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Gastroesophageal Reflux Tips

Fundoplication - Know What Is It!

M.Ch - Paediatric Surgery, MBBS, MS - General Surgery
Pediatric Surgeon, Hyderabad
Fundoplication - Know What Is It!

Fundoplication is a kind of surgery which aims to prevent stomach contents from going back to the oesophagus. The operation is conducted by wrapping the upper half of the stomach, close to the lower portion of the oesophagus, thereby tightening the outlet of the oesophagus as it empties into the stomach. In maximum cases, this surgery of fundoplication gets performed by a paediatrician by using a small telescope and small instruments, which get placed through few incisions, in the size of a band-aid on the abdomen.

Why is the surgery necessary?
Fundoplication is usually recommended for children who have the following problems and symptoms, which include:

  • Children who have complications or persistent symptoms related to gastroesophageal reflux (GER), which do not improve through medication.
  • The symptoms of this problem include vomiting, oesophagitis gastrooesophageal stricture, recurrent pneumonia, breathing problems and insufficient growth.
  • Before undergoing the surgery, a paediatrician can perform some tests on the child to confirm GER, like pH probe study or oesophogram.

How is the surgery performed?
The surgery of fundoplication is conducted in the following manner:

  • As mentioned earlier, the surgery is performed with the use of a small telescope and miniaturized instruments that are placed through 3-4 band-aid size cuts on the abdomen.
  • The surgery is performed within two to three hours and a child might need to stay back in the hospital for 2-3 days after the surgery.
  • After the operation, when the child is in hospital, he/she would receive intravenous fluids along with pain medication.
  • As and when the child feels well, he/she would be allowed to eat, drink as well as take medicines by mouth.
  • For some patients, a gastrostomy tube is put inside the mouth to ensure the feedings get administered and the air gets released. The release of air is known as venting.
  • It would be difficult for the child to burp for a number of weeks after a fundoplication has been done. So, the venting ensures that air leaves the stomach, which would lead to a decrease in bloating and thus keep the child comfortable.

Diet
Little bit of time would be needed for a child to fully recover from this surgery and for food to go through comfortably into his/her stomach. The first two weeks would involve only liquid diet including:

  • Water
  • Juices
  • Milk
  • Milkshakes
  • Ice Cream
  • After this in the 3rd and 4th weeks, his or her foods can include mashed potatoes, pasta, fish, cereal, cheese.
  • Then after one month, they can slowly resume their usual diet.

Pain Management
Pain medication as per prescription is not required to be followed on a routine basis after discharge. When the child is back home, they only give either Acetaminophen or Ibuprophen.

Causes Of Chronic Cough In Non Smokers!

Dr. Hemant Kalra 87% (369 ratings)
MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Causes Of Chronic Cough In Non Smokers!

Some of the main causes of Chronic cough in the people who don’t smoke includes nasal sensitivities, asthma, post-nasal release and gastroesophageal reflux disease (GERD.) It is important to identify the reason for a chronic cough, to throw the serious sickness out and furthermore to adopt the required treatment. 

 

6 people found this helpful

Gastroesophageal Reflux Disease: 6 Tips To Get Rid Of It!

Dr. K. S Somasekhar Rao 87% (20 ratings)
DM - Gastroenterology, MD - General Medicine, MBBS
Gastroenterologist, Hyderabad
Gastroesophageal Reflux Disease: 6 Tips To Get Rid Of It!

Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with GERD? Here's a brief list!

  • Obesity: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
  • Alcohol and Smoking: The muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
  • Go Gluten Free: Adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.
  • Other Dietary Measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.
  • Smaller and Well Timed Meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing of stomach acids.
  • Exercise: Ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.

Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to see a doctor regarding severe cases where the symptoms do not abate and medication may be required. If you wish to discuss about any specific problem, you can consult a Gastroenterologist.

3733 people found this helpful

Gastroesophageal Reflux Disease (GERD) - 6 Ways It Can Be Treated!

Dr. Manoj Kumar 88% (73 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Gastroesophageal Reflux Disease (GERD) - 6 Ways It Can Be Treated!

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:

  1. Excess saliva secretion
  2. Chronic conditions of sore throat
  3. Laryngitis
  4. Gum inflammation
  5. Tooth cavities
  6. Unpleasant breath

In order to diagnose GERD, several tests may be conducted

  1. An X-Ray of the upper part of the digestive system.
  2. Endoscopy to examine the inner part of the oesophagus.
  3. Ambulatory acid test for monitoring the amount of acid within the oesophagus.
  4. An oesophageal impedance test to measure substance movement inside the oesophagus.

Treatment

  1. A person must make several changes to his daily lifestyle and diet plan for treatment of GERD.
  2. 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.
  3. Smoking cigarettes results in weakening of the lower oesophageal sphincter and should be stopped to reduce GERD.
  4. 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.
  5. 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.
  6. Proton pump inhibitors commonly called PPI are best drugs for control of symptoms. Occasionally prokinetic drugs are also used in combination with PPI.

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. If you wish to discuss about any specific problem, you can consult a doctor.

