Acid Reflux Disease

Gastroesophageal Reflux In Children

GERD In Infants GERD is extremely common in children as in adults. But if Shakespeare was already talking about “babies puking at Their mother’s breast”, the frequency of GERD is probably the reason for the delay have been discovered all its manifestations and its complications.

The acid reflux affects many adults (Bruley of Varannes, 1988). Its frequency and importance exaggerated make clinically significant in almost 5 children (Chouhou et al, 1992), although complications are much less frequent.

The catalog of them is beginning to be better identified, our understanding of pathophysiological mechanisms that cause it are poorly understood. As highlighted beautifully Judith Sondheimer (1989), the explanation usually proffered to the parents that the “small muscle of the lower esophagus is underdeveloped” is at best incomplete and at worst wrong.

A number of pathological confusion dominates the field of GERD now, including the use of diagnosis in clinical situations in which the cause of vomiting is not sought while vomiting are unnecessarily documented by a pH measurement. In addition, the progressive sophistication of diagnostic methods to predict those that will be used routinely in recent years are not those currently commonly prescribed.

Finally the collective imagination of the difficulty of the examinations of GERD is usually false, can lead to aberrant choice. For example if the probe pH monitoring is finer than the endoscopy unit, trans-nasal passage of the probe, which will be left in place 24 hours is it really less painful for the small infant as long as two minutes in small infants well fibreoptic examination conducted?

So it is true that real progress has been made in the diagnosis of the acid reflux disease, it is essential that the practitioner knows the qualities and limitations of tests he prescribes and appreciates it more at fair value the difficulty of the examinations requested.

The treatment has greatly benefited from advances in defining the ideal position in the discovery and behavior modification digestive effective pro kinetic drugs.

The development of gastroesophageal reflux disease is in children is dependent on the age of the child. Very common in small infants, reflux disappeared in most cases before the age of 2 years. Its persistence beyond is readily associated with chronic lower respiratory complications certainly justify a clinical follow-up much longer and more careful than is common to realize it.

If the chronic reflux thrown by his contradictory character with spontaneously favorable evolution of pediatric conditions, it appears that the effective management of reflux can improve the chances of spontaneous recovery.

The intermittent reflux of gastric fluid is normal in children and adults. Its meaning depends on its pathological excessive or the occurrence of complications.

 

Gastrointestinal Symptoms Of GERD

Regurgitation and vomiting  are common manifestations of GERD. The decrease in food intake and the refusal of food may lead to weight growth retardation. Vomiting and weight loss are much more common in children than in adults.

The difference may be related to the difference in tank capacity of the stomach.  The stomach contents should assemble all the esophagus, which measures 30 cm in adults and can hold about 180 ml, while in children 5 kg, it is only 9 cm and can contain more than 6 ml. The ability of the esophagus to retain the acid reflux is probably much higher in adults which in addition, ingesting 40 to 50 ml / kg / day in infants who ingest more than 120 ml happy / kg / day.

Acid Reflux Symptoms

Reflux Esophagitis

The presence of abnormally prolonged or abnormal amount of gastric fluid into the esophagus can lead to esophagitis  but whose symptoms can be haematemesis and infants, a dysphagia or anorexia, crying or agitation during the bottles or during sleep which semiological value of heartburn that can rarely describe the older child. Chronic blood loss can cause anemia hypochromic microcytic.

The peptic stricture of the esophagus is the expression of an unknown severe reflux also uncommon in our country.

The Long-Term

Spontaneous healing of GERD can certainly be expected in children under two years. Approximately 60% of children are stripped of their symptoms by the age of 18 months. The most dramatic improvement occurring between 8 and 10 months. Symptoms persist until the age of 4 years for 30% of children, complications developing in the absence of treatment in 10% of them.

By the same author (Carré, 1985), medical treatment of acid reflux in this age of life greatly improves the physiological maturity.  Over 90% of patients treated before the age of three months were asymptomatic at the age of one year – against 35% in the absence of treatment.

GERD is poorly documented. The 20-year follow-up of a hundred subjects with hiatal hernia and vomiting in childhood (Carré et al, 1976), excluding those who underwent surgery showed that 90% had no of symptoms, although half still had a hiatal hernia and 20% cardial incontinence.

It is probble that the majority of symptomatic adults were recruited from among the children who have DDES symptoms beyond the age of 2. However, it is also likely since in three adults suffer from GERD seems that the majority of GERD in adults develop after childhood.

The Respiratory Manifestations Of GERD

Lower respiratory events occur both in children aged 3 to 15 months period of life during which the gastrointestinal symptoms of GERD are predominant than in older children from 2 to 15 years or gastrointestinal symptoms patent often give way to a responsibility willingly hidden and often part of GERD in non-clinical gastrointestinal (Danus et al, 1976, Christie, 1979, The Luyer et al, 1986, Vandenplas et al, 1989, Smith and De Blic , 1990).

These Symptoms Occur Most Often

- A spasmodic cough

- An obstructive bronchitis whose translation is wheezing

- A breach of a recurrent pulmonary territory especially the middle lobe, and in some cases of interstitial infiltrates seen on radio

The Special Case Of Asthma

Asthma is a condition in which numerous studies agree with the remarkable frequency of GERD (Martin et al, 1982). Statistics released this frequency amounted between 47% and 63% well above what is observed in the normal population.

The responsibility of GERD in some non-allergic asthma is much more limited: only certain non-allergic asthma can be completely healed by the start of antireflux treatment (Scheinmann et al, 1987).

In fact it seems that in most cases, either the asthmatic disease induces GERD: a study in 1987 on Scheinmann 59 atopic asthmatic children all had radiological Ontrea GERD in 93% of cases. The possibility that GERD facilitates the perpetuation of bronchial hyperresponsiveness and maintenance of asthma, may warrant research and systematic treatment of GERD in a child with asthma.

In practice, however, the systematic implementation of an anti-reflux events in a child with no call digestive or respiratory disease does not affect a minor asthma.

ENT Symptoms Of GERD

Clinical respiratory symptoms probably the most frequently associated with GERD in infants and young children, but whose relationship with GERD is most often overlooked are cough tracheal night, the rhino-bronchitis with recurrent sinusitis, recurrent acute otitis or serous (Bernard et al, 1990).
Demonstrations calling for GERD

Respiratory events are essentially nocturnal predominance of symptoms and association with coughing. The presence of nocturnal acid reflux, as evidenced by these symptoms, suggest a prolonged acid exposure of the esophagus, ulcers and related to decreased salivation and swallowing movements which would result in a higher incidence of esophagitis.

