Hello Doctor,
I recently had an endoscopy, and my report states that I have a lax LES of Hills Grade 2 at 38 cm. How severe is this condition? I’ve been experiencing intense acid reflux symptoms, including constant heartburn, a burning sensation in my throat, chest pain, stomach pain, nausea, and a persistent burning feeling in my stomach. I also have extreme sensitivity to spicy foods. These symptoms happen all the time and are really affecting my daily life. Should I be concerned? What can I do to manage this?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
1. A lax lower esophageal sphincter (LES) of Hills Grade 2 indicates some degree of weakness in the muscle that prevents stomach acid from flowing back into the esophagus. This can contribute to persistent acid reflux symptoms like heartburn, chest pain, nausea, and throat irritation.
2. Since you are experiencing severe and constant symptoms despite dietary precautions, it is important to manage this condition effectively. Start with lifestyle modifications—avoid spicy, acidic, and fatty foods, eat smaller meals, don’t lie down immediately after eating, and elevate the head of your bed while sleeping. Medications like proton pump inhibitors (PPIs) or H2 blockers can help reduce acid production and protect your esophagus.
2. However, if your symptoms remain severe and do not improve with medication and lifestyle changes, surgical options such as fundoplication or LINX procedure may be considered to strengthen the LES and provide long-term relief. You should consult a gastroenterologist to evaluate the severity of your condition and discuss the best course of action.
Thanks
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