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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Achalasia, Chronic, Bloated, Diarrhea, Difficulty Swallowing, LES Ring Cut Off. Done Myotomy. Explain Situation

Good Evening. I was diagnosed with Achalasia in 1996. Was told it was chronic. After 4-5 balloon diliitations, swallowing testing, everything under the sun. I have a surgery performed where the LES ring was cut away since my esophagus was not moving my food down and the LES was deteriorating to the point I have a small hole to push food through. Boost for approx. 5 years. Everything deteriorated finally just recently had a Heller's Myotomy. Have encountered several serious side effects. Continuous diahhre, incredible bloating. I am terrified to eat anyttrhing. Old food was discovered festering in my lungs and other places. AFter Myotomy - I am miserable.. Help?
Sat, 28 Sep 2013
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Internal Medicine Specialist,  's  Response
Dear friend,

I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance.

Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns.

I am afraid that you have already undergone all possible surgical treatments for the condition.

I will recommend that you consult your surgeon again and discuss the feasibility of Botox treatment.

Also, if I was your treating doctor, I would have suggested a trial of Calcium Channel Blockers and long-acting Nitrates.

Please feel free to revert back to me in case of further clarifications, if any.

I am confident that you will benefit from the advice.

May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience.

HAVE A NICE DAY AND A SPEEDY RECOVERY.

Fond Regards,

Dr.(Col) R Karanwal
MBBS; M.D. (Internal Medicine)
Consultant Physician


(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)
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Diagnosed With Achalasia, Chronic, Bloated, Diarrhea, Difficulty Swallowing, LES Ring Cut Off. Done Myotomy. Explain Situation

Dear friend, I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance. Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns. I am afraid that you have already undergone all possible surgical treatments for the condition. I will recommend that you consult your surgeon again and discuss the feasibility of Botox treatment. Also, if I was your treating doctor, I would have suggested a trial of Calcium Channel Blockers and long-acting Nitrates. Please feel free to revert back to me in case of further clarifications, if any. I am confident that you will benefit from the advice. May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond Regards, Dr.(Col) R Karanwal MBBS; M.D. (Internal Medicine) Consultant Physician (PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)