It may be assumed that treatment with both bronchodilators and anti-reflux which is effective probably reduced the reflux-induced transient episodes of bronchospasm and broken a vicious circle of worsening between asthma and GERD.

 

Serious Illnesses in Infants With GERD

Apnea and choking accidents with loss of consciousness from the small infant requiring resuscitation maneuvers within the scope of sudden death syndrome have missed with GERD relationships that are currently widely studied.

The causal link between GERD and severe discomfort of the infant were established on a number of data. One of the first striking feature is the peak frequency of these common conditions between 1 and 6 months, as the accident occurred mainly at night or when lying in the primary post-prandial early, the frequent presence of a upper respiratory tract disease may result from reflux or increase the respiratory consequences.

The temporal relationship between apnea and acid reflux episodes was established by some teams (Foucaud et al, 1985, Herbst et al, 1978). The difficulty of such studies, due to the need for extended recording pH-metric and simultaneous polygraphic and sometimes lower frequency of apnea reported mixed results from one study to another.

This correlation was found in 30 to 90% depending on the study. These studies also had the merit of clearly established that episodes of GERD infant “near miss” occurs not only in times of awakening during sleep but also calm or agitated. However, some studies fall against the existence of a correlation between apneic episodes and acid reflux disease.

Discomfort of GERD

Several studies demonstrate the role of chemo-receptors and pharyngo-laryngeal esophageal, including acid stimulation of apnea with bradycardia reproduced by bringing into play of a vago-vagal reflex, both in animals and humans these accidents does not occur with water or with a diluted solution. This responsiveness to the presence of acid in the airways is not in itself pathological.

It reflects the satisfactory functioning of mechanisms to protect against upper respiratory tract reflux. The decision of any respiratory movement from the end of acid in the pharynx can avoid inhalation and its dramatic consequences. At least the likely role of apnea triggered by reflux.

Apnea GERD

Reactivity to acid reflux may actually manifest itself polymorphic. Besides apnea devices of GERD, possibly related in part to a reflex and laryngospasm which can recognize a salvific value, at least when not too long, there is central apnea, which probably involved the same process but bradycardia reflex whose purpose is obscure. This diversity of response is both a difficulty in understanding the discomfort of infant and a gateway to the complexity of the mechanisms likely responsible for these ailments.

If gastroesophageal reflux should be considered one of the pathogenic factors of indisputable apneic accidents or serious syndrome of sudden unexplained death of small infants, it is not the only factor. At this age s’intriquent particular sensitivity to any stimulation or nociceptive oesophageal pharyngolaryngeal put into play by a vagal reflex, the heart and even brain susceptibility all of whose inclusion allows a therapeutic approach as strictly as possible.

The Clinical Presentation of Discomfort of GERD

Accidents involve during the first 6 months of life are paroxysmal and sometimes dramatic. It can be sudden access of cyanosis, hypotonia sometimes with convulsions, choking with respiratory distress or apnea and unconsciousness.

The frequency of accidents varies greatly from one study to another depending on the selected population of children and the diagnostic criteria selected. It seems low in the newborn recognized as the bearer of GERD pathological 5.7% in the multicenter study Ghisolfi (1981). However, the discovery of a R.G.O. disease in a population of infants investigated for serious ailments, is undoubtedly more frequent up to 4O% of cases.

The Elements Of Suspicion Of GERD

Elements suggestive of GERD are the occurrence of disorders in early post-prandial changes in position. The greater frequency of apnea during wakefulness or during sleep restless and fickle though the prior existence of vomiting, regurgitation or cough in baby bottles.

It is ultimately the effectiveness of anti-reflux treatment, possibly surgery which can be regarded as the most demonstrative of the responsibility of GERD In a large series on 123 children who have severe discomfort and holders of GERD Leape (Leape et al, 1977) found that only 4% of children operated on again presented episodes of apnea, against 40% in children treated medically in the home.

Additional Examinations Of GERD

The diagnosis of GERD is currently suffering from some confusion. In addition, the progressive sophistication of diagnostic methods to predict those that will be used routinely in recent years are not those currently commonly prescribed.

It is reasonable that the physician’s choice based largely on the skills and availability of local time. However, it is essential that appreciates the qualities and limitations of tests he prescribes and appreciates it more at fair value the difficulty of the examinations requested.

The Upper Gastrointestinal Endoscopy Duodenal

The morphology analysis endoscopy esophageal-gastric, highlights a possible hiatal hernia, fully appreciates the suffering of the mucosa and highlights a possible esophagitis which must rate as the criteria for children. It also allows a dynamic study of motility of the cardia enjoying its opening and closing.

Endoscopy is an outpatient examination, short, which do not require pre-medication, except in case of repeated endoscopies in older children. This review, deemed painful, is certainly more than the UGI after age 1 to 2 years but certainly much less in small infants. Endoscopy may not be performed by experienced operators who are used for children who have appropriate equipment.

The Upper Gastrointestinal Transit Duodenal

Transit upper gastrointestinal ulcer (UGI) analyzes the morphology of the esophagus and stomach and shows a possible hiatus hernia. It also helps if he shows a reflux, which is not always the case, to clarify the dynamics but does not assess accurately the suffering of the esophageal mucosa.

The UGI can be difficult in small infants, which remains attached and manipulated in various positions for twenty minutes. It is currently feasible everywhere in France: it is a major advantage, which explains its use further expanded this indication.
The esophageal pH-metry

The measurement of pH changes of the distal end of the esophagus through an electrode positioned between 3 and 5 cm upstream of the ORC is the method that provided the information on the reflux of gastric acid in esophagus.

In addition, the development of portable enclosures (“Holter”) provides a vision of the natural ebb and DRS on the trail of events that have marked the record as the position changes, meals, pain. The interpretation of portable recorders is partially automated according to standards derived from those established in adults, particularly regarding the time spent below pH 4.

However, a recent synthesis of 285 pH meter 24 hours performed in asymptomatic children from 15 months moind by Vandenplas and Sacre-Smits (1987) showed that the parameters analyzed were clearly related to age, the changes most important being around the 4th month. The interprétaion must incorporate a strong qualitative data provided by the study plots.

Despite its currently irreplaceable in the diagnosis of GERD, the pH measurement is a test that must be considered relatively difficult since the probe must be maintained 20 hours up in the nose, allowing the detection of nocturnal reflux which we know the frequency of association with respiratory disease.

Other Exploration Techniques For GERD

Gastroesophageal scintigraphy

Radiology and the pH measurement of superiority. The technique varies depending on the teams is to administer a liquid or mixed meal labeled with a radioisotope.

