Doctor insights on:
Weak 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
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
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
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
Esophageal manometry showed muscles weak, hardly pushing food. Also chronic throat clearing & constipation. Could this be a vagus nerve problem?
No: No relation.Get a more detailed answer ›
Muscle strain/tear: Over working abdominal wall muscles without properly warming them up by stretching them for example before doing multiple long sets of situps will often result in abdominal wall muscle fatigue with resultant abdominal wall muscle spasms. ...Read more
Diagnosed with gastroparesis, slow transit bowel and tight sphincter/rectal muscle problems. Help!?
High sympathetic : High sympathetic nervous system activity will slow transit time, reduce ability to digest food, increase sphincter tone. Avoid calcium supplements (calcium increases sympathetic tone), consider magnesium supplmentation (magnesium blocks effects of calcium) see your doc. Good luck! ...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?
Bulges and bowels: Not likely. Bulges are not likely to cause many symptoms. In fact, using study data, bulges are actually more normal than not. So bulges do not imply any symptoms. You would need severe pressure on the nerves with obvious spinal stenosis (which could be aggravated by bulges if you had congenital abnormalities). So relax. May be a fissure, or other bowel issue that a GI doc would solve. ...Read moreSee 2 more doctor answers
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
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
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
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
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