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Doctor insights on: What Is Lax Les With Oesophagitis

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My endoscopy results reveals lower third has mild esophagitis with LAX LES and Diffuse erythema in body and antrum.What does that mean?

My endoscopy results reveals lower third has mild esophagitis with LAX LES and Diffuse erythema in body and antrum.What does that mean?

The Word On GERD: It means you're all inflamed down there and some of it is leaking back up and affecting your esophagus. It also hopefully means other tests are pending(blood and stool tests for any stomach infection, blood test for anemia,etc) and information regarding what to do about your problem("Gastroesophageal Disease," or GERD). Until then,diet modifcation and use of antacids is inorder and,not lying flat ...Read more

Dr. Gloria Fong
293 doctors shared insights
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After upper endoscopy (no sedation, mild gastritis and esophagitis, weak LES, one biopsy) my heartburn is much worse. Why?

After upper endoscopy (no sedation, mild gastritis and esophagitis, weak LES, one biopsy) my heartburn is much worse. Why?

Pain s/p endoscopy: Since they did a biopsy they had to cut , though it was small, so acid against an open cut would hurt. Have you resumed your medicines or started medicines like zantac, oemprazole, carafate (sucralfate) or mylanta, that may ease the pain.Discuss wtih your doctor. ...Read more

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I had endoscopy last month it showed lax les, can I go to gym and do some weight lifting exercises. Please suggest?

I had endoscopy last month it showed lax les, can I go to gym and do some weight lifting exercises. Please suggest?

Doesn't mean: That you can't exercise, though be aware for some exercise may precipitate "heartburn" related discomfort. If this is the case with you avoid eating too close to working out, avoid exercise that seem to set of heartburn in you and you may need to review anti-secretory medications with your doctors. ...Read more

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I had done endoscopy and diagnosed with Lax LES, they had preferred nexpro l capsules and Gaviscon syrup after food ..will it heal in time?

I had done endoscopy and diagnosed with Lax LES, they had preferred nexpro l capsules and Gaviscon syrup after food ..will it heal in time?

Yes, probably: Hi Brian 363. The lower esophageal sphincter (LES) is more a concept than a specific structure; its the combination of factors that keeps acid in the stomach and out of the esophagus. Acid Reflux into the esophagus can cause pain and damage that promotes abnormal cell change and cancer. The medications, and absolutely avoiding lying supine for at least an hour after eating can let things heal. ...Read more

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Is there any permanent treatment for lax les, I have used antacids for sufficient time but problem goes and comes again?

Is there any permanent treatment for lax les, I have used antacids for sufficient time but problem goes and comes again?

I WannaTakeYouHigher: Yes, there's a permanent fix for it,but before we go THAT far there's dietary changes to try,and other medications too, but if it's SO lax everything leaks back up into your throat, especially at night, that's not good. It could lead to chronic throat and lung problems. And there IS surgery for it.So read-up on it and talk to your doctor! In the meantime, elevate the head of your bed by 30 degrees ...Read more

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One weak before my upper endoscopy test was done and result shows Lax Les, nodular duodenitis. What does it mean? Is it serious?

Waiting for Biopsy?: nodular duodenitis is an atypical finding that is likely associated with peptic ulcer disease. They are usually found to be normal tissue, but you may get more information once the pathologist has reviewed the biopsy sample. LES laxity means your lower esophageal sphincter is "saggy" and is associated with reflux disease. Not to be concerned but likely more info coming with the nodule biopsy. ...Read more

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I had endoscopy and report shows lax les gastric muscosal prolapse & antral gastritis...Please explain me what problem is this and its severity?

I had endoscopy and report shows lax les gastric muscosal prolapse & antral gastritis...Please explain me what problem is this and its severity?

Inflammation: You have inflammation of gastric mucosa. Lower esophageal sphinter dysfunction and the extent and severity can only be expressed by the scoping doctor. At least you do not have a ulcer. You can have helicobactor pylori infection.... ...Read more

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I had endoscopy and report shows lax les gastric muscosal prolapse & antral gastritis....Please explain me what problem is this & its severity...?

I had endoscopy and report shows lax les gastric muscosal prolapse & antral gastritis....Please explain me what problem is this & its severity...?

You have: Inflammation of your stomach lining and though the report did not say , i bet you have some reflux or heartburn too because the valve all the very bottom of the esophagus is not tight like it should be so it is easier for contents of the stomach to flow into the esophagus than if it were tight. ...Read more

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I m 27 suffering from gerd, les lax i got chest pain whole the time,and even more when i lay down so what can i do to cure this permanently pls help?

I m 27 suffering from gerd, les lax i got chest pain whole the time,and even more when i lay down so what can i do to cure this  permanently pls help?

