Question 1

does elavil (amitriptyline) help sensitive esophagus pain from gerd?  my dr gave it to me said it helps digestive nerves? but doesn't it relax the les valve? or is a low dose not enough to affect it and out weighs it

Accepted Answer

Unlikely: I  not aware of clinical use if this type of medication for use in disorders of te esophagus, particularly gerd. This medication works through norepinephrine and serotonin receptors, and the esophageal muscle primarily works via a Nitric Oxide pathway. As for sensory esophageal nerves, I am again unaware that tricyclic antidepressants have any effect. Be careful.

Question 2

i had endoscopy last month it showed lax les, can i go to gym and do some weight lifting exercises. please suggest?

Accepted Answer

Doesn't mean: That you can't exercise, though be aware for some exercise may precipitate "heartburn" related discomfort.  If this is the case with you avoid eating too close to working out, avoid exercise that seem to set of heartburn in you and you may need to review anti-secretory medications with your doctors.

Question 3

did a barium swallow; results: spontaneour regurg. md suggests nissen. is there anything else i could do to strengthen les without surgery?

Accepted Answer

Not really: GERD is a tough problem.  Eat small meals. Don't eat before bed time.  Antacid medication, and watch what you eat.  Hot spicy foods may worsen reflux.  Tomatoes also will cause symptoms.  My humble opinion is to hold off surgery until you tried everything else and when that fails surgery.  A very very common problem.  Good luck

Question 4

can i strengthen my les? had esophageal manometry & failed every swallow they did, was told my les is very loose & weak, how can i strengthen it? im 22 & actually slightly underweight so weight isnt a cause of this, i also dont drink or smoke ever

Accepted Answer

Risk if GERD not Rx: Gastroesophageal reflux disease (GERD) is a digestive disorder that affects the lower esophageal sphincter (the muscular ring connecting the esophagus with the stomach). Laparoscopic antireflux surgery (also called Nissen fundoplication) is used in the Rx when Medicines dont work'
Raising the head end of bed, quit smoking, eating small amounts , avoid greasy foods are some measures which helps.

Question 5

any procedures for someone to stop reflux if they have weak les valve with some weak motility in esophagus. regurdigation bad and i'm on dexilant (dexlansoprazole). any suggestions since reg. surgery not an option.?

Accepted Answer

Reflux : Yes. A very simple put counterintuitive solution is adding hydrochloric acid supplementation to your diet.  It's not the acid that is the problem it's the pressure or increases gas in your stomach that is causing the acid to 'reflux' into your esophagus resulting in irritation & damage.  The acid is critical to killing fungus that causes bloating and gas which thrive when antacids are taken.

Question 6

i have had a lot of testing done, and i have bile reflux , weak les valve, and weak esophagus motility.  crying makes the muscles hurt around valve. intraadominal pressure makes worse. why?

Accepted Answer

Unusual : Sometimes the mind can contribute to a lot of physical problems.  Are you under stress?

Question 7

quels sont les causes du cancer du sein?

Accepted Answer

Breast cancer causes: We don't know what causes breast cancer for sure. But most likely is combination of genetic /hereditary mutation such as brca 1/2 and others- and enviromental risk factors- such as dietary, hormones, lack of activity, obesity, radiation, smoking, alcohol,  etc. 
Read more at www.Cancer.Net.

Question 8

quels sont les risques du cancer du sein?

Accepted Answer

Cancer du sein: Il y a beaucoup DES risques, comme: genetics, hormones, infection chronique, radiation, l'histoire dans le famille.
Demandez par le medicin oncologie for tout le risques, si vous plait.

Question 9

esophogael monometry test result says that normal les length is 2.7-4.8 cm but mine is 2 cm. is it a concern? what effect can it have?

Accepted Answer

Depends on symptoms: Would you please share what symptoms prompted the testing, so we can opine as o the clinical significance of your foreshortened LES?

Question 10

what is the definition or description of: les?

Accepted Answer

LES: Lower esophageaol sphincter.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Exercises that strengthen the les valve

A member asked:

Does elavil (amitriptyline) help sensitive esophagus pain from gerd? my dr gave it to me said it helps digestive nerves? but doesn't it relax the les valve? or is a low dose not enough to affect it and out weighs it

A member asked:

I had endoscopy last month it showed lax les, can i go to gym and do some weight lifting exercises. please suggest?

A member asked:

Did a barium swallow; results: spontaneour regurg. md suggests nissen. is there anything else i could do to strengthen les without surgery?

A member asked:

Can i strengthen my les? had esophageal manometry & failed every swallow they did, was told my les is very loose & weak, how can i strengthen it? im 22 & actually slightly underweight so weight isnt a cause of this, i also dont drink or smoke ever

A member asked:

Any procedures for someone to stop reflux if they have weak les valve with some weak motility in esophagus. regurdigation bad and i'm on dexilant (dexlansoprazole). any suggestions since reg. surgery not an option.?

A member asked:

I have had a lot of testing done, and i have bile reflux , weak les valve, and weak esophagus motility. crying makes the muscles hurt around valve. intraadominal pressure makes worse. why?

A member asked:

Quels sont les causes du cancer du sein?

A member asked:

Quels sont les risques du cancer du sein?

A member asked:

Esophogael monometry test result says that normal les length is 2.7-4.8 cm but mine is 2 cm. is it a concern? what effect can it have?

A member asked:

What is the definition or description of: les?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?