2005 people found this helpful

Problems Related To Digestion!

Dr. Goma Bali Bajaj 87% (299 ratings)
MEM , Diploma In Geriatric, MBBS
General Physician, Mohali
Problems Related To Digestion!

The human digestive system is a very complicated and sizeable component of the body. It starts right at the beginning of the mouth, ending at the rectum. Some of the major responsibilities of the digestive system include absorption of essential nutrients and elimination of wastes.

Not only do digestive problems have embarrassing and unwanted symptoms, serious, chronic diseases can be caused if the minor problems are not treated.

Some digestive problems are listed below:

  1. GERDThis is a burning sensation that results from acids in the stomach being squirted into the oesophagus. A burning sensation is felt, right from the chest to the end of the throat. Frequent heartburns can lead to GERD (Gastroesophageal Reflux Disease), symptoms of which include dry cough, sore throat, chest discomfort and difficulty in swallowing.
  2. BloatingThis is caused due to the presence of excess gas in the colon, small intestines or the stomach.
  3. Dyspepsia: This is an uncomfortable feeling or pain which occurs in the upper abdominal regions, mostly a result of excess food intake. It is commonly referred to as indigestion. Dyspepsia can be discomforting and if prolonged, medical assistance should be opted for.
  4. Chronic ConstipationPersistent constipation (chronic) is a sign that there is a problem with the elimination of wastes. This usually happens when the colon is unable to move or pass stools. Other major causes of chronic constipation can be changes in your usual diet, various eating disorders, Irritable Bowel Syndrome and excessive consumption of dairy products among others.
  5. Food Intolerance: This occurs when the digestive system is unable to tolerate certain food items. This condition is different from food allergies as it only affects the digestive system. Some of the common symptoms include diarrhoea, headache, gas and vomiting.

Possible Serious Conditions-

A gastroenterologist is a type of doctor that specializes in diagnosing and treating diseases involving the digestive system. If you continue to experience digestion problems, it’s time to make an appointment.

More serious signs could mean an emergency medical problem. Those signs include:

  • bloody stools
  • continuous vomiting
  • severe abdominal cramps
  • sweating
  • sudden, unintentional weight loss

These symptoms could be an indication of an infection, gallstones, hepatitis, internal bleeding, or cancer.

Medications-

You may be able to overcome digestion problems with treatment and lifestyle changes. Certain diseases of the digestive system might be long-term, but medications can help alleviate symptoms.

Identifying specific digestion problems and talking with a gastroenterologist can go a long way in terms of helping your doctor give you a proper diagnosis. Remember, you don’t have to put up with constant digestive issues.

3185 people found this helpful

GERD - Know How to Deal With it!

Dr. Bhavin Vasavada 91% (217 ratings)
FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist, Ahmedabad
GERD - Know How to Deal With it!

Gastroesophageal reflux disease, or GERD, as it is commonly known is a digestive disorder that is caused primarily due to intestinal distress. GERD is caused in the muscle that lies between the oesophagus and the stomach, when the acid is produced in the stomach, it starts to flow backwards. For patients suffering from GERD, the acids flow back into the oesophagus instead of the stomach, causing symptoms like severe heartburn, chest pain and nausea, amongst others. So what does one do to deal with GERD? Here's a brief list!

  • Obesity: Being overweight and obese are two of the most important factors that contribute to discomfort in GERD patients. Working towards a healthier weight is a sure shot way of dealing with this ailment.
  • Alcohol and smoking: The muscle ring that can be found between the stomach and the oesophagus relaxes with the intake of alcohol or with smoking, which prevents it from closing to stop the stomach's juices from reaching the oesophagus. So, giving up both substances would be a good idea if you are a GERD patient.
  • Go gluten free: Adopting a gluten free diet can help you cut out ingredients including grains and dairy products that contain more protein than what your digestive tracts can handle.
  • Other dietary measures: In order to handle GERD effectively, you will need to remove or reduce chocolate, fatty food, spicy food, and even oily and fried food from your diet. You may need the help of food with extra fibre, like fruit so that it can pass through the digestive tract faster.
  • Smaller and well timed meals: Eating meals regularly and dividing them into smaller meals that can be digested quickly and more efficiently is one of the best ways of dealing with GERD to prevent the onset of backward flowing of stomach acids.
  • Exercise: Ensuring that you do not take a nap or lie down right after a meal and putting in a small amount of exercise everyday will also help in doing away with the uncomfortable and painful symptoms of this disease.

Making lifestyle changes is one of the best ways to deal with GERD. Yet, it would be best to consult a doctor regarding severe cases where the symptoms do not abate and medication may be required.

2216 people found this helpful

How To Get Relief From Heartburn?

Dr. Rahul Sanap 88% (129 ratings)
MBBS
General Physician, Pune
How To Get Relief From Heartburn?

Heartburn is the name given to that burning sensation in your chest or throat that happens when acid rises up from your stomach into your mouth. Heartburn is a common symptom of gastroesophageal reflux disease or GERD, also called acid reflux.

