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Doctor insights on: How Bad Does My Gerd Need To Get Before Surgery Becomes A Good Idea

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How bad does my GERD need to get before surgery becomes a good idea?

How bad does my GERD need to get before surgery becomes a good idea?

Very bad.: I advise my patients that the surgical treatment for gerd is not for the "casual refluxer". The surgery changes the way that your stomach processes food and is really only a "band-aid" procedure, in that it does not correct the physiologic abnormality that causes reflux. However, if your quality of life is significantly affected by gerd and meds do not control your symptoms, it is a good option. ...Read more

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Dr. David Earle
1,342 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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How bad does my bronchitis need to get before my doctors will consider a lung transplant?

How bad does my bronchitis need to get before my doctors will consider a lung transplant?

Whoa, wait a minute: Lung transplantation is an avenue of last resort. There are specific indications before considering transplantation which carries with it a whole difference set of medical problems. Generally, the threshold is very high and it is only when life expectancy is very limited, when lung transplantation is considered. ...Read more

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Why do I get a bad headache everytime I wake up from a nap? Is it best for me to eliminate naps or will it get better?

Why do I get a bad headache everytime I wake up from a nap? Is it best for me to eliminate naps or will it get better?

Hello Young Lady: I've missed you stopping by to let me know how things've been going. Wanna go over your headache diary some time? I believe I sent you one, no? Hope you're not working in those hot places anymore. Headaches get significantly worse for every 7 degrees F elevation in temperature. Headaches upon awakening can point to something called hypnopompic type and that could point to something important. ...Read more

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How bad does it hurt to get the stitches removed from a septo-rhinoplasty? Is it really bad? Should i take pain medicine before i go to get it done?

How bad does it hurt to get the stitches removed from a septo-rhinoplasty? Is it really bad? Should i take pain medicine before i go to get it done?

Not the worst : I would have someone bring you to the appointment and take 1-2 of the pain pills an hour before you go. There will be some weird pulling/tugging sensations and some suctioning of mucous, allowing you to breathe better after all is removed. Think of how good you will feel once it is done and you will make it through! ...Read more

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I smoke regularly i need to clean my lungs, is there a procedure and how much does it cost?

I smoke regularly i need to clean my lungs, is there a procedure and how much does it cost?

Not really.: There is no 'procedure' to clean your lungs. The very best thing that you can do for your lungs is to stop smoking. This will also save you money as smoking is expensive! if you have concerns about 'cleaning' your lungs and about smoking cessation, go to a local clinic and discuss your concerns with a provider / doc. Medications, hypnosis, and behavior modification may help. Be well! ...Read more

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How can I get my pores open before a clean my face to get everything or most out? What is a toner for does it help ?

How can I  get my pores open before a clean my face to get everything or most out? What is a toner for does it help ?

Warm water: Good skin care is important. Using warm water before washing can open pores. Using gentle soaps or cleaning treatments will help. I have people using a vibrating brush with special soap to treat their acne. Then rinsing with cooler water. The word toner can men many different products so best to speak with someone skilled at skin care to decide what you might need. ...Read more

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What can I do to help heal a misaligned pelvis due to giving birth? Does it get better? It hurts after I work in a busy restaurant.

What can I do to help heal a misaligned pelvis due to giving birth? Does it get better? It hurts after I work in a busy restaurant.

I do not know what: You means when you say I have misaligned pelvis due to giving birth, usually there are some stretching form due to giving birth but this usually come by itself after month if last more than that please check it out. Good luck. ...Read more

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How long does it take for you to get rid of bad breath after a tonsillectomy?

How long does it take for you to get rid of bad breath after a tonsillectomy?

As soon as healed: Tonsillectomy is done when tonsils are enlarged and cause obstruction and infection in the throat. Often times enlarged tonsils cause bad breath too. Surgery is done to remove them and prevent repeated problems. Bad breath is caused by a large number of bacteria in the mouth, especially in infected tonsils decreases as soon as tissues start to heal after tonsillectomy. ...Read more

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How can you get a better sleep after a spine surgery?

How can you get a better sleep after a spine surgery?

Depends: Follow your doctor's specific instructions. A few generals tips would be to walk and exercise enough each day so that you are tired at night. If you need to nap during the day, limit the naps to 15-20 minutes and do not nap after mid afternoon. If you sleep too much during the day, you will not sleep at night. If pain interferes with sleep, use your medicine to get comfortable before you go to bed. ...Read more

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What to do if I have a surgery to take out my salivary stone on tuesday. Is this a good idea?

