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MOTILITY DISORDERS OR "HYPER"?
OP Kapoor
Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
The first time I heard this term, it was in gastro-intestinal diseases, especially oesophagus, where a motility disorder can be the cause of dysphagia. This diagnosis is extremely difficult in absence of Intraoesophageal manometry test.
`Motility disorders' are difficult to treat and are nothing else but "Hyper" word used by the modern mothers while introducing their child!
Irritable bowel syndrome is the commonest hyper-motility disorder, but is seen in other organs as well.
Let us examine the following conditions:-
1. Restless leg syndrome makes the patient miserable at night. It is very difficult to treat. I have not personally tried the latest drug `Clonazepam'. In my opinion, this condition is nothing but a "hyper' manifestation of the legs, often at night.
2. Dystonia, seen and diagnosed in neurological practice is nothing else but a "hyper" manifestation of a group of skeletal muscles.
3. Reflex sympathetic dystrophy syndrome is a "hyper" function of the sympathetic ganglion in the neck.
4. Migraine is a "hyper" reaction of the extracranial blood vessels of the head.
Thus, more I think of the word `hyper', more I am convinced that modern medicine will be easier to understand, if we include such common words in labelling of the disease, symptoms and signs.
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