GERD By:Gabbie,Taylor & Fatima
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The esophageal pumps the food down to the stomach to the lower esophageal sphincter which allows transport into stomach and prevents flow of gastric fluid back into esophagus. The stomach secretes acid and enzymes to break down food. The LES Lower esophageal sphincter is a muscle that connects the esophagus to the stomach is effected because it relaxes in patients who have GERD and allows acid to flow into the esophagus.
Acid Reflux is the burning substernal pain that occurs when stomach acid regurgitates into the esophagus. The structures affected are the stomach, esophagus and oral cavity.
Prevention of GERD include loosing weight, quite smoking, don't lie down after eating, eat smaller meals, review your medications, cut back on alcohol. Risk factors include obesity, pregnancy, hiatal hernia, connective tissue disorders, and delayed stomach emptying. Things that can aggravate GERD are smoking, eating large meals, or eating late at night also eating fried fatty foods.
Causes of GERD occur in people who are over weight, pregnant, taking certain medication, smoking and being exposed to second hand smoke. Symptoms include heartburn after eating, chest pain, difficulty swallowing, regurgitating food or sower liquid and sensation of a slump in your throat.
Come see me and my fellow doctors in order for us to direct you to a gastroenterologist. There are several possible tests to run on you which include PH and impedance monitoring and upper GI endoscope.
Complications of GERD are Esophagitis, esophageal stricture which makes it hard or painful to swallow, Esophageal Cancer in very serious cases when goes untreated.
Surgical treatments include Fundoplication which helps reduce reflux by sewing the top of the stomach to the esophagus. and another option is Endoscopic procedure which uses heat or sewing to tighten the sphincter muscle.
Treatments for GERD are sanctioned into two major categories. Surgical treatments and medication. Treatments involving medication involve Proton Pump inhibitors which decrease the amount of acid produced by the stomach, H2 Blockers, Antacids, Prokinetics, Erythromycin.
Statistics of GERD are In America, more than 60 million adults suffer symptoms of acid reflux each month. There is no cure for acid reflux disease but can be managed with different treatments, and on average symptoms of acid reflux last for two hours.
The prognosis for people with GERD are in some cases some patients are able to heal completely without complications, the earlier treatments begins the easier it is to keep GERD from getting worse.
MacGill, Markus. “GERD: Symptoms, Causes, and Treatment.” Medical News Today, MediLexicon International, 18 Jan. 2018. Treatment & Care. (n.d.). Retrieved April 27, 2018, from https://www.webmd.com/heartburn-gerd/guide/heartburn_gerd_treatment_care Acid Reflux and GERD. (n.d.). Retrieved April 26, 2018, from https://www.palmyrasurgical.com/adjustable-gastric-band-guide/obesity-and- your-health/obesity-acid-reflux-and-gerd Babcock, J. (2018, January 09). Wheezing, Food Sensitivities & Chest Pain: Is Your Doctor Missing GERD Warning Signs? Retrieved April 26, 2018, from https://draxe.com/gerd-symptoms-causes-treatments/
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