See gastro: I assume that you have already seen a gastroenterologist since you know that you have LES laxity. I am not sure that there is a cure for this short of surgery but your GI doctor could better advise you. To treat GERD we advise people to take PPI meds, avoid large meals, maintain normal weight and not eat any foods that trigger the symptoms. Raising the head of the bed about 3 inches can help. ...Read more

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I had endoscopy last month it showed lax les and h pylori. Please tell me the treatment for this.

I had endoscopy last month it showed lax les and h pylori. 
Please tell me the treatment for this.

H pylori: Helicobacter pylori is an infection of the stomach and should be treated if present with a 1 to 2 week course of antibiotics. A lax LES could be evidence of acid reflux. It may be worth a trial of reflux medicine to see if it helps your symptoms. Good luck. ...Read more

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I m on increased dose of pantoprazole twice a day since 10 days(1 per day before that for 8 months) for mild les lax. Yesterday i woke up with itchiness in extremities. Allergy or allergy due to pill?

I m on increased dose of pantoprazole twice a day since 10 days(1 per day before that for 8 months) for mild les lax. Yesterday i woke up with itchiness in extremities. Allergy or allergy due to pill?

Very likely allergy: Also taking ranitidine . Makes for bad problems with medication overdose and toxicity.

Not the way to go in a 23 year old.

Need another opinion for proper guidance away from the drugs and to fins the cause of your problems. ...Read more

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Discomfort, mild pain and bloating stomach after taking food, severitydepending on type of food. for last 1 year. OGDscopy: LAX LES. Pls advc trtmnt?

Discomfort, mild pain and bloating stomach after taking food, severitydepending on type of food. for last 1 year.
OGDscopy: LAX LES.  Pls advc trtmnt?

Depends..: Stop alcohol, nicotine, reduce spicy food, maintain regular food habit. Get tested for H Pylori. Can start Omeprazol/Zantac.....for relief. Hope you do not have lactose intolerance. ...Read more

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I m 27 suffering from GERD les lax, i got severe chest pain in left side near heart i m suffering from extreme pain what can i do?

I m 27 suffering from GERD les lax, i got severe chest pain in left side near heart i m suffering from extreme pain what can i do?

Get checked: Antacids, proton pump inhibitors would help with GERD, however have you had a scope yet? Please immediately see your doctor or go to the emergency room due to your chest pain! ...Read more

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I m 27 suffering frm Gerd les lax, pain above navel,amylase 144 & lipase 58, is this pain frm pancreas what test should i do for pancreatitis pls help?

I m 27 suffering frm Gerd les lax, pain above navel,amylase 144 & lipase 58, is this pain frm pancreas what test should i do for pancreatitis pls help?

Test: You don't do the tests.
You need to see your primary doctor who will review your medical history, evaluate your clinical complaints, examine you, and then order labs that he/she thinks is related to your symptoms.

If you have been seeing a gastroenterologist see that doctor not your PC. ...Read more

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I m 26 m suffering frm gerd, les lax wht should i do my doctor prescribed me levosulpiride,rabeprazole,antioxidant bt these NT heal my acid reflux?

I m 26 m suffering frm gerd, les lax wht should i do my doctor prescribed me levosulpiride,rabeprazole,antioxidant bt these NT heal my acid reflux?

Scope: Consider seeing your doctor and telling him/her that your symptoms are no better. If indicated and endoscope can give more info on your symptoms ...Read more

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I was diagnoised with antral gastritis and lax les also h.Pylori +ve. I have a strange feeling that something is stuck in my throat. ?

I was diagnoised with antral gastritis and lax les also h.Pylori +ve. I have a strange feeling that something is stuck in my throat. ?

Globus sensation?: Sounds like you experience the feeling of a ball or lump in the back of your throat that you have to swallow past? If so, this is "globus." alternatively, you may have laryngo-esophaeal reflux without heartburn. Sometimes, the actual swallowing mechanism may be impaired due to "spasms" or dysmotility. A gastroenterologist or ear-nose-throat specialist is a good starting point for evaluation. ...Read more

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Chronic sore throat since weeks. Have reflux but never had sore throat. Endoscopy reveals mildly lax les. On protonix (pantoprazole) 40 twice a day. What now ?

Chronic sore throat since weeks. Have reflux but never had sore throat. Endoscopy reveals mildly lax les. On protonix (pantoprazole) 40 twice a day. What now ?

Give Rx time : You need to give the Protonix (pantoprazole) up to 8 weeks minimum to begin to see improvement. It certainly can take up to 6 months to achieve significant gains. If rx fails , sometimes a laparoscopic nissen fundoplication is necessary (surgical procedure). This will tighten the les and reduce or eliminate symptoms without rx ideally. ...Read more

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On protonix (pantoprazole) 40mg twice a day with Zantac 300 at night and its not working. Had an endoscopy with f.I.C.E and it showed only mildly lax les. Symptoms are only in throat. Sore and lump. Stomach is ok.

