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Book Clinic Appointment with Dr. Vibhu V Mittal
Treatment of Acidity
Treatment of Abdominal Pain
Treatment of Jaundice
Treatment of Ulcer
Treatment of Blood in Stools
Treatment Of Alcoholic Liver Disease
Treatment of Peptic Ulcers
Treatment of Gastric Trouble
Treatment of GERD
Treatment of Irritable Bowel Syndrome
Treatment of Hepatitis B Infection
Treatment of Digestive Disorders
Treatment of Burning Sensation in Stomach
Treatment of Stomach Cramps
Treatment of Liver Disease
Treatment of Chronic Pancreatitis
Treatment of Gastritis
Treatment of Ulcerative Colitis
Treatment of Amoebiasis
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Cancer is one of the most widespread and incurable diseases that mankind has been combating with till date. We still have to go long for treating this deadly disease, regardless the progress man has made in medicine and medical sciences. Cancer continues to take the life of millions of people every year. In this article, we are going to talk about Esophageal Cancer, what it is, its symptoms and causes. Let us have a look.
What is Esophageal Cancer?
Esophagus is the long hollow tube that starts from your throat and ends up in the stomach. The esophagus helps us to move the food down when we swallow it. So, cancer which affects the esophagus tract is known as Esophageal cancer. It generally affects the cells that line the inner walls of the esophagus. It is the 6th most common form of cancer that takes thousands of lives every year. Let us have a look at the symptoms of esophageal cancer.
Symptoms: Esophageal cancer can be easily identified when it attacks a patient. There are some important symptoms that are prominent and clearly points towards the type of cancer.The patient faces difficulty in swallowing (dysphagia) because the esophageal tract starts to get narrow because of the excessive growth of abnormal cells inside its walls. Therefore food cannot be swallowed easily by the victim. Weight loss without the will of trying is also a symptom. This is because the patient cannot eat and drink properly anymore because of the unhealthy inflammation of the tract. The patient can suffer from abnormal chest pain, high pressure or burning sensations. These are followed by pukish feelings as well. Failure to digest properly or heartburn is very common and usually makes the patient weak and mentally irritated because of the problems in the digestive system.
How to prevent Esophageal cancer?
Actually, no one can definitely say that a set of the solution will keep someone away from cancer. It is not possible as cancer can affect anyone. But we can surely follow some steps at least to prevent it from happening in the first place. One needs to quit smoking and drinking alcohol. Tobacco is very harmful to each and every part of your body, therefore, it is absolutely not recommended to smoke and quit it completely. Same goes for alcohol intake. Even if you drink alcohol, drink it in moderation and not always. Eating more fruits and vegetables is one of the most important elements that can help your metabolism grow much stronger and help them to fight with any kind of foreign cells. Maintain a healthy weight and keep exercising daily for better body structure and functions.
Gastroesophageal reflux disease (GERD) is also called as acid reflux. It is a long-term digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach which causes the stomach contents to come back up into the esophagus resulting in either symptoms or complications. Gastroesophageal reflux disease is mild acid reflux that occurs at least twice a week or moderate-to-severe acid reflux which occurs at least once a week.
In western populations, GERD affects approximately 10% to 20% of the population and 0.4% newly develop the condition. In developed nations, the prevalence rate of GERD is associated with age; with adults aged 60 to 70 being the most commonly affected.
Signs and Symptoms
Esophageal symptoms include:
- Regurgitation of food or sour liquid
- Sensation of a lump in the throat
Extraesophageal symptoms include:
- Coughing and/or wheezing
- Hoarseness, sore throat, or
- Otitis media
- Noncardiac chest pain
- Enamel erosion or other dental manifestations
- New or worsening asthma
- Disrupted sleep
- Hiatus hernia
- Scleroderma and systemic sclerosis
- The use of medicines such as prednisolone
- Delayed stomach emptying Zollinger-Ellison syndrome which can show an increase in gastric acidity because of gastrin production
- A high blood calcium level which can increase gastrin production, leading to increased acidity
- Visceroptosis or Glénard syndrome, in which the stomach has sunk in the abdomen upsetting the motility and acid secretion of the stomach.
Factors that can increase acid reflux involve:
- Smoking habit
- Eating heavy meals or eating late at night
- Eating fatty or fried foods
- Drinking certain beverages, such as alcohol or coffee
- Medications, such as aspirin
- Tight clothes
- Increased intra-abdominal pressure
- Heart disease causing chest pain
- Laryngopharyngeal reflux OR extraesophageal reflux disease
- Peptic ulcer
- Esophageal spasm
- Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the food pathway.
- An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes pain, and makes swallowing difficult.
- Precancerous changes in the esophagus (Barrett's esophagus): Damage from acid can cause changes in the tissue lining the lower esophagus
How to arrive at the diagnosis?
- Upper gastrointestinal endoscopy/esophagogastroduodenoscopy
- Esophageal manometry
- Ambulatory 24-hour pH monitoring
The goals of treatment are controlling symptoms, healing esophagitis, and prevention of recurrent esophagitis or other complications. Lifestyle modifications include the following:
- Losing weight (if overweight)
- Eating small and frequent meals instead of large meals
- Waiting 3 hours after a meal to lie down
- Elevating the head end of the bed by 8 inches
- Avoiding bending or stooping positions
- H2 receptor antagonists (ranitidine, cimetidine)
- Proton pump inhibitors (omeprazole, pantoprazole)
- Prokinetic agents (aluminum hydroxide)
- Antacids (magnesium hydroxide)
- Transthoracic and transabdominal fundoplication
- Placement of a device to augment the lower esophageal sphincter
In case you have a concern or query you can always consult an expert & get answers to your questions!