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Doctor insights on: Patulous Lower Esophageal Sphincter

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Dr. Shari Jackson
9 doctors shared insights

Lower Esophageal Sphincter (Definition)

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


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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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How do certain foods eaten in gulps weaken the lower esophageal sphincter?

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

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How to heal lower esophageal sphincter naturally?

How to heal lower esophageal sphincter naturally?

Generally doesn't: In general, gerd is a chronic condition that does not heal or get "cured" by medications. Depending on consultation with your family physician and referral to specialists, they will work with you to decide best course of treatment. If nothing else is done, gerd (symptomatic acid reflux) will require life long medication to alleviate/treat symptoms. http://goo.gl/0rrqv. ...Read more

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Whats incompetency of the lower esophageal sphincter?

Whats incompetency of the lower esophageal sphincter?

Prone to reflux: The les prevents excessive reflux of the stomach contents into the esophagus. When it is incompetent, it is more likely you will develop symptoms of gerd (gastresophageal reflux disease) such as heartburn, esophagitis etc. ...Read more

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How to heal lower esophageal sphincter to make it tighter?

How to heal lower esophageal sphincter to make it tighter?

Surgery: It depends on exact pathology. Generally a gastric wrap (fundoplication) of some type. If a hiatal hernia is present it should be repaired at the same time. Procedure should be done by experienced minimally invasive surgeon.

http://goo.gl/0rrqv. ...Read more

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Which medicines can fix damage caused to the lower esophageal sphincter?

None: There are medicines like viagra (sildenafil) which can decrease lower esophagel sphincter pressure and there are drugs that can increase GI motility, but there are no fda approved meds that raise les-lower esophageal sphincter pressure. ...Read more

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Fast eater, with foods which keep getting stuck the lower esophageal sphincter?

Fast eater, with foods which keep getting stuck the lower esophageal sphincter?

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

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Lower esophageal sphincter spasms are unbearably painful. Any way to stop an episode quickly?

Lower esophageal sphincter spasms are unbearably painful. Any way to stop an episode quickly?

Yes: Nitroglycerin can provide immediate relief. Anti-spasmodics such as Levsin (hyoscyamine) also work but take a little longer. ...Read more

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Is balloon dilation of the lower esophageal sphincter painful?

Could be: Dilation is a controlled tear. Some patients do experience chest pain after a dilation. Severe pain is worrisome for too large a tear or perforation of the esopaghus. ...Read more

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What are the Medical/Scientific ways of treating structural aberrancy of lower esophageal sphincter which causes GERD?

What are the Medical/Scientific ways of treating structural aberrancy of lower esophageal sphincter which causes GERD?

Medically-Lifestyle: & dietary changes & various Acid Blockers.
There is a surgical approach that involves reducing any Hiatal herniation and surgically creating a functional valve to replace the leaky esophageal sphincter. ...Read more

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May i drink cayenne pepper capsules if i have a promlem with lower esophageal sphincter?

May i drink cayenne pepper capsules if i have a promlem with lower esophageal sphincter?

Not a good idea: Cayenne pepper is an irritant. If you have problems with the sphincter and the esophagus does not empty rapidly, the capsule may dissolve, releasing the pepper and causing irritation of the lower esophagus ...Read more

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M.31 years old. Just got inflammation in my lower esophageal sphincter & it's a little more open than usual.Will i be ok again if i take the medicine?

M.31 years old. Just got inflammation in my lower esophageal sphincter & it's a little more open than usual.Will i be ok again if i take the medicine?

Yes: You have erosive gastroesophageal reflux disease. This should heal with acid medications. In order to prevent future issues you should avoid caffeine, nicotine, fatty foods, spicy foods, tomato sauce, overeating, late meals and try to lose weight. ...Read more

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Can i repair my weakened lower esophageal sphincter to normal if i undergo a healthy diet & lifestyle for long period?

Can i repair my weakened lower esophageal sphincter to normal if i undergo a healthy diet & lifestyle for long period?

Listen to your body: If you eat foods that agree with you and learn some strategies to bring the stomach below the diaphragm to help keep stomach acid in stomach and don't over fill your stomach with foods and liquids you should be free of symptoms. Going back to the habits that brought on this problem will likely bring back the problem. ...Read more

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My nephew's doctor said the junction between his esophagus and stomach is lax so he has a lax lower esophageal sphincter. What does this mean?