One of the main advantages of scintigraphy is the ability to measure gastric emptying time, the elongation is associated with certain pathological GERD and may be subject to specific techniques.

The scan is completely non-invasive and very low radiating. It requires isotopic exploration teams interested in GERD, which are few. It is an expensive examination.
Esophageal Manometry allows us to appreciate the tone of the lower esophageal sphincter, the quality of esophageal peristalsis can be modified by a severe esophagitis or in some movement disorders but also esophageal sphincter tone upper esophagus.

Esophageal manometry has the advantage of allowing to establish quantified measures but requires expensive equipment and training important to realize and analyze the traces. It is reserved for a few highly specialized teams for the establishment of certain diagnoses and clinical research work that accompanies the development of anti-reflux therapy.

Ultrasound of the abdominal esophagus is a technique quite new. It can analyze the shape of the esophagus but also the wall thickness and thus indicate a possible process of esophagitis and reflux objectively.

This technique has the great advantage of not being invasive, but the disadvantage of being long. Its reliability is still uncertain because the technique is new. It requires an efficient probe and therefore expensive.

The Choice Among The Technical Exploration of GERD

All mining techniques are not useful in a child with GERD. Better yet, most of the time none is specified. It is important to say and repeat that a pH measurement is unnecessary in a child who is vomiting. The technical exploration of GERD must carefully weighed according to the clinical situation and adjusted according to their ease of implementation.

When GERD is clinically obvious and isolated ie without pain relief, without failure to thrive, without respiratory disease it is reasonable to immediately establish an anti-reflux. If evolution is favorable it is not necessary to make further investigations.

If treatment fails or when the clinic is complicated GERD, it is necessary to use tests which will aim to highlight specific anatomical conditions that predispose to reflux (hiatal hernia) or possible complications (esophagitis), reflux . The exams will be preferred according to geographical criteria often clinical, or an UGI endoscopy. The pH measurement has a priori no interest when the acid reflux is known.

However, in clinical situations in which GERD is possible but not proven, such as sudden infant death syndrome or chronic bronchial, this is evidence of reflux to be made. The pH measurement is by its essential information. One may prefer to make a prior endoscopy, minimally invasive examination and short: if it shows objective signs of reflux, such an incompetent cardia or esophagitis, the evidence of GERD will be made without the need of use a pH measurement.

In short, implementation of road is unnecessary further investigations in gastroesophageal reflux clinically isolated, alone justifies the prescription of anti-reflux treatment. A complicated clinical reflux requires in principle an exploration morphological, radiological and / or fibreoptic.

These are the manifestations of non-digestive gastroesophageal reflux, which, especially in the infant’s discomfort and chronic respiratory diseases of children, justified a dynamic exploration, including esophageal pH monitoring represents the ideal indication.

However, note that the proof of the responsibility of gastroesophageal reflux in the genesis of these events is not digestive often difficult to obtain and often the effectiveness of anti-reflux treatment can be considered the most demonstrative.

GERD

The treatment of GERD in children is based on simple physical means always need to know to implement and require a careful explanation of their logic and their implementation.

Dietary Measures

It is recognized that the excess filler promotes gastric reflux and should therefore recommend the administration of many meals of small volume. The administration of heavy meals is a traditional recommendation. In children bottle-fed, it can be obtained by adding in the milk of mucilage pectin or cellulose or Gumilk Gélopectose ® ®.

In the older child, it is indicated to reduce the liquids during meals and eliminate carbonated water, a source of gastric hypertension. Recommendations to eliminate foods that lower the tone of the lower esophageal sphincter such as fat, chocolate or mint are more theoretical.

Postural Treatment

Postural treatment is most frequently used for the simple reason that the mechanics is that the stomach is less likely to drain into the esophagus if the hole between the two bodies is raised instead of being lateral position. X-ray examinations show that the prone position gastroesophageal junction is raised and is in the air pocket, for against, sitting, this junction is submerged by the fluid stomach contents.

The prone position in a harness is very easy to do at home and well tolerated by most children which seems to be positional treatment of choice.

The spontaneous activity of the child makes more illusory to maintain that type of position and you have to offer soon enough, a mere elevation of the head of the bed 18 inches, can reduce exposure to acid during the night. The dorsal or left lateral position is preferable to the prone position due to the anatomical position of the cardia.

The Mucosal Protectants

The protection of the esophageal mucosa against the aggressiveness of acid reflux is justified for two reasons: it allows you to reduce the inflammation of the lining and also to fight against bronchoconstriction reflex mechanism induced by the presence of liquid acid in contact with the esophageal mucosa. It can be performed using dressings with no neutralizing power as Smecta ® or Gaviscon ®.

GERD Medication

The main barrier to the GERD is the tone of the ORC and the quality of peristalsis of the esophagus. This barrier depends on mechanisms regulating endocrine and neurogenic, which act on behavior modification tract, now called prokinetic whose newest cisapride.

Gastrokinétiques drugs reduce reflux by increasing the tone of the lower esophageal sphincter and promoting gastric emptying. The Primperan ® is used in doses of 0.5-1 mg / kg / d, Motilium ® at a dose of 1-2 mg / kg / Jet Prepulsid ® at a dose of 0.8 mg-1mg/kg / d.
Inhibitors of gastric acid secretion

Among the inhibitors of gastric acid secretion the most used is ranitidine (Raniplex Azantac ® or ®). Inhibitors of proton pump are still being studied in children.
In Conclusion,

GERD in children is a common condition that is the subject of many works that justify its potential relationships to count acute or chronic conditions of the child. Its management has considerable recent improvements in both its diagnosis and its treatment.

However, in most children, GERD disease remains commonplace, a simple phenomenon of maturation of the first month of life.I Cured My Acid Relfux

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3 Solutions To Permanently Cure Acid Reflux Disease

Cure Acid Reflux Disease -


If you need a cure for acid reflux disease, have reached the right place. If you have heartburn then you know how agonizing it is to suffer with this painful affliction. There are plenty of tips online on how to prevent heartburn, or tips to help relieve pain and symptoms, but rarely find a real cure for acid reflux disease.

If you read below you will see three different solutions on how to cure acid reflux disease. If these and follow them, you can cure your reflux, but it takes a little work on your part.

If you want an action plan that shows what to do every day, every step of the way, I suggest reading the report, “Heartburn No More.” He takes her hand, shows how to cure acid reflux and kept on track so you never have to worry about the acidity again. Otherwise, three solutions here can use immediately.

Cure Acid Reflux Disease

Cure Acid Reflux – 3 solutions


1. Diet-changing up the foods they eat, you can avoid heartburn occurs. The types of foods are foods you should avoid chocolate, spicy foods that are high in fat, peppermint, alcohol, tomato-based foods and fried foods. These foods cause heartburn and avoid or remove completely for best results. If that is not an option for you, you can still eat these foods, eating only a small portion rather than food.

