Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.

Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

Complications associated with GERD
Over time, chronic inflammation in your esophagus can lead to complications, including:
1. Narrowing of the esophagus (esophageal stricture): Damage to cells in the lower esophagus from acid exposure leads to formation of scar tissue. The scar tissue narrows the food pathway, causing difficulty swallowing.
2. An open sore in the esophagus (esophageal ulcer): Stomach acid can severely erode tissues in the esophagus, causing an open sore to form. The esophageal ulcer may bleed, cause pain and make swallowing difficult.
3. Precancerous changes to the esophagus (Barrett's esophagus): In Barrett's esophagus, the tissue lining the lower esophagus changes. These changes are associated with an increased risk of esophageal cancer. The risk of cancer is low, but your doctor will likely recommend regular endoscopy exams to look for early warning signs of esophageal cancer.

Tips to Manage GERD 
1. Maintain a healthy weight: Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. If your weight is healthy, work to maintain it. If you are overweight or obese, work to slowly lose weight   no more than 1 or 2 pounds (0.5 to 1 kilogram) a week. Ask your doctor for help in devising a weight-loss strategy that will work for you.
2. Avoid tight-fitting clothing: Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter.
3. Avoid foods and drinks that trigger heartburn: Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn.
4. Eat smaller meals: Avoid overeating by eating smaller meals.
5. Elevate the head of your bed: If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Elevate your bed
6. Don't smoke: Smoking decreases the lower esophageal sphincter's ability to function properly.

Did You Know GERD Is More Than Heartburn?

Diarrhea occurs when the body is expelling germs out of it. An episode of diarrhea can last anywhere from a couple of days to a week. Dehydration, cramps, vomiting, nausea and fever often accompany diarrhea. Usually, children tend to get diarrhoea more than adults.

Diarrhea treatment according to causes behind it

Treating diarrhea due to infection: Some common causes of diarrhea include infection from rotavirus, salmonella (a type of bacteria) and rarely giardia (a type of parasite). In children, virus is a common cause of diarrhea. Besides watery or loose stools, viral gastroenteritis infection symptoms include fever, headache, stomach ache and vomiting. Gastroenteritis diarrhoea can last for 5-14 days. During this time, fluid loss must be prevented. In younger children, oral rehydration solution (ORS) or breast milk is enough. Just feeding them water won t replenish the potassium, sodium and other nutrients they lose. Older children, to prevent fluid loss, can be given ORS and popsicles to counter dehydration and vomiting.
Treating diarrhea due to medications: Antibiotics or laxatives can cause diarrhea in children. If the diarrhea is mild, make sure your child is hydrated. If the antibiotics are causing diarrhoea, you need to continue medication, but do consult your doctor immediately.
Treating diarrhea due to food poisoning: When it comes to food poisoning induced diarrhea, the same method as countering infection-induced diarrhea should be followed. Keep your child hydrated and call your doctor.
Diarrhea and children - recognising dehydration

The most serious complication of diarrhea is dehydration, especially if the diarrhea is severe. Severe dehydration is critical as it can cause brain damage, seizure, even death. Your child may need immediate medical attention, if you notice the following symptoms:

Light-headedness and dizziness
Sticky, dark mouth
Dark yellow urine
No or few tears when crying
Dry, cool skin
Loss of energy
When should you visit a doctor

Diarrhea resolves within a few days, but it can have serious complications. Call your doctor if you notice signs such as:
1. Looks very sick
2. Diarrhea has persisted for more than 3 days
3. Your child is less than 6 months old
4. Your child is vomiting bloody yellow or green fluid
5. Seems dehydrated
6. The fever reads above 105 degree Fahrenheit
7. Bloody stools
8. Rashes
9. Stomach pain persists for more than 2 hours
10. Infrequent urination

Diarrhea - How to Treat it in Children?

The problem of acidity occurs when the gastric glands of the stomach release extra acid, i.e. hydrochloric acid. This acid helps in the breakdown and digestion of eating food and when the extra hydrochloric acid is produced, that is when the problem of acidity arises. 

