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Doctor insights on: Exercises That Strengthen The Les Valve

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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

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

Don't overthink doc: You haven't told us the dose of Elavil (amitriptyline) prescribed, nor what symptoms are being treated with it. Like any drug, Elavil (amitriptyline) has desirable and undesirable effects--call your doctor about your concerns instead of trying to overthink him and then not taking your prescribed medication. Read more

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Dr. Katharine Cox
1 Doctor shared a insight

Valve (Definition)

A valve is a structure that regulates the direction of flow. The heart is a special kind of pump. It moves blood by squeezing and relaxing. There are 4 chambers and each chamber has a valve. This keeps blood from moving backwards when the heart squeezes. When a chamber squeezes it lets the blood move forward but when the chamber is relaxed it prevents the blood from ...Read more


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

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

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. Read more

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Did a barium swallow; results: spontaneour regurg. MD suggests Nissen. Is there anything else I could do to strengthen LES without surgery?

Did a barium swallow; results: spontaneour regurg. MD suggests Nissen. Is there anything else I could do to strengthen LES without surgery?

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 Read more

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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.?

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.?

Options: There are some endoscopic procedures, the best of which is called stretta. If this doesn't work, there are a variety of surgical procedures to perform a fundoplication or place a magnet bracelet around the valve (linx). See e general or thoracic surgeon with experience in anti-reflux procedures to find out what is best for you. Read more

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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?

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?

Difficult: Why was the testing done, recurrent nausea, let's say. Are you crying all the time? Are you having insomnia, daytime fatigue and panic attacks? One good drug that if often overlooked is Mirtazapine before bed. It helps insomnia, nausea and mood. The's may help? I an not sure about the "valve" but let's say where your stomach and esophagus meet doesn't close well. Reflux is a problem, prilosec. Read more

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Quels sont les causes du cancer du sein?

Quels sont les causes du cancer du sein?

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. Read more

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Quels sont les risques du cancer du sein?

Quels sont les risques du cancer du sein?

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. Read more

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Bonsoir, je veux savoir combien de pourcentage de goudron y a t il dans les poumons après de dix-ans DES cigarettes? Merciiiiiiiii

Bonsoir, je veux savoir combien de pourcentage de goudron y a t il dans les poumons après de dix-ans DES cigarettes? Merciiiiiiiii

Combien?: Dix ANS. ..Mais combien DES cigarettes-un paquet par jour? Avec vingt cigarettes par jour tu accumuleras 200 grams de goudron dans les poumons chaque an. Read more

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I've been px'd 18 differenet psych meds in the last 16 months. My body gets less and les stable. Is it b/c of this or bc I need to find the right meds?

I've been px'd 18 differenet psych meds in the last 16 months. My body gets less and les stable. Is it b/c of this or bc I need to find the right meds?

Thorough evaluation: In my view when a patient has needed so many med changes either has not been evaluated properly or pt has not given enough chance for meds to work. One needs to keep in mind meds combined with psychotherapy work better. Read more

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What all can cause les motility disorders? Can exercising be one of the reasons?

What all can cause les motility disorders? Can exercising be one of the reasons?

Many things: You can discuss this with your gastroenterologist but I suspect this will be part of your own physiology. It appears it is related to reflux. Sometimes we can see you systemic medical conditions and this is something your gastroenterologist would look for. Read more

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What kind of test can be done to find out if there was damage to the les after an endoscopy?

What kind of test can be done to find out if there was damage to the les after an endoscopy?

Rare: To have damage to the les with endoscopy. Local mechanical irritation is possible but resolves shortly. Rupture, etc. Is rare, and a ct scan may provide the answer. Esophageal manometry may be used; even then, hard to say if damage is from endoscopy or egd. A re-look with a scope may be the best alternative depending on the situation. Read more

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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?

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?

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? Read more

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I'm 38weeks preg.&it Usually Takes 12-20mins to Feel Baby's1OKicks. Recently I Have Counted 7 kicks or les in3O-4Omins. Should I Take A Trip To Triage?

I'm 38weeks preg.&it Usually Takes 12-20mins to Feel Baby's1OKicks. Recently I Have Counted 7 kicks or les in3O-4Omins. Should I Take A Trip To Triage?

Fetal kicks: If I understand your question correctly you are saying that your body is moving more frequently than usual. Typically that is a good sign and does not indicated a problem. A trip to L and D is needed for decreased fetal movement Read more

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Should I take a PPI all the time given the fact my LES is weak, or only when I have symptoms?

Should I take a PPI all the time given the fact my LES is weak, or only when I have symptoms?

It depends.: I would say only when symptomatic, if it happens infrequently or for prevention if you plan to consume something that aggravates it. If your endoscopy showed signs of inflammation, your GI dr may suggest you take it regularly for 4-8 weeks first. Read more

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I had some reumatology tests, and the anti-dsdna value is 43.2 u/ml. Should I be worried or am suspect of les? Thank you very much

Possibly: The dna positivity is suggestive of lupus if the clinical picture is consistent with lupus. The dna may occasionally be positive in other disorders. Read more

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Can one have LES damage from the upper endoscopy? I have terrible pyrosis since the procedure, didn't have it before. Thank you so much.

Can one have LES damage from the upper endoscopy? I have terrible pyrosis since the procedure, didn't have it before. Thank you so much.

Yes, possibly: YOu should ask this question specifically of the physician who did the procedure, and if your concerns are disregarded, ask for an alternative explanation and treatment. Read more