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Doctor insights on: Bravo Gerd

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Whats GERD gastro esophageal reflux disease?

Whats GERD gastro esophageal reflux disease?

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

Dr. David Earle
1,355 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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Gastro esophageal reflux disease diet recommedations?

Gastro esophageal reflux disease diet recommedations?

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 more

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I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?

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

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Gastroesophageal reflux? Is that acid stomach?

Gastroesophageal reflux? Is that acid stomach?

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

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Does Nexium (esomeprazole) prevent Barret's Espophagus?

Does Nexium (esomeprazole) prevent Barret's Espophagus?

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

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Can acid reflux cause esophageal cancer without ever having barretts esophagus?

Can acid reflux cause esophageal cancer without ever having barretts esophagus?

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 more

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Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

Is anyone familiar with esophagitis and GERD gastroeosophageal reflux disease?

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

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis.  2010 had a fundoplication.  Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians. ...Read more

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What distinguishes acid reflux from laryngopharyngeal reflux?

What distinguishes acid reflux from laryngopharyngeal reflux?

Keep it simple here: Lpr is acid reflux from stomach that reaches your throat. There it may cause symptoms in that area like hoarseness, cough, sensation of something stuck there, throat clearing tendency. ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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Brittany Chan Dr. Chan
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How does GERD lead to barrett's esophagus?

Brittany Chan Dr. Chan
5 doctors agreed:
How does GERD lead to barrett's esophagus?

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 more

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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 ?

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

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Can u get gastric sleeve with acid reflux?

Can u get gastric sleeve with acid reflux?

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 more

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All the swallow problems, finally an edoscopy. Dr says esophagitis seen, corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. Help?

All the swallow problems, finally an edoscopy. Dr says esophagitis seen,  corrugated esophagus esophageal mucosa c/w eosinophilic esophagitis. 
Help?

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

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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

Dr. Charles Cattano
1,518 doctors shared insights

Heartburn (Definition)

Burning pain or irritation in the upper stomach or lower chest. May be worse on lying down, and is ...Read more