Male | 77
Является ли аденокарцинома пищевода причиной прилипания пищи?
Мой отец жалуется на застревание еды в пищеводе. У меня есть результаты компьютерной томографии. КТ грудной клетки, брюшной полости и таза CE: ПРОТОКОЛ КТ показывает аксиальные изображения срезов толщиной 5 мм, полученных от уровня диафрагмы до нижнего края симфиза. лобок с внутривенным контрастированием. Отчетность велась на рабочем месте. ВЫВОДЫ НА ГРУДНОЙ ГРУДКЕ: Множественные крошечные узелки «матового стекла» наблюдаются в двусторонних нижних долях преимущественно справа. Небольшой кальцинированный узел отмечается в правой верхней доле в периферическом субплевральном расположении, вероятно, старая кальцинированная гранулема. Видны увеличенные кальцинированные медиастинальные и внутригрудные лимфатические узлы, самый крупный из которых имеет размер 1,4 см в локализации. Признаков плеврального выпота с обеих сторон не обнаружено. В аорте и ее ветвях наблюдаются обширные атеросклеротические кальцинаты. На изображении части сердца кажутся ничем не примечательными Результаты исследования органов брюшной полости и таза: В дистальной трети пищевода наблюдается асимметричное увеличение утолщения стенки по окружности, охватывающее около 4,2 см дистального отдела пищевода и простирающееся до желудочно-пищеводного перехода, вызывающее сужение просвета. На постконтрастных изображениях наблюдается улучшение. Жировые прослойки вокруг пищевода сохранены, признаков инвазии в соседние структуры нет. Несколько (2 лимфатических узла) заметных лимфатических узлов видны в дистальной околопищеводной части. один размером 7,3 мм. Печень, желчный пузырь, поджелудочная железа и селезенка без особенностей. В обеих почках наблюдаются множественные кисты различной плотности с жидкостью; самый большой в левой почке Размеры 2,6 х 2,3 см в левом верхнем полюсе и 1,2 х 1,2 см в правом межполярном регионе. Оба надпочечника выглядят без особенностей. ■ Значительного асцита или лимфаденопатии не отмечено. На изображении структуры кишечника выглядят без особенностей. Простата и мочевой пузырь выглядят без особенностей. На снимках срезы костей и позвоночника выглядят ничем не примечательными. Никаких признаков явного литического или склеротического поражения не отмечено. ВПЕЧАТЛЕНИЕ: Статус: Случай аденокарциномы пищевода, подтвержденный биопсией. Данные, описанные выше, представляют собой асимметричное увеличение утолщения стенки, охватывающее около 4,2 см дистального отдела пищевода и желудочно-пищеводного перехода, вызывающее сужение просвета, однако никаких признаков проксимальной обструкции не отмечено. неповрежденные жировые слои вокруг пищевода без признаков инвазии в соседние структуры. Два выступающих лимфатических узла в околопищеводной области. Множественные крошечные узелки цвета «матового стекла» в двусторонних нижних долях... весьма подозрительно на первичные метастазы в легкие из пищевода. На текущем сканировании нет признаков костных или печеночных метастазов. Нужна клиническая корреляция.
Хирургический гастроэнтеролог
Answered on 1st Aug '24
Ваш отец страдает от того, что какая-то еда застряла в его пищеводе. КТ, которую сделал ваш отец, показывает, что он страдает аденокарциномой пищевода, разновидностью рака, локализующегося в пищеводе. Такие состояния могут привести к трудностям при глотании, болям в груди и потере веса. Варианты лечения могут включать хирургическое вмешательство, химиотерапию и лучевую терапию. Общение со своимгастроэнтеролог это лучший способ прийти к эффективному плану.
2 people found this helpful
Questions & Answers on "Gastroenterologyy" (1116)
Hi im divine, a 16 yrs old girl, recently I've been having pain at the lower left side of my stomach and it's hurts a lot. The pain comes and goes. What illness are they symptoms of?
