G.e. Reflux/ Persistent Heartburn Disease Information

Gastroesophageal reflux (GER) is a circumstance in which the materials of the stomach, including stomach acid, flow back up into the esophagus. This can cause a burning feeling in the chest, known as heartburn, as well as other indications. GER is widespread in infants and usually resolves on its own without treatment. On the other hand, in some cases, GER can become a persistent condition, recognized as gastroesophageal reflux disease (GERD). GERD is a more serious form of GER, and it is characterized by frequent episodes of heartburn, acid reflux, and other symptoms that can interfere with quality of life. Common symptoms of GERD include chest discomfort, difficulty swallowing, a sour taste in the mouth, and regurgitation of food or liquid. Other signs may include coughing, hoarseness, and a sensation of a lump in the throat. Treatment for GERD typically involves lifestyle changes, such as avoiding certain foods and drinks that can trigger symptoms, as well as medications to reduce acid production and promote healing of the esophagus. In some cases, surgery may be suggested to reduce the risk of complications from GERD. It is essential to seek medical attention if you are experiencing frequent episodes of heartburn, as GERD can lead to more severe complications if left untreated.

1. Proton pump inhibitors (PPIs): These medications reduce acid production in the stomach.
2. H2 blockers: These medications reduce acid production in the stomach.
3. Antacids: These medications neutralize stomach acid.
4. Prokinetics: These medications help strengthen the lower esophageal sphincter (LES) and help empty the stomach faster.
5. Foam barriers: These medications form a foam barrier on top of the stomach contents to prevent acid reflux.
6. Surgery: Surgery may be recommended for severe cases of GERD that do not respond to lifestyle changes or medications.

1. Burning sensation in the chest or throat
2. Bitter or sour taste in the mouth
3. Burping
4. Difficulty swallowing
5. Dry cough
6. Hoarseness
7. Regurgitation of food or liquid
8. Nausea
9. Bloating
10. Hiccups
11. Belching
12. Asthma-like symptoms
13. Sore throat
14. Chest pain

1. Esophageal Manometry: This examination gauges the pressure and performance of the muscles in the esophagus.
2. 24-Hour pH Test: This test assesses the pH level in the esophagus over a 24-hour interval.
3. Endoscopy: This test employs a thin, flexible tube with a camera on the end to observe the esophagus.
4. Barium Swallow Test: This test utilizes a special liquid to cover the esophagus and stomach to aid in recognizing any anomalies.
5. Gastric Emptying Study: This test uses a special liquid to measure how swiftly food passes through the stomach.
6. Impedance-pH Test: This test gauges the amount of acid and non-acid reflux in the esophagus.

G.E. Reflux (Gastroesophageal Reflux Disease) is a condition where the stomach's contents return to the esophagus, causing discomfort and inflammation. This can lead to a continuous burning feeling in the chest, known as heartburn. Other signs of GERD include chest pain, difficulty swallowing, and vomiting of food or liquid. GERD can be due to lifestyle choices, like eating large meals, eating certain foods, lying down after eating, or being overweight. It can also be due to certain medical conditions, like hiatal hernia or pregnancy.

1. Treatment for GERD and persistent heartburn typically involves making alterations to one's lifestyle and taking medicines.
2. Lifestyle changes: • Steering clear of trigger foods and drinks that cause heartburn, such as greasy foods, hot foods, caffeine, and alcohol. • Eating smaller meals more often and avoiding eating close to bedtime. • Refraining from lying down after eating. • Stopping smoking. • Raising the head of the bed six to eight inches to reduce nighttime heartburn.
3. Medications: • Over-the-counter antacids, such as Tums or Rolaids, to neutralize stomach acid. • H2 blockers, such as ranitidine (Zantac), cimetidine (Tagamet), and famotidine (Pepcid), to lessen stomach acid production. • Proton pump inhibitors (PPIs), such as omeprazole (Prilosec) and lansoprazole (Prevacid), to decrease stomach acid production. • Prokinetics, such as metoclopramide (Reglan), to help the stomach empty faster. • Prescription medications, such as baclofen, to relax the lower esophageal sphincter.

1. Abstain from foods and drinks that provoke your heartburn. Common triggers include acidic items such as citrus fruits, tomatoes, and vinegar; fatty or fried foods; spicy foods; garlic; onions; caffeine; and fizzy drinks.
2. Eat littler meals more often throughout the day, instead of three large meals.
3. Abstain from eating close to bedtime.
4. Don't lie down after eating. Wait at least three hours before going to bed.
5. Raise the head of your bed by six to eight inches.
6. Wear loose-fitting clothing.
7. Give up smoking.
8. Chew gum after meals to increase saliva production, which can help neutralize stomach acid.
9. Try over-the-counter antacids or medications such as H2 blockers or proton pump inhibitors (PPIs).
10. Talk to your doctor about whether any prescription medications might be helpful.