Get Relief From Extremely Painful Disease Acid Reflux With Hard Process

Get Relief From Extremely Painful Disease Acid Reflux With Hard Process.Heartburn,GERD, indigestion,reflux are all different words to describe the same underlying condition.The terms are usually used to specify severity and frequency of the symptoms,though they are often confused and misused.Let’s clear this up.

So what is heartburn?
Heartburn usually describes a burning sensation felt in the chest,though the term itself is misleading;heartburn has absolutely nothing to do with the heart.A person experiences heartburn when stomach acid is allowed back into the esophagus.
Why does it happen?
Just like a car going the wrong way in traffic, food and stomach acid traveling the wrong way in the esophagus causes problems.When stomach acid and sometimes food is allowed back in the esophagus it causes the burning,painful irritation,or the symptom commonly known as ‘heartburn.’This usually happens when the lower esophageal sphincter(LES)is under too much pressure,is weakened or malfunctions all together.The LES connects the base of the esophagus to the stomach and is responsible for allowing solids and liquids into the stomach and keeping them from moving in the opposite direction.Okay,so that’s what happens in your body when you have heartburn.But what actually causes it? Mild to moderate heartburn can be traced to:
Eating too much
Eating too fast
Spicy foods
Eating before bed
The good thing is that in these cases most people will be able to deal with the discomfort by taking a few antacids and avoiding the behavior that brought it on.
How is heartburn different from GERD?
Gastroesophogeal Reflux Disease happens when the LES is weakened and malfunctions consistently,and not just when a person overeats or gulps down their food.If the LES cannot close completely after food empties into the stomach,acid backs up into the esophagus on a fairly regular basis,and not just when too much food enters the stomach too quickly.
GERD is caused by any number of factors,both lifestyle and physiological.Most people will develop GERD as a result of sustained poor eating habits that cause too much stress on the LES.Big meals of acidic or overly processed food over a long period of time will eventually wear the LES out and it will not function properly.
Some patients have GERD caused by abnormalities in the nerve or muscle functions in their esophagus or stomach.Some of these abnormal conditions may be spontaneous muscle action (peristalsis)in the esophagus or adult-ringed esophagus,a condition that causes rings on the esophagus and persistent trouble swallowing.
In 30 to 40 percent of people,GERD is hereditary,mostly through inherited muscular or structural problems in the stomach or esophagus.Genetic causes are especially common in people with Barrett’s esophagus.
What kind damages do ?
Stomach acid where it’s not supposed to be can cause all kinds of problems beyond burning pain.If the esophagus and the rest of the upper digestive tract is consistently saturated in acid,it can lead to:
Erosive esophagitis(erosion of the esophagus)
Severe narrowing(stricture) of the esophagus
Barrett’s Esophagus (pre-cancer of the esophagus)Problems with teeth,throat and airway leading to the lungs
What can you do about it?
A bout or two of heartburn every once in a while is probably not going to cause too much harm.But if you experience heartburn several times a week,you should talk to your doctor.
If persistent heartburn becomes a problem, it’s best to keep a journal of your symptoms.The journal should note:
Severity of heartburn When it starts and how long it lasts.Food eaten that day(You want to try to pinpoint which foods may have caused the heartburn.)Any physical activities,Medications you’re taking.The more information about your symptoms that you provide your doctor,the better you can be diagnosed and treated.
Can heartburn ever involve my heart?
No,but that doesn’t not mean you should ignore frequent chest pain under any circumstances. It could be caused by other conditions that can harm your heart.For example,patients who have had heart attacks often describe their first symptoms as‘really bad heartburn’.
Reference:-
1.A.D.A.M.,Inc.(2010, July 11).Acid Reflux Causes.Retrieved April 17,2012 from healthcentral
2.American College of Gastroenterology,(2012) Acid Reflux Overview.Retrieved from patients

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Top rank Doctors Research Result Of Gastroesophageal Reflux Disease GERD:A Modern Review Of Acid Reflux

Most Researched disease of this century (except HIV aids) is Gastroesophageal reflux disease (GERD).This GERD is a condition in which the stomach contents (food or liquid) leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This action can irritate the esophagus, causing heartburn and other symptoms.

