To cite: Meshikhes A-WN, Al-Dolah Q. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201296 DESCRIPTION A 35-year-old mentally retarded man was admitted with a 3-day history of epigastric pain, vomiting and feeling of fullness. Clinically, he was pale, but was not in distress and his vital signs were normal. Abdominal examination revealed deep tenderness and a...

in this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. chest x-ray of the patient revealed a  gianttype iv hiatal hernia. preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and ct-scan. repair of the hernia was performed using a dual mesh on the diaphragm and partial anteri...

We examined three intervention methods for their efficacy in preventing aspiration in 25 patients with Parkinson's disease (PD) and 23 patients with degenerative cerebellar ataxia (CA). On videofluoroscopic examination. 13 patients with PD (52%) and 7 patients with CA (30.4%) showed aspiration. In all PD patients and 5 patients with CA, no aspiration was observed after changing the food form. W...

Fifty one infants and older children with suspected gastro-oesophageal reflux entered a study comparing the diagnostic accuracy of a standard barium swallow examination with that of ultrasound scanning. All children were examined by both techniques. In 40 cases there was unequivocal agreement between the examinations. Of the remaining patients, four had definite reflux by ultrasonic criteria bu...

A frequently hypothesized but poorly studied cost of multiple mating in birds is that exposure to pathogenic sexually transmitted microbes (STM's) can lower reproductive success. Conversely, female birds may benefit from high frequencies of copulation and multiple copulation partners if they receive cloacal inoculations of beneficial STM's that can either protect them against future encounters ...

Just like when you swallow food, when you swallow semen, it begins to digest in the mouth, then in the stomach, and so on, until whatever cannot be utilized by the body is excreted. Sperm ultimately die from being broken down in the gastrointestinal (GI) tract. What?s more, Readers: even if sperm lived in the GI tract, your mouth does not directly lead to your reproductive system. Therefore, it...

Swallow syncope (also known as deglutition syncope) is a relatively rare type of syncope that is treatable if diagnosed correctly. We report a case of a 39-year-old man with recurrent swallow syncope. The patient did not have structural heart disease. He developed a complete atrioventricular block upon drinking a cold beverage (Chilsung cider) while undergoing a repeated head-up tilt test. The ...