More than four million people in the U.S. experience frequent constipation. A lack of fiber, fluids, or exercise can cause constipation, although other conditions such as Parkinson’s disease, diabetes, or hypothyroidism may play a role.
Trouble swallowing can result from many problems, from a blockage in the esophagus to muscle dysfunction in the mouth, tongue or esophagus. We use esophageal manometry to test and assess the function and strength of these muscles.
Esophagitis and GERD
Excessive burping and chest pain can be signs of gastroesophageal reflux disease (GERD), which returns digested food from the stomach to the esophagus. The most common form of GERD is acid reflux. We use endoscopy, esophageal manometry, and sometimes an esophageal pH study to investigate symptoms.
Although this may be hard to discuss–even with your doctor–you may feel relieved to know that some form of this condition affects 2-15% of people in the U.S. It has many causes, including liquid stool, increased or decreased rectal sensitivity, or decreased strength in the anal sphincter. We perform a thorough evaluation that includes a medical history, anal and rectal examinations, and often an ano-rectal manometry to assess muscle function and sensation.
This pain in the center of the abdomen is often related to delayed gastric emptying.
Gastroparesis, also known as delayed gastric emptying, can produce nausea, vomiting, bloating, abdominal pain, or feeling full too soon while eating. We use endoscopy and sometimes an abdominal CT scan to evaluate this condition, and to rule out ulcers, tumors, or severe gastritis. We also may conduct a gastric emptying study to measure the emptying process. During this procedure, we monitor foods that you eat as they travel through your digestive system.