Female | 16
Your tummy hurt on the bottom-left side could mean you have diverticulitis. Little pouches in your colon swell up. Pain, bloaty feeling, and hot temps come along. A diet full of fiber, lots of water, and some meds can make it better. But go see a gastroenterologist first to find out for sure and get the right care.
Answered on 23rd May '24
Dr. Samrat Jankar
I got too much pain inside my left abdomen..is that due to spicy food.
Male | 29
Eating spicy food might likely be the reason behind the pain in your left abdomen, yet this pain might be caused by other reasons as well. This pain could be due to stomach problems or dysfunction of your organs. If you notice the pain is severe or lasts a long time, it's advisable to consult a gastroenterologist. In the meantime, you can try eating bland food and drinking a lot of water as a means to check if the pain subsides.
Answered on 7th Oct '24
Dr. Samrat Jankar
Having pain in lower stomach
Female | 33
Pain in your lower stomach can be a trouble. As an example of several reasons for such pain are gas, constipation, and in the case of women, periods. Sometimes, infections in the bladder or bowels can also lead to this pain. For constipation, drinking water and eating fiber-rich food may help you, or even a warm bath for period pain. If the pain persists or worsens, inform a gynecologist so they can assist you in feeling better.
Answered on 21st Aug '24
Dr. Samrat Jankar
Mete peet me mairer parta hai kabhi kabz ho jati hai kabi bar bar pakana atta hai
Male | 54
It seems that your stomach pain is your problem. A sufferer may potentially show the symptoms of diseases like gastritis or irritable bowel syndrome (IBS). Seeking the opinion of a gastroenterologist for the right diagnosis and treatment is important.
Answered on 23rd May '24
Dr. Samrat Jankar
I was prescribed by a medicine called mysucral-O. Should I consume it
Male | 23
Mysucral-O helps with stomach pain caused by acid problems. It reduces the extra acid your body makes. Follow your doctor's instructions for taking it. Take it regularly to feel better. If you have any questions, don't hesitate to ask your gastroenterologist.
Answered on 15th Oct '24
Dr. Samrat Jankar
I will be having gall bladder operation but because of high blood sugar my operation is being delayed...my general physician gave me insulin...thus my blood sugar level decreased however my sugar level again increased...so please can you recommend me a diet chart and other measures to be taken.
Male | 52
My advice would be to see a registered dietician, who could develop an individualized nutrition plan based on your needs and high blood sugar levels. Moreover, you should adhere to the doctor's directions about insulin dosage and timing as well as accurately measure your blood sugar level. In case of any doubts concerning your gall bladder surgery, consult a gastroenterologist
Answered on 23rd May '24
Dr. Samrat Jankar
My husband has Bleeding since four days without any pain Had piles and fissure and also got operated for the same in 2010 at thane bhanushali hospital Till now there were no issues but suddenly started bleeding since 4 days without any pain Please advice
Male | 46
As prior operated please do a colonoscopy before doing anything to understand the present issue.Consult the Gasternologist with your report.
Answered on 23rd May '24
Dr. Samrat Jankar
I am having loose motion and chest pain and sometimes fever is coming also having pain in some joints like my knee, ankle, and elbow. All these symptoms have been coming since 26th May, and pain in joints its happened sometimes for the last 4 years.
Male | 22
Your symptoms indicate infectious diseases such as virus attack; it may be arthritis too. Additionally, the recurrent joint aches you have had over 4 years should not be overlooked without proper medical attention from a professional health care provider. More importantly, one can take fluids and have enough rest but above everything else they should be thoroughly examined by a gastroenterologist for treatment.
