Guest guest Posted July 13, 2004 Report Share Posted July 13, 2004 Pete I only just got this message today, my computer has been on the fritz. I was curious about your post about how you think many people may be mis-diagnosed with reflux, when the problem may really be A. Many times, the first symptoms are the same. But, I was curious about something. You also said that you feel some people may have both. Is that really possible? Because, with reflux, the acid shoots up into the esoph. from the too loose LES. The point of fundoplication surgery is to tighten that spincter so the acid doesnt damage the E further. With A, the problem with the E is just the opposite, isn't it? The LES does not relax to let the food pass through. So, I'm wondering, how is it possible to have both, Unless you've had the myotomy which opens up the LES? Curious Jan in Northern KY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2004 Report Share Posted July 13, 2004 In the early stages the LES opens partway. Reflux is caused by excess acid, this acid just needs a small opening to leak through. While food needs a larger opening. In the later stages of achalasia the LES would probably prevent acid from getting through. I think it is possible in the early stages and after the myotomy to have both. After a myotomy one may have a problem with reflux. Pete -----Original Message-----From: JMB000001@... [mailto:JMB000001@...]Sent: Tuesday, July 13, 2004 10:55 AMachalasia Subject: heartburn/reflux/achalasiaPeteI only just got this message today, my computer has been on the fritz.I was curious about your post about how you think many people may be mis-diagnosed with reflux, when the problem may really be A. Many times, the first symptoms are the same.But, I was curious about something. You also said that you feel some people may have both. Is that really possible?Because, with reflux, the acid shoots up into the esoph. from the too loose LES. The point of fundoplication surgery is to tighten that spincter so the acid doesnt damage the E further.With A, the problem with the E is just the opposite, isn't it?The LES does not relax to let the food pass through.So, I'm wondering, how is it possible to have both, Unless you've had the myotomy which opens up the LES?Curious Jan in Northern KY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2004 Report Share Posted July 13, 2004 Hi Jan, You are actually right, I had acid problems before my myotomy, but had a fundoplication and the acid disappeared. The when I had to have a dilatation, and I suspect the fundoplication was damaged, I got a repeat of the acid - real stomach acid shooting up into the E - and it burns badly ! Now that I am on the anti-acid medication[H2 blockers] the stomach acid does not worry me as much but there is still a certain amount of acid which is weaker and I suspect comes from rotting food residue. I will be interested to hear what Pete's rely is. Joan Johannesburg South Africa heartburn/reflux/achalasia PeteI only just got this message today, my computer has been on the fritz.I was curious about your post about how you think many people may be mis-diagnosed with reflux, when the problem may really be A. Many times, the first symptoms are the same.But, I was curious about something. You also said that you feel some people may have both. Is that really possible?Because, with reflux, the acid shoots up into the esoph. from the too loose LES. The point of fundoplication surgery is to tighten that spincter so the acid doesnt damage the E further.With A, the problem with the E is just the opposite, isn't it?The LES does not relax to let the food pass through.So, I'm wondering, how is it possible to have both, Unless you've had the myotomy which opens up the LES?Curious Jan in Northern KY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2004 Report Share Posted July 13, 2004 Jan wrote: The LES does not relax to let the food pass through. So, I'm wondering, how is it possible to have both, Unless you've had the myotomy which opens up the LES? Remember that achalasia is different in different people. For many the LES will be so tight so much of the time, or all the time, that GERD can not happen. However, for some the failure of the LES to relax may only be related to swallowing. It could be that it is a matter of timing. The LES may be relaxing but not coordinated with peristalsis waves. The relaxation that does still happen could cause GERD. For others how much the LES relaxes may vary. Just like many of us have good days and bad days. So, at times the LES stays tight, but at other times may be relaxing enough to let acid up. Either way, if peristalsis is missing or nonfunctional even a little acid that would otherwise be pushed back down may cause GERD. notan Quote Link to comment Share on other sites More sharing options...
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