Jackhammer Esophagus

Jackhammer Esophagus

Miguel from South Houston asked us this question: “Can or is Hypercontractile esophagus a cause for Dyspnea/shortness of breath? I have Jackhammer esophagus.  I had fundoplication surgery 2 months ago and started eating solid food 2 weeks ago. I have a degree of dysphagia post-op...

Does Tobacco Chewing Cause Heartburn.

Can Chewing Tobacco Cause Heartburn?

Smokeless Tobacco and Heartburn A number of studies have implicated cigarette smoking as an etiological factor for acid reflux and heartburn. Nicotine relaxes the lower esophageal sphincter favoring acid reflux. Furthermore, smoking reduces saliva production. Saliva is rich in bicarbonates and help neutralize acid. Chewing tobacco...

Is Thanksgiving Synonymous with Heartburn for You?

Is Thanksgiving Synonymous with Heartburn for You?

Thanksgiving meal is the ultimate challenge for acid reflux patients. It is big, heavy and rich in an endless array of heartburn trigger foods. If you have a hiatal hernia and weak lower esophageal sphincter you are not likely to survive Thanksgiving without a major...

Gerd Awareness Week

National GERD Awareness Week: Why Does It Matter?

November 18 – 24 is GERD awareness week. 30% of the population in Houston suffer from recurrent GERD related symptoms like heartburn and food regurgitation. GERD is a common disease with serious consequences that range from esophageal dysmotility to cancer. Unfortunately, most GERD patients in...

LINX, Sleeve and Heartburn treatment in Houston?

Sleeve gastrectomy when properly performed is almost as good as a Nissen fundoplication in alleviating heartburn and effectively resolving acid reflux. Unfortunately, narrowed or twisted gastric sleeve lumen at the incisura angularis results in severe acid reflux as well as hiatal hernia development. A number...

LINX Device for Heartburn Treatment in Houston

“Objective Evidence of Reflux Control After Magnetic Sphincter Augmentation: One Year Results From a Post Approval Study”, is a new multicenter, prospective, study recently published in the Annals of Surgery journal. 200 patients with objective evidence of acid reflux were treated with LINX device surgery...

Fundoplication, Hiatal Hernia Repair and Esophageal Dysmotility

Fundoplication, Hiatal Hernia Repair and Esophageal Dysmotility

Natalie from Houston sent us this question: Do you recommend fundoplication in a patient with severe esophageal dysmotility and a paraesophageal hiatal hernia? Or is repairing the hernia the best that can be done? Dear Natalie, Your question is common and quite relevant. Why add a fundoplication...

Acid Reflux Cough LPR

Cough and sore throat: Cold, Flu or Acid Reflux?

The recent sudden temperature drop in Houston ushers the beginning of Cold and Flu season. Sore throat, cough, congestion are common symptoms that most of us associate with viral upper respiratory tract infections. Silent reflux, however, also known as laryngopharyngeal reflux or LPR causes similar...

Case of the Week: Recurrent Gastroparesis Symptoms

Jane is a pleasant 51-year-old female with history of idiopathic gastroparesis diagnosed in 2008. She underwent a subtotal gastrectomy with Billroth 2 gastrojejunostomy and insertion of feeding tube jejunostomy in 2009. Post-operatively the patient had difficulty tolerating per-oral diet for about 5 months. She was...