Damage to the esophagusGERDHeartburnAware of your esophagusDisorder of the esophagusDisorders of the esophagusAbnormalitiesSymptomsGastricBack up into the esophagusLower end of the esophagusAchalasiaDistalJackhammer esophagusNutcrackerINTESTINESMotilityRelaxesEndoscopyMuscularSwallowUlcerationAbdominal painIrritationAcid refluxLiquidsBarrett'sOral cavityEosinophilicBiopsyEsophagitisEndoscopeHiatal herniaLesionsInflammationChronicBurnsEmbryologyCancerEsophageal sphincterGastroesophageal refluxPepticStricturesAllergicFoodForegutManometrySensationDigestiveMouthPeristalsisStomach acids
Damage to the esophagus4
- The placement of a camera down the throat to see the extent of damage to the esophagus and the stomach. (mountsinai.org)
- Although rare, the transducer can cause damage to the esophagus. (baptist-health.com)
- The goal of treatment is to prevent or heal damage to the esophagus and get rid of symptoms. (denverhealth.org)
- People take Prilosec to help heal acid damage to the esophagus and stomach. (drugwatch.com)
GERD9
- As GERD is associated with nutcracker esophagus, the alterations in nitric oxide and other released chemicals may be in response to reflux. (wikipedia.org)
- This allows your doctor to examine the lining of your esophagus and look for signs of GERD. (healthline.com)
- If your esophagus is frequently acidic during the 24 to 48 hours, you'll be diagnosed with GERD. (healthline.com)
- Gastroesophageal reflux disease , or GERD, is a chronic condition that causes stomach acid to rise into the esophagus and mouth. (medicalnewstoday.com)
- When the stomach contents go back up into the esophagus (refluxes) repeatedly, it may cause GERD , leading to heartburn . (medicinenet.com)
- Having difficulty swallowing because an esophageal sphincter won't relax can lead to severe irritation of the esophagus, leading to GERD. (medicinenet.com)
- The most common cause of an esophageal stricture is long-standing gastroesophageal reflux disease (GERD), where stomach acid backs up from the stomach into the esophagus and causes esophageal inflammation, which can lead to scarring and narrowing over time. (evanewyork.net)
- If the sphincter does not close properly, food and liquid can move backward into the esophagus and cause heartburn and other symptoms known as gastroesophageal disease (GERD). (evanewyork.net)
- Prilosec (omeprazole) is a proton pump inhibitor that treats severe stomach acid-related conditions like GERD. (drugwatch.com)
Heartburn5
- GER can irritate the esophagus and cause heartburn. (stlukes-stl.com)
- For example, weakness in or pressure on the lower esophageal sphincter may cause food to flow back up the esophagus, causing reflux and the sensation of heartburn. (evanewyork.net)
- Everybody gets some form of heartburn from time to time, but as we age, the bouts may seem more frequent and severe. (ksl.com)
- This can cause severe forms of heartburn and other medical problems. (drugwatch.com)
- So while the pain and discomfort we may feel is actually heartburn, the movement of acid into the esophagus from the stomach is the cause and known as acid reflux . (amoils.com)
Aware of your esophagus2
- You may not be aware of your esophagus until you swallow something too large, too hot, or too cold. (evanewyork.net)
- You may also become aware of your esophagus when a problem develops. (stanfordchildrens.org)
Disorder of the esophagus2
- Nutcracker esophagus is characterized as a motility disorder of the esophagus, meaning that it is caused by abnormal movement, or peristalsis of the esophagus. (wikipedia.org)
- The eosinophilic esophagitis is a chronic inflammatory disorder of the esophagus. (sciencedaily.com)
Disorders of the esophagus2
- Nutcracker esophagus is one of several motility disorders of the esophagus, including achalasia and diffuse esophageal spasm. (wikipedia.org)
- FOSAMAX should not be used in patients with certain disorders of the esophagus that delay emptying, who are unable to stand or sit upright for at least 30 minutes, who have low levels of calcium in their blood, or in patients who are allergic to FOSAMAX. (merck.com)
Abnormalities3
- The disorder does not progress to produce worsening symptoms or complications, unlike other motility disorders (such as achalasia) or anatomical abnormalities of the esophagus (such as peptic strictures or esophageal cancer). (wikipedia.org)
- The pathophysiology of nutcracker esophagus may be related to abnormalities in neurotransmitters or other mediators in the distal esophagus. (wikipedia.org)
