Doctor insights on:
Gerd Gastroesophageal Reflux Disease
Several treatments.: Several treatments are available for gerd. The first is lifestyle modifications. These include raising the head of your bed, avoid eating late, losing weight, and avoiding reflu inducing foods. The second is meds, including h2 blockers (zantac, pepcid) and ppis (nexium, prilosec, dexilant). The third is surgery. These include nissen fundoplication, tif (transoral fundoplication) and linx. ...Read more
Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more
Same: Eat small meals, loose wt., no smoking, no caffein. Soda and avoid fatty meals. ...Read more
If you have GERD (gastroesophageal reflux disease) is it wise to drink honey and warm milk together?
Of course. But Why?: Gastric=stomach & upper 2/3 lined with cells which secrete hydrochloric acid (inhibits bacterial growth) under brain control. With healthy subconscious control of esophagus, bottom of esophagus only relaxes as solid/liquid is pushed down. If stomach contents repeatedly pushed back up, esp. When lots of acid present, then esophagus damaged over time; can eventually promote esophagus cancer. ...Read more
Hiatal hernia: other than GERD (gastroesophageal reflux disease)/heartburn, what other effects might it cause? Is it dangerous if left untreated?
Depends: Large hiatal hernias (or paraesophageal) hernias can cause chest pain, difficulty swallowing, and severe anemia from chronic bleeding. Only rarely do they cause life threatening problems such as gangrene. They are however frequently misunderstood as the cause of symptoms, so if a large hiatal or paraesophageal hernia is the diagnosis, see a general or thoracic surgeon with experience in lap repair. ...Read more
Testing: I believe that symptoms are a good blue to gerd but I think that egd, and posibly oh probe are the best way to characterize the degree of reflux and severity of damages. I would add to that an UGI and gastric emptying. The symptoms of gerd can be due to several conditions. If one just uses symptoms as the diagnostic tool, I would not treat medically for longer than 4 weeks. It can be serious. ...Read more
Acid in Esophagus: Gastric=stomach & upper 2/3 lined with cells which secrete hydrochloric acid (inhibits bacterial growth) under brain control. With healthy subconscious control of esophagus, bottom of esophagus only relaxes as solid/liquid is pushed down. If stomach contents repeatedly pushed back up, esp. When lots of acid present, then esophagus damaged over time; can eventually promote esophagus cancer. ...Read more
Not really, but...: Excessive anxiety complicates and amplifies most problems, both physical and emotional. So ger may seem worse, you might "notice" it more, react more to the symptoms. Further, it's possible that ongoing stress may exacerbate conditions which lead to ger, such as acid content in the stomach, gastritis, drinking alcohol, smoking, late-night eating, caffeine intake, over-eating, etc. ...Read more
Hard to say: This is where medicine is more art than science. If by cure you mean no more heart burn, we are almost there. Reflux, however, is a physiologic event that will happen under many common settings (large meal, carbonation, muscle relaxant, poor gastric emptying / full stomach...). The best reflux rx is actually a combination of wise dietary selection, good lifestyle and medical attn as needed. ...Read more
What causes Gastroesophageal Reflux Disease (Gerd) and how to cure it? What are some common symptoms of Gerd?
Esophageal Sphincter: GERD is typically caused by a relaxation of the lower esophageal sphincter (a tightening of the esophagus before it reaches the stomach). This allows gastric juices from the stomach to enter into the esophagus. Typical symptoms are heartburn, sour or bitter tastes, nausea after eating, stomach bloating or stomach pain in the upper abdomen. ...Read more
No.: GERD is acid coming up in the esophagus which can cause irritation to the cells that line the esophagus. Rarely, those cells can change appearance to what is called "Barrett's esophagus". These changes in the cells may have potential to become cancerous. Barrett's is rare and it takes years to develop. ...Read more
Gastroesophageal reflux disease can lead to:: Asthma in adults, Aspiration, Asthma exacerbation in adults, Eustachian tube dysfunction, Idiopathic pulmonary fibrosis, Laryngomalacia, Snoring, Throat cancer, Asthma, Hiccups, Bad breath, Pulmonary fibrosis, Barrett esophagus, COPD, Vocal cord nodule. ...Read more
Small meals - almost like grazing
low in fat
no fried foods
dont eat with in 3 hours of bedtime. ...Read more
Weight loss, diet: If your are overweight, losing weight can help. You should avoid late meals, large meals, fatty meals, peppermint, caffeine, nicotine, chocolate, spicy foods, tomato sauce and any other foods you find cause heartburn. Taking a daily acid medications such as ranitidine or Prilosec otc can be helpful if the above does not help. ...Read more
All related: Heartburn is a common symptom of the physiologic event of acid reflux. Gerd is diagnosed when reflux symptoms occur frequently to require medical attention. Reflux symptoms include heartburn, regurgitation, frequent burping, night time cough, or even aspiration.... And many others. If you are having frequent problems and takes Tums (calcium carbonate) or acid reducer regularly, you need to see a doctor. ...Read more