2. Medication-drugs are beaten or lost as a cure for acid reflux disease. Most often used for quick relief. Such meds antacids and blockers of H-2 and can be purchased over the counter. Inhibitors of proton pump are also at the counter, but provide a cure for acid reflux disease because they not only prevent stomach acid production, also coat the inside of the esophagus. If these do not work for you, promotility drugs can be used with a prescription from your doctor.

3. Lifestyle-natural approach to cure acid reflux disease is to make changes in your lifestyle. Exercise and weight loss can stop heartburn occurs. Extra weight puts pressure on the abdomen, which makes the acid in the stomach to the esophagus be postponed. Wearing tight clothing has the same effect is beneficial to wear loose clothing. Also, if you are at least three hours after eating, avoid heartburn.

But did you know that there is a cure for acid reflux that works without drugs, drugs, and without changing your lifestyle?

Click Here to view the guide and stop heartburn in 12 hours.

The guide shows the permanent cure. You do not have to suffer with heartburn any more!


I Cured My Acid Relfux

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Remedies For Acid Reflux Disease

Remedies For Acid Reflux Disease

 

If you are a victim of acid reflux, you can actually do something at home with Remedies For Acid Reflux Disease!

Indeed, there are simple and natural solutions and remedies for acid reflux disease and you have to pay attention to this problem if you want to maintain a healthy digestive system.

Acid reflux is when stomach acid moves into your esophagus causing a burning sensation in the throat and chest as well as vomiting and nausea.

Heartburn is a symptom of this condition and if  its not getting attention and treated well – the acid can wear away the lining of the esophagus and may cause more damage to your health.

It is important to understand however that there are simple remedies for acid reflux disease can be done to prevent this tract. It may even mean a change in lifestyle or just avoid foods that can trigger reflux of stomach acid into the esophagus. By researching and knowing everything you can about this condition, you really can avoid having to deal with them again.

 

Natural Remedies For Acid Reflux Disease That Can Help You


Do some changes in your diet is an excellent fist remedies for acid reflux disease. Avoid foods that can trigger and cause acid reflux worse. Indeed, there are certain foods you can avoid also stop the flow of acid back in the esophagus. Fruits that are acidic, like lemon, citrus, oranges, tomatoes must be avoided because they seem to trigger acid reflux.

Acid reflux Home Remedies

Spicy foods and foods high in fat can also cause this problem so you can avoid them for awhile. Also avoid onions and garlic too, as they can also be triggers.

Some drinks can also stimulate and trigger heartburn which should also be avoided.  Coffee, tea and other beverages containing caffeine and carbonated beverages should be avoided.

 

Remedies For Acid Reflux Disease Lifestyle

 

Initiate changes in your lifestyle. In most cases, the unhealthy lifestyle that we have is a trigger that we are facing health problems such as acid reflux. To start making a difference do not eat one hour before bedtime and do not lie down after meals.

It also helps to loosen tight clothing or belts that can add pressure in the stomach, which contributes to the flow of the acid in your mouth.  If you are a smoker, you might consider quitting, as it can also contribute to acid in the stomach and may also weaken the muscles involved in the functioning of your stomach.

Of course, apart from this condition, smoking can also cause more harm in your body.  Deciding to quit smoking would be a good first step toward a healthy lifestyle.

Remedies For Acid Reflux Disease Weight Loss

Another important factor you should consider if you are looking for remedies for acid reflux disease is to lose weight if you are obese.

People who are obese are more likely to experience symptoms of acid reflux as having pressure in the abdominal area can be much stronger than those of normal weight.

Be sure to put into practice these Remedies For Acid Reflux Disease as soon as possible!I Cured My Acid Relfux

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When Acid Reflux Disease Attacks!

Acid reflux, burning, indigestion, nausea, pain in stomach and ulcer symptoms affects a third of the population.

Is it due to poor nutrition, drug abuse or annoyance to a stressful life that causes symptoms of acid reflux disease.

The esophagus, a tube connecting the mouth to the stomach, allowing transportation of food.

The circular muscle (sphincter) that separates the stomach from the esophagus is supposed to open to drop off food and prevent stomach contents from backing up into the esophagus.

To ensure digestion of food, the stomach secretes about three liters of acid per day.

Normally this acid must remain in the stomach and into the duodenum in small quantities along with digested food.

As for the stomach, it resists its own acid secretion through the production of a liquid protective mucus that lines the inner walls of the stomach.

Gastroesophageal Reflux

If the sphincter, which is between the stomach and esophagus malfunctions, the stomach acid is allowed to flow back into the esophagus causing gastroesophageal reflux.

Burning symptoms appear and are often accompanied by a sour taste in the mouth.  Regular acid contact with the lining of the esophagus causes inflammation  more rapidly and no less important esophagitis.

In the long term, untreated esophagitis cause a narrowing of the esophagus and rarely cancer of the esophagus.

In other cases, the acid reflux disease is related to the existence of an anatomical feature, the hiatal hernia. The diaphragm (the muscle separating the chest from the abdomen) has a hole to let the esophagus. We talk about hiatal hernia, where a small portion of the stomach back of the abdomen to the thorax through the hole.

This is why pregnant women often have acid reflux during the last trimester of pregnancy, caused by the backflow of the stomach up through the fetus.
The gastroesophageal reflux disease is very common and affects almost 30% of the population.

Conventional treatment of  acid reflux symptoms is based on the use of antacid drugs (Gastrex, Gaviscon, Maalox, Phosphalugel) that neutralize the acidity.  Most of these acid reflux medications contain aluminum salts, magnesium and sodium.. Aluminum is now implicated in many degenerative diseases like Alzheimer’s disease, the excess magnesium causes diarrhea while sodium promotes hypertension.

Peptic Ulcer

Nearly 80% of ulcers are in the first portion of the intestine called the duodenum, while only 20% of ulcers are located in the stomach.. In the case of duodenal ulcer is an excess secretion of acid from the stomach that attacks the intestinal mucosa, whereas in gastric ulcer,  a defect in the protective mucus from the walls of the stomach that is responsible for the ulceration.

It was long attributed the cause of ulcers was stress.  In recent years it has identified another cause is a bacterium called Helicobacter pylori and found in most people with stomach ulcer.. This bacterium can grow when our immune defenses are weakened and disrupts the protective layer of mucus.  The lining of the stomach is exposed when in contact with the acid, which can trigger the formation of an ulcer.

