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Doctor insights on: Causes Esophageal Relaxation

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What causes lower esophageal sphincter relaxation failure?

What causes lower esophageal sphincter relaxation failure?

Good question: Your question is a bit confusing. If you me what causes the les not to relax, this would be a neuromuscular disease called achalasia or perhaps chagas disease. If you are asking what makes the les relax too much, leading to gerd, that would be spicy foods, caffeine, nicotine, chocolate, peppermint, alcohol, some medications, tomatoes and their sauces as well as others. ...Read more

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Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more


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I had an echo done everything normal except it shows lv impaired relaxation. I have been under anxiety. Would anxiety cause that to show?

I had an echo done everything normal except it shows lv impaired relaxation. I have been under anxiety. Would anxiety cause that to show?

Probably not anxiety: Impaired ventricular relaxation is a term used to describe how the heart muscle is squeezing and releasing. It is not related to your level of anxiety or stress. It can be caused by chronic high blood pressure though, so you should be sure to check your blood pressure routinely. ...Read more

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Why does 10mg diazepam not cause relaxation or drowsiness? I'm 18 and weigh 85kg. I can take 10mg and feel like normal. Why is this?

Why does 10mg diazepam not cause relaxation or drowsiness? I'm 18 and weigh 85kg. I can take 10mg and feel like normal. Why is this?

Med reaction: People have very different reactions to these meds and different doses. If your prescribing doc gave that dose they may feel that it is a good amount to take the edge off the anxiety. Would you have felt much worse anx. without it? Many people responsibly use these meds as needed to stop panic attacks. But the long term resolution(yes it is possible!) is effective anxiety therapy. I recommend EMDR ...Read more

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Can hyperventilation cause temporary impaired lv relaxation? My echo and stress test and EKG and CT were normal. Ef>55 and e/a .78.

Can hyperventilation cause temporary impaired lv relaxation? My echo and stress test and EKG and CT were normal. Ef>55 and e/a .78.

Results sound good: Impaired lv relaxation (did that show up on your echo?) is not a disease and does not necessarily cause any symptoms. I woudn't focus on that. Your negative tests are very reassuring. Chest pressure and hyperventilation are common anxiety symptoms. Are you getting help for that? ...Read more

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Does esophageal stricture usually cause many symptoms?

Does esophageal stricture usually cause many symptoms?

Peptic stricture: Esophageal stenosis (narrowing) from scar tissue (strictures) is of itself not painful. However, depending upon how tightly narrowed the stricture may be, food can impact there (cause dysphagia). Usually dysphagia occurs with meats, bread. Pain on swallowing (odynophagia) may result. If you have a peptic stricture please chew food well, take small bites swallowed with water & take acid blockers. ...Read more

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What causes esophageal spasms and what is the treatment for this?

What causes esophageal spasms and what is the treatment for this?

Chest PAIN from DES: Des is a motility disorder of esophageal function. The muscles of the esophagus forcibly tighten, typically unpredictably, resulting in severe chest pain. Distinguish this from situational esophageal spasm, "nutcracker esophagus", and of course non-esophageal causes of chest pain. Speak with your gastroenterologist about rx options to minimize attacks, where to go, what to take when pain develops. ...Read more