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Doctor insights on: Sphincters Of The Stomach

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Dr. Cindy Juster
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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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Dr. Cindy Juster
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30 years in practice
2M people helped
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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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I have been diagnosed with Sphincter of oddi dysfunction which is painful in the abdomen area, what alternatives do I have to treat my back pain besides chiropractic which hurts it?

I have been diagnosed with Sphincter of oddi dysfunction which is painful in the abdomen area, what alternatives do I have to treat my back pain besides chiropractic which hurts it?

SOD: The answer really depends on details--mostly your labs and the size of your bile duct. Especially if you have Type I or II SOD, a gastroenterologist with special training in this area will likely be able to help. There is no proven role for chiropractic care for treatment of SOD. You should talk to your GI doc in more detail, and consider a 2nd opinion at a center specializing in SOD. Good luck. ...Read more

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Dr. Cindy Juster
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Mrcp showed bile duct blockage and sphincter of oddi dysfunction. Severe sharp intense abdominal pain, severe nausea, temp of 99.8. Should i go to er?

Mrcp showed bile duct blockage and sphincter of oddi dysfunction. Severe sharp intense abdominal pain, severe nausea, temp of 99.8. Should i go to er?

Bad biliary disease: Viewed very simplistically, there are 2 types of liver diseases--hepatitis (involves liver cells) ; cholestasis (bile backs up). Bile ducts can become inflamed due to variety of disorders; obstructed due to stones, parasites, tumors, stenosis, or ampullary ;/or pancreatic diseases. If you're duct is truly obstructed ; you have fever you are at risk ; may have cholangitis. Yes, go to the er! ...Read more

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I have sphincter of oddi dysfunction but have developed left sided pain under my ribs causing discomfort. Could you give an opinion.

I have sphincter of oddi dysfunction but have developed left sided pain under my ribs causing discomfort. Could you give an opinion.

Sphincter of Oddi: Dysfunction is a controversial entity and physicians debate whether it's actually a cause of abdominal pain, as after treatment, less than 50% of patients improve. Left sided pain may be due to stomach ulcers, or may be related to your generalized pain as part of functional dyspepsia. ...Read more

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Will a lax esophageal sphincter heal in time?

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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Can sphincter if oddi spasms be brought on by laying down (sleeping)?

Can sphincter if oddi spasms be brought on by laying down (sleeping)?

Unlikely: Though everyone's body is unique, simply lying down is unlikely to cause a sphincter of oddi spasm. I in fact just searched the medical literature and cannot locate a report of this happening. Spasm may be related to shifting stomach contents, so spasm may occur if you are lying down with a full stomach. Sphincter of oddi spasm is potentially serious, so please consult a physician. ...Read more

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Dr. Cindy Juster
Board Certified, Pediatrics
30 years in practice
2M people helped
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