Types of acidity

Two types of acid reflux are

Upright acid reflux: Every hour when you are sitting throughout the day, upright acid reflux occurs.
Supine acid reflux: This form of acid reflux generally happens at night when the acid flows twice in the esophagus. Throughout the night time, we usually relax ourselves, so the acids are likely to go upside down. Visit a doctor before your supine acid reflux gets worse.
Symptoms of acidity:
Dyspepsia and heartbeat are the major symptoms of acidity. Heartburn usually occurs when you have your meal and is more irritated if you are involved in heavy weight lifts which result in stomach pressure.
Although you can experience different forms of acidity, symptoms of both types can be common. General symptoms of both the upright and supine Acid Reflux include ulcers, sinusitis, dysfunction, tooth decay. Chronic Supreme Reflux can cause chronic pain in the chest, long-term damage to the arms and jaws, stomach and respiratory tract.

Treatment for Acidity
There are seven ways to help treat your acidity:

Maintain a healthy die as maintaining proper habit is important. The consumption of spicy, processed food, pebbles, and high-fat food is not recommended. Eat slowly and chew your food properly.
Quit smoking and avoid alcohol consumption, as it increases heartbeat problems.
Diagnose yourself and meet a doctor. Some clinical trials to be conducted include X-rays, blood tests and endoscopy.
Some tips that you can follow to prevent insult include: (A) Avoid exercising with the entire stomach (B) Do not wear tight fitting clothes while sleeping (C) If you go to bed at least three Wait hours ago.
Your body weight also plays a crucial role. The weight of the extra body is pressured on the lower esophagus (LES) sphincter, which can weaken it over time. If LES fails to shut down correctly, then you are likely to experience from acid reflux.
Long-time acute stress and anxiety can cause acidity. You can follow some relaxation techniques to deal with stress and anxiety.
Dietary supplements available in health food stores and drug stores such as calcium and digestive enzymes can reduce the acidity.
Most of us can understand that acidity is a superficial issue, but when it gets spoiled it causes serious health issues such as an ulcer. Therefore, it is suggested to be attentive to the symptoms and moves forward a suitable remedy for acidity, positively.

Acidity - 7 Tips To Help You Control It!

As soon as one is released from hospital after going through an abdominal surgery, the patient must make a checklist and an early recovery strategy before leaving home. Do follow the following tips and recover soon.

    Do make prior arrangements for a safe and comfortable journey back to home. Ensure that you have made transportation arrangements to go home safely. Use your own car or book any cab or take any friend s help. Place a cushion over your abdomen to keep it safe from jerks.
    Do go for post-surgery checkup. Book an appointment with your surgeon post-surgery. This would ensure that surgery did not cause any side-effect.
    Understand the schedule for taking medicines. Usually the patients are given painkillers. If you think you are not getting relief from it then ask your surgeon to prescribe you an alternative. Patients are likely to suffer from constipation post an abdominal surgery. If that happens, intake more fibrous food, fluids and indulge in light physical activities. Patients can also ask for cheaper alternative medicines.
    Check for certain signs and symptoms and take adequate steps:
        Take adequate sleep. There are chances that you may feel dizzy and fatigue, therefore one must observe change in sleep patterns. Have patience. Things will become normal in due course of time.
        You will also be subjected to little pain from the incision. Take your medicines as directed in order to get an early relief from pain.
        Draining of yellow color liquid from the incision in little quantities post the surgery is normal. If the drainage continues even after 7 to 14 days with redness around incision, it is a clear symptom of infection. Consult your surgeon immediately for the cure.
        Removal of urinary catheter from the bladder may cause minor difficulties during urination. Situation will become normal in few days. If discomfort persists, consult your surgeon.
    Identify the following dangerous symptoms and call your doctor right away.
        Persistent vomiting or nausea
        Incapability to digest food or fluids
        Swelling in leg
        Abnormal body temperature
        Infection at the surgical site
    Maintain a healthy and supervised lifestyle post surgery.
        It will take few days to return to your normal routine life. So have patience until then.
        Go for morning and evening walks. Avoid heavy exercises as such activities may cause physical strain.
    Take care of your surgical incision
        Surgical incision should be regularly cleaned or washed gently. Try to keep the surgical site dry until the stitches are removed.
        After 5-7 days of surgery, the stitches would be removed by the surgeon. Avoid putting ointment on the stitches until then. It will take few weeks for the scars to fade.

