Hi Sup Forums

Hi Sup Forums.

I've been having some medical issues the last few months.

The main symptoms are that I have a feeling of pressure in my lower throat. Additionally, it's almost impossible for me to burp.
The pressure feeling isn't so bad. However, due to no being able to burp I cannot release gas normally - this results in my stomach and intestine being extremely bloated occasionally.
I know this sounds very trivial, but I assure you that it is not fun. Simeticone has therefore become my best friend.

The doctors don't seem to have a clue what it can be and also weren't willing to prescribe me an MRI or any other examination. Only a friendly pat on the back.
Hail socialism - germany truely has the best healthcare system in the world... In any case - this basically forced me to buy my own MRI.

Because the government fucks around in our healthcare system so much and mandates the prices, the cost would have been astronomical in my country (about 600-800€).
Hence I visited Russia and purchased an examintaion at only about 130€.

Now I need the help of a doctor - I hope one of you! Do you see anything that indicates a constriction of my esophagus?

Thank you!

Images following

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mrimaster.com/PLAN CHEST T2 tse sagittal.html
ufile.io/lyfkk
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u have gay

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I'm not a med student, but I know more than the average guy about health and stuff.
I'm not great at x-rays, but could you post one of a healthy 26 y/o or just healthy young male?

Also be careful about posting your information in the pics

Here's my medical advice, trust me, I'm a doctor. Buy yourself a good scalpel, painkillers, stitching supplies and medical alcohol. We're going to cut that thing out. It's easy, really. Biggest obstacle is your inard desire not to cut yourself open.
Well, just do it. First, disinfect the skin around where you plan to make the incision. You cannot disinfect too much here, better go safe than sorry. Then, place yourself in a semi-lying position, best in front of a low mirror or better, mirrorS. Be sure to be able to see everything from technically every angle. Put a cellphone next to you. This is your last ditch emergency lifeline, unless you have someone to assist you. If anything goes wrong from here on, get 911 (or equivalent) on speeddial.
Then, swallow your fear and make the incision. There will be pain, there will be blood. You need to stomach through.Once you located whatever ails you, cut it out. Any foreign object will probably come lose easily, cancerous tissue might require cutting. Try not to cut into any important arteries. Note: Cutting your windpipe is not desirable, but survivable if happening by accident.
Once its out, grab the stitching stuff. Now is the best time to drink some alcohol because your hands will be shaking too much to stitch up properly. Do the best you can. If you can get your hands on surgical glue, you're way better off.
Then, if anything bad happens (necrosis, pus, no healing, infection, constant bleeding..) better have a real doctor look at it. No amateur should do that shit unattended, or leave it unchecked. and get a second opinion on these instructions.

I found this website:
mrimaster.com/PLAN CHEST T2 tse sagittal.html

However, I think analyzing these images needs experience. Just extrapolating from one healthy persons image isn't enough in my view.

I hope that IBM Watson will soon be able to automagically process MRI images :)

Ok, then I hope someone with actual medical experience comes along :)

I think there might be an infection or something.

Viel Erfolg und ich wünsche dich eine gute Gesundheit

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Thank you!
I don't think that it is an infection - I don't have a sore throat, fever or anything in that direction. Also the doctors did some blood tests, which didn't indicate an infection afaik.

Any history of tumors or cancer in your family?

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You are going to have an Alien burst out of your chest soon. Sorry.

Hashimoto has plagued multiple family members. But we've been lucky with respect to tumors and cancer *knock on wood*

medfag here, unfortunately I cannot really help, as neck isnt really my speciality and also I am really not used to seeing it from saggital view (our MRI is transversal 99% of time), so I cannot say anything for certain. But at least in my country, doctors are willing to check MRI images that client brought from elsewhere, if their quality is up to standard. Maybe try giving it to your radiologist or otorinolaryngologist to check? In any case, theres also laryngoscopy if MRI shows nothing. Give that a try as well

Any other symptoms besides the throat pressure?
Pain in abdomen or back?

Hashimoto?