On protonix (pantoprazole) 40mg twice a day with Zantac 300 at night and its not working.  Had an endoscopy with f.I.C.E and it showed only  mildly lax les. Symptoms are only in throat. Sore and lump. Stomach is ok.

Options: You are on a pretty good reflux regimen right now. If it's not working, you could increase your medications, change medications to other proton-pump inhibitors or think about the possibility of a nissen fundoplication. Make sure your gastroenterologist knows that the above isn't doing the job. They can make some changes before you have to consider the extreme of surgery. ...Read more

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What is oesophagitis?

What is oesophagitis?

Inflammation: Esophagitis is inflammation of the esophagus, the tube from the throat to the stomach. Symptoms include pain/difficulty swallowing, sore throat, heartburn and hoarseness. The most common cause is gastrointestinal reflux disease, due to acid from the stomach backing up into the esophagus. Other causes include infection, alcohol, smoking, surgery. Treatment will depend on what the cause is. ...Read more

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I am having distal oesophagitis and biliary gastritis. Please suggest me which food should be taken to cure this?

Esophagitis & gastri: You are a young person to carry such serious diagnoses. You may have an incorrect diagnosis. Get a second opinion. I don't know what your present diet is. You should probably see a dietician who can offer some good suggestions. ...Read more

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What does airborne angioedema and oesophagitis triggered by exposure to respiratory irritants mean exactly? What is the mechanism?

What does airborne angioedema and oesophagitis triggered by exposure to respiratory irritants mean exactly?  What is the mechanism?

Allergic Esophagitis: Irritants are not allergens, so you could be talking about cigarette smoke causing esophagitis, which it does, in smokers. Or you could be wondering about eosinophilic esophagitis, where food or inhalant allergens trigger inflammation of the esophagus. Both conditions are helped by avoidance of the triggers; EoE is also helped by swallowing steroid slushes and immunotherapy. Your wording confuses ...Read more

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What food should i eat to prevent and cure ; Distal oesophagitis, H. pylori associated gastritis ?

Eat normally: There are no foods that will cure H. Pylori gastritis - this has to be treated with antibiotics. Esophagitis usually needs acid reducers but reducing/avoiding caffeine, smoking, and alcohol can help reduce acid reflux. Hope this helps! ...Read more

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I have been diagnosed with reflux oesophagitis. Can this affect my chances of getting pregnant or can it affect me during pregnancy?

I have been diagnosed with reflux oesophagitis. Can this affect my chances of getting  pregnant or can it affect me during pregnancy?

No: It shouldn't really effect your ability to get pregnant or your pregnancy. Usually medicine used for this can be continued in pregnancy if needed. ...Read more

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Can people infected with severe oesophagitis and chronic kidney disease (ckd) die?

Can people infected with severe oesophagitis and chronic kidney disease (ckd) die?

Yes, but how soon : Depends on the cause of these diseases. Oesophagitis due to disseminated herpes infection in a person with late stage kidney failure would be a bad sign. ...Read more

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Can having a hiatus hernia and having oesophagitis cause severe chest pain and pressure discomfort?

Can having a hiatus hernia and having oesophagitis cause severe chest pain and pressure discomfort?

Definitely: If you are not on a proton pump inhibitor (such as omeprazole), you should be. But yes, hiatal hernia can cause very severe pain. ...Read more

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How can respiratory irritants trigger angioedema, glossitis, stomatitis and oesophagitis? What is the mechanism of it? Thank You!

How can respiratory irritants trigger angioedema, glossitis, stomatitis and oesophagitis? What is the mechanism of it? Thank You!

Unlikely: airborne irritants do not usually affect the organs mentioned. You would have better luck looking for preparations used in your mouth for answers. ...Read more

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Pleasedoctor help me to treat biliary gastritis,distal oesophagitis caused due to prolonged use of painkillers during periods.avg 8 meftal spas /month?

Pleasedoctor help me to treat biliary gastritis,distal oesophagitis caused due to prolonged use of painkillers during periods.avg 8 meftal spas /month?

Stop taking pakn : I would recommend you stop pain killers completely and see a doctor to be evaluated for your pain and at least get started on better medication to stop the pain from your menses such as birth control pills or an iud with progesterone in it. ...Read more

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I got my endoscopy today for stomach pain and acidity and they found that I have oesophagitis grade a. What is it?

I got my endoscopy today for stomach pain and acidity and they found that I have oesophagitis grade a. What is it?

Inflammation.: You esophagus is inflamed and this could be from any number of reasons including acidity or infection from eg fungus. I am sure your GI doctor will guide you accordingly with regards to appropriate therapy. Be well. ...Read more