Do not forget that many ulcers are caused by chronic use of certain medications such as painkillers (aspirin and nonsteroidal anti-inflammatory) or cortisone that alter or diminish the production of protective mucus of stomach.

The classic treatment of the ulcer is based on the use of anti-ulcer (Mopral, Lanzor, Ogast, Zoltum) that remove virtually all production of stomach acid.  Thus, the pain disappears in 48 hours and the ulcer heals in 3-4 weeks. Unfortunately, relapses are extremely common upon discontinuation of treatment which requires prolonging medication long term. Now, removing the secretion of stomach acid for too long seems to favor the growth of certain bacteria that produce carcinogens. In addition, anti-ulcer drugs have side effects, mostly digestive disorders such as nausea, diarrhea or constipation and liver disease!I Cured My Acid Relfux

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Acid Reflux And Your Diet

There is an undeniable link between the occurrence of acid reflux and your diet.

Everything in your body is a delicate balance. The human body is a miracle of systems that maintains that the right conditions to keep everything working well. Therefore it is most healthy when there is a balance between acidity and balance. The stomach regulates acidic digestion with enzymes that convert acids or alkaline substances basal manageable..

However, when there is an over-production of acid, usually supported by lifestyle choices like overeating or smoking, acid reflux is likely to occur and if not,  acid reflux disease can develop.  Fortunately, acid reflux and diet can be effectively improved by making a few lifestyle changes.

One of the most important things you can do to cool the heartburn is to avoid certain foods. In many cases, just changing the diet is all that is necessary to fight against acid reflux.. Most health professionals recommend a basic diet low in acid and more alkaline foods.

Foods such as chocolate, foods with lots of extra cheese, tomato sauce or catsup based foods, onions, peppers, caffeine drinks, fried foods or fatty alcohol, mint, citrus and fruits are known to aggravate digestion, acting as catalysts for acid reflux.

So what foods are safe?

The main grades of heartburn-friendly foods, for most people are low in fat and not spicy.

So with that in mind you can probably guess that leafy vegetables and broccoli, lean cuts of grilled meat, egg whites, cheese low in fat such as feta, apples and bananas multi-grain bread and low-fat salad dressings are good choices.

Junk food?

From time to time, but with caution, choose fat free cookies, baked potato chips, or red licorice. A good exercise to do if you suffer from heartburn regularly is to create a food diary and log your food intake for 2 or 3 weeks

Then note every time you experience heartburn – to target the food you need to avoid.  In making better food choices, consider changing the perception of your portion -  excess a eating is another acid reflux aggravator

Exercise calorie conscience and choose to skip the second helping or fatty dish, eat slowly and drink plenty of water.. Living without heartburn is within reach of anyone and should not require drastic medical treatment. Simple reasonable modifications in your eating habits can do wonders to soothe acid reflux, not to mention improving overall health.

How To Fight Against Acid Reflux Disease

Trust me, I know exactly how acid reflux disease discomfort can be and how they can slow you down. It is much more than simple heartburn that we all feel from time to time.. Acid reflux occurs when the formation of gas and acids in the stomach causes pain or a burning sensation in the stomach and chest. This is known as acid reflux disease also known as Gastroespohaheal Reflux Disease (GERD).

What happens is that you have eaten something you should not have.  It need not be something you know you should not eat, because acid reflux affects us all differently. Unfortunately it is only through experience that we learn what we can eat and what causes acid reflux to flare up. And things change over time, so from time to time we may want to try different things, because as we age, our tolerance for certain foods may either increase or decrease.

From a medical perspective, acid reflex is a physiological condition that usually occurs when there is inappropriate activity in the lower esophageal sphincter or in other words, the muscular valve that connects the esophagus to the stomach. This activity allows the contents of the stomach to empty or reflux into the esophagus and throat. This occurs when the valve does not close properly or when the muscle relaxes allowing stomach contents to back up.

But you do not care about what happens physiologically. All you know is that this happens and you need to know what to do. If you have been diagnosed with acid reflux, you should consult your doctor on a regular basis to ensure it is kept under control. The greatest thing you can do to prevent acid reflux is to avoid acid reflux foods that are known to increase the rate of stomach acid.

What if you already have episodes of acid reflux and want to control them? You may consider a natural remedy. There are many natural remedies and natural remedies that are readily available on the market today that help control the effects of acid reflux..

You must ensure that what you feel is really acid reflux and not a sign of something more serious such as heart disease. But once that determination is made, a popular way of fighting is used for antacids. Depending on the severity of the affliction, it can be as simple as Rolaids or Tums, or perhaps require a bit more resistance, such as Mylanta or Pepto-Bismol are effective acid reflux medications.

You should be keeping an eye on exactly what kinds of acid reflux treatments seem to work best for you, since we are all different, and different remedies will have varying results.. The remedy that works for you may not work nearly as well for the guy next door.

Do not allow acid reflux to ruin your day or evening out. You can control the acid reflux, exercising a little common sense.. Instead of ordering your seafood blackened,  order grilled. Instead of French fries, get a baked potato instead. Your food choices will play your greatest role to prevent acid reflux.I Cured My Acid Relfux

Be the first to comment - What do you think?  Posted by trhor - April 17, 2011 at 9:01 pm

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Acid Reflux Disease is a Common Problem

Repetitive bouts of a burning sensation in the heart region, zuurproevende fluid in your throat or trouble swallowing are classic symptoms of a common problem called acid reflux disease. The burning feeling in the heart region, which is caused by reflux disease. You may feel the symptoms of acid reflux after eating a big meal or when bending over or lying down. Acid Reflux disease can sometimes be controlled by simple changes in your lifestyle and or with medication. If symptoms still persist, surgery may be a solution to the problem.

What causes GERD?

If you have acid reflux disease, you often have a burning sensation (heart burn) in the middle of your chest. This is caused by the acid from your stomach that escapes through a weakened valve at the entrance to the stomach.. The acid may even flow back to your throat. Smoking and alcohol all increase the amount of acid in your stomach,and cause more heart burn.

Relief of symptoms

You should work with your doctor for treatment for the symptoms. This may mean that you must change your lifestyle, medications could be used and possibly surgery.

Relief by changes in your lifestyle and medication

Raise the headboard of your bed higher…Stop Eating before bedtime…Antacids that are bought over-the-counter can also offer some relief.. If symptoms persist, your doctor may prescribe drugs that inhibit the production of acid or speed up digestion.

Acid Reflux Relief by surgery

If the above methods do not provide adequate relief, a laparoscopic fundoplication can be applied. This operation combines contemporary technique with a surgical procedure. The surgery is performed through a laparoscope, a small telescope that allows the doctor to see inside of your abdomen thoroughly. During surgery the doctor makes a new valve where the esophagus and stomach meet.