The commonest heartburn trigger is your diet. Spicy, heavy food causes acid reflux. Coffee, soda, tomatoes, alcohol and chocolate are culprits too. Obesity, smoking and medications for hypertension and cancer are the causes of heartburn too.

Certain people are more susceptible to heartburn. Sports people experience heartburn more, usually because exercise is a big trigger. It does so by putting increased pressure on the abdomen, which can increase the risk of acid reflux.

What can you do when heartburn strikes?

  1. Wear Loose Clothes- Heartburn happens when stomach contents go back into the food pipe where the stomach acid burns tissue. If tight clothes constrict your abdomen, you can experience more heartburn. To get immediate relief, you can just loosen the belt of your trousers.

  2. Proper Posture- Sitting up or standing straight can control heartburn. A slumped body posture can compress the internal organs including the stomach. An immediate quick fix is to lengthen your spine by gently moving your head towards the ceiling.

  3. Eat Less- Overeating can cause the door between the stomach and food pipe to open, allowing contents to flow back and cause heartburn.

  4. Quick Home Remedies-

    • Drink teaspoonful of baking soda mixed into a glass of water whenever you suffer from heartburn. This is a home remedy that works.

    • Raise your body, if you’re lying down and experience heartburn. Use a pillow to elevate your body waist-up. This will get rid of heartburn fast.

    • Chewing gum can neutralise stomach acid. This is because gum increases saliva which clears off acid in the gut.

  5. Avoid Cigarette Smoke- Smoking, both active and passive are harmful, if you suffer from heartburn.

  6. Over-the-counter Medications- Antacids, H2 blockers, and proton pump inhibitors (PPIs) are all effective in treating heartburn. PPIs work by blocking acid production, H2 blockers reduce the amount of acid in your stomach and antacids neutralise stomach acid.

  7. Melatonin- A common sleep–inducing supplement is being investigated as a heartburn remedy.

Always remember to check with your doctor before taking any herbal remedy or supplement for heartburn. This is because supplements can have side effects or can interact with medications you may already be taking.

Common tips to prevent heartburn are to eat at least three hours before bedtime, avoid lying down immediately after eating and staying away from fatty and spicy foods. Maintaining a healthy weight is also key to preventing heartburn. It also helps if you do mild exercise regularly. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3942 people found this helpful

Asthma - What Triggers it?

Dr. Sumit Wadhwa 89% (32 ratings)
DNB (General Medicine), Diploma In Tuberculosis & Chest Diseases (DTCD), MBBS
Internal Medicine Specialist, Gurgaon
Asthma - What Triggers it?

Asthma is a condition marked by the swelling and narrowing of the airways thus, producing excess mucus. This triggers coughing, breathing difficulties and wheezing. Asthma can be a minor inconvenience for some, while for others, it can often result in a deadly asthma attack.

Causes
It isn’t definite as to what causes asthma in some and not in others, but a combination of genetic and environmental factors is a probable reason. Factors that trigger asthma is varied, and is subjective. Some common causes of asthma include:

  1. Airborne matters, such as cockroach waste particles, pet dander, mould spores, dust mites or pollen
  2. Respiratory Infections
  3. Physical activity
  4. Cold air
  5. Irritants (such as smoking) and air pollutants
  6. Some medications, such as naproxen, ibuprofen, beta blockers and aspirin
  7. Stress and strong emotions
  8. Preservatives and sulphites added to some beverages and food, such as wine, beer, processed potatoes, dried fruit and shrimp
  9. Gastroesophageal reflux disease (Stomach acids retreat into the throat)

Signs you should look for?
Symptoms of asthma vary a lot, and differ among people. You can have infrequent attacks at times or suffer from the symptoms perpetually. Asthma symptoms and signs include:

  1. Breathing difficulties
  2. Chest pain or tightness
  3. Trouble sleeping due to breathing problems, wheezing or coughing
  4. A wheezing or whistling sound at exhaling
  5. Wheezing or coughing attacks that are aggravated by respiratory virus, such as flu or cold

Complications associated with asthma include:

  1. Symptoms and signs that interfere with recreational activities or school work
  2. Sick days from work or school when asthma flares up
  3. Persistent contractions of the bronchial tube that can lead to problems in breathing
  4. Hospitalisation and visits to the emergency room during critical asthma attacks
  5. Long-term consumption of certain medications to fix severe asthma can cause side effects

Treatment

Long-term control and prevention are the main goals of asthma treatment. Treatment generally applies learning about the things that trigger your asthma, taking necessary steps to dodge them and checking your breathing to ascertain that your regular medications are effectively controlling your asthma. Inhaled corticosteroids, long-acting beta agonists, theophylline are some common long-term treatments to control asthma.
Medicines are prescribed based on your symptoms, age, triggers and what best keeps your asthma regulated. Also, you and your doctor need to work together to come up with a plan to counter your asthma. For example, if you think your symptoms are getting better, consult with your doctor to reduce your medication doses. If you wish to discuss about any specific problem, you can consult a pulmonologist and ask a free question.

4468 people found this helpful
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