LES DYSNFUNCTION Question??? + DLG

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Tracks
New Member


Date Joined Jul 2007
Total Posts : 3
   Posted 7/23/2007 1:35 PM (GMT -7)   
   I had my Endo done 2 weeks ago and my Doctor said that my LES is not functioning well or at all for that matter. Its hard to remember b/c he revealed this information to me right after sedation. Is this Dysfunction ( being relaxed )  permanent? Is there a way to make it contract? OR am I doomed with heartburn forever unless I get surgery? If it is a dysfunction that is permanent will DLG still work or should I stick to the Nexium?

Christo
Regular Member


Date Joined Mar 2007
Total Posts : 48
   Posted 7/23/2007 4:53 PM (GMT -7)   
I don't think he could tell that from endo alone. If your les is not functioning, you need manometry testing. After that, you need surgery. I hope it is all straight forward for you.

elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 7/24/2007 4:36 AM (GMT -7)   

Hi Tracks,

I have a lazy LES too.  Doctors can tell from an endoscopy if they do the manometry testing during the endoscopy, which is what mine did.  He put me on reglan to force my LES to contract, but that is only a bandaid approach.  You can't take reglan for long periods of time (it does work by the way).  Christo is right, I'm afraid, that surgery is the only semi-permanent fix.  However, if you take the PPIs, you will still experience the reflux, but the acid will be better controlled.  This has worked for me for a number of years now, except that eventually I started developing erosions again from acid (presumably).  If I fail another PPI (I've been on aciphex for 5 years now and developed erosive gastritis anyway), I may talk about the surgery.  But I understand the surgery can cause other problems, and many times the patient has to start acid meds again after about 5 years.  I'm not sure I'm ready to jump on the surgery bandwagon just yet.

 

El


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan

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