How food reaches your stomach

Food passes through a valve called the lower esophageal sphincter at the entrance to your stomach. Normally this sphincter opens when you swallow food. The muscle allows the food into the stomach and closes again. If it is weak or loses tone, the lower esophageal sphincter will not close completely after food passes into the stomach. Stomach acid can then back up into the esophagus.

The esophagus is a tube that brings food to the stomach.

Hiatus is an opening in the diaphragm. The esophagus passes through this opening round. The diaphragm is a muscle that helps with breathing where the chest and abdomen separates. The sphincter of the stomach is a ring of muscle that acts as a pressure barrier between the esophagus and the stomach. The stomach is a reservoir where food is broken down by acids and enzymes before the food goes into the intestines.

Normal digestion

The digestive process is usually smooth with the movement of food through the esophagus to the stomach. In the stomach acids and enzymes to convert the process of breaking down food before the food goes into the intestines.

Digestion with GERD

The sphincter in a person with acid reflux disease doesn’t work well enough to keep food and fluids in the stomach. Escaping stomach acid irritates the esophagus. Sometimes it shoots to the top of the stomach by an enlarged hiatus (hiatal hernia). This allows the acid reflux to become worse. In a weak sphincter, the opening at the top of the stomach is not properly closed so food and liquids can flow back into the esophagus.

Hiatal hernia

A weakened or enlarged opening (hiatus) in the diaphragm, the stomach, the chance to bulge toward the chest cavity. You can also get a hiatal hernia without suffering from GERD.

How acid reflux disease develops

If the sensitive tissue in the esophagus is exposed to stomach acid over a long period of time it can cause inflammation, ulcers and scarring. Patients with severe GERD may have difficulty swallowing and may find that food often gets stuck in their throats.

A burning sensation near the heart may be a symptom of several medical problems. To confirm the diagnosis of GERD, your doctor will perform a careful physical examination and some diagnostic tests. These tests may be performed by a gastroenterologist (a doctor who specializes in treating disorders of the digestive tract). Based on the results of these tests, your doctor will recommend the treatment that best suits you.

History and physical examination

For a diagnosis, your doctor may ask you to describe the symptoms of your complaint. The more your doctor knows about your symptoms the better he can make a proper diagnosis . Your doctor will probably ask questions about diet, sleeping habits, smoking and your drinking habits. Then your doctor will perform a physical examination with you. Your history, combined with the results of the physical examination, will help your doctor exclude other causes for the complaint and help determine the best treatment for your symptoms.

A Closer Look

An esophageal endoscopy is a test that uses light images on a video screen. This allows the doctor to see if there are problems as the scope moves through throat, sphincter of the stomach and the stomach. Before you undergo this test, you will receive an anesthetic. Your throat may be injected with an anesthetic to make it easier to swallow the scope… The greased lubricated scope is a thin flexible tube that is thinner than most food you eat. If necessary, the physician may remove a small piece of tissue. This is called a biopsy. You may be asked not to eat or drink anything 6 to 8 hours before this test. The day after the test you may have a slight sore throat.

If you have pain in your chest

If you have pain in your chest, you should contact your doctor right away. Pain or discomfort in the chest, may be caused by serious heart problems, as it may feel the same as the pain caused by GERD.

The muscle contractions measured

If an operation is feasible for you, you may have a pressure measurement in the esophagus. A pressure measurement is used to measure the muscle contractions of the sphincter of the stomach to measure the operation and to adjust to you personally. This test shows how well the esophagus pushes food toward the stomach. Your nose and throat will be numbed with an anesthetic so its easier to swallow lube tube. The tube is gently launched through your nose into your stomach . Then water is in put the tube. While the tube is pulled slowly out of the stomach and the esophagus, measurements are checked. You may not eat 8 to 12 hours before this test. The test will take approximately 30 minutes. After the test, you may experience a mild sore throat.

The acid in the esophagus check

Your doctor may ask you to undergo a pH control. A thin, acid-measuring tube is inserted into your esophagus. This hose will last 24 hours to measure the acidity of the stomach flow back into the esophagus. Before and during the test no antacids are used.

Gallbladder problems Exclude

Patients with a hiatal hernia often have gallstones. For the problem to exclude gallstones, a painless ultrasound can be performed. With the echo with a high frequency sound waves used to display an image for a while your abdomen is scanned for gallstones.

Adjust your lifestyle

Simple changes in your lifestyle, such as not eating spicy, fried or fatty foods and losing weight can often help in reducing the symptoms of GERD. Carefully bending over especially if you just ate will give you a better feel, and not eat for several hours before going to bed. The headboard of the bed higher places and regular exercises can help relieve the symptoms.

Be careful with what you eat

Some foods increase the production of stomach acid and provide relaxation of the stomach sphincter.

The following foods you should avoid:

* Coffee, tea, and carbonated beverages, with and without caffeine.
* Fried and fatty foods.
* Spicy food.
* Citrus fruits and tomatoes.
* Onions.
* Peppermint.
* Chocolate.

To reduce the pressure of the stomach sphincter try eating six small meals a day instead of three large meals… Do not bend over if you just ate, but lie down or take s short nap!

Do Not Drink Alcohol and Smoke

Alcohol and nicotine (which is found in tobacco) can make GERD worse by increasing the production of gastric acid and irritation. Alcohol opens the stomach sphincter.

Keep your head up

In order to sleep better, try raising the head of your bed up 18 to 24 inches. There are two ways to achieve this. One way is by placing a wedge under the head of your mattress. The other way is to place a block or a few books under the legs of the headboard of the bed.

Note: increasing the height of the head of the bed is better than sleeping on several pillows. The latter can lower the pressure in the abdomen by enabling you to bend over and to make the acid reflux disease worse.

Not too much pressure

Too much pressure on your stomach can cause acid reflux. Follow these tips to help reduce the pressure:

* Maintain a healthy weight.
* Lose weight if needed.
* Do not over tighten your belt and avoid wearing tight clothing.
* Do not bend over.
* Keep moving your arrow to keep in shape.(Discuss with your doctor what exercise is suitable for your condition).

Medical Treatment

GERD is sometimes treated with antacids.. If antacids do not provide sufficient relief, your doctor may prescribe other medications that help with digestion. . Some of these acid reflux medications may be used together. . Your doctor will tell you which combination is best for your symptoms.

Avoid certain medications

Aspirin and anti-inflammatory drugs like ibuprofen reduce the protective layer in your stomach, which can lead to more irritation. Check with your doctor or pharmacist if you are new to using the medications prescribed.

