. The most serious types of injury can prompt mortality; in any case, the main pressing issue with this type of injury is life-long illness.

The Corrosive injury of the upper gastrointestinal tract is a clinical issue worldwide. 80% of the corrosive injuries happen in kids, where it is because of accidental ingestion of the caustic agents. Adults usually ingest caustic agent with a suicidal intent. At times, ingestion of caustic agent is seen in psychiatric or alcoholic patients. In western nations, alkaline agent injuries are more common, while acid injury is more common in developing nations because of easy accessibility of agents.

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What are the symptoms of corrosive injury?

Ingestion of harsh or destructive agents can lead to direct injury tissue upon exposure, which could prompt the signs like oral pain, ulcerations, dysphagia, vomiting, drooling and abdominal pain.

If you see the above symptoms, see stomach pain specialist in Hyderabad, Dr. E. Vimalakar Reddy.

Dysphagia

Dysphagia refers to a trouble in swallowing - it requires more effort to move food from the mouth to the stomach. Consult Dr.E. Vimalakar Reddy for dysphagia treatment in Secunderabad

What can cause Dysphagia?

Many issues, illnesses and conditions can cause trouble. Doctors separate swallowing issues into three types:

  1. Oral cavity dysphagia: The issue is in the mouth. Regular causes incorporate tongue weakness after stroke, trouble in chewing food or neuromuscular issues.
  2. Oropharyngeal dysphagia: The issue is in the throat. This can be a consequence of a neurological or muscular problem.
  3. Esophageal dysphagia: This is an issue of the esophagus. This can be caused when something blocks or compresses the esophagus, there's a muscular issue or there are pouches in the esophagus.

How is dysphagia treated?

Treatment for difficulty in swallowing relies upon the reason and severity of the issue. Your treatment at best hospitals for dysphagia in Hyderabad could include:

  1. Antibiotics: Your doctor might prescribe antibiotics to treat bacterial tonsillitis (strep throat).
  2. Meds and lifestyle changes: Treatment for GERD incorporates medications to control acid reflux. Your doctor may likewise suggest changing your diet and eating patterns.
  3. Other clinical treatment: If a neurological condition makes it challenging for you to swallow, your doctor can offer solutions. Your choices could include botulinum toxin to relieve muscle spasms or surgery to broaden the esophagus.

When to look for medical advice

You ought to see your gastroenterologist in West Marredpally if you, or somebody you care for, experience issues in swallowing or some other indications of dysphagia so you can seek treatment to help with your symptoms.

Early investigation can likewise assist with ruling out other serious conditions, like oesophageal cancer.

Your doctor will evaluate you and may allude you for further tests.

Esophageal cancer

Esophageal cancer happens when cancer cells are developed in the esophagus, a tube-like structure that runs from your throat to your stomach. Food goes from the mouth to the stomach through the esophagus. The disease begins at the inward layer of the esophagus and can spread all through different layers of the esophagus and to different part of the body (metastasis).

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What are the signs and symptoms?

Signs and symptoms of esophageal cancer include:

  1. Trouble in swallowing (dysphagia)
  2. Weight reduction without trying
  3. Chest pain, burning or pressure
  4. Worsening indigestion or heartburn
  5. Coughing

Early esophageal cancer commonly causes no signs or symptoms.

What are the types of esophageal cancer?

There are two kinds of esophageal cancer:

  1. Adenocarcinoma: This is the most common type of esophageal cancer. It is developed in the tissue that makes mucus that assists you with swallowing. It normally influences the lower part of your esophagus.
  2. Squamous cell carcinoma: This type starts in squamous cells that line your esophagus. Squamous cell esophageal cancer ordinarily influences the upper and middle parts of your esophagus.

When to see a specialist?

That relies upon your situation. Individuals who had early phase cancer eliminated with a surgery will have a different follow-up schedule from individuals who've advanced cancer that is spread.

If your treatment was effective, your best gastric doctor in Medchal might prescribe check-ups each 3-6 months for the initial two years after treatment and then check-ups each 6-12 months for the following three years. Your doctor at Esophageal cancer hospitals in Secunderabad might do a physical examination, blood tests, imaging tests and endoscopy.

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