How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • Go back-and-forth until satisfied
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 56719
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
5625079
Type Your Medical Question Here...
Dr. Arun Phophalia is online now

What is LPR the underlying cause of? (Medical causes) (i

This answer was rated:

What is LPR the underlying cause of? (Medical causes) (i have a LAX LES)
Heidelberg test says hidden hypochlorhydriaDoctor says Restech showed i have high stomach acid - from what I know the Restech isn’t something that tests for low/high acid stomach situations.Can I have help with this?

The underlying causes of LPR can be;

1) Esophageal spasm

2) Esophageal motility disorder.

These can be determined by;

1) Barium esophagogram

2) 24 hours pH estimation of the esophagus.

3) Esophageal manometry.

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using Just Answer.

Customer: replied 5 days ago.
They have done barium swallow to rule out any motility disorders, a PH Restech and endoscopy. I have a small sliding hiatal hernia.I have had two diagnosis - one saying low stomach acid and another diagnosis which says high. How can I resolve these to get to an answer to treat it?

The following measures are helpful with the medications for acid reflux, which you may be taking:

1) Small 5-6 meals a day.

2) Last meal should be eaten 3 hours before lying down.

3) Avoid; fried or fatty foods, chocolate, peppermint, alcohol, coffee, carbonated beverages, citrus fruits or juices, tomato sauce, ketchup, mustard, vinegar.

4) Eat slowly so air is not swallowed.

5) Swallowing therapy by a speech-language pathologist.

6) Lose weight if obese or overweight.

7) Elevate the head of the bed by 6 inches.

8) Avoid tight clothing.

9) Stop smoking, if you do.

If these measures are not helpful, you may need fundoplication surgery.

Dr. Arun Phophalia and 2 other Medical Specialists are ready to help you