- The range of abnormalities goes from subtle to severe. (pampers.com)
Symptoms11
- Symptoms of candidiasis in the esophagus usually include pain when swallowing and difficulty swallowing. (cdc.gov)
- Contact your healthcare provider if you have symptoms that you think are related to candidiasis in the mouth, throat, or esophagus. (cdc.gov)
- as a result, treatment of nutcracker esophagus targets control of symptoms only. (wikipedia.org)
- The symptoms of nutcracker esophagus are intermittent, and may occur with or without food. (wikipedia.org)
- Many patients with nutcracker esophagus do not have any symptoms at all, as esophageal manometry studies done on patients without symptoms may show the same motility findings as nutcracker esophagus. (wikipedia.org)
- The best option depends on your symptoms and how severe your symptoms are. (healthline.com)
- The result can be severe chest pain and discomfort, among other symptoms. (medicalnewstoday.com)
- The main symptoms are severe trouble swallowing, fever and one-sided throat pain. (healthychildren.org)
- Oral thrush is a minor issue if someone is healthy, although if a person has a weakened immune system, symptoms of oral thrush might be more severe and hard to control. (disabled-world.com)
- Discontinue use if severe symptoms develop. (nih.gov)
- It may cause more severe symptoms. (stlukes-stl.com)
Gastric4
- Gastroesophageal reflux is the reflux of gastric contents other than air into or through the esophagus. (oup.com)
- GER) as gastric acid backflows from the stomach into the esophagus. (medlineplus.gov)
- 18,20 Acid exposure in the distal esophagus is affected by the motility of the esophageal body and by the effectiveness of gastric emptying and the resultant effects on esophageal clearing. (sls.org)
- Clinical Significance Normal LES function allows food transit from the esophagus into the stomach and prevents the reflux of gastric contents back into the esophagus. (evanewyork.net)
Back up into the esophagus2
- This condition, also called jackhammer esophagus, can cause esophageal spasms and food to rise back up into the esophagus, an issue called achalasia . (medicalnewstoday.com)
- This muscle also works to keep food and stomach contents from coming back up into the esophagus. (medicinenet.com)
Lower end of the esophagus2
- Long-term reflux can change the cells in the lower end of the esophagus. (medicinenet.com)
- At the lower end of the esophagus is another special muscular ring that relaxes when we swallow and closes in between. (ksl.com)
Achalasia3
- Pathology specimens of the esophagus in patients with nutcracker esophagus show no significant abnormality, unlike patients with achalasia, where destruction of the Auerbach's plexus is seen. (wikipedia.org)
- POEM showed superior characteristics than the standard 100-year-old surgical or laparoscopic Heller myotomy (LHM), not only for all types of esophageal achalasia [classical (I), vigorous (II), spastic (III), Chicago Classification], but also for advanced sigmoid type achalasia (S1 and S2), failed LHM, or other esophageal motility disorders (diffuse esophageal spasm, nutcracker esophagus or Jackhammer esophagus). (wjgnet.com)
- Improper relaxation of the LES can lead to food entrapment in the esophagus, achalasia, and an increased risk of esophageal squamous cell carcinoma. (evanewyork.net)
Distal4
- Common types of esophageal atresia include (A) pure atresia of the esophagus, (B) esophageal atresia with proximal tracheoesophageal (TE) fistula, (C) esophageal atresia with distal TE fistula, and (D) esophageal atresia with double fistula. (medscape.com)
- The Castell criteria include one major criterion: a mean peristaltic amplitude in the distal esophagus of more than 180 mm Hg. (wikipedia.org)
- The strength of contraction, consistency of contractility, and the 2-cm to 4-cm length of this muscular sphincter are critical to the prevention of reflux of acid and bile from the stomach into the distal esophagus. (sls.org)
- Does Sleeve Gastrectomy Expose the Distal Esophagus to Severe Reflux? (bvsalud.org)
Jackhammer esophagus1
- Nutcracker esophagus, jackhammer esophagus, or hypercontractile peristalsis, is a disorder of the movement of the esophagus characterized by contractions in the smooth muscle of the esophagus in a normal sequence but at an excessive amplitude or duration. (wikipedia.org)
Nutcracker9
- Nutcracker esophagus can affect people of any age but is more common in the sixth and seventh decades of life. (wikipedia.org)
