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Gerd
By admin | April 25, 2008
GERD is a relatively new term that came into usage in the 1980′s. It refers to Gastroesphageal Reflux Disease, also known as acid reflux.GERD is a very common conditon that occurs when acidic contents from the stomach wash up into the esophagus.
This problem develops when the ring of muscle between the esophagus and the stomach, known as the lower esophageal sphincter (LES) starts to malfunction. The purpose of the LES is to act as a valve that opens to let food and liquid into the stomach, closing quickly to contain the stomach’s contents. If the LES becomes weak or starts to open randomly, liquid from the stomach containing acid, pepsin (an enzyme involved in the digestion of protein) and bile can move into esophagus. This can cause irritation and, in some cases, inflamation of the esophagus that is commonly experienced as a burning feeling in the chest and throat known as heartburn.
Although persistent heartburn tends to be a key symptom of GERD, not all sufferers experience this. Other symptoms include: nausea, chronic coughing, a bitter taste in the mouth, regurgitation, wheezing, swallowing difficulties and frequent belching.
There are a range of options open to Physicians when dealing with a suspected case of GERD. On the basis of a detailed medical history and a physical examination, the Physician may prescibe a course of acid reflux medication and followed by a review the patient.
Other tests include: edoscopy – this involves passing a tube that has a built in optical system down a patient’s throat so that the esophagus can be examined ( biopsies can be taken during this procedure, if necessary); X-rays; pH testing- in this procedure a tube is placed into the esophagus via the nose for a 24 hour period. The amount of acid that flows into the esophagus is measured by a sensor at the end of the tube; esophageal mobility testing – tests how effectively the muscles in the esophagus are working. This done by using sensors attached to a catheter that is passed through the nose.
Once GERD has been diagnosed, patients are often asked to make lifestyle changes. They may be asked to make changes to their diet/eating habits, their alcohol intake, their weight (if overweight) and smokers will usually be advised to stop smoking.
In some cases ongoing medication may be necessary and in other instances, surgery will be the most advisable option. Gastroesophageal Reflux Disease is a common condition that is often characterised by persistent heartburn. Anyone experiencing any symptoms that are indicative of this condition should seek medical adivice as soon as possible.The longer this condition is left, the more potential damage can be done to the lining of the esophagus.
So, if you’re experiencing any discomfort that you think may be linked to GERD, don’t suffer in silence. Seek medical attention.
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