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I am a 23 year old female and was recently diagnosed with GERD and diffuse esophageal spasm after having an x-ray, barium swallow, schazki ring removal and balloon stent, endoscopy, and an esophageal manometry. I am now on medication for the esophageal spasms that lower my blood pressure but my blood pressure is low from genetics. Sometimes I get very dizzy and it has gotten to the point that I don’t feel comfortable driving. From my research and speaking to relatives in the medical field, being hospitalized and speaking to the hospital doctors, and meeting with my gastroenterologist, it seems that this might be the best case scenario, and that it might never get better. I have read about antidepressants helping rather than heart pressure medication, but my doctor said he doesn’t think it would help and if the heart medication is helping the spasms that I should stick with it. I’d like a second opinion.

It appears you are suffering from diffuse esophageal spasms but also have low blood pressure. Calcium channel blocks and nitrates (both heart medications) have been proven to effectively decrease the amplitude of diffuse esophageal spasms. These medications are generally well tolerated but may lower the blood pressure of patients. Unfortunately, it appears that . . . → Read More: I am a 23 year old female and was recently diagnosed with GERD and diffuse esophageal spasm after having an x-ray, barium swallow, schazki ring removal and balloon stent, endoscopy, and an esophageal manometry. I am now on medication for the esophageal spasms that lower my blood pressure but my blood pressure is low from genetics. Sometimes I get very dizzy and it has gotten to the point that I don’t feel comfortable driving. From my research and speaking to relatives in the medical field, being hospitalized and speaking to the hospital doctors, and meeting with my gastroenterologist, it seems that this might be the best case scenario, and that it might never get better. I have read about antidepressants helping rather than heart pressure medication, but my doctor said he doesn’t think it would help and if the heart medication is helping the spasms that I should stick with it. I’d like a second opinion.

I am a white male, age 67. I take Lipitor, have for many years. I am concerned that my ck test results have gone from 157 to 93 to 232 over the past nine months. I am tired, little energy, loss of strength and a shortness of breath. What are causes and what could be happening to me as a result of the test results? Can it be reversed?

Lipitor is a statin used to treat hyperlipidemia. One of the known side effects of using a statin is muscle toxicity leading to muscle cell death. Creatine Kinase (CK) is a marker for muscle cell death. In patients who’s CK elevation is asymptomatic, some doctors elect to continue statin therapy with close follow-up.

However, . . . → Read More: I am a white male, age 67. I take Lipitor, have for many years. I am concerned that my ck test results have gone from 157 to 93 to 232 over the past nine months. I am tired, little energy, loss of strength and a shortness of breath. What are causes and what could be happening to me as a result of the test results? Can it be reversed?

What surgerys can they do for right ventricular atrophy?

Treatment depends on the actual cause of the right ventricular atrophy. Patients with genetic causes may require implanted permanent pacemakers, or in severe cases, a . . . → Read More: What surgerys can they do for right ventricular atrophy?

WHAT IS A HEART MURMUR ? IS IT SERIOUS.

A heart murmur is an abnormal sound or additional sound made by the heart as it beats. Heart murmurs can range in intensity and severity but don’t always signify a defect in the heart. Systolic murmurs (murmurs that occur when the heart is in the process of pumping) can be benign or malignant. . . . → Read More: WHAT IS A HEART MURMUR ? IS IT SERIOUS.

I have a rib cage question. My rib cage seems to be kinda cock eyed or tilted. my left side is sticking out about 3 inches and my right seems to be diviting in. I went to a x-ray center and they said that I may have cartilage built up on my right or could be some kinda genetic thing. Me and my brother are the only ones in the family to show this issue

The most common reason for a rib cage abnormality is scoliosis. Twisting of the thoracic spine may make one side of your rib cage appear to be asymmetric.

Another common chest wall abnormality is pectus excavatum which is a congenital abnormality that produces a caved in appearance to the chest. Some doctors believe . . . → Read More: I have a rib cage question. My rib cage seems to be kinda cock eyed or tilted. my left side is sticking out about 3 inches and my right seems to be diviting in. I went to a x-ray center and they said that I may have cartilage built up on my right or could be some kinda genetic thing. Me and my brother are the only ones in the family to show this issue