Also, enlarged thyroid COULD be a cause of your problems. Any doctor with completed medical school should be able to find a goiter in a patient however. Did you get thyroid hormone tests done?

AIDS

another medfag here

Why do you want an MRI so badly?
I need your whole story to make some more sens out of your complaints.

Anyway, imaging is not the holy grail of everything. Besides, if you did a whole-body scan.. who knows what 'false positives' we find and get you more stressed.

the pressure in your lower throat could also be something with your thyroid. or maybe some ENT-kind of problem (vocal cords? epiglottis?)

I think you should go back to your GP and ask for a second opinion. Or come to the netherlands.. theyll sort it out

should have bought a barium swallow instead OP, you fucked up. doctor btw.

Next to that, a constriction of the oesophagus also has some other complaints.. like:

swallowcomplaints, like you can't get your food down.

do you have heart burn often?

have they ruled out acid reflux?

3rd thing:

they did an MRI of the aorta. You got the wrong MRI...
(MRI_aorta actually shows in the scans in the right top corner)

So these images can't be used for evaluating the larynx (throat-region) and oesophagus

Could be dysphasia lusoria or some other compressive disease. I see no evidence of hernia, and don't have a good image of the LES to suggest any pathology there. You need a barium swallow and a CT. I think it was 4/6 where I saw what appeared to be esophageal compression. Source, MS2, US medical school.

Medfag here. I only see a quite a big goitre, but the number of images is quite low. Don't you have anymore? Axial projection would be nice too.

bullshit, you can't see a compression on these scans... You can't evaluate an MRI on base of 6 slices.

Dont believe him OP.... fucking resident...

take the cock out of your mouth, faggot.

Esophagus anterior to red line.
Blue box shows suspected area of compression.

Just throwing out ideas man. And, thanks for assuming MS2 means PGY2. I'll take that as a compliment.

Alien embryo. Have you been to Hadleys Hope recently?

This

OP, take the CD with MRI results to the doctor of your choosing now. They can read it.

Maybe just a hiatal hernia.. all the symptoms point to that as well.. definitely the gas part

Sorry OP, but I've seen this before. Clear case of sucking too much BBC. Unfortunately, science hasn't yet produced a cure for faggotry or cuckoldry, so I'm afraid this is terminal. Best get your affairs in order.

fix your posture

You can't diagnose an esophageal compression with this MRI. The esophagus is collapsed all the time except during deglution.

No pain in the back. Of course pain in the abdomen when I have lots of gas...

Not recently, but a few years ago. They were normal back then.

It wasn't that I wanted an MRI so badly - I just badly wanted the doctors to do something about it. I thought an MRI could get me some clues to get the doctors going again.

I don't have noticeable problems swallowing - only problems burping.

I have no heart burn at all.

I know they did an MRI of the aorta. I told them which region I wanted and what I was interested in. They told me the "aorta" program comes closest to the region I was interested in seeing.

Thanks for the info

I have Axial projection... But the guys who made the scans unfortunately didn't start very high on the Axial scans (no neck). However I'll upload them ASAP.

Thanks. Can anyone confirm? Maybe Axial view will help?

Also the not being able to burp?

The esophagus does run next to some major bloodvessels and doesn't have a liniar trajectory. It als bends to the left and right a little bit.
Hell, the esophagus is always compressed unless food passes through.
An esophagal constriction or stenosis only gives complaints during eating.
The esophagus is collapsed in the MRI scan. So the medfag that suggested a barium swallow is right.

Your throat's clogged with the log

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ufile.io/lyfkk

Uploaded the axial images here. There are 18 of them

So if I assume correctly, you only have complaints of not being able to burp, which results into having a swolen feeling of your stomach/abdomen.
Could be you have Helicobacter Pylori. It produces some gass. (naturally one person can burp more than the other, it depends on your anatomy and the function of the lower esophagal sfincter. If food and water can pass down, no worry about a constriction)


(and they done goofed you. MRI of aorta is focused on the black spaces (blood) to see whether there is an aneurysm of atherosclerosis of some kind. The esofagus is collapsed, so you need a more detailed image of the soft tissues, not the focus on blood in the aorta)

I was thinking due to the gas I'm plagued with, my esophagus might contain a lot of gas.