- Nutcracker esophagus may also be associated with metabolic syndrome. (wikipedia.org)
- The incidence of nutcracker esophagus in all patients is uncertain. (wikipedia.org)
- Barium swallow in nutcracker esophagus is also typically normal, but may provide a definitive diagnosis if contrast is given in tablet or granule form. (wikipedia.org)
- Studies on endoscopic ultrasound show slight trends toward thickening of the muscularis propria of the esophagus in nutcracker esophagus, but this is not useful in making the diagnosis. (wikipedia.org)
- The diagnosis of nutcracker esophagus is typically made with an esophageal motility study, which shows characteristic features of the disorder. (wikipedia.org)
- Nutcracker esophagus is characterized by a number of criteria described in the literature. (wikipedia.org)
- Castell also noted that the lower esophageal sphincter relaxes normally in nutcracker esophagus, but has an elevated pressure of greater than 40 mm Hg at baseline. (wikipedia.org)
- Three other criteria for the definition of the nutcracker esophagus have been defined. (wikipedia.org)
INTESTINES1
- In older people, obese people, pregnant women and individuals with stomach hernias, this lower muscle ring becomes weak, and when the stomach is full and contracts while trying to move its contents into the intestine, some of the digestive acids and food go back up through the weak muscle into the esophagus, instead of into the intestines, where they belong. (ksl.com)
Motility4
- Severe motility disease of the esophagus and/or stomach. (sages.org)
- The diagnosis is made by an esophageal motility study (esophageal manometry), which evaluates the pressure of the esophagus at various points along its length. (wikipedia.org)
- Esophageal motility studies involve pressure measurements of the esophagus after a patient takes a wet (fluid-containing) or dry (solid-containing) swallow. (wikipedia.org)
- The esophagus accomplishes these functions by its tubular anatomy and motility that involves the contraction and relaxation of sphincter muscles and precisely timed peristaltic waves. (oup.com)
Relaxes1
- It relaxes to let food or liquid go through it into the esophagus. (medicinenet.com)
Endoscopy3
- Healthcare providers usually diagnose candidiasis in the esophagus by doing an endoscopy. (cdc.gov)
- Endoscopy -- camera down the throat to see burns in the esophagus and the stomach. (medlineplus.gov)
- A pH probe can also be clipped onto the esophagus during an endoscopy. (stanfordchildrens.org)
Muscular5
- To compare parasitism and inflammatory process in esophagus and colon from chronic chagasic patients, immunohistochemistry was carried out to research for T. cruzi and to evaluate the inflammatory infiltrate in the muscular and myenteric plexus in 39 esophagi (20 with and 19 without megaesophagus) and 50 colons (25 with and 25 without megacolon). (hindawi.com)
- The aim of this study was to evaluate comparatively the inflammatory process in muscular and myenteric plexus of esophagus and colon from chronic chagasic patients with and without mega, with the purpose of ascertaining whether there are similarities between the process in esophagus and colon and between cases with and without evident parasitism in the organ. (hindawi.com)
- When the tube is slowly removed out of your esophagus, the computer measures its muscular contractions. (healthline.com)
- The esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. (evanewyork.net)
- The lower esophageal sphincter (LES) is a muscular ring between the esophagus and the stomach. (denverhealth.org)
Swallow4
- This usually includes visualization of the esophagus with an endoscope, and can also include barium swallow X-rays of the esophagus. (wikipedia.org)
- Oropharyngeal dysphagia is often characterized by the complaint of difficulty initiating a swallow, transitioning the food bolus or liquid into the esophagus, meal-induced coughing or "choking," or of food "getting stuck" in the voluntary phase of swallowing. (oup.com)
- In this test, your child will swallow a chalky substance to highlight the esophagus, stomach, and upper part of his small intestine. (stlukes-stl.com)
- But when you try to swallow something too big, too hot, or too cold, you can definitely feel your esophagus. (stanfordchildrens.org)
Ulceration1
Abdominal pain2
- Abdominal pain is present in 80% of patients and may initially be severe enough to mimic acute abdomen and result in a laparotomy. (medscape.com)