My nephew's doctor said the junction between his esophagus and stomach is lax so he has a lax lower esophageal sphincter. What does this mean?

Reflux: After we eat, food goes from mouth through esophagus to stomach. At lower end of esophagus, there is a bundle of circular muscle called 'lower esophageal sphincter. This closes automatically so that the stomach contents does not come back to esophagus to cause spitting up, vomiting, and ulceration of esophagus from acid mixed food of stomach. This is called gastro-esophageal reflux, ger or gerd. ...Read more

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Will a lax esophageal sphincter heal in time?

Lax LES: Try to avoid foods that can decrease LES pressure such as chocolate, coffee, tea, peppermint, fatty foods. Alcohol and tobacco can also lower LES pressure. Also avoid lying down with a full stomach. If nothing helps, there are surgical techniques that can work ...Read more

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How to strengthen the esophageal sphincter? I have GERD.

How to strengthen the esophageal sphincter? I have GERD.

Not possible.: There's no way, outside of surgery, to strengthen or otherwise alter the strength or functionality of the lower esophageal sphincter. Medications that may work in this regard have pretty significant side effects and are therefore not routinely used nor recommended. ...Read more

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Bupropion IR 75mg 2x day causing esophageal sphincter to relax too much. Bad reflux. Would switching to SR or XL likley help? Which one?

Bupropion IR 75mg 2x day causing esophageal sphincter to relax too much. Bad reflux. Would switching to SR or XL likley help? Which one?

May be: Your logic is right. One concern that I have if you have G.I. problem you might not be able to fully benefits from extended release formulation of any drugs. ...Read more

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Is it normal to feel a somewhat dull and throbbing pain around where the esophageal sphincter is located after eating a lot of food and feeling full? The pain is not constant and lasts for about a second before it occurs again a few minutes later

Is it normal to feel a somewhat dull and throbbing pain around where the esophageal sphincter is located after eating a lot of food and feeling full? The pain is not constant and lasts for about a second before it occurs again a few minutes later

Epigastric distress: Discomfort in that region may be from gastric irritation or distension, hiatal hernia or pylorospasm. Pancreatic or gall bladder dysfunction or peptic ulcer would have more long-lasting symptoms. Assuming it's not from just overeating and symptoms persist or worsen, consult your physician or a gastroenterologist for evaluation and advice. ...Read more

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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

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Does eating green eggplant causes discomfort or pain in esophagus and esophageal sphincter? I have that way or is it allergy to anything? Help!

Does eating green eggplant causes discomfort or pain in esophagus and esophageal sphincter? I have that way or is it allergy to anything? Help!

No: It shouldn't. By if you do have discomfort, you may have an allergic reaction to it. The best option would be total avoidance if this is the only food you have problem with since this is not an essential nutrient. Any test findings would not change your response be it positive or negative. ...Read more

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25 yrsFemale the last biopsy had shown that i'm suffering of barrett's esophagus+dialated esophageal sphincter.Are there any surgeries that would help?

Yes: A nissen-fundoplication. During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus camera.gif and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This surgery strengthens the valve between the esophagus and stomach, which stops acid from backing up into the esophagus ...Read more

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If I strained a stomach muscle or strained my esophageal sphincter, how long will it take for the pain and weakness to go away and will it resolve on its own?

If I strained a stomach muscle or strained my esophageal sphincter, how long will it take for the pain and weakness to go away and will it resolve on its own?

Unclear question: How could have strained your esophageal sphincter? If you have stomach pain that is not going away, you should see a doctor as it is not feasible to provide a meaningful opinion without examining you.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine ...Read more

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Could a young baby's reflux be actually caused by lack of stomach acid? Or is it more likely an immature esophageal sphincter?

Could a young baby's reflux be actually caused by lack of stomach acid? Or is it more likely an immature esophageal sphincter?

Reflux in infants: reflux has no relation to lack of stomach acid, as you inferred this problem is due to the barriers to acid reflux which is largely due to immaturity of the lower esophageal sphincter. Most often this resolves with time usually by 1 yr old. Dr. A ...Read more

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My upper esophageal sphincter is delayed 1.8 seconds when swallowing/eating im 28 yrs old. What could cause this to happen? Dry throat and globus too.

Anxiety.: You need to eat in small bites, chew your food slowly and well before you swallow. You also need to see your doctor and get help for your anxiety. Good luck. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more