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Asked for Male | 77 Years

Is esophageal adenocarcinoma causing food sticking issue?

Patient's Query

My father complaining from food sticking in esophagus I have ct scan findings . CT Scan Chest Abdomen & Pelvis CE: PROTOCOL CT scan shows axial images of 5mm slices obtained from level of diaphragm up to the lower border of symphysis. pubis with I/V contrast. Reporting was done at the work station. CHEST FINDINGS: Multiple tiny ground glass nodules are seen in bilateral lower lobes predominantly on right. A small calcified nodule is noted in right upper lobe in peripheral sub pleural location likely old calcified granuloma. Enlarged calcified mediastinal and hilar lymph nodes are seen largest one measuring 1.4 cm in location. No evidence of pleural effusion seen on either side. Extensive atherosclerotic calcifications are seen in aorta and its branches. Imaged portions of heart appear unremarkable ABDOMEN AND PELVIS FINDINGS: The distal third of esophagus shows asymmetric increased circumferential wall thickening involving about 4.2cm of distal esophagus extending to the gastroesophageal junction, causing luminal narrowing. It is showing enhancement on post contrast images. The fat planes around the esophagus are preserved and there is no evidence of invasion into adjacent structures. A few (2 lymph nodes) prominent lymph nodes are seen in the distal peri esophageal location largest one measuring 7.3mm. Liver, gallbladder, pancreas and spleen appear unremarkable. Multiple fluid density cysts of variable sizes are seen in both kidneys; largest one in left kidney measure 2.6 x 2.3 cm in left upper pole and 1.2 x 1.2 cm in in right inter polar region. Both adrenal glands appear unremarkable. ■No significant ascites or lymphadenopathy noted. Imaged bowel structures appear unremarkable. Prostate and urinary bladder appear unremarkable. Imaged sections through bones and spine appear unremarkable. No evidence of definite lytic or sclerotic lesion noted. IMPRESSION: Status: Biopsy proven case of esophageal adenocarcinoma. Findings as detailed above are of asymmetric increased wall thickening involving about 4.2cm of distal esophagus and gastroesophageal junction, causing luminal narrowing however no evidence of proximal obstruction noted. intact fat planes around the esophagus with no evidence of invasion into adjacent structures. Two prominent lymph nodes in peri esophageal region. Multiple tiny nodules of ground glass haze in bilateral lower lobes.... highly suspicious for lung metastasis from esophageal primary. No evidence of bony or hepatic metastasis in current scan. Needs clinical correlation.

Answered by Dr. Samrat Jankar

Your father is suffering from some sort of food stuck in his esophagus. A CT scan that your father had done shows that he suffers from esophageal adenocarcinoma, which is a kind of cancer located in the esophagus. Such conditions can lead to difficulties in swallowing, chest pain, and losing weight. The treatment options may consist of surgery, chemotherapy, and radiation therapy. Communicating with his gastroenterologist  is the best way for you to arrive at an effective plan.

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Dr. Samrat Jankar

Surgical Gastroenterologist

Questions & Answers on "Gastroenterologyy" (853)

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

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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

Answered on 23rd May '24

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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

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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

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Harnia operation specialist

Male | 3

Surgeon

Answered on 23rd May '24

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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

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Stomach pain for upper side left after 6 hr later

Female | 16

You mentione­d stomach pain on your upper left side starte­d six hours back. This could result from various factors: gas, indigestion, or mild infection. Wolfing down food or ce­rtain edibles might trigger it too. Try re­sting, drinking lots of water, avoid spicy/heavy meals. Howe­ver, if discomfort persists or worsens, promptly se­ek medical advice.

Answered on 30th July '24

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I been on omeprozole for more than 3months i been taking it well but recently i am having lots of cramps and body twitches i was put on panko denk an i am still having cramps and twitches and added side effects headache nasuea what can be done to have this problem resolve

Female | 31

The symptoms might be related to the drug such as cramps, muscle spasms, headache, and feeling sick. Some drugs can cause such issues at times. You must inform your physician about these signs. They may prescribe a different medication or adjust the dose to minimize these side effects. Do not discontinue the drug until you have consulted your doctor.

Answered on 14th June '24

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Some gastric problems and bimetic and stomach feel heavy Fever cold dry cough body pain since 10 _15 days

Female | 50

You are experiencing some stomach upset and feeling sluggish as well. If you have had a fever, cold, dry cough, or/and muscle aches for the last fortnight or more, this might indicate gastroenteritis (stomach flu) or other viral infections. Rest, take fluids only in plenty, and eat simple easily digestible meals. If the condition persists or becomes severe seek medical attention without delay.

Answered on 16th July '24

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