Doctor insights on:
Exercises That Strengthen The Les Valve
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
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
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
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
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
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
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
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
I got a pinkish discharge that turned to brown and then clear with a tiny drop of blood it was sticky and lasted les than an hour what can it be?
When: Was your last period? Could be associated with ending period. ...Read more
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?
Gastro probl off an on, les than 3 yrs now. Gallblad remove March 2014.Tonite, jus puked up green stuf. Not food, can tell if was food, Only gastro's reply?
Possibly bile: You must be examinaed and not espect an answer to this complex issue online.- Call now and get examined. ...Read more
I am16, a virgin. I missed periods for 3 mnths from aprl to june, taken primolutN in july, had les bleding. No periods for anothr 2 mnths. All tst cleard.
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
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
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
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
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
I had done endoscopy and diagnosed with Lax LES, they had preferred nexpro l capsules and Gaviscon syrup after food. Will it heal in time?
Yes, probably: Hi Brian 363. The lower esophageal sphincter (LES) is more a concept than a specific structure; its the combination of factors that keeps acid in the stomach and out of the esophagus. Acid Reflux into the esophagus can cause pain and damage that promotes abnormal cell change and cancer. The medications, and absolutely avoiding lying supine for at least an hour after eating can let things heal. ...Read more
Just les than a month since getting upper dentures in no room for lowers at this time how long before I would be able to sing? I try now and gag bad.
Dental implants: May be an option for people who have a strong gag reflex, experience difficulty getting used to dentures. Ask your dentist for more information. ...Read more
I'm in zolofet 25mg and cymbalta (duloxetine) 30mg I have this mix to have les sex side effect and cymbalta (duloxetine) help me for paine is that mix oki? And did that exists?
Cholecystectomy 10 months ago developed esophaheal spasms. Les normal no acid reflux. What other exams to do and what could it be causing maybe SOD?
I had cytotec (misoprostol) at 4w 5d. Orally 4 tablts at the pause of 5 mins. Nothng happned and my u/s shows les than 4 week gest age at 5w+3d. Does med has effect?
Failure?: It sounds like the medication likely worked. If what you're saying is that the fetus doesn't have a heartbeat, and it's shrunk in size, then likely the medication has worked. Best is to be under supervision of the doctor while using this medication. The medication can cause serious birth defects, so if you're at all unsure you should follow up with the doctor to make sure the procedure is complete. ...Read more
Is LINX System a better option for me than Nissen Fundoplication? If I have severe GERD LES (0, 3mHg)? Thanks
No: No Nissan fundoplication have a fifty years or more of success in spite being more invasive has better track record of success now done with laparoscope as out patient make it more appealing the surgery fix the problem of hernia and reflux at the same time any other alternative like LINX could prevent reflux for a short time and it does not have long record of success yet get second opinion ...Read more
Gerd: My clinical experience says there is a higher risk of GERD in families. You can reduce this by not becoming obese, keeping alcohol to a minimum, avoiding lots of caffeine and chocolate. But sometimes, you just get it anyway and have to treat it. Smoking increases it as well. Seeing your history you m]need to keep with your good habits. ...Read more
I have upper chest pain and sholder my doctor thinks is muskesceletos all caardio BP on 140 / 89 or les i, m on metoprpolo it helps my pain why?
Of concern.: If you are experiencing chest pain which improves with a beta blocker (metoprolol), there is a suggestion that the pain might be due to coronary artery disease. To determine whether this is the case, you deserve to have a careful evaluation by a cardiologist. In addition, an ideal BP is 125/80 or less. ...Read more
My nails grow les. M habitual of bitting them...Is it any deficiency.? If not how can I hav long and strong nails
I think...: ...Your question has a built-in answer: biting nails is the problem, stopping nailbiting is the solution. Of deficiencies, iron and vitamin d are the most common, and you may have one or both, but it's unlikely there is any connection to the nail problem. ...Read more
Is there any permanent treatment for lax les, I have used antacids for sufficient time but problem goes and comes again?
I WannaTakeYouHigher: Yes, there's a permanent fix for it, but before we go THAT far there's dietary changes to try, and other medications too, but if it's SO lax everything leaks back up into your throat, especially at night, that's not good. It could lead to chronic throat and lung problems. And there IS surgery for it. So read-up on it and talk to your doctor! In the meantime, elevate the head of your bed by 30 degrees ...Read more