Esophageal Dilation or Throat Stretching for Difficulty Swallowing

Рет қаралды 42,774

Күн бұрын

With a normal swallow, food, pills, and liquids are able to smoothly move from the mouth, through the esophagus, and down into the stomach without any difficulty. However, a blockage of some type can develop in the esophagus leading to food and pills getting stuck causing choking, gagging, and even regurgitation. This blockage can be due to an esophageal web, stricture, or stenosis of some type. The most common way to deal with such closures is to stretch it open. Known as esophageal dilation, this can be accomplished with bougies of increasing diameter or by inflating a balloon.
Both methods are shown in this video:
• Normal Swallow (0:00)
• Esophageal Stricture (0:21)
• Esophageal Bougies (0:46)
• Ballon Dilation (1:40)
As an aside... The lay term of "throat" stretch is not technically correct as the stretch is not actually occurring in the throat... but in the esophagus!
More info on swallowing difficulties other than stricture:
• Swallowing Problems or...
Exercises to help with swallowing problems: • Exercises and Postures...
More general info on swallow: www.FauquierENT.net/swallow.htm
Video created by Dr. Christopher Chang:
www.FauquierENT.net
Still haven’t subscribed to Fauquier ENT on KZfaq? ►► bit.ly/35SazwA
#throatstretch #esophagealdilation #esophagealstricture #dysphagia #choking #swallowing

Пікірлер: 54

@fauquierent Жыл бұрын

*More info on swallowing difficulties other than stricture:* kzfaq.info/get/bejne/rbKgaZh7sJrGgnk.html *Exercises to help with swallowing problems:* kzfaq.info/get/bejne/o7aoi72Iz6-qnpc.html *More info on swallow:* www.FauquierENT.net/swallow.htm *For great throat-related care products:* www.FauquierENT.net/store_throat.htm

@alyssasawyer9429 3 ай бұрын

I've had this procedure (balloon dilation) done once and I am scheduled to have it done again next week. I have severe GERd, Esophagitis and Barrett's Esophagus. After my first one, I was in a lot of pain when swallowing just saliva. It went away in about 3 days and I was able to swallow without pain. Unfortunately, I am young and my esophagus returned to the original stricture state. I will most likely have to have this procedure re-done multiple times or until they figure out what the tumor in my esophagus is and if they can resection it. Good luck to anyone who has to get this done. It's well worth it.

@joser83111 2 ай бұрын

Sorry you're going through this, I know how tough it can be. I have been experiencing Gerd for over 15 yrs and has gotten much worse in the last four. I just had an upper endoscopy 3 days ago and still have pain when eating solid food, although it's getting better. Is dilation a common thing when they do endoscopy, or is it only used when there's a stricture/narrowing of the esophagus? I hope you get well soon and best of health to you.

@alyssasawyer9429 2 ай бұрын

@@joser83111 From my knowledge, dilation is only when there is a structure in the esophagus.

@suemoo22 2 ай бұрын

Same here, I need to have it done again.

@nachita0819 Ай бұрын

😪 Ohh sorry you have a tumor, that must cause a lot of discomfort, you are very strong ❤🙏 I trully hope you find relief SOON!

@TrippyLover Ай бұрын

I’m 16, and I choke on air, saliva, water, food. I have not ate a full meal in a few days. And it feels like my heart rate is fast, and my chest hurts, it feels as if I have a burp stuck in my throat. And I start to freak out when I have food or anything in my throat to long and start to choke even more

@runningcreekfarms3530 4 ай бұрын

I had the procedure done by Dr. Campion in Jamestown New York. I could not swallow. I had a bariatric sleeve done in 2014 and I guess overtime it’s called a red ring with scar tissue. The forms in your esophagus at the beginning of your stomach, causing you to not be able to swallow or food getting stuck in your esophagus . He believes that I had this starting to grow scar tissue like ,ever since I had the procedure in 2014 ,that night after the stretching procedure I was actually able to eat an entire small sized burrito, I was not able to eat before but in only little tiny amounts. I also wasn’t able to swallow pills towards the end before he did the procedure. I thank God that this procedure can actually be done but I did hurt for a week and a half to two weeks after it was dull, aching, feeling in my esophagus all the way to my stomach, thank God for these technologies and Dr. Campion western. New York is absolutely wonderful.

@fh346 4 ай бұрын

How Long did it Take You to Heal? Also, Were You Sore Afterwards? I may have to go in for throat surgery that's why I ask.

@nachita0819 Ай бұрын

😰

@MoonChildlove 12 күн бұрын

I'm deciding between this or poam for my child. Unfortunately, this is a rare case is kids 😢 I'm a little scared. Please pray for my child

@BambooFlute-WalkingStickFlute 2 күн бұрын

Three years ago I had the balloon and then Botox shots in the esophagus but they did not work , at last I had the POEM operation and was cured . You must research and get the doctor with the most experience in this procedure . Mine was done at Mass General hospital in Boston .

@Fluffy-Tail-0000 9 ай бұрын

Hey Jerko: Why is the epiglottis not closing the larynx during the swallowing process?

@neonsilver1936 6 ай бұрын

Two questions: 1) Does the location of the stricture matter when selecting a procedure, or is it more about whether it's a local or global stricture? 2) What kinds of damage to the esophagus can be treated with this kind of procedure, aside from a stricture? For example, in the case of GERD, where extensive stomach acid damage in the lower esophagus may cause scarring of the esophagus in the area. Could this kind of procedure help with that?

@tartanarab9666 14 күн бұрын

I’m getting this done because getting dysphasia after Nissen fundoplication surgery last may.

@powerfist80 Жыл бұрын

My girl needs to watch this.

