When to See a GI Doctor for Gastroesophageal Reflux Disease


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17 Symptoms of Acid Reflux (GERD)

Foam barriers are tablets that are composed of an antacid and a foaming agent. As the tablet disintegrates and reaches the stomach, it turns into foam that floats on the top of the liquid contents of the stomach. The foam forms a physical barrier to the reflux of liquid.

what kind of doctor diagnosis gerd

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The monitor connects to a small computer that you wear around your waist or with a strap over your shoulder. The monitor might be a thin, flexible tube (catheter) that’s threaded through your nose into your esophagus, or a clip that’s placed in your esophagus during an endoscopy and that gets passed into your stool after about two days. Your doctor might be able to diagnose GERD based on a physical examination and history of your signs and symptoms. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus.

Diagnostic tests are used when the diagnosis is in doubt or complications are a concern. As many as 10 percent of Americans have episodes of heartburn (pyrosis) every day, and 44 percent have symptoms at least once a month.1, 2 In all, GERD affects an estimated 25 to 35 percent of the U.S. population.3 Even though many persons with GERD may not seek medical care, annual health care costs related to this disease are still high. Sometimes acid reflux presents without heartburn, causing what is known as silent reflux.

Only one third of patients with GERD have radiologic signs of esophagitis.13 Findings include erosions and ulcerations, strictures, hiatal hernia, thickening of mucosal folds and poor distensibility.13, 14 Only a minority of patients with documented abnormal pH have radiographically evident esophagitis.13 Consequently, a radiographic study is not the test of choice for the diagnosis of GERD. GERD is thought to have a multifactorial etiology rather than a single cause. Contributing factors include the caustic materials that are refluxed, a breakdown in the defense mechanisms of the esophagus and a functional abnormality that results in reflux. People with a hiatal hernia may be more likely to have acid reflux. Find out why.

How common is GERD?

Studies have linked PPIs to bone fracture, renal failure, heart attack, dementia, Clostridium difficile (or C. diff) infections and vitamin deficiency. Is your doctor sympathetic? Does he or she listen carefully as you explain your symptoms? Does he or she understand the real impact of GERD on your life?

These maneuvers raise the esophagus above the stomach and partially restore the effects of gravity. It is important that the upper body and not just the head be elevated. Elevating only the head does not raise the esophagus and fails to restore the effects of gravity. Symptoms of nausea, vomiting, and regurgitation may be due either to abnormal gastric emptying or GERD. An evaluation of gastric emptying, therefore, may be useful in identifying patients whose symptoms are due to abnormal emptying of the stomach rather than to GERD.

People with reflux may have a sphincter that does not close. Laryngopharyngeal reflux (LPR) is also known as silent reflux. LPR doesn’t cause any symptoms. The contents of your stomach could reflux up your esophagus, into your throat and voice box, and even into your nasal passages, and you might never know it – until more serious symptoms begin to arise from damage caused by stomach acid.

These medications – known as proton pump inhibitors – are stronger acid blockers than H-2-receptor blockers and allow time for damaged esophageal tissue to heal. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24 HR) and omeprazole (Prilosec OTC, Zegerid OTC).

The procedure can also help show whether acid reflux triggers any respiratory symptoms. If your GER symptoms don’t improve, if they come back frequently, or if you have trouble swallowing, your doctor may recommend testing you for gastroesophageal reflux disease (GERD). Almost everyone has experienced acid reflux, which is commonly known as heartburn. Acid reflux occurs when stomach acid backs up into your esophagus, resulting in symptoms like chest pain, a burning sensation in your throat and a sour taste in your mouth. Surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter called Nissen fundoplication.

For example, waves of contraction may not begin after each swallow or the waves of contraction may die out before they reach the stomach. Also, the pressure generated by the contractions may be too weak to push the acid back into the stomach.

Chewing gum stimulates the production of more bicarbonate-containing saliva and increases the rate of swallowing. After the saliva is swallowed, it neutralizes acid in the esophagus. In effect, chewing gum exaggerates one of the normal processes that neutralize acid in the esophagus. It is not clear, however, how effective chewing gum is in treating heartburn.

Often this can be done by monitoring symptoms, but sometimes repeating a procedure to compare the results is the most effective way. People with a stricture from prolonged acid reflux disease often have trouble with vomiting undigested foods or difficulty swallowing solid food. In many cases, this requires surgery to repair. The second category is called pathological reflux disease. People in this category develop acid reflux symptoms and possible complications due to more severe and lingering symptoms and sometimes have co-existing medical conditions that make their acid reflux worse.

Tests to diagnose acid reflux (GERD) include upper GI series (X-rays of the esophagus, stomach, and upper part of the intestine), an upper GI endoscopy, esophageal manometry, and a 24-hour pH probe study. Esophageal intraluminal baseline impedance differentiates gastroesophageal reflux disease from functional heartburn . Double blind cross-over placebo controlled study of omeprazole in the treatment of patients with reflux symptoms and physiological levels of acid reflux–the “sensitive oesophagus” .

what kind of doctor diagnosis gerd

Last Updated on: September 27th, 2019 at 1:06 am, by


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