- Peritonitis results in severe abdominal pain when the stomach perforates. (msdmanuals.com)
Irritation3
- Severe irritation of upper gastrointestinal (GI) mucosa can occur. (nih.gov)
- Acid irritation and inflammation can injure the esophagus over time, creating a condition known as erosive esophagitis. (evanewyork.net)
- The esophagus was never meant to be bathed in acid, so if this happens very often, the irritation can become severe and can cause almost continuous pain. (ksl.com)
Acid reflux3
- Acid reflux is the backward flow of stomach fluids into your esophagus. (healthline.com)
- It involves a burning feeling in the chest, which is due to acid reflux into the esophagus. (healthline.com)
- If your LES is weak, your stomach contents can move back up into your esophagus and cause acid reflux. (healthline.com)
Liquids2
- This condition happens when food or liquids can't pass easily from your child's mouth, into the throat, down the esophagus, and into the stomach when swallowing. (stanfordchildrens.org)
- Because liquids do not stick, it is easier to consume more of the product, and the entire esophagus can be damaged. (msdmanuals.com)
Barrett's9
- Here, to better understand the development of ecDNA, we analysed whole-genome sequencing (WGS) data from patients with oesophageal adenocarcinoma (EAC) or Barrett's oesophagus. (nature.com)
- These data included 206 biopsies in Barrett's oesophagus surveillance and EAC cohorts from Cambridge University. (nature.com)
- In the Cambridge cohorts, the frequency of ecDNA increased between Barrett's-oesophagus-associated early-stage (24%) and late-stage (43%) EAC, suggesting that ecDNA is formed during cancer progression. (nature.com)
- EAC is a highly lethal cancer that can arise from Barrett's oesophagus, a relatively common, pre-cancerous metaplastic condition that affects around 1.6% of the US population 7 . (nature.com)
- Two surveillance studies of patients with Barrett's oesophagus, including a longitudinal case-control study with multi-regional WGS sampling, and a completely independent, cross-sectional surveillance cohort, with full histological correlatives, provided us with an opportunity to study the role of ecDNA in the transition from Barrett's oesophagus to EAC. (nature.com)
- We analysed WGS data from a Cambridge University cross-sectional surveillance cohort of 206 patients with biopsy-validated Barrett's oesophagus (Supplementary Table 1 ). (nature.com)
- Barrett's Esophagus. (evanewyork.net)
- NCI Program and Review staff persons will explain the goals and objectives of the Barrett's Esophagus Translational Research Network (BETRNet) funding opportunity announcements (FOAs), discuss the application peer review process, and answer questions. (nih.gov)
- This National Cancer Institute funding opportunity announcement (FOA) solicits applications for the Coordinating Center for the Barrett's Esophagus Translational Research Network (BETRNet). (nih.gov)
Oral cavity2
Eosinophilic2
- Scientists from the D'Or Institute of Research and Education (IDOR), the Federal University of Rio de Janeiro (UFRJ) and the Yale University School of Medicine have elucidated the chemical process behind a mysterious gastrointestinal disease that is becoming more frequent every day: the eosinophilic esophagitis (EoE), also known as the "asthma of the esophagus. (sciencedaily.com)
- They are also common in an allergic condition of the esophagus called eosinophilic esophagitis. (stanfordchildrens.org)
Biopsy1
- The doctor can look at pictures of your digestive tract and can also take tissue samples (biopsy) of your esophagus to examine under a microscope. (stanfordchildrens.org)
Esophagitis5
- Candidiasis in the esophagus (the tube that connects the throat to the stomach) is called esophageal candidiasis or Candida esophagitis. (cdc.gov)
- Furthermore, the early administration of a drug that blocks the effect of MIF prevented the eosinophils accumulation in the esophagus and the development of esophagitis in treated mice. (sciencedaily.com)
- If left untreated, esophagitis can damage the lining of the esophagus and interfere with its normal function, which is to move food and liquid from your mouth to your stomach. (evanewyork.net)
- Esophagitis can also lead to complications such as scarring or narrowing of the esophagus, and difficulty swallowing. (evanewyork.net)
- Reflux esophagitis refers to a backup of stomach contents into the lower esophagus, where the stomach acids produce a burning sensation. (ksl.com)
Endoscope1