Answered on 29th May '24
Dr. Samrat Jankar
Hi Sir, kindly help me out to get out confusion and frustration. This is my Clinical summary -Rohan, a 29-year-old male, presented with chief complaints of reflux symptoms and severe abdominal pain persisting for the past 3 months.Sometimes diarrhea.Upon examination, his vital signs were stable. Diagnostic procedures, including gastroscopy and colonoscopy, were performed, leading to the diagnosis of a duodenal ulcer, pan gastritis and pathological findings of lymphocytic colitis. The treatment approach involved the administration of medications, as mentioned in the prescription, to manage the condition. Regular follow-up visits were recommended to monitor the progress and adjust the treatment regimen accordingly. After two and a half months of treatment, significant improvement was noted, with no abdominal pain reported, and the patient's overall well-being has improved. Consequently, the dosage of medications has been reduced. Continued monitoring and adherence to the prescribed treatment plan are necessary to ensure complete resolution of symptoms and prevent recurrence. This was my condition eight months ago. Right now I am very frustrated because of gut problem. It's paining even after following treatment and strict diet for eight months. I almost lost 8 kg. I went for second opinion My doctor told me that your ulcers are healed completely.And lymphocytic colitis was misdiagnosed. Now It's a IBS that causing the pain and not colitis.He prescribed me Librax(Clinidium+chlorobenzodioxide) along with Amixide h(chlorodizapoxide +amitryptiline) . Whenever my gut starts paining I took it and pain fade away.I am very confused about this.Stomach pain goes away and comes back. About year ago this problem has started. And just take those above medicines to cope up with pain One more thing to add here is that I was diagnosed with GAD (generalized anxiety disorder) few years back. I was taking escitalopram( Lexapro 10 mg)on and off prescribed by psychiatrist.But My Gastroenterologist told me to stop using lexapro as it can cause ulcer. Can you guys help me to correctly understand the disease and ways to overcome it.
Male | 29
It seems that this disease has reached you without any diagnostic problem, and it turns out to be IBS.
The doctor associated with the management of your symptoms and provision of relief is putting you on medication which includes Librax (Clinidiumchlorobenzodioxide) and Amixide H (chlorobenzodioxide amitriptyline). This particular type of drug worked effectively in relieving you from the pain just like it had no existence at all.
It is necessary to emphasize that IBS can be long-term and would probably demand long-term therapy. You are advised by your doctor to follow the instructions as they have been given and take all the medications that have been prescribed to you as directed. Close visits with the gastroenterologist are vital to achieving progress and controlling the treatment by your doctor.
If you had GAD in your earlier years, you need to make some lifestyle modifications since it can affect your gut health. On the one hand, Lexapro withdrawal caused intestinal ulcers because your gastroenterologist instructed me to stop using it, but on the other hand, it was necessary to prevent ulcers.
Answered on 23rd May '24
Dr. Samrat Jankar
huge pain in lower abdomen..
Female | 16
Feeling a burning or cramping sensation in your lower abdomen is unpleasant and can be symptomatic of a variety of conditions. It is possible that the cause of such pain could be indigestion, gas, constipation, a menorrhea. Try drinking more water, eating food high in fiber, and taking an over-the-counter pain reliever, If it continues or becomes worse, though, don't slough it off on your own. You should take an appointment with a gastroenterologist to ensure that treatment is not delayed.
Answered on 9th July '24
Dr. Samrat Jankar
Hi I have amaebiosis history which was cured by ayurveda bt i wasn't able to follow all the rules so it was never fully cured though. I still have issues n it's for last 8 years. I hv constant gases whole day and pain in my left side in stomach. M scared to visit doctors i hope i don't hv to do surgery or any painful process. What should I do.
Female | 26
You seem to have persistent tummy troubles. Frequent gas and aches on your left side could point to digestive problems. Your past amebiasis might be contributing too. Understandably, you want to avoid surgery. To feel better, try eating smaller portions, steering clear of spicy cuisine, and drinking plenty of fluids. But it's also wise to speak with a gastroenterologist about other potential remedies.
Answered on 1st Aug '24
Dr. Samrat Jankar
I eat something eaten by rat accidentally
Female | 15
In their mouths and saliva, rats carry dangerous germs. If you eat food that happened to be gnawed on by a rat, you might develop symptoms such as stomachache, vomiting, or diarrhea. Ensure that you take plenty of water to keep yourself well-hydrated then look out for any serious signs like high fever. Just in case they occur, visit a doctor who will evaluate your condition further.
