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Doctor insights on: Hypertensive Esophageal Sphincter

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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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Esophageal. Spasm, heart attack or angina?

Esophageal. Spasm, heart attack or angina?

May be hard to tell: If the chest pain is caused by swallowing, especially something very hot or very cold, then most likely esophageal spasm. If the chest pain is caused by exertion, then most likely angina or heart attack. ...Read more

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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

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 more

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Whats GERD gastro esophageal reflux disease?

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

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Can stroke affect esophageal motility?

Can stroke affect esophageal motility?

Possible but: not likely much of a contribution. As strokes do frequently cause swallowing problems but they tend to be of the type that involves the muscles of the tonge/back of the mouth/throat instead of the motility of the esophagus - that tends to be more of a complicated age related process. ...Read more

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Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Not usually: Esophageal atresia with or with out fistula is usually sporadic. There area a few cases ( and i mean very few) in the literature where a parent had ea-tef and had a child with same. It is reportable. ...Read more

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Confusion between esophageal spasm or heart disorder?

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

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Which blood pressure medicine causes heart burn or can worsen esophageal reflux.

BP: Any medicine can cause esophageal irritation or reflux. Unless contraindicated i would take all your medicine after or with food. ...Read more

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Could esophageal dilation with upper endoscopy cause pericarditis?

Could esophageal dilation  with upper endoscopy  cause pericarditis?

Unlikely: Based on a literature (pubmed) and google search, I could not find any cases of esophageal dilation causing percarditis. Are you having symptoms of chest pain after dilation? If you are concerned about pericarditis, you should discuss this with your doctor or go to the ER if it is severe. ...Read more

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Who needs esophageal manometry?

Who needs esophageal manometry?

Swallowing problems: Test is best to look for problems with the muscles of the esophagus, how they function and what could be going on when they are not functioning and a person is having difficulty swallowing or undefined chest pain without clear source. Best for diagnosing things like achalasia and esophageal spasm and hypomotility. ...Read more

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Causes of esophageal burning? Have eoe and esophageal dismotility.

Causes of esophageal burning? Have eoe and esophageal dismotility.

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

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High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?

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 more

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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Whats an esophageal manometry?

EM studies: Esophageal manometry (em) is a probe, typically passed transnasally, into your esophagus. The probe is sensitive to pressures generated when esophagus muscles contract during swallowing. Probe measures muscle coordination during swallowing, as well as function & effectiveness of both upper & lower esophageal sphincters. Motility disorders, situational spasms, & gerd contributants are measured. ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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Dr. Rick Koch Dr. Koch
3 doctors agreed:
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Are esophagus spasms dangerous?

Dr. Rick Koch Dr. Koch
3 doctors agreed:

Highly inconvenient : Not life threatening but could indicate significant underlying reflux ...Read more

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Is there a way to solve male (31yo) bladder neck dyssynergia without cutting the sphincter?

Is there a way to solve male (31yo) bladder neck dyssynergia without  cutting the sphincter?

See Urologist: If you are asking about inability to empty bladder completely or have incontinence, than you should see a urologist who can test your bladder's functiong. And decide on the correct treatment. ...Read more