- Dilating (widening) the esophagus using an endoscope. (medicinenet.com)
Hiatal hernia1
Lesions2
- In severe instances, the lesions may spread downward into a person's esophagus. (disabled-world.com)
- Pause here and imagine an angiogram with multivessel severe CAD and amenable lesions-and a cardiologist choosing medicines over stents. (medscape.com)
Inflammation1
- Mediastinitis Mediastinitis is inflammation of the mediastinum (the chest cavity, which contains the heart, the thymus gland, some lymph nodes, and parts of the esophagus, aorta, thyroid, and parathyroid. (msdmanuals.com)
Chronic2
- We studied 50 segments of large intestine and 39 segments of esophagus from chronic chagasic patients obtained by surgery (16 colon and 4 esophagus) or autopsies performed at the Department of Surgical Pathology/Special Pathology from the Hospital of Universidade Federal do Triângulo Mineiro (UFTM), Uberaba, MG, Brazil. (hindawi.com)
- In chronic and severe cases the esophagus can become scarred so that the sufferer may have difficulty swallowing. (amoils.com)
Burns7
- Direct contact with aqueous solutions of hydrogen chloride or with concentrated vapor can cause severe chemical burns. (cdc.gov)
- Skin contact with hydrogen fluoride may cause severe burns that develop after several hours and form skin ulcers. (cdc.gov)
- Severe pain can occur even if no burns can be seen. (cdc.gov)
- Caustic substances are highly acidic or alkaline chemicals that can cause severe burns to the mouth and digestive tract when swallowed. (msdmanuals.com)
- A doctor inserts a flexible viewing tube down the esophagus to look for burns and determine the severity of the injury. (msdmanuals.com)
- These burns may cause perforations (holes) of the esophagus or stomach. (msdmanuals.com)
- Burns that do not perforate can result in scarring of the esophagus and stomach. (msdmanuals.com)
Embryology1
- This chapter discusses embryology of the developing esophagus and esophageal anomalies secondary to its aberrant development. (medscape.com)
Cancer13
- How Curable Is Cancer of the Esophagus? (medicinenet.com)
- When the cancer has not spread outside the esophagus , surgery may improve the chances of survival. (medicinenet.com)
- When the cancer is only in the esophagus and has not spread, surgery may be the best option. (medicinenet.com)
- The cancer and a part or all the esophagus are removed. (medicinenet.com)
- Radiation therapy may also be used instead of surgery in some cases when the cancer has not spread outside the esophagus. (medicinenet.com)
- Esophageal cancer is a cancer of the esophagus , which is the tube that carries food and liquid from the mouth to the stomach. (medicinenet.com)
- Magnus Nilsson conducts research on better treatments against cancer of the oesophagus and stomach. (ki.se)
- Tumours in the oesophagus and stomach are common forms of cancer in the world and have a high mortality rate. (ki.se)
- Magnus Nilsson is a gastro-intestinal surgeon and conducts research on how the treatment of oesophagus and stomach cancer can be developed to become more effective and accurate, and at the same time less invasive. (ki.se)
- Another track in Nilsson's research concerns tools for identifying different forms of oesophagus and stomach cancer. (ki.se)
- "We know that radiation is effective against certain kinds of oesophagus cancer, but not others," he says. (ki.se)
- Another Prilosec use is to help prevent ulcers and cancer of the esophagus. (drugwatch.com)
- In addition, the risk of developing cancer of the esophagus considerably increases. (amoils.com)
Esophageal sphincter3
- This is important because the bottom of the esophagus, called the lower esophageal sphincter (LES), connects to the stomach. (healthline.com)
- A ring or valve of muscle called the upper esophageal sphincter is present at the upper end of the esophagus. (medicinenet.com)
- A band of muscle fibers, the lower esophageal sphincter, closes off the esophagus from the stomach. (evanewyork.net)
Gastroesophageal reflux3
- The vomiting in CVS is typically much more severe and intermittent than that observed in gastroesophageal reflux . (medscape.com)
- Gastroesophageal reflux (GER) occurs when the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). (stlukes-stl.com)
- Gastroesophageal reflux occurs when stomach contents leak backward from the stomach into the esophagus. (stlukes-stl.com)
Peptic1
- [ 16 ] Patients may also have epigastric pain secondary to peptic injury of the esophagus. (medscape.com)
Strictures1
