Liquid medication please: an esophageal stricture case report.A 78-year-old male presented with a chief complaint of sinus congestion The condition of a network when there is not enough bandwidth to support the current traffic load.
congestion - When the offered load of a data communication path exceeds the capacity. and a non-productive cough of several months' duration. His physical examination including lung auscultation auscultation
Procedure for detecting certain defects or conditions by listening for normal and abnormal heart, breath, bowel, fetal, and other sounds in the body. The invention of the stethoscope in 1819 improved and expanded this practice, still very useful despite the appeared unremarkable. When discussing his prescriptions, the patient requested his medications in liquid form. Upon further questioning, he indicated a 1-year history of inability to swallow pills. The patient denied problems ingesting solids or liquids. In addition, he reported occasional heartburn but no recent fever, night sweats, or weight loss. Diagnostic studies initiated included a modified barium swallow. After the patient received a barium pill his study revealed a moderate stricture stricture /stric·ture/ (strik´chur) stenosis.
A circumscribed narrowing of a hollow structure. at the gastroesophageal junction with obstruction of the pill. A subsequent chest x-ray confirmed an ovoid o·void or o·voi·dal
Something that is shaped like an egg.
Shaped like an egg; oviform.
having the oval shape of an egg.
colloid body. density remaining in the distal esophagus. Gastroenterology consultation was obtained and endoscopy confirmed a smooth and symmetrical 8-mm-wide stricture. Balloon dilation dilation /di·la·tion/ (di-la´shun)
1. the act of dilating or stretching.
1. of the stricture was accomplished and passing of the endoscope followed. The patient was placed on a thick liquid diet and a proton pump inhibitor proton pump inhibitor
A class of drugs that inhibit gastric acid secretion by interfering with the movement of hydrogen ions across cell membranes and are used mainly to treat peptic ulcers, gastroesophageal reflux disease, and esophagitis. at the time of discharge. During his follow up visits, he indicated significant improvement swallowing. Geriatric patients are susceptible to esophageal dysphagia resulting from both obstructing and neuromuscular disorders. Many senior patients compensate for their swallowing abnormality by modifying their diet and adopting new swallowing techniques. If untreated, esophageal strictures may lead to malnutrition, esophageal injury, or recurrent pain. Geriatricians should remain aware that senior patients frequently avoid evaluation of a potentially serious problem by attributing their difficulty to normal aging.
Jose E. Lares, James Bernick, MD, Amitbha Banerjee, MD, and Salem Muayod, MD. San Jacinto Methodist Hospital, Baytown, TX.