What to do if I have a surgery to take out my salivary stone on tuesday. Is this a good idea?

Yes: If you are having symptoms , swelling, inflammation, and/ or infection, and a sialolith is documented to be causing the problems, then by all means get it removed. Go to an oral surgeon experienced in this procedure! ...Read more

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We're can I find cheap insurance for young adults .. Asap and how long does it take for the process n all .I need it bad?

We're can I find cheap insurance for young adults .. Asap and how long does it take for the process n all .I need it bad?

Unsure: Most if not all insurances don't cover immediate or conditions ongoing at the time of purchase. There may be exceptions so call your area hospital and ask. They usually have a department to help patients. ...Read more

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How can you get rid of a uti? Does it mean you have waited to long when you start having really bad stomach pains.?

How can you get rid of a uti? Does it mean you have waited to long when you start having really bad stomach pains.?

Antibiotics.: Plenty of fluids and cranberry juice/extract has a low likelihood of kcuring, but may keep symptoms at bay. See doc for antibiotics and / or evaluation. ...Read more

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Can it be bad for me to start run in my condition? How do i best start exersise? What can go wrong? Or is it just good for me? Cant just sit & wait.

Can it be bad for me to start run in my condition? How do i best start exersise? What can go wrong? Or is it just good for me? Cant just sit & wait.

Depends: It really depends on the more specific nature of the condition you have. In general, exercise is good and has many health benefits. But there are medical conditions in which exercise is contraindicated. Don't hesitate to check with your doctor. ...Read more

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I don't have access anytime soon to a doctor to get antibiotic. I have this otitis which hurts a lot. How long will it stay and will it end by waiting?

I don't have access anytime soon to a doctor to get antibiotic. I have this otitis which hurts a lot. How long will it stay and will it end by waiting?

Ear pain: You don't give any details. If you have swimmers ear several drops several times a day will give you relief. If you pull on your ear lobe and it hurts, that could indicate otitis externa. If you've had a cold or URI you may have a middle ear infection as a result. In that case lie on a heating pad and take ibuprofen. Ear infection are self limiting and may cease after a few days. ...Read more

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What should I do now before i get pregnant to make it easier for my body to be in a better condition after birth?

What should I do now before i get pregnant to make it easier for my body to be in a better condition after birth?

Control weight: One of the issues that is under your control with regard to your well-being after pregnancy is your weight / dietary habits. Many other aspects are much less controllable. You will feel better, physically and psychologically, after pregnancy, if you enter pregnancy at your optimal weight, eat healthy during your pregnancy, and do not gain excessive weight. ...Read more

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After having a motorcycle accident how long after is it safe to get & adjustment? Which is better to seek treatment for this a do or a chiropractor?

After having a motorcycle accident how long after is it safe to get & adjustment?  Which is better to seek treatment for this a do or a chiropractor?

Need medical clear: I recommend a thorough evaluation of the spine and at least xrays to rule out any damage from the motorcycle before considering a manipulation that could aggravate any physical injury from the motorcycle accident. ...Read more

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How can I get pregnant after having a tubal and do not want to have surgery for a reversal? Is it possible to try something natural?

How can I get pregnant after having a tubal and do not want to have surgery for a reversal? Is it possible to try something natural?

NO NO: There is nothing natural that will work if your tubes are blocked, you either need a tubal reversal or in-vitro- fertilization, those are the only 2 ways ! ...Read more

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How do you get a dr not to think your drug seeking because you didn't have insurance for a long time I'm in pain now and I can't get a doctor to help?

How do you get a dr not  to think your drug seeking because you didn't have insurance for a long time I'm in pain now and I can't get a doctor to help?

Find pain doctor...: Most doctors don't like to treat chronic pain. The rules for prescribing are a bit tricky and the doctor can get in trouble for not doing it right. If you are experiencing pain, the best thing to do is to see a doctor who is comfortable managing chronic pain. They will prescribe for you if you follow their rules. Don't expect just any doc to be willing to do this. Best wishes! ...Read more

Dr. Charles Cattano
1,491 doctors shared insights

Heartburn (Definition)

A painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to ...Read more