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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
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Barrett Esophagus-II: Clinical Manifestations and Management01:21

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Hypnotherapy for Esophageal Disorders.

Megan E Riehl1, Laurie Keefer

  • 1a University of Michigan , Ann Arbor , Michigan , USA.

The American Journal of Clinical Hypnosis
|June 6, 2015
PubMed
Summary

Hypnotherapy offers a promising, evidence-based approach for managing functional esophageal disorders like GERD and IBS. This technique helps patients modulate visceral hypersensitivity and symptom hypervigilance, improving quality of life when conventional treatments fail.

Keywords:
behavioral medicineesophageal disordersgastroesophageal reflux diseaseheartburnhypnosis

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Area of Science:

  • Gastroenterology and Psychology
  • Investigates the efficacy of hypnotherapy for functional upper gastrointestinal disorders.

Background:

  • Functional esophageal disorders significantly impact quality of life.
  • Conventional treatments, including proton pump inhibitors, often provide limited relief.
  • Pathophysiology involves visceral hypersensitivity and symptom hypervigilance.

Observation:

  • Esophageal disorders share pathophysiological similarities with functional bowel disorders.
  • Hypnotherapy, an evidence-based intervention for functional bowel disorders, has underexplored potential in the upper GI tract.
  • Esophageal-directed hypnotherapy aims to induce relaxation and focused attention for symptom modulation.

Findings:

  • Hypnotherapy is suitable for treating dysphagia, globus, functional chest pain, dyspepsia, and functional heartburn.
  • The technique helps patients gain control over physiological sensations and symptoms.
  • It provides a viable treatment option when medical interventions are insufficient.

Implications:

  • Hypnotherapy presents a valuable therapeutic option for patients with refractory functional esophageal symptoms.
  • Further research into hypnotherapy's mechanisms and broader applications in gastroenterology is warranted.
  • Integrating hypnotherapy can improve patient outcomes and quality of life.