Doctor insights on:
Differential Diagnosis Of Gerd
GERD diagnosis 6 years ago, now with upper and upper left ab. Pain, diarrhea, dizziness, night sweats -- all for the last 4 weeks.?
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?
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?
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. ...Read more
What is the diagnosis for bulimia? What if a person is using acid reflux or GERD as an excuse or form of purging?
•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. ...Read more
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?
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?
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. ...Read more
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?
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. ...Read more
My husband had GERD several years ago with a dry cough that was diagnosis with Prilosec success. He has this again but not working. Prilosec + zantac (ranitidine)? Dosage?
Increase dose: If in fact the cough is caused by acid reflux coming up into the laryngeal area it may take using the Prilosec twice a day. Of course, the problem may be caused by something else such post-nasal drip or even cough varient asthma. It may be time to see a cough specialist such as an allergist or pulmunologist. ...Read more
Diagnosised w/mild antral gastritis & mild GERD waiting 4 h pylori results-take Prilosec bid & carafate-can not eating enough cause break thru reflux?
Sometimes I feel food has trouble traversing my throat and mid esophogous. I have had to force myself to vomit to dislodge. I have gerd. Diagnosis?
Motity disorder: You may have an esophageal motility disorder, where your esophagus doesn't work in a coordinated fashion to push the food down. This is typically an intermittent problem, and some of these disorders may be associated with gerd. A test with a tube in the nose can help make the diagnosis. Treatment options are limited, but fixing the gerd with and endoscopic or surgical procedure might help. ...Read more
I'm 35, was diagnosis w/ refractory asthma, distal bronchomalacia & gerd. Pulmonary hypertension was seen on ct. Should I worry about this / see a cardio dr?
Yes: Cardiologist and / or pulmonologist can evaluate you. ...Read more
ANA 1:640 centromere pattern centromere b antibody >8 with GERD and minor toe numbness in cold Rheum left before any fol. Up/diagnosis. Try new doc?
Yes: You need to have an expert to follow your condition and to establish the diagnosis and a treatment plan. ...Read more
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.... ...Read more
Individual: Even though some food and drink such as citrus and chocolate are known to typically worsen gerd symptoms, everyone is unique, and may have a slightly different, or even opposite response. There is nothing dangerous about having some yoghurt as it relates to gerd. If it doesn't make your symptoms worse, enjoy! ...Read more
Prevent/Control GERD: Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime. Lose weight. Elevate head of bed on blocks. Use otc acid blockers for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid, zegerid). See a GI doctor if persistent. ...Read more
PPI: Proton Pump Inhibitors (priolosec, nexium, (esomeprazole) protonix and others) reduce the acid produced by the stomach and help prevent esophogeal damage. They should be taken daily for prevention. Consult your Dr to see if you need to take long term. For occasional heartburn, there are a number of meds - zantac, tums, etc. These will reduce hearburn pains, but do little to preotect against long term damage. ...Read more
Gerd: I don't know if yogurt directly benefit here, but it certainly does not make it worse as do many other foods. It is a very good food as long as it is not loaded with sugar. The type with natural cultures will replace natural flora in the gut which is a good thing after antibiotics and in those with IBS. ...Read more
GERD: Gerd can be a factor in a number of conditions: sinusitis, asthma, sore throat, laryngitis, snoring and sleep apnea, cough, pneumonia, wheezing, copd, chronic bronchitis, lung abscesses, chevy pain, heartburn, barrett's esophagus and esophageal cancer. Even GI specialists can fail to connect gerd with these other issues - they are primarily looking for malignancy. ...Read more
Yes, but rare: Long term and severe complications of GERD include bleeding from the esophagus or a stricture of the valve between the esophagus that can cause food to become impacted here. Both of these things may require an emergency endoscopy to fix the problem. They are however very uncommon in the modern age of medications and good access to healthcare in general. Hope this helps! ...Read more