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Gaping Lower Esophageal Sphincter
The lower esophageal sphincter (LES) is the last couple of inches of the esophagus where it meets the top of the stomach. This part of the esophagus (the tube from the throat to stomach) has more pressure (tightness), and keeps the stomach's material from going back up the esophagus. The LES helps prevent ...Read more
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
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
No: No relation.Get a more detailed answer ›
Mrcp confirmed bile duct obstruction and sphincter of oddi contraction. Severe sharp stabbing pain, nausea, and visible swelling. Er?
Extreme upper abdo/lower chest tightness on empty stomach. Slightly eased by eating. Upper GI series Jan14 showed slight reflux. Nissen Fundo May13.
Might be an ulcer: your symptoms suggest that you might having an ulcer or gastritis it could a side effect to the surgery that you had some of the side effect of the reflux surgery of course are bloating delayed gastric emptying that could lead to ulcer or gastritis i am assuming you had your motility study and esophageal pH and gastric emptying study before your surgery you need to see your GI doctor ...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
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
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
Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more
Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.
Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...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
Upper stomach pain & bloating. Lower stomach gurgling. Very painful. Hard to take deep breath. Gallbladder?
Could be: Not E-nuff information to guide you. If pain is severe enough to make taking a deep breath hard or impossible, go seek help at the Emergency location closest to you. If pain is not that bad, seek an appointment with your PCP as soon as you can. A few blood tests and a ultrasound exam of the abdomen will get things sorted out quickly. ...Read more
Can bad fissure in rectum (not anal) from constipation cause back pain, muscle spasms, decreased ability to feel stool in rectum, sphincter weakness?
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
Can hiatle hernia, diverticulosis, gastritis or IBS cause back spasms under the left back ribs during eating?
Not likely.: Anything is possible, but usually GI problems cause symptoms in the abdomen, not back. Consult a GI specialist for specific recommendations about treatment. ...Read more
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