Causes, incidence, and risk factors of GERD:-

When you eat, food passes from the throat to the stomach through the esophagus (also called the food pipe or swallowing tube). Once food is in the stomach, a ring of muscle fibers prevents food from moving backward into the esophagus. These muscle fibers are called the lower esophageal sphincter, or LES.
If this sphincter muscle doesn't close well, food, liquid, and stomach acid can leak back into the esophagus. This is called reflux or gastroesophageal reflux. Reflux may cause symptoms, or it can even damage the esophagus.
The risk factors for reflux include:
Alcohol (possibly)
Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities)
Obesity
Pregnancy
Scleroderma
Smoking
Heartburn and gastroesophageal reflux can be brought on or made worse by pregnancy and many different medications. Such drugs include:
Anticholinergics (e.g., for seasickness)
Beta-blockers for high blood pressure or heart disease
Bronchodilators for asthma
Calcium channel blockers for high blood pressure
Dopamine-active drugs for Parkinson's disease
Progestin for abnormal menstrual bleeding or birth control
Sedatives for insomnia or anxiety
Tricyclic antidepressants
If you suspect that one of your medications may be causing heartburn, talk to your doctor. Never change or stop a medication you take regularly without talking to your doctor.
More common symptoms of GERD are:-

Feeling that food is stuck behind the breastbone
Heartburn or a burning pain in the chest (under the breastbone)
Increased by bending, stooping, lying down, or eating
More likely or worse at night
Relieved by antacids
Nausea after eating
Less common symptoms are:
Bringing food back up (regurgitation)
Cough or wheezing
Difficulty swallowing
Hiccups
Hoarseness or change in voice
Sore throat
Signs and tests
You may not need any tests if your symptoms are not severe.
If your symptoms are severe or they come back after you have been treated, one or more tests may help diagnose reflux or any complications:
Esophagogastroduodenoscopy (EGD) is often used to find the cause and examine the esophagus (swallowing tube) for damage. The doctor inserts a thin tube with a camera on the end through your mouth. The tube is then passed into your esophagus, stomach, and small intestine.
Barium swallow
Continuous esophageal pH monitoring
Esophageal manometry
A positive stool occult blood test may diagnose bleeding that is coming from the irritation in the esophagus, stomach, or intestines.
Treatment of GERD:-
You can make many lifestyle changes to help treat your symptoms. Avoid foods that cause problems for you. Making changes to your routine before you go to sleep may also help.
Avoid drugs such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). Take acetaminophen (Tylenol) to relieve pain. Take your medicines with plenty of water. When your doctor gives you a new medicine, remember to ask whether it will make your heartburn worse.
You may use over-the-counter antacids after meals and at bedtime, although they do not last very long. Common side effects of antacids include diarrhea or constipation.
Other over-the-counter and prescription drugs can treat GERD. They work more slowly than antacids but give you longer relief. Your pharmacist, doctor, or nurse can tell you how to take these drugs.
Proton pump inhibitors (PPIs) decrease the amount of acid produced in your stomach
H2 blockers (antagonists) lower the amount of acid released in the stomach
Anti-reflux operations (fundoplication and others) may be an option for patients whose symptoms do not go away with lifestyle changes and drugs. Heartburn and other symptoms should improve after surgery, but you may still need to take drugs for your heartburn.
There are also new therapies for reflux that can be performed through an endoscope (a flexible tube passed through the mouth into the stomach).
Expectations (prognosis)
Most people respond to lifestyle changes and medications. However, many patients need to continue taking drugs to control their symptoms.
Complications
Asthma
Barrett's esophagus (a change in the lining of the esophagus that can increase the risk of cancer)
Bronchospasm (irritation and spasm of the airways due to acid)
Chronic cough or hoarseness
Dental problems
Esophageal ulcer
Stricture (a narrowing of the esophagus due to scarring)
Calling your health care provider
Call your health care provider if symptoms worsen or do not improve with lifestyle changes or medication.
Also call for any of the following symptoms:
Bleeding
Choking (coughing, shortness of breath)
Feeling filled up quickly when eating
Frequent vomiting
Hoarseness
Loss of appetite
Trouble swallowing (dysphagia) or pain with swallowing (odynophagia)
Weight loss
Prevention
Follow heartburn prevention techniques to prevent GERD.
References
1.Richter JE, Friedenberg FK. Gastroesophageal reflux disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 43.
2.Wang KK, Sampliner RE. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett's esophagus. Am J Gastroenterol. 2008;103(3):788-797. [PubMed]
3.Kahrilas PJ, Shaheen NJ, Vaezi MF, Hiltz SW, Black E, Modlin IM. American Gastroenterological Association Medical Position Statement on the management of gastroesophageal reflux disease. Gastroenterology. 2008;135:1383-1391. [PubMed]
4.Galmiche JP, Hatlebakk J, Attwood S, et al. Laparoscopic antireflux surgery vs esomeprazole treatment for chronic GERD: the LOTUS randomized controlled trial. JAMA. 2011;305:1969-1977.

5.George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California.

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