Answered on 23rd May '24
Dr. Samrat Jankar
I had problem regarding bleeding while latrine and all day pain in the anus region. My question is that a doctor prescribed me medicine which are beneficial but they are of 5 day dose and I want to ask whether I continue those doses if that are befitting me and doet not have any side effect .
Male | 19
You could be having signs of hemorrhoids, which are the causes of bleeding during bowel movements and pain in the anus area. Your doctor's medicine is related to these symptoms. It's usually important to follow the full course of medication as prescribed by your gastroenterologist, even if you start feeling better. This is the best way to ensure your full recovery and also to prevent the symptoms from returning.
Answered on 25th Sept '24
Dr. Samrat Jankar
My nane is Pratyush raj . My problem is my stomach is not cleared in the morning completely so that's why my whole day is wasted in thinking about it . So please help me . I am very tensed about this . I want to go washroom only one time because lack of time .
Male | 21
Some causes of constipation are a low-fiber diet, dehydration, sedentary lifestyle, certain medications, and underlying medical conditions. Increase your water and fiber intake, regular exercise, and maintain a healthy diet.
Answered on 23rd May '24
Dr. Samrat Jankar
High absolute eosinophils. Eosinophil count is 846 accompanied with severe digestive issues. What could this mean?
Female | 28
Eosinophil of 846 and severe digestive issues point out an allergic or inflammatory disease. A gastroenterologist should be consulted for a thorough investigation and diagnosis of the problem.
Answered on 23rd May '24
Dr. Samrat Jankar
Harnia operation specialist
Male | 3
Answered on 23rd May '24
Dr. Ramesh Baipalli
I am a teenage female. Late last night my stomach started to hurt and throughout the night it got progressively worse. The pain is in the upper right abdomen and it radiates towards the top middle too. I’ve taken Advil but it won’t go away. What should I do?
Female | 15
You might have an issue with your gallbladder on the information I have got. It is in the upper right side of the stomach. The area on your right hip with either an inflamed or stone gallbladder might give you severe pain that will sometimes get worse and affect the upper portions of your body. Pain-healing medications like Advil will not be very effective for this type of situation. Consult your doctor for proper diagnosis and examination to get a cure for your condition.
Answered on 18th June '24
Dr. Samrat Jankar
I have been pooping for about 2 weeks, yellow and sludge like stool. As soon as I eat, I feel the urge to poop. This started after I ate canned food from the store which was spicy. I previously know my stomach does not allow for spicy food without negative reaction, but this feels extreme. I had iron deficiency before, I took tablets and it normalised. My scalp hair growth has slowed, losing weight. I have not added a lot of vegetables to my diet.
Male | 27
You possibly have gastritis, an inflamed stomach lining. Eating spicy or canned foods worsens it. Yellow, sludge-like stools signal this condition. Frequent urges to poop after meals are common symptoms. Iron deficiency may be linked to it as well. Try cutting spicy foods, eating more veggies, and drinking lots of water. Consult a gastroenterologist if issues persist.
Answered on 16th Aug '24
Dr. Samrat Jankar
Aslam o alikum doctor mujai black stool ka masla ha kal say na to muji koi pain ha na koi vomit ha sab kuch sai mujai bohat tension ha please is ka koi solution pata dain .
Female | 20
Check with a gastroenterologist for your issue. It may be caused by something you ate.
Answered on 23rd May '24
Dr. Samrat Jankar
i drank too luch alcohol but am fine now but am concerned
Male | 21
Alcohol can harm people and be sometimes dangerous because drinking too much will make your body spin. If you drank too much but are now okay, that's good news. But, sometimes too much drinking can cause things like a spinning mind, nausea, and feeling sick. Don't forget to drink water, take a break, and eat healthy foods to help your body recover.
Answered on 27th Aug '24
Dr. Samrat Jankar
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