@debjitgangopadhyay7713 11 ай бұрын

Aah aahhhh aaaaaahhhhhhhh

@corymorris798 10 ай бұрын

As an adult with a feeding tube I have not been able to find any support for my situation. My current speech therapist is combining these exercises with my diet. Most sites or support services are specifically designed for children or the caregivers of infants. I feel like an outcast and it’s hard to find any good resources. I am a 33 year old male who was diagnosed with drug resistant right temporal lobe epilepsy. Then recently I was diagnosed with a rare seizure genetic disorder called VPS13A. I have struggled with uncontrollable weight loss. I have been using a g tube for over 6 months and have been struggling to gain or maintain my weight . i am currently on a very vigorous diet and I’m not sure if I can continue to do it without results. I have a follow up with my doctor to discuss my options and I don’t know how to explain that I am exhausted..

@fizzakamran4267 9 ай бұрын

Why you don't go for dilatation its so safe

@sonicsupa99 7 ай бұрын

I’m sorry and I hope you’re doing better now :(

@rubentorrie9279 5 ай бұрын

@@fizzakamran4267 hello, do you have social media where I can reach to you? I have oesophagitus and I struggle a lot with eating. Could you answer some questions? Like cory said, we don’t get any support

@1645308 5 ай бұрын

Why doesn't the esophagus go back to exactly the same way it was after the procedure. You're not cutting or stapling or stitching anything to hold it back. Some of the food that you put down your throat is the same size as those balloons so why doesn't it work when you put the food down your throat?????

@georgiapatriot4575 4 ай бұрын

Over time it does return to the same restriction as before dilation. (speaking from experience).

@Vibez727727 4 ай бұрын

I was thinking the same

@klhklh648 4 ай бұрын

Eventually the procedure is needed again for some, unfortunately I've had to have it about 3 different times...with some time between them, probably needed it sooner

@gustavopolanco6925 5 күн бұрын

When dilating the esophagus some microfiber from the esophageal web or stricture are broken reason why it doesn't go back to the same state as before, but with time it may go back to stricture state requiring more dilation. The reason why food doesn't dilate is because the patient does not tolerates it, it's difficult uncomfortable and painful, choking feeling is not joke. This procedure is done under sedation.

@j.b.4340 6 ай бұрын

Pretty sure I need this, but the animation is great😂

@thatguy5358 8 ай бұрын

so if i don't have one of these i'm fucked?

@juandoe7802 Ай бұрын

Just get it done man if you haven't already. I have to get one done this upcoming Friday and I'm worried, but I'm more worried about chocking on something if I don't get it fixed.

@thatguy5358 Ай бұрын

@@juandoe7802 get what done? i don't follow

@dinagonzalez2219 20 күн бұрын

@@juandoe7802what were your symptoms. Or what were you diagnosed with? How long was recovery? How are you feeling now?

@juandoe7802 19 күн бұрын

@@dinagonzalez2219 I was super nervous going into this because my blood pressure seems to sky rocket when a nurse is checking it (White coat syndrome) or at least that's what I like to think. At the time I got it checked it was 150/110, which is very high, yet they still went ahead with the procedure, and told me to just relax that they had meds for things like that, so I did, and while they were talking to me I just passed out, they didn't even tell me when they administered the anesthesia, which I appreciated them doing it that way. Once I woke up, which seemed to me like I was just asleep for like 2min, the doctor was explaining to my wife that nothing bad had been found, and that my throat issue, that area they had widened about .4mm, which did help me eat a little better. Oh yeah, they did find that I had some stomach infection and gave me antibiotics for like 2 weeks, but had I not gone in to get checked it might have gone away on it's own. I say all that because I was worried about the procedure, let alone if they found something, but just try and relax, and I kept telling myself that once I got out of there I was going to go eat the greasiest burger I could find, and a double scoop mint chocolate chip ice cream right after lol. You'll be fine, and in all honesty the worst part about this is the IV they have to place, and even that's not that bad. Good luck, hope all is well and comes out great for you. Come back and let us know how it went and how you felt afterwards.

@reneewilliams2890 7 ай бұрын

Is the patient awake during this procedure?

@fauquierent 7 ай бұрын

Usually yes... but some are able to learn to do without any sedation (ie, sword swallowers learn to do without sedation)

@1645308 5 ай бұрын

Is it possible to be knocked out upon request for this procedure?@@fauquierent

@kristyhawes 5 ай бұрын

Really i e always been put to sleep @@fauquierent

@sillybilly.3 4 ай бұрын

i’m supposed to be getting this done soon and my doctor says that they give you a medicine that will make you really groggy and that you won’t remember any of it after

@shivaparmar7417 28 күн бұрын

@@sillybilly.3brother hwz ur feeling after this processor

@fizzakamran4267 9 ай бұрын

I had done dilatation 14mm

@kristyhawes 5 ай бұрын

Of the upper spitchner?

@reginanassanga8683 5 ай бұрын

Please could you tell me how it went ? Were you awake through the procedure and how did it feel because am so scared I’m having mine done in about a week and am scared I’ll Be able to feel everything or not be able to go through the procedure

@juandoe7802 Ай бұрын

@@reginanassanga8683 How did it go?

@saeed_ajmal Жыл бұрын

1st comment please pin

@howtomakealmostanything3484 11 ай бұрын

What is the point of this this comment? I literally googled why people leaving comments like this because I have seen this happen a lot and don't get it. And every answer I found said that the reason is that people who do this are stupid, dumb, narcissistic, neurotic, uneducated, parasites, trolls. So which one of these are you my friend? Or maybe you are none of those things and you are just an idiot instead.