Everything You Wanted to Know About Gastric Reflux

Gastroesophageal reflux disease, or GERD, is a very common disorder, occurring from time to time in up to 50% of the population.  Gastroesophageal refers to the stomach and the esophagus. Reflux refers to the back-flow  of acidic stomach contents into the esophagus. There is no known single cause of GERD.  It occurs when the esophageal defenses are overwhelmed by acidic gastric contents that reflux into the espohagus.

Chronic heartburn is the most common symptom of GERD.  Acid Reflux regurgitation (refluxed food contents into the mouth) is another common symptom. But numerous less common symptoms of GERD other than heartburn that may be associated with GERD may include:

• Belching
• Difficulty or pain when swelling
• Excess saliva production
• Dysphagia or the sensation of food stuck in the esophagus
• Chronic sore throat
• Laryngitis or a "horse" voice
• Inflammation of the gums
• Erosion of the enamel of the teeth
• A sour taste in the mouth
• Bad breath

Some of the more common lifestyle changes need to take place with the diagnosis of Gastric Reflux or GERD:

• Keep the head of the bed elevated with a styrofoam wede under the bed mattress.
• Dietary modification by limiting and/or cutting out fatty foods, chocolate, peppermint and excessive alcohol, especially carbonated beverages.
• Refrain from laying on your back after meals and avoid meals before bedtime.
• Avoid tight fitting garments.
• Obesity is a risk factor for GERD.  It has been reported that symptoms improve with weight loss.

Medical Therapy for GERD

Over the counter H2 Blockers such as Tagamet, Pepcid or Zantac and Proton Pump Inhibitors such as omeprazole (Prilosec) can be used initially however prescription medication can be used as well such as Aciphex, Nexium, Prevacid, and Prilosec. 

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