- In addition, several tissue engineering therapies have been used in attempts to overcome severe esophageal strictures. (evanewyork.net)
Allergic1
- 10. History of a previous severe allergic reaction with generalised urticaria, angioedema, or anaphylaxis. (who.int)
Food10
- Rarely, patients can present with a sudden obstruction of the esophagus after eating food (termed a food bolus obstruction, or the 'steakhouse syndrome') requiring urgent treatment. (wikipedia.org)
- In severe cases, the patients may need to undergo a procedure to dilate the esophagus to let the food pass. (sciencedaily.com)
- When we eat, food passes from the throat to the stomach through the esophagus. (stlukes-stl.com)
- A ring of muscle fibers in the lower esophagus prevents swallowed food from moving back up. (stlukes-stl.com)
- The primary function of your esophagus is to carry food and liquid from your mouth to your stomach. (evanewyork.net)
- This can tell how well food moves through your child's esophagus. (stanfordchildrens.org)
- Your involuntary nervous system takes over your swallowing once the liquid or food enters the top of your esophagus. (stanfordchildrens.org)
- Stretching from food or liquid stimulates the smooth muscles that make up the walls of your esophagus. (stanfordchildrens.org)
- If the lining inside your esophagus becomes too narrow, food can get stuck on its way down. (stanfordchildrens.org)
- Lying down makes it easier for food and acid to be pushed back into the esophagus. (ksl.com)
Foregut2
- Foregut malformations (oesophageal atresia, tracheo-oesophageal fistula, lung anomalies and congenital stenosis of the oesophagus and trachea) are relatively common anomalies occurring in 1 in 2,000-5,000 live births, although their aetiology is poorly understood. (nih.gov)
- We report here that mutant mice lacking Gli2 function exhibit foregut defects, including stenosis of the oesophagus and trachea, as well as hypoplasia and lobulation defects of the lung. (nih.gov)
Manometry1
- Esophageal manometry is a test to measure how well the esophagus is working. (stlukes-stl.com)
Sensation2
- People experience this pain differently - some describe it as uncomfortable, sharp, sudden, and severe, while others report a squeezing sensation. (medicalnewstoday.com)
- If the sensation persists and is severe, and especially if it does not respond to any conservative treatment, seek medical advice as soon as possible. (ksl.com)
Digestive2
- The Digestive Process: How Does the Esophagus Work? (stanfordchildrens.org)
- Your esophagus is an important part of your digestive system and your digestive tract. (stanfordchildrens.org)
Mouth13
- Candidiasis in the mouth, throat, or esophagus is uncommon in healthy adults. (cdc.gov)
- People who get candidiasis in the esophagus often also have candidiasis in the mouth and throat. (cdc.gov)
- Candidiasis in the mouth, throat, or esophagus is usually treated with antifungal medicine. (cdc.gov)
- For severe infections, the most common treatment is fluconazole (an antifungal medication) taken by mouth or through a vein. (cdc.gov)
- The exact number of cases of candidiasis in the mouth, throat, and esophagus in the United States is difficult to determine. (cdc.gov)
- The esophagus is the tube from the mouth to the stomach. (healthychildren.org)
- In patients with this condition, a type of white blood cell from the immune system, the eosinophil, builds up in the lining of the tube that connects the mouth to the stomach, the esophagus. (sciencedaily.com)
- Your child's healthcare provider will guide a small tube with a pressure gauge through your child's mouth and into the esophagus. (stanfordchildrens.org)
- During a TEE, a thin transducer is guided through the mouth and into the esophagus. (baptist-health.com)
- In this procedure, a doctor looks down into your esophagus by passing a thin, lighted tube, through your mouth. (stanfordchildrens.org)
- Very painful sores appear on the mouth, lips, and the esophagus . (wikidoc.org)
- Pain in the mouth and throat develops rapidly, usually within minutes, and can be severe, particularly with swallowing. (msdmanuals.com)
- Patients present with an early onset of superficial candidiasis affecting nails and mouth and occasionally the oesophagus. (lu.se)
Peristalsis1
- If you could see peristalsis, it would look like a wave passing down your esophagus. (stanfordchildrens.org)
Stomach acids1
- The licorice root creates mucilage to coat the lining of the esophagus and prevent damage from those stomach acids. (amoils.com)