Question 1

orig diagnosis was gerd, but the tablets or liquids don't work, pain just seems to be getting worse n worse, constantly feels like all food n liquid is stuck?

Accepted Answer

Endoscopy needed: Without being provided further information, the symptoms described require evaluation with an upper endoscopy (egd); sooner than later. Can be due to a bad case of gerd or complications thereof. But can be due to more serious condition of the upper GI such as the esophagus.

Question 2

which tests will be needed to confirm the diagnosis of gerd?

Accepted Answer

See below: The diagnosis of gerd can usually be made based in a a good history and response to a therapeutic trial. The only way to definitively confirm the diagnosis is either an endoscopy demonstrating reflux changes in the esophagus or a 24-48 hr pH monitor. In simple gerd these are generally not needed.

Question 3

12mo son diagnosis with silent aspiration at 5mo; also has gerd. otherwise healthy & structurally ok. will he outgrow (& what age)? or at what age is intervention needed (slp)? can slp help now at 12 mo?

Accepted Answer

Yes, SLP helpful: Any time a child has swallowing problem they need to a see an slp. An slp can be helpful, even in infancy. They help to develop swallow skills and help decide when a follow up swallow study should be done. It's hard to make predictions about if or when a child will outgrow a swallowing problem but therapy is an important part of gaining swallowing skills.

Question 4

what is the diagnosis for bulimia? what if a person is using acid reflux or gerd as an excuse or form of purging?

Accepted Answer

Bulimia: Bulimia is 
•Eating large amount of food in short time

•Self-evaluation being defined by body shape and weight.

•Lack of control over recurrent inappropriate behaviors to prevent weight gain-
o	Self-induced vomiting
o	Misuse of Laxatives, Diuretics and Enemas

Using GERD can be as an excuse or form of purging.
See Psychiatrist for Therapy, coping skills, and self-esteem, and  Emotional Health.

Question 5

i have recent diagnosis of gerd. it comes and goes no matter what my diet. i have stopped spicy foods and alcohol. on prilosec 2x day. why does it come/go?

Accepted Answer

Other triggers: Caffeine, soda pop, fried/fatty foods, chocolate can also trigger reflux. If you're overweight, that can exacerbate gerd. Reduce weight, exercise, consult with your doc about possibility of hiatal hernia.

Question 6

i know i have parkinson's, lupus, ranoids, gerd, & few more diagnosis could this be a possible shorter life span? or may i keep it under control & be fine?

Accepted Answer

You are OK: With lupus and raynauds you might seriously consider not smoking of course. There are a few other things you can do to improve your odds and quality of life. Basic stuff like monitoring your disease activity, monitoring vit d levels and taking an antioxidant combo that makes sense. Exercise is important too.

Question 7

i was recently diagnosis w/   erosive gastritis, esophagatis grade a from gerd. i can barely eat a couple bites of foods for gerd, and i get sick.bloated ect?

Accepted Answer

Medications?: Are you currently on any medications?  Simple over the counter antacids my provide temporary relief and a ppi prescribed by your physician may also help your condition.  You can also try making a log of foods that make you sick and foods that you are able to eat.  Try avoiding spicy foods, alcohol, coffee, etc. Don't eat with 3 hours before bed. Get tested for h pylori. Avoid Ibuprofen & like meds.

Question 8

gerd diagnosis 6 years ago, now with upper and upper left  ab. pain, diarrhea, dizziness, night sweats -- all for the last 4 weeks. ?

Accepted Answer

See your doctor: This could represent multiple pathologies all related to a prior hisotry of GERD.  You should see your doctor and ask to see a gastrointestinal specialist

Question 9

i have trouble eating enriched flour and enriched rice. organic flour & rice, that has not been enriched doesn't cause heartburn (gerd). is there a diagnosis or know disease for this. niacin causes problems in enriched foods?

Accepted Answer

: Apparently you're intolerant of some or one of the nutrients which are added after processing those foods. Actually you're better off eating the nonprocessed products anyway.

Question 10

diagnosised w/mild antral gastritis & mild gerd waiting 4 h pylori results-take prilosec bid & carafate-can not eating enough cause break thru reflux?

Accepted Answer

Unlikely: If you are on double dose prilosec, you should have very little acid and acid related reflux would be unlikely.

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Doctor answers about:

Differential diagnosis of gerd

A member asked:

Orig diagnosis was gerd, but the tablets or liquids don't work, pain just seems to be getting worse n worse, constantly feels like all food n liquid is stuck?

A member asked:

Which tests will be needed to confirm the diagnosis of gerd?

A member asked:

12mo son diagnosis with silent aspiration at 5mo; also has gerd. otherwise healthy & structurally ok. will he outgrow (& what age)? or at what age is intervention needed (slp)? can slp help now at 12 mo?

A member asked:

What is the diagnosis for bulimia? what if a person is using acid reflux or gerd as an excuse or form of purging?

A member asked:

I have recent diagnosis of gerd. it comes and goes no matter what my diet. i have stopped spicy foods and alcohol. on prilosec 2x day. why does it come/go?

A member asked:

I know i have parkinson's, lupus, ranoids, gerd, & few more diagnosis could this be a possible shorter life span? or may i keep it under control & be fine?

A member asked:

I was recently diagnosis w/ erosive gastritis, esophagatis grade a from gerd. i can barely eat a couple bites of foods for gerd, and i get sick.bloated ect?

A member asked:

Gerd diagnosis 6 years ago, now with upper and upper left ab. pain, diarrhea, dizziness, night sweats -- all for the last 4 weeks. ?

A member asked:

I have trouble eating enriched flour and enriched rice. organic flour & rice, that has not been enriched doesn't cause heartburn (gerd). is there a diagnosis or know disease for this. niacin causes problems in enriched foods?

A member asked:

Diagnosised w/mild antral gastritis & mild gerd waiting 4 h pylori results-take prilosec bid & carafate-can not eating enough cause break thru reflux?

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