Sure: GERD is usually caused by changes in the barrier between the stomach and the esophagus,including abnormal relaxation of the lower esophageal sphincter, impaired expulsion of gastric reflux from the esophagus (dysmotility),or a hiatal hernia. These changes may be permanent or temporary. Factors that can contribute: Hernia,obesity,hypercalcemia,ZE syndrome,meds, Scleroderma,systemic sclerosis....
Answered 9/18/2014
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