Lifecoach: How to cope with acid reflux
GERD should be considered in asthmatics who initially present in adulthood, in those without an intrinsic component and in those not responding to bronchodilator or steroid therapy. An additional clue may be the development of reflux symptoms before the onset of asthma, or heartburn heralding an asthma attack. Patients with chronic cough should have a history taken and physical examination carried out to evaluate common causes of cough (asthma, sinusitis, GERD, ACE inhibitors), as well as chest radiograph. GERD should be considered if there are typical gastrointestinal symptoms or if cough remains unexplained after standard investigations.
As you know someone who suffers from acid reflux has acid reflux up and out of their stomach where it can cause a host of symptoms. For someone with GERD or minor acid reflux the acid usually effects the area just above the stomach and this often leads to symptoms like heartburn. Acid reflux happens when stomach acid moves back up to your esophagus. Thereâ€™s a band of muscle around the bottom of your esophagus called the lower esophageal sphincter. When you eat or drink, it relaxes, allowing food and liquid to move into your stomach.
The train started back in the early ’90s in Winston-Salem when Don Castell and Joe Richter were working with James Koufman, and they put together some very interesting work on the relationship between gastroesophageal reflux and extraesophageal disease. Lo and behold, the larynx was part of this focus, and Dr. Koufman really took off on this and started to educate laryngologists that this can occur. Sinusitis occurs when viruses or bacteria infect the sinus cavities, usually due to blockage of the small drainage pathways that lead to the nasal passages.
Acid is believed to be the most injurious component of the refluxed liquid. Pepsin and bile also may injure the esophagus, but their role in the production of esophageal inflammation and damage is not as clear as the role of acid. If diet and behavior changes don’t help, a medication may be prescribed – usually, treatment starts with a proton-pump inhibitor (PPI). Commonly prescribed PPIs include rabeprazole (Aciphex), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), and pantoprazole (Protonix). They all work by reducing the amount of acid made in the stomach.
There are several possible results of endoscopy and each requires a different approach to treatment. If the esophagus is normal and no other diseases are found, the goal of treatment simply is to relieve symptoms.
More recently, it has been suggested that even in patients with GERD whose esophagi appear normal to the eye, biopsies will show widening of the spaces between the lining cells, possibly an indication of damage. It is too early to conclude, however, that seeing widening is specific enough to be confidently that GERD is present. effects of gravity, reflux occurs more easily, and acid is returned to the stomach more slowly. Many patients with GERD are awakened from sleep by heartburn.
Swallowing causes a ring-like wave of contraction of the esophageal muscles, which narrows the lumen (inner cavity) of the esophagus. The contraction, referred to as peristalsis, begins in the upper esophagus and travels to the lower esophagus. It pushes food, saliva, and whatever else is in the esophagus into the stomach. The most recently-described abnormality in patients with GERD is laxity of the LES. Specifically, similar distending pressures open the LES more in patients with GERD than in individuals without GERD.
That study was called MarciKids. Infant GERD symptoms CHECK LIST! Because the only way a baby can tell us something is wrong is by crying. So how do you tell if they’re crying because of baby reflux?
Treatments for viral infections, allergies, and sinusitis are discussed in other sections. Acid reflux is treated with over-the-counter or prescription medications, depending upon the severity of the symptoms.