Doctor insights on:
GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Stomach contents: Reflux refers to the acid, fluid and sometimes partially digested food in the stomach traveling back up the esophagus. This is irritating and can be treated with elevation of the upper body (not sleeping flat), not eating late in the day or too much at once, and medications like Omeprazole (which is otc) drinking alcohol, eating spicy or acid foods may bother you as well. ...Read more
Barrett's esophagus: Treating people with reflux may help prevent Barrett’s esophagus and esophageal cancer. Often, reflux is treated using drugs called proton pump inhibitors (PPIs), such as esomeprazole (Nexium®). Avoiding tobacco and alcohol, balanced diet and healthy body weight do help also. ...Read more
Yes and no: Acid reflux is not clearly a cause of esophageal cancer. But there is an association of reflux (acid and non-acid) to barrett's esophagus/adenocarcinoma of the esophagus. There are other types of esophageal cancers, which may or may not be related to reflux. ...Read moreSee 1 more doctor answer
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Diagnosed w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-still experience burning, tight stomach, reflux?
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
Suffering from acid reflux-bad breath, regurgitation. Ppis, baking soda, apple cider vinegar, antiacids don't work. Solutions ?
Acidity+cell changes: Your esophagus is not designed to handle acidic secretions. In gerd, the cells in the esophagus are frequently exposed to acidity and become damaged. Over time, the tissue adapts by changing its cells into ones similar to cells in the stomach. This called metaplasia. Because these kinds of cells are abnormal in the esophagus, people with barrett's are at greater risk for esophageal cancer. ...Read moreSee 1 more doctor answer
Gallbladder post 1year bravo test negative for acid reflux, but upper gi showed esphogitis reflux and some erosion, what is causing if no acid reflux ?
Non-acid reflux: Could be non-acid reflux. Also, no test is perfect, and the bravo study could be incorrect. Its also important to use the bravo data to correlate symptoms to acid reflux episodes. There is also a 24 hour pH-impedance study that can detect reflux that is not acid. Ask your GI doctor about these. Hope this helps! ...Read more
Yes indeed : There is a 15% incidence if de novo reflux symptoms after sleeve. It may be that repairing hernia at the diaphragm where esophagus come through may prevent these symptoms. Gastric bypass cures reflux 100%. If there is a history of sever reflux causing esophagitis or barrett's esophagus, go with bypass. ...Read moreSee 2 more doctor answers
All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis.
Allergist/GI: See an allergist or a GI doc who is comfortable managing eosinophilic esophagitis (EoE). Often, patients with this condition are managed by both specialties. EoE is often managed with multiple therapies, including food elimination diets, proton pump inhibitors, and swallowed steroids depending on severity and symptoms. Please see doc as this is a chronic, sometimes severe, condition. ...Read more
Bile reflux-acid reflux, being treated for acid reflux 40mg Pepcid (famotidine) and 40mg pantaprozole each 2/aday. But symtoms of bile reflux..Wrong meds?
Bile or acid reflux?: If you have acid reflux disease and are having symptoms despite high dose acid-reducers and acid-blockers, then either your reflux is more severe and other treatment options should be considered, or the reflux is not acid-related but possibly gall bladder/liver related. ...Read more