Friday, 17 May 2013

Gastro Esophageal Reflux Disorder (GERD)

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It is most common intestinal disorder and due to reflux of stomach content back into the esophagus. Daily reflux symptoms effect about 4 to 7 percent of adults. Due to reflux of acid, erosion of esophagus mucosa occurs in about 2 percent and Barretts metaplasia (Precancerous state) occurs in 0.4 percent.

Reflux occurs due to opening of lower esophageal sphincter or due to not closure of it properly so acid content of stomach come back to esophagus.

SYMPTOMS

Patients may have the problem of food or fluid coming back in the month. They have burning sensation it chest or throat. The disease is called as HEART Burn or ACID IN DIGESTION. They feed burning pain in the lower part of mid chest or upper mid abdomen. Food/fluid in month can irritate the structures in month leading to dry cough, problem in swallowing food. Some time it leads to asthma.

Problem is more after meals especially large fatty meals and symptoms are aggravated by lying and bending and relieved by consumption of antacids (Digene etc.)

WARNING SYMPTOMS

Heart burn is very common but in following situation they should consult the doctor and should take proper treatment.

Difficulty in swallowing

Bleeding (blood vomit)

Weight loss.

Choking, Hoarseness of voice

Breathlessness

Chest pain

FOODS WHICH WORSEN REFLUX SYMPTOMS

Citrus fruits, oranges, lemon etc.

Chocolates.

Drinks with caffeine or alcohol.

Fatty, fried food.

Garlic, Onion

Mint flavoring.

Spicy foods

Tobacco.

WHO ARE LIKELY TO SUFFER MORE

It can occur in any one but in following situation, the problem is more likely to occur and may be severe.

Hiatus Hernia

Obese persons

During Pregnancy

During Pregnancy

Smokers and people who consume tobacco.

Alcoholics

People who remain tense, depressed are unorganized and remain in hurry.

TREATMENT

I have found people suffering from GERD throughout the life. It is due to wrong life style, eating habits. So to get rid from GERD they have to change life style analog habits permanently.

Following measures should be taken.

Elevate the head end of the about 6 to 8” with brick or wood block.

Decrease the amount of fat intake, spice intake

Don’t lie in bed immediately after meals.

Avoid food like chocolate, pepper mint coffee onion, garlic, citrus fruits spices chilies and other which aggravate the symptoms.

Stop smoking, consumption of tobacco in any other form.

Avoid other foods, beverages which worsen symptoms.

If overweight or obese, then reduce weight by dieting, exercise etc.

Eat small frequent meals.

Wear lose fitting clothes.

Live a tension free unhurried life.

Many effective drugs are available for treatment of GERD. But to get permanent or long lasting relief they should have to observe the precautions and have to change their life style.

In situation, when patient don’t get relief then they should consult the doctor, who will advice for some other tests.

Some patients may require surgery to get relief.

GERD (Heart burn/acid indigestion) is very common problem in adults. Any one experiencing heart burn at least twice a week may suffering from GERD. It may also cause dry cough asthma, difficulty in swallowing. It is very important cause of asthma and if GERD is treated, they are cured from asthma to Many GERD patents have mid chest pain and mistook it as angina or heart disease.

It can occur in infants and children to in them it may cause repetitive vomiting coughing and other respiratory problem Infant may spit up or vomit frequently. Many show arching or become irritable It may cause abdominal or chest pain in order children.

Disease is mainly due to wrong life style and eating hobbits. So to get long lasing relief one has to change it and to take regular treatment.

Thanks,

Health, Oct-2012

 

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