Neutralizing stomach acid

Many acid reflux remedies that are freely available in can be used to weaken or neutralize stomach acid. . For these remedies you do not need a prescription to buy them. It is better that you take these remedies only when absolutely necessary or if it complies with the advice of a doctor.

Note: Although many patients don’t have any side effects from taking over the-counter antacids, constipation and diarrhea are not uncommon. If you have high blood pressure and want to take antacids, you should first consult your doctor. . Antacids contain sodium (salt).

Heartburn

If antacids alone are not enough, your doctor may recommend stronger medicines.. These drugs are H-2 blockers. These drugs suppress the majority of gastric acid production. Many of these non-prescription medications are now available at the pharmacy.

Note: H-2 blockers may cause confusion in elderly patients. Antacids and cimetidine should be taken one hour after the other because the antacids reduce the effectiveness of other medications. If you are a man, it’s important for your doctor to find out the rare possibility that the use of H-2 blockers may affect the condition of your sperm.

The medical treatment

Stimulate the muscles in the stomach
Drugs that pinch together to strengthen the esophagus and stomach sphincter , this tightening can make the symptoms of reflux disease less a burden. These drugs can be obtained only by prescription. These drugs are usually combined with H-2 blockers.

Note: The most common side effects are abdominal cramps, constipation, diarrhea and you may suffer from nervousness. They can cause fatigue in some patients and more serious side effects.

After medication – dilatation

If you have a narrowing in the esophagus, your doctor may perform a dilatation of the esophagus to stretch and dilate. Dilatation is performed while a anesthetic is administered through a drip for a comfortable and pain free through procedure. The operation may be conducted again after a few days or repeatedly until your esophagus is wide enough to swallow solid food.

Preparing for surgery

If the other treatments offer no relief, your doctor may propose a surgical procedure called laparoscopic fundoplication. If you smoke, try to quit before surgery, since smoking adds additional risks to the operation and recovery. It is also possible that you’ll have to stop taking certain medications. Before surgery, your general health will be checked. Then you will be hospitalized, usually on the same day as surgery.

Prior to surgery

Eat or drink
On the evening before surgery you should not eat after midnight or even drink water. This reduces the risk of vomiting while you’re anesthetized.

Demand for drugs
Ask your doctor or your use of other medicines to stop. Ask about the use of aspirin.

Risks and complications

Each intestinal surgery involves certain risks and complications. In a laparoscopic fundoplication to the following:

* Injury to the liver, spleen, stomach or esophagus during surgery.
* Bleeding.
* Infections.
* Increased abdominal bloating or flatulence.
* Can not surrender.
* Trouble swallowing.
* The operation may fail thereby eliminating reflux disease fails.

Your Surgery

During surgery, your stomach sphincter re-creates the very top of your stomach around the esophagus to the fold. This surgery usually lasts 2 to 4 hours. Laparoscopic surgery is performed through several small cuts / wounds in the abdomen rather than one big long incision as in traditional open procedure. The result of such an operation is less pain, faster recovery, shorter length of stay in hospital and less chance of infection.

Just before the operation

Before the operation you will be given a mild LAXATION agent or an enema is applied to your digestive tract before the surgery to empty. Then comes an anesthesiologist along with you to discuss what kind of anesthetic will be used on you to give you during surgery pain free.

During surgery

First you get the anesthetics and other medicines injected through a drip. You sleep during surgery. Your abdomen is inflated with CO2 gas (carbon dioxide) so that the surgeon a clear view and more room to operate.laparoscope, where a camera is attached, is then inserted through an incision in the abdomen and sends images to a video screen. Narrow surgical instruments are inserted through other incisions. The CO2 gas is removed after surgery.

Open surgery

If your surgeon during the operation is that it is not safe to use the laparoscopic procedure to continue the operation can be completed by a larger incision in the abdomen. This is an open procedure or an open fundoplication. After this operation will take about 1 week in the hospital stay and recovery time at home after that for about 4 to 6 weeks.

Laparoscopic surgery

The esophagus Lift
If the opening in the hiatus is too large, the surgeon can reduce this by a number of stitches to make. This is the hiatal hernia repair. The esophagus is overridden. . During this procedure is not open, removed or diverted.

The top of the stomach around the esophagus fold
The surgeon folds the extreme top of the stomach around the outside of the esophagus after vessels between the stomach and spleen are ligated. Thus, to prevent reflux. To ensure that the maagtop not too tightly around the esophagus is folded, can temporarily a flexible tube (plug) are placed in the esophagus. the surgeon performs a dilatation of right.

Restore
Most patients may be 1 to 3 days after laparoscopic surgery and can return home after 1 to 2 weeks to work. Because no muscles are cut and only small incisions are made you will have less pain after surgery than after open surgery. You can soon after the operation with a liquid diet start.. If the small incisions are healed, the scars are barely visible. But best of all, you’ll be able to eat without pain and without the discomfort caused by GERD.

During recovery
Swelling of the esophagus can cause a feeling of tightness and difficulty swallowing small yield. These complaints will be within 6 to 8 weeks (maybe even earlier) gradually disappear.

If solid food a few months after the operation has not dropped, there will need to address whether there is a narrowing of the esophagus.
If you eat solid food again, you should chew your food carefully, not bold, and for 3 to 4 weeks without drinking carbonated drinks. This prevents gas. . Quietly swallowing promotes healing.
If you are eating meals regularly again you are full faster. This will change over time.

In the hospital
Immediately after surgery, you will be brought to the recovery room, where your blood pressure, your heart rate and breathing are monitored . You can get extra oxygen to breathe better.. About the incisions are small bandages stuck, and get medication to relieve any discomfort. Later in the day or the next morning you’ll probably be out of bed and walk a bit. You will be within a few days after the operation started solid foods. Your doctor will determine when you can start eating soft foods.

Home
Do not lift heavy objects and do any exercises that force you to bend., Follow your doctor’s advice regarding showering, driving back and forth to work. Eat slowly and watch what you eat.

* Eat foods that are easy to swallow and digest. Think of gelatin, pudding, yogurt, bananas and soup.
* Eat regular, small meals.
* Do not drink carbonated drinks.
* Chew your food well and not frightened. This helps prevent gas and makes swallowing easier.

When you call your doctor
As one of the following side effects occur you should contact your doctor:

* Persistent fever (over 38.4 C).
* Bleeding.
* Increased swelling or pain in the abdomen.
* Persistent nausea or vomiting.
* Chills.
* Persistent cough or shortness of breath.
* Difficulties, which within a few weeks away, with swallowing.