That's not possible. The esofagus has a pretty weak 'upper' sfincter. gass is able to pass through. The real sfincter is at the stomach.. everything above that can easily go up.

There's no abnormality on the esophagus, it is collapsed as every one else's.

Have you looked into hiatal hernia?
Do this excercise a few hours after eating or first thing in the morning:
1. Drink a glass of water
2. Stand with your legs together and raise your arms out to your chest height.
3. Fold your arms inward so that your palms face down and your thumbs can touch your nipples
4. Get on your tiptoes
5. Breathe in
6. Breathe out and drop to your heels hard. You should feel a hard jolt.

Do this 10 times for a couple of days and let me know if you feel a difference. In fact, do it now and report back as you should see some results if it is a HH.

>astronomical
>600-800€

I mean, I wouldn't want to spend that much money either, but if you have a serious health issue, that's not that much.

pediatrician here
So OP, if you try to burp laying down (on back, sides, stomach) does that work? I am also wondering about a hiatal hernia possibility. Air of course will go straight up no matter what, so if there is some sort of 'pocket' that air is getting stuck in I wonder if that is causing the symptoms.
I would have considered a barium swallow as well, though the normal swallowing would have given me pause - in the US I probably would have sent you to a GI specialist and they may have scoped you - who knows.
Agree, 6 sagittal views is not enough to determine much for my reading ability.
Also you have space AIDS, because Sup Forums.

How does Gas show in an MRI ? Is it white?
If so, then I think the axial view shows lots of gas throughout my esophagus - even above my stomach.

The opposite, air is black.
(look at all the air in your lungs, and all the white at your bones genius)

No, but I do see a far more serious lack of ribcage issue. I suggest you see a doctor about your chest caving in with every breath, user.

barium RTG is 10x cheaper than MRI. Lol, user.
Doctors dont want to tell you that you are a little crazy. It looks like psychosomatics. Feeling of fear or anxiety is often sitting in the throat or chest. It can disturb your reflexes and make it harder to burp. Have you tried to get some benzodiazepins? If it helps, it can be anxiety.

Gas in this kind of MRI is black. But just like blood.
Gas is the same opacity as the darkest colour in the lunges.

However, the esophagus is collapsed. The black 'tubes' you are seeing are either major bloodvessels (vena cava, vena pulmonales, arteria pulmonales, aorta) of your airways (trachea, bronchie, bronchiolis and the alveoli which all contain air.

Contrary to everything you see in anatomy images, the esophagus is collapsed. It's not open. The reason they show the esophagus as an open structure in anatomy books is due to educational purposes.

I hope you're not trolling me. In any case, I tried it - felt nothing. I probably did it wrong..

Thanks for input. I'm quite upset the did so few slices... But only knew after I already had it taken when I viewed the images..bummer

This is spam at this point. Stay in your thread.

Can any of you guys explain to me why a hiatal hernia causes much gas? What is the mechanism behind it?

Fucking amerifags asking for med advice in b, universal care ftw assholes

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Not troll. It's legit. Read into hiatal hernias and see if the symptoms fit you.

have them shove a balloon into your esophagus and expand its sphincter

I have seen this condition before.

Your diaphragm is a bunch of tissue/muscles that seperates your abdominal organs from your chest. It has a small hole called the hiatus that allows your oesophagus to pass through to reach your stomach.
A hiatal hernia happens when your stomach pushes through that hole and either causes part of the stomach to be above the diaphragm or pushes the oesophagus and enlarges it.
Either situation will lead to digestive acid being carried up far into the chest area causing heartburn and gas build up.

medfag here.

clearly it's a Flictonic Cliple-Weber syndrome.

google for it

this

Thanks to everyone for your feedback.

Best wishes!

If the gas was being created in the oesophagus, then I shouldn't have any difficulties burping it out according to