Under proper care and supervision, the patient will soon recover post an abdominal surgery and will be able to get their life back on track.

Tips to Recover from an Abdominal Surgery

One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.

Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis: This type affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. Erratic appearance of small tears in the anus, called anal fissures.

Causes, Types and Symptoms of Crohn's disease

Renal Tubular Acidosis is a medical condition. When the kidney is unable to acidify urine, it leads to the accumulation of acid in the body. Usually, when blood is filtered by the kidney, it passes through the tubules of the nephrons (the functional unit of the kidney).

Before it flows into the bladder from the kidney, the urine undergoes an exchange of salts, acids and other solutes. Renal tubular acidosis results in the formation of excessive amounts of acid because the kidneys cannot drain them. This may happen because the kidneys cannot reabsorb the alkaline bicarbonate ions from the urine in the early segment of the nephron or because of inadequate production of acidic hydrogen ions in the latter half of the nephron.

Renal Tubular Acidosis is simply associated with abnormal urinary acidification. Other functions of the kidneys remain unimpaired.
There are several different types of renal tubular acidosis-

  Distal Renal Tubular Acidosis (RTA)
This is the most fundamental form of RTA. It is characterized when the hydrogen ions are not secreted into the lumen of the nephron by the alpha-intercalated cells of the medullary collective duct of the distal nephron. When this happens the pH of urine cannot be brought down below 5.3. Renal excretion is inhibited and hydrogen ions are not eliminated which leads to academia. At the same time, Potassium ions cannot be absorbed by the cell which leads to hypokalemia. The end result is protein retention and potassium excretion. Distal RTA can lead to the urinary stone formation, calcium deposits in the kidney, rickets and osteomalacia and Sjogren s syndrome.

  Proximal RTA
When proximal tubular cells reabsorb 85% of filtered bicarbonates and 60% of filtered sodium from the urine, then this again leads to academia. The distal intercalated cells, however, function normally and so the academia is not as severe as in case of Distal RTA. The alpha-intercalated cells can acidify urine to a pH of 5.3 or less because they produce hydrogen ions. Proximal RTA is also associated with Fanconi Syndrome which is characterized by aminoaciduria, uricosuria, glucosuria, and tubular proteinuria.

  Combined distal and proximal RTA
Inherited carbonic anhydrase II deficit leads to combined distal and proximal RTA. This is accompanied by osteopetrosis, cerebral calcification, and renal tubular acidosis. Cases of combined distal and proximal RTA are very rare.

How is RTA understood?
The following steps are applied to analyze Renal Tubular Acidosis-
  Determining the anion gap in acidosis. The normal Anion Gap is 8-12 (4-6 mEq/L)
  Separating the renal from the extrarenal causes of normal anion gap acidosis
  Classifying the types of RTA
  If it is distal RTA, further tests will be necessary to support the diagnosis

How is RTA diagnosed?
Three types of tests can reveal if a person is affected by Renal Tubular Acidosis-
  Urine test
  Acid load test
  Physical examination

Treatment of RTA-
Doctors prescribe either or both of the following two types of therapies-

  Alkali therapy- The pH level of urine is restored and electrolytes are balanced
  Vitamin D supplements- If RTA leads to bone deformities or rickets, your doctor will prescribe vitamin supplements to strengthen your bones.

Timely diagnosis can prevent the effects of Renal tubular Acidosis from becoming compounded. With the right medication, a person can lead a healthy normal life.

What Should You Know About Renal Tubular Acidosis?

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