You Feel Good Again
GERD can often make simple changes in your lifestyle.. Your doctor can help you find the right solution for your acid reflux relief. With proper treatment you can get back into a full and healthy life. Eat the food and do activities that you enjoyed before the complaints started!I Cured My Acid Relfux

Be the first to comment - What do you think?  Posted by trhor - March 14, 2011 at 2:51 pm

Categories: Acid Reflux Disease   Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

ACID REFLUX DISEASE

Many people take a lot of “antacids for quick relief of acid reflux, but for most people, a proper diet is the best solution to overcome this problem.

Acid reflux disease has many myths including the following:

MYTH 1 – DRINK MILK

A lot of people try drinking milk to ease acid reflux before sleep. . But often, just drinking milk can cause acid reflux during sleep.  To understand the situation, we must realize that the root problem is overeating at dinner. .

Eating a large amount of food at dinner is the cause of excess stomach acid production.. Milk can be a quick fix to the problem of acid reflux. Lamentablemente,. Unfortunately, milk has a rebound action and eventually encourages more secretion of stomach acid, causing acid reflux to occur.

To solve the problem, try adjusting your diet to eat a small meal at dinner and a small light snack before bedtime.

MYTH 2 – AVOID coffee, citrus and spicy food

People have been saying for years that coffee, acidic fruits and spicy foods can aggravate acid reflux.. Therefore, we should avoid these in our daily diet to reduce acid reflux. . A recent study published in the Archives of Internal Medicine in May 2006 showed that none of these myths is true.. Researchers at Stanford University found that only two behavioral changes that can reduce the symptoms of acid reflux are eating less and elevating the head while sleeping.

DIET FOR ACID REFLUX DISEASE

First, try eating small frequent meals rather than three large meals a day. Small amounts of food every time makes the work exerted by the stomach less and therefore requires less acid secretion for digestion.. Be sure to include foods that are rich in complex carbohydrates at every meal.. These foods, like rice, bread and pasta, are able to relieve excess stomach acid and are often easy to digest your stomach.

Avoid foods high in fat, such as fast food chains. High-fat food will stay longer in the stomach, thus causing the need for more stomach acid to digest.

But remember, not too much! . Too much of any food causes the stomach is stimulated to produce more secretions and acid for digestion.  Avoid or limit alcohol.

Maintain upright position during and for at least 45 minutes after eating.

Try elevating the head of the bed six to eight inches when you go to bed.

Do not think that drinks don’t affect acid reflux.. Surprisingly, a lot of beverages stimulate acid secretion, such as beer, wine and soft drinks.. Worst of all is beer - it can produce double the acid in the stomach in an hour time.I Cured My Acid Relfux

Be the first to comment - What do you think?  Posted by trhor - March 1, 2011 at 1:35 am

Categories: Acid Reflux Disease   Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Acid Reflux Disease: A Common Problem!

Repetitive bouts of a burning sensation in the heart region, zuurproevende fluid in your throat or trouble swallowing are classic symptoms of a common problem called acid reflux disease.

The burning feeling in the heart region, which is caused by acid reflux disease, you may take after eating a big meal or when bending over or lying down.

Acid Reflux disease can sometimes simple changes in your lifestyle and be controlled with medication. If symptoms still persist, surgery may be a solution to the problem.

What causes GERD?

If you have acid  reflux disease, you often have a burning sensation (heart burn) in the middle of your chest. This is caused by acid from your stomach escapes through a weakened valve at the entrance to the stomach.. The acid may even flow back to your throat. Smoking and alcohol all increase the amount of acid in your stomach, and cause more heart burn.

Relief of acid reflux symptoms

You should work with your doctor about treatment for the symptoms. This may mean that you must change your lifestyle, medications could be used and possibly surgery.

Acid reflux Relief by changes in your lifestyle and medication

Raise the headboard of your bed higher…Stop Eating before bedtime…Antacids that are bought over-the-counter can also offer relief.. If symptoms persist, your doctor may prescribe drugs that inhibit the production of acid or speed up digestion.

Acid Reflux Relief by surgery

If the above methods do not provide adequate relief, a laparoscopic fundoplication can be applied. This operation combines contemporary technique with a surgical procedure for over 40 years have been safely applied. The surgery is performed through a laparoscope, a small telescope that allows the doctor inside of your abdomen thoroughly. During surgery the doctor makes a new valve where the esophagus and stomach meet.

How food reaches your stomach

Food passes through a valve called the lower esophageal sphincter of the entrance to your stomach. Normally, this sphincter opens when you swallow food. The muscle allows the food in the stomach and closes opening once again. If it is weak or loses tone, the lower esophageal sphincter will not close completely after food passes into the stomach. Stomach acid can then back up into the esophagus.

The esophagus is a tube that brings food to the stomach.

Hiatus is an opening in the diaphragm. The esophagus passes through this opening round. The diaphragm is a muscle that helps with breathing and the chest and abdomen separates. The sphincter of the stomach is a ring of muscle that acts as acts as a pressure barrier from the esophagus to the stomach. The stomach is a reservoir where food is broken down by acids and enzymes before the food goes into the intestines.

Normal digestion

The digestive process is usually smooth and the movement of food through the esophagus to the stomach. In the stomach acids and enzymes to convert the process of breaking down food even before the food goes into the intestines.

Digestion with GERD

The sphincter in a person with acid reflux disease does’t work well enough to keep  food and fluids in the stomach.  Escaping stomach acid irritates the esophagus. Sometimes shoot the top of the stomach by an enlarged hiatus (hiatal hernia). This allows the acid reflux to become worse. In a weak sphincter, the opening at the top of the stomach is not properly closed so food and liquids can flow back into the esophagus.

Hiatal hernia

A weakened or enlarged opening (hiatus) in the diaphragm, the stomach, the chance to bulge toward the chest cavity. You can also get a hiatal hernia without having to suffer from GERD.

How reflux disease develops

If the sensitive tissue in the esophagus over a long period of succession is exposed to stomach acid,  it can cause inflammation, ulcers and scarring.  Patients with severe GERD may have difficulty swallowing, and have found that food often gets stuck in their throats.

A burning sensation near the heart that comes back may be a symptom of several medical problems. To confirm the diagnosis of GERD, your doctor will perform a careful physical examination and some diagnostic tests. These tests may be performed by a gastroenterologist (a doctor who specializes in treating disorders of the digestive tract). Based on the results of these tests, your doctor will recommend the treatment that best suits you.I Cured My Acid Relfux

Be the first to comment - What do you think?  Posted by trhor - February 28, 2011 at 3:06 pm

Categories: Acid Reflux Disease   Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,


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