wywywy2006
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I think it is scleroderma esophagus
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| khorshid
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I'll go with achalasia
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| wywywy2006
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how do you explain the reflux symptoms ? And why they use mobility study instead of manometry ?
Why the dysphagia is intermittent not progressive ?
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| robin082006
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A
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| khorshid
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first of all motility study is another name for manometry  , then in scleroderma you see decreased pressure (unlike here and achalasia), and lastly I think regurgitation might not necessarily mean reflux here (I'm not sure of this one), the food left behind the tight junction, regurgitates when the pt gets flat at night and causes cough I think. Oh and I think we may have intermittent at times, though I don't know the detailed reasoning here. hope this helps
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| dr in trouble
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yes A
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| wywywy2006
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In scleroderma, LES has the failure of relaxation and contraction. So, I can't exclude scleroderma from the last sentence.
Can anyone tell me the difference between motility and manometry study ? Are they exactly same ?
Do we ever use motility study for achalasia ?
This question seems simple, but really make me feel confused.
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| cirus
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in scleroderma, there is infilt of ms with fibrous tissue so by def it will have Decrease in manometry in upper & lower esophagus, so by the last sentence, that is Acalasia..
always diff between nocturnal regurge & noct heart burn as achalasia only has regurge while GERD has both..
I think motlity stydy is not a measure of the strength of the cont, but it is a measure of the cont wave as for direction or timing, manometric studies is for cont strength, anyone knows the diff for sure??if any
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| khorshid
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http://www.nlm.nih.gov/medlineplus/ency/article/0...
here it says motility test is an alternative name for manometry, if you google both you'll find other pages saying the same too.
And here you can see that the pressure is decreased in scleroderma http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubme...
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