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Patulous Lower Esophageal Sphincter
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
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
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
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 moreSee 1 more doctor answer
All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis.
Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more
No: No relation.Get a more detailed 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
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
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
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
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
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
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Mrcp confirmed bile duct obstruction and sphincter of oddi contraction. Severe sharp stabbing pain, nausea, and visible swelling. Er?
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