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Do you suffer with reflux (GER GERD)?


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Join date : 2014-12-20

Do you suffer with reflux (GER GERD)? Empty Do you suffer with reflux (GER GERD)?

Post by bluesheart on Mon Nov 06, 2017 2:12 pm

Definition & Facts for GER & GERD
What is GER?

Gastroesophageal reflux (GER) happens when your stomach contents come back up into your esophagus.

Stomach acid that touches the lining of your esophagus can cause heartburn, also called acid indigestion.

Does GER have another name?

Doctors also refer to GER as

acid indigestion
acid reflux
acid regurgitation
How common is GER?

Having GER once in a while is common.

What is GERD?

Gastroesophageal reflux disease (GERD) is a more serious and long-lasting form of GER.

What is the difference between GER and GERD?

GER that occurs more than twice a week for a few weeks could be GERD. GERD can lead to more serious health problems over time. If you think you have GERD, you should see your doctor.

How common is GERD?

GERD affects about 20 percent of the U.S. population.1

Who is more likely to have GERD?

Anyone can develop GERD, some for unknown reasons. You are more likely to have GERD if you are

overweight or obese
a pregnant woman
taking certain medicines
a smoker or regularly exposed to secondhand smoke
What are the complications of GERD?

Without treatment, GERD can sometimes cause serious complications over time, such as


Esophagitis is inflammation in the esophagus. Adults who have chronic esophagitis over many years are more likely to develop precancerous changes in the esophagus.

Esophageal stricture

An esophageal stricture happens when your esophagus becomes too narrow. Esophageal strictures can lead to problems with swallowing.

Respiratory problems

With GERD you might breathe stomach acid into your lungs. The stomach acid can then irritate your throat and lungs, causing respiratory problems, such as

asthma —a long-lasting disease in your lungs that makes you extra sensitive to things that you’re allergic to
chest congestion, or extra fluid in your lungs
a dry, long-lasting cough or a sore throat
hoarseness—the partial loss of your voice
laryngitis—the swelling of your voice box that can lead to a short-term loss of your voice
pneumonia—an infection in one or both of your lungs—that keeps coming back
wheezing—a high-pitched whistling sound when you breathe
Barrett’s esophagus

GERD can sometimes cause Barrett’s esophagus. A small number of people with Barrett’s esophagus develop a rare yet often deadly type of cancer of the esophagus.

If you have GERD, talk with your doctor about how to prevent or treat long-term problems.

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Post by Admin on Tue Nov 07, 2017 8:19 pm

some treatments for gerd -


A number of different medications can be used to treat symptoms of GORD.

Over-the-counter medicines
Over-the-counter heartburn and GORD medicines are available from pharmacies without a prescription. The main types are:
antacids – these neutralise the effects of stomach acid
alginates – these produce a coating that protects the stomach and oesophagus (gullet) from stomach acid
low-dose proton-pump inhibitors and H2-receptor antagonists – see below for more information about these

These medicines aren't suitable for everyone, so you should check the leaflet first. Ask a pharmacist for advice if you're not sure.

Proton-pump inhibitors (PPIs)

If your symptoms don't get better despite trying self-help measures and over-the-counter medicines, your GP may prescribe a PPI. These work by reducing the amount of acid produced by your stomach.

You'll usually be given enough medication to last a month. Go back to your GP if they don't help or your symptoms return after treatment finishes. Some people need to take PPIs on a long-term basis.

The possible side effects of PPIs are usually mild. They include headaches, diarrhoea or constipation, feeling sick, abdominal (tummy) pain, dizziness and a rash.

Your GP will prescribe the lowest dose that they think will control your symptoms to reduce the risk of side effects.
H2-receptor antagonists (H2RAs)

If PPIs don't control your symptoms, a medicine known as a H2RA may be recommended for you to take alongside them on a short-term basis, or as an alternative.

Like PPIs, H2RAs reduce the amount of acid produced by your stomach.

Side effects of H2RAs are uncommon, but can include diarrhoea, headaches, dizziness, a rash and tiredness.

Surgery and procedures

Surgery may be an option if:
the above treatments don't help, aren't suitable for you, or cause troublesome side effects
you don't want to take medication on a long-term basis
The main procedure used is called a laparoscopic Nissen fundoplication (LNF). Alternative techniques have been developed more recently, although these aren't yet widely available.

Laparoscopic Nissen fundoplication (LNF)
LNF is a type of laparoscopic or "keyhole" surgery. This means it's carried out using special surgical instruments inserted through small cuts (incisions) in the skin.

The procedure is used to tighten the ring of muscle at the bottom of the oesophagus, which helps to stop acid leaking up from the stomach. It's carried out in hospital under general anaesthetic.

Most people need to stay in hospital for two or three days after the procedure. Depending on your job, you may be able to return to work within three to six weeks.
For the first six weeks after surgery, you should only eat soft food, such as mince, mashed potatoes or soup. Some people experience problems with swallowing, belching and bloating after LNF, but these should get better with time.

Newer operations and procedures

In the last few years, several new techniques for treating GORD have been developed.

The National Institute for Health and Care Excellence (NICE) says these procedures appear to be safe, but not much is known about their long-term effects.

These techniques include:
Endoscopic injection of bulking agents – where special filler is injected into the area between the stomach and oesophagus to make it narrower.

Endoluminal gastroplication – where folds are sown into the ring of muscles at the bottom of the oesophagus to restrict how far it can open.

Endoscopic augmentation with hydrogel implants – where implants containing special gel are placed into the area between the stomach and oesophagus to make it narrower.

Endoscopic radiofrequency ablation – where a tiny balloon is passed down to the bottom of the oesophagus and electrodes attached to it are used to heat it and make it narrower.

Laparoscopic insertion of a magnetic bead band (LINX) – where a ring of magnetic beads are implanted around the lower part of the oesophagus to strengthen it and help keep it closed when not swallowing.

Speak to your surgeon about these techniques for more information.


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Post by anthony on Sun Nov 12, 2017 12:23 pm

my doctors won't increase my medication so am taking zantac which seems to help

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