Just got diagnosed with IEM
I (29F) had an esophageal motility study last week, and I finally got the results back! I have ineffective esophageal motility (IEM). Which sucks, but it’s progress towards an answer. So I’m both relieved and saddened. But now I’m wondering what could be causing this.
100% of my swallows were ineffective. 40% failed peristalsis, and 60% weak peristalsis. I’ve also had an endoscopy and chest CT, but there were no signs of EoE, cancer, strictures, Barrett’s esophagus, schatzki ring, etc. Just some signs of gastritis in my stomach. I already know I have GERD/LPR. I’ve been on omeprazole 40 mg once a day for a couple of years.
But about a year and a half ago, I had two separate ANA 12 plus profiles done. Both came back abnormal. I was reading about sclerosis/scleroderma (since it’s a potential cause of IEM), and I thought back to those tests. My rheumatologist brushed them off at the time, but now I’m wondering if it’s a genuine possibility.
Doc is going to schedule a gastric emptying test, is prescribing me nexium twice a day, and ordered some lab work. But I think I’m also going to ask about autoimmune disorders.
To anyone here officially diagnosed with IEM: do you know what caused/causes it? Do you have any advice to share?
I’ve had bouts of dysphagia much of my life, but they were not as severe and it would just occasionally show up as food going down slowly. Got more frequent as I got older. Then it suddenly got so bad close to a month ago, that I’ve been on a liquid/puree diet since. But even blended soups feel like they go down very slowly. It’s torture. I hate eating now because of it.