Doctor insights on:
Esophageal Sphincter Exercise
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 moreSee 1 more doctor answer
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
Hypothyroid causes muscle weakness does it leads to GERD by loosening the esophageal sphincter muscle?
Maybe!: Thanks for asking b/c until i just searched, i would've thought no. While i can't find any traditional evidence linking the two, enough people have written online to various forums complaining about such a link that it can't be a coincidence. My guess is that we need to treat one's hypothyroidism aggressively & adequately enough to regain les strength. I look forward to what GI colleagues say. ...Read more
Diagnosed with gastroparesis, slow transit bowel and tight sphincter/rectal muscle problems. Help!?
High sympathetic : High sympathetic nervous system activity will slow transit time, reduce ability to digest food, increase sphincter tone. Avoid calcium supplements (calcium increases sympathetic tone), consider magnesium supplmentation (magnesium blocks effects of calcium) see your doc. Good luck! ...Read more
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
Esophagitis: Eosinophilic esophagitis can cause spasm and delay in esophageal motility. Are u currently being treated? You need to be on a ppi +/- a inhaled steroid that should be swallowed to treat the inflammation.. The burning most likely represents acid reflux that you are having in addition to eoe. You should consult with your GI as soon as possible. ...Read more
YES: However you will need to be checked for gallbladder disease, pancreatic disease, and you will need medication to inhibit stomach acid. I suggest GI evaluation and abdominal ultrasound. Do not ignore these symptoms. ...Read more
Dysphagia: "transfer dysphagia" is a problem moving the food bolus from your mouth to the top of the esophagus; "transit dysphagia" is a problem transiting the food down the esophagus. Endoscopic, x-ray, ; motility studies (modified barium swallow with speech therapist; esophageal manometry) may be helpful in identifying the point of pathology ; fixing it. Can be quite serious--so don't ignore please. ...Read more
Bulges and bowels: Not likely. Bulges are not likely to cause many symptoms. In fact, using study data, bulges are actually more normal than not. So bulges do not imply any symptoms. You would need severe pressure on the nerves with obvious spinal stenosis (which could be aggravated by bulges if you had congenital abnormalities). So relax. May be a fissure, or other bowel issue that a GI doc would solve. ...Read moreSee 2 more doctor answers
Partial Nissen Fundo May13. Extreme upper abdo\upper back pressure, nausea\burping. Can burp and vomit. PH test shows sig.reflux and manometry shows lax sphincter?
Failed surgery: It sound like you have failed surgery it might not be the surgeon fault it could be your anatomy or if you have other pathology in your digestive system like spasm or irritable bowel syndrome my question is why the partial repIr not the original 360 degree wrap as dr Nissen described it mean while you need to keep taking your reflux medicine eat multiple small meals avoid late meal or snack ...Read more
Not sure: I agree, and you would have just ruined the hot dog gorging contests if true. The lower esophageal sphincter is more functional than an anatomic vice, ergo hard to rupture. I am not endorsing gulping or gorging, but sphincter tome is determined more by ph, hormones, and diaphragm anatomy than swallowing. ...Read more
Anal spasm: Anal or levator muscle spasm itself doesn't cause stool leakage, but associated anal fissure, lax sphincter tone or mild inflammation of the rectum(proctitis) may cause leakage of rectal mucus. A proctologist or colorectal surgeon would be best qualified to evaluate and treat you. ...Read more
Yes, lots: They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing. ...Read more
Different: A person with esophageal cancer can develop progressive swallowing difficulty, first for solids and later for liquids as well. Odynophagia is a painful swallowing. Esophageal ulcer can be benign or early cancer. That may produce swallowing difficulties due to spasms, but is not progressive. Only way to know for sure is by biopsy and endoscopy. ...Read moreSee 1 more doctor answer
GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more
High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?
Complex: Could an entity known now as ineffective esophageal motility (iem). This is commonly associated with gerd. Dysmotility can also be due to diabetes and scleroderma. See a general surgeon or gastroenterologist with expertise in esophageal and foregut disorders for more info. ...Read moreSee 1 more doctor answer
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