Gastroesophageal Reflux Disease
Common names: heartburn, GERD, acid reflux diseases, indigestion, acid buildup, LES
What is Gastroesophageal Reflux Disease (GERD):
- Reverse flow of gastric or duodenal contents into the esophagus and past the lower esophageal sphincter (LES), without associated belching or vomiting.
- Reflux of gastric acid, causing acute epigastric pain, usally after you eating.
- Also called or known as Heartburn
- GERD affects about 7 million U.S. residents
- Affects all ethnic groups and socioeconomic classes
Most common in people ages 45 to 64 years old
- Ant agent that lowers LES pressure: acidic and fatty food, alcohol, cigarettes, anticholinergics or other drugs (morphine, diazepam, calcium channel blockers, meperidine).
- Nasogastric (NG) intubation for longer than 4 days.
Assess Your Symtoms
- Heartburn that typically occurs 1 to 2 hours after eating.
- Heartburn that worsens with strenuous exercise, bending, lying down, wearing tight clothing, coughing, constipation, and being overweight.
- Regurgitation without associated nausea or belching
- Feeling the fluid accumulate in your throat with a sour or bitter taste in your mouth
- Chronic pain radiating in your neck, jaw, and arms that may mimic angina pectoris (chest pain)
- Sharp substernal pain when swallowing
- Bright red or dark brown in your vomit
- laryngitis amd morning hoareness
- Modify your lifestyle
- Integrate Positional Therapy
- Remove certain foods from your diet
- Reduce your weight, if needed
- Avoid eating 2 hours before sleep
Medications that can Help
Inhibitors such as esomeprazole, lansoprazole, pantoprazole, and rabeprazole.
Factors that affect LES Pressure
Changes to your diet can increase or decrease lower esophageal sphincter (LES) pressure.
Foods that increases LES Pressure:
What decreases LES Pressure:
- Orange Juice
- Whole milk
- Antiflatulent (simethicone)
- High-dose ethanol
- Cigarette smoking
- Lying on your side (left or right)
Note: The information above is just is only for informational purposes only and is just a general reference guide. If you have an emergency call 911 directly or speak with your doctor immediately.
- L, W & W
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