How is the LES damaged?
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From: gobionessert on 19 Nov 2007 10:43 I read someone say they had put there LES under too much stress over the years and it had given up. Does this mean for example eating too much steak, lying on your bed instead of sitting upright etc and then over the years this pushing up of the acid weakened the LES? Also my ENT doctor looked down my throat with a camera, but couldnt go too far, am i right in saying that it isnt the LES which stops his camera going any further but the other valve. The LES is another valve further down and right? Just trying to understand the anatomy of it all.
From: Vanny on 19 Nov 2007 13:04 I suggest that you consult the numerous references that have been previously provided to you looking specifically at strictures and inflammation caused by untreated GERD and implement the necessary lifestyle changes. http://www.webmd.com/content/article/49/39943.htm http://www.webmd.com/heartburn-gerd/guide/heartburn-resources www.medscape.com www.emedicine.com <gobionessert(a)yahoo.com> schrieb im Newsbeitrag news:48eb8df5-9fd1-4fab-95b7-0ca4582b234d(a)e6g2000prf.googlegroups.com... > > > I read someone say they had put there LES under too much stress over > the years and it had given up. Does this mean for example eating too > much steak, lying on your bed instead of sitting upright etc and then > over the years this pushing up of the acid weakened the LES? > > Also my ENT doctor looked down my throat with a camera, but couldnt > go too far, am i right in saying that it isnt the LES which stops his > camera going any further but the other valve. The LES is another > valve further down and right? > > Just trying to understand the anatomy of it all. >
From: Howard McCollister on 20 Nov 2007 08:13 <gobionessert(a)yahoo.com> wrote in message news:48eb8df5-9fd1-4fab-95b7-0ca4582b234d(a)e6g2000prf.googlegroups.com... > > > I read someone say they had put there LES under too much stress over > the years and it had given up. Does this mean for example eating too > much steak, lying on your bed instead of sitting upright etc and then > over the years this pushing up of the acid weakened the LES? > > Also my ENT doctor looked down my throat with a camera, but couldnt > go too far, am i right in saying that it isnt the LES which stops his > camera going any further but the other valve. The LES is another > valve further down and right? > > Just trying to understand the anatomy of it all. > The LES is just a muscle, with no ligamentous attachments - a circular sphincter muscle. It's unlikely that it could be damaged by anything a patient does or eats...not anymore than repeated lifting will damage your arm muscles or a large bowel movement damage the anal sphincters. As to endoscopy, there's nothing to stop a gastroscope. The upper and lower esophageal sphincters (UES and LES) aren't valves, just circular rings of muscle that a gastroscope goes through easily. Your ENT likely used a laryngoscope, a small, short scope whose purpose is only to evaluate the posterior pharynx. The esophagus and stomach are outside the capabilities of a laryngosope and outside the area of expertise of an ENT doctor. It would be unusal for such a doctor to step that far outside his specialty. HMc
From: christophe on 20 Nov 2007 11:51 Howard McCollister wrote: > <gobionessert(a)yahoo.com> wrote in message > news:48eb8df5-9fd1-4fab-95b7-0ca4582b234d(a)e6g2000prf.googlegroups.com... > > > > > > I read someone say they had put there LES under too much stress over > > the years and it had given up. Does this mean for example eating too > > much steak, lying on your bed instead of sitting upright etc and then > > over the years this pushing up of the acid weakened the LES? > > > > Also my ENT doctor looked down my throat with a camera, but couldnt > > go too far, am i right in saying that it isnt the LES which stops his > > camera going any further but the other valve. The LES is another > > valve further down and right? > > > > Just trying to understand the anatomy of it all. > > > > The LES is just a muscle, with no ligamentous attachments - a circular > sphincter muscle. It's unlikely that it could be damaged by anything a > patient does or eats...not anymore than repeated lifting will damage your > arm muscles or a large bowel movement damage the anal sphincters. > > As to endoscopy, there's nothing to stop a gastroscope. The upper and lower > esophageal sphincters (UES and LES) aren't valves, just circular rings of > muscle that a gastroscope goes through easily. Your ENT likely used a > laryngoscope, a small, short scope whose purpose is only to evaluate the > posterior pharynx. The esophagus and stomach are outside the capabilities of > a laryngosope and outside the area of expertise of an ENT doctor. It would > be unusal for such a doctor to step that far outside his specialty. > > HMc no ligamentous attachments i.e. muscle not attached ligaments? Howard, I have a cough that my GPs assume is a gerd cough. How likely is my upcoming fundoplication likely to remove this symptom? I have also questioned whether my cough is in fact a gerd cough or something else. The cough started 3 months after the onset of my other Gerd symptoms. Recently, I have had a course of antibiotics (ironically for sinus) which seems to have both eased the cough and (definitely) reduced the amount of green phlegm I am coughing up.
From: gobionessert on 21 Nov 2007 21:55
On Nov 20, 10:13 pm, "Howard McCollister" <nos...(a)nospam.net> wrote: > <gobioness...(a)yahoo.com> wrote in message > > news:48eb8df5-9fd1-4fab-95b7-0ca4582b234d(a)e6g2000prf.googlegroups.com... > > > > > I read someone say they had put there LES under too much stress over > > the years and it had given up. Does this mean for example eating too > > much steak, lying on your bed instead of sitting upright etc and then > > over the years this pushing up of the acid weakened the LES? > > > Also my ENT doctor looked down my throat with a camera, but couldnt > > go too far, am i right in saying that it isnt the LES which stops his > > camera going any further but the other valve. The LES is another > > valve further down and right? > > > Just trying to understand the anatomy of it all. > > The LES is just a muscle, with no ligamentous attachments - a circular > sphincter muscle. It's unlikely that it could be damaged by anything a > patient does or eats...not anymore than repeated lifting will damage your > arm muscles or a large bowel movement damage the anal sphincters. > > As to endoscopy, there's nothing to stop a gastroscope. The upper and lower > esophageal sphincters (UES and LES) aren't valves, just circular rings of > muscle that a gastroscope goes through easily. Your ENT likely used a > laryngoscope, a small, short scope whose purpose is only to evaluate the > posterior pharynx. The esophagus and stomach are outside the capabilities of > a laryngosope and outside the area of expertise of an ENT doctor. It would > be unusal for such a doctor to step that far outside his specialty. > > HMc So can i get this right. There are two muscular rings, one at the bottom of the throat, which the ENT doctors camera went down to and then after that the esophagus tube and then after that separating the stomach from the esophagus the second muscular ring or sphincters which is called the LES. If I had a bad taste in my throat, it means the stomach acid may have come up through the LES then the esophagus then the muscular ring or sphincter in my throat. Could I have damagedone of them from taking an ectasy pill? Or damaged my stomach ? I have no pain in the stomach though. |