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Gastroesophageal Reflux Disease (GERD) is a form of digestive disorder, which affects the lower oesophageal sphincters or the muscle ring present between the stomach and the food pipe. GERD incorporates the return of the contents of the stomach back to the oesophagus or food pipe. The functioning of the lower oesophageal sphincter is disrupted.
Causes: Hiatal hernia is a common cause of GERD. An unhealthy lifestyle and diet may also lead to GERD. Intake of an excess amount of chocolates, fried food, coffee or alcohol triggers the chance of a reflux. GERD also occurs in obese people and pregnant women.
Symptoms: Heartburn, also known as acid indigestion, is the primary symptom of GERD. The affected person may feel a burning chest pain which starts from behind the breastbone and reaches up to the throat. The feeling can be defined as food coming back to the throat with a bitter, acidic taste. The burning sensation may last as long as two hours.
Other symptoms include:
- Excess saliva secretion
- Chronic conditions of sore throat
- Gum inflammation
- Tooth cavities
- Unpleasant breath
In order to diagnose GERD, several tests may be conducted . They are:
- An X-Ray of the upper part of the digestive system.
- Endoscopy to examine the inner part of the oesophagus.
- Ambulatory acid test for monitoring the amount of acid within the oesophagus.
- An oesophageal impedance test to measure substance movement inside the oesophagus.
- A person must make several changes to his daily lifestyle and diet plan for treatment of GERD.
- Food and beverages like chocolates, fatty food, coffee, alcohol and peppermint should be avoided in order to reduce the weakening of the lower oesophageal sphincter. Several food items irritate the damaged oesophageal lining and should also be avoided. They include citrus fruits, tomato and pepper.
- Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.
- One should elevate the head of the bed on which he or she sleeps on blocks measuring 6 inches. This reduces the heartburn as gravity minimizes stomach reflux to return to the oesophagus.
- Over the counter medicines can be used to cure GERD. Antacids are a good example and neutralize the acid in the oesophagus and stomach, reducing heartburn. Combining antacids with foaming agents is also effective. A foam barrier is formed over the stomach, preventing the occurrence of acid reflux.
- Medicines for reducing acid in the stomach are prescribed in cases of chronic GERD, which include H2 blockers by the likes of cimetidine, famotidine or nizatidine.
GERD is a digestive disorder, which causes disruption in digestion, as reflux from the stomach is returned to the oesophagus. Proper treatment measures should be taken.
I am a 26 years female. My mother in law is having some kind of problem while passing stools. She complaints of bleeding too sometimes. Tried milk of magnesia and few others but no symptoms of relief. She is on fibre rich food and good diet.
Hi doctor, I am suffering from Ring worm past 1 and half years, tried all medications (ketoconazole, itraconazole, terbinafine) 250 mg in tablet form, soap and medicine as well, please suggest me some good cream to apply which can cure the ring worm permanently, thank you.
I am suffering from prostate enlargement. I have burning in lower feet and palm. I go to toilet often in night but sometime I am unable to urinate. Please advice me diet plan and habitat. If there is any special food/fruit/veg for relief from my disease, please tell. Thank you.
I am 52 year Diabetic patient, my sugar level usually goes down even after the intake of normal sugar. I am currently taking singly dose of medicine prescribed by my doctor. Please advise what all precautions should I take to keep my sugar level to normal.
I am suffering from fever since morning what should I do I should take rest or not and which medicine I should take or should not take?
Hello doctor my mom has problem in her finger of leg, its become black in little area she got diabetes and now she got problem in finger so it is for diabetes or something else, now I am going to do leg sonography, what I do or to which doctor I have to go neurological or diabetes or for block What I do for it.
I have a problem with erection for long time. Initially when I start for sex I have a good erection and after few mins it just does not carry. I loose my erection. I have seen this many times. I have seen this in various scenarios as well. Not sure what is the problem.
Hi, I have had hemorrhoids surgery on 18-4-2061 and 1 month completed. But still I feel little pain and discomfort while sitting and after my bowel movement. I only take sitz bath and apply cream I do not take any medication at present. I only take isabgol powder 2 spoon at night. Kindly advise when I will be fully recover.
1. Eat three small meals and three snacks evenly spaced throughout the day. It is important to avoid periods of hunger or overeating.
2. Eat slowly and chew foods well.
3. Be relaxed at mealtime.
4. Sit up while eating and for 1 hour afterward.
5. Avoid eating within 3 hours before bedtime. Bedtime snacks can cause gastric acid secretion during the night.
6. Cut down on caffeine-containing foods and beverages, citrus and tomato products, and chocolate if these foods cause discomfort.
7. Include a good source of protein (milk, meat, egg, cheese, etc.) at each meal and snack.
8. Antacids should be taken in the prescribed dose, one-hour and 3 hours after meals and prior to bedtime. This regimen is most likely to keep the acidity of the stomach at the most stable and lowest level.
9. Milk and cream feedings should not be used as antacid therapy. Although milk protein has an initial neutralizing effect on gastric acid, it is also a very potent stimulator. Hourly feedings of milk have been shown to produce a lower ph than three regular meals.
10. Caffeine-containing beverages (coffee, tea, and cola drinks) and decaffeinated coffee cause increased gastric acid production but may be taken in moderation at or near mealtime, if tolerated.