Lower Esophageal Sphincter & Surgery
How might acid reflux lead to coughing and how is this diagnosed? Learn about treatments, prevention methods, and other causes of chronic coughing. People should sit upright for 3 or more hours after a meal to reduce heartburn symptoms. People should also eat smaller meals and avoid eating in the 2 to 3 hours before sleep.
In some cases, acid reflux progresses to gastroesophageal reflux disease (GERD), or a more serious form of reflux. Common signs of GERD include frequent heartburn, coughing, wheezing, chest pain and regurgitation – particularly at night. Often, lifestyle changes and medication effectively manage gastroesophageal reflux disease, or GERD. But doctors at NYU Langone may recommend surgery if GERD symptoms, such as heartburn, chest pain, and hoarseness, persist or if diagnostic tests show that GERD is caused by a hiatal hernia-a hole in the diaphragm that allows part of the stomach to enter the chest cavity.
But asthma and some asthma medications might raise your risk of experiencing GERD. Hormonal changes during pregnancy can cause the muscles in your esophagus to relax more frequently. A growing fetus can also place pressure on your stomach.
A small number of patients find that very lumpy foods tend to stick in the lower oesophagus when swallowing which then causes discomfort. Avoid foods that can make GERD symptoms worse (spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits). Three types of endoscopic treatments are EndoCinchâ„¢, Stretta Â® , and EsophyXâ„¢.
- Temporary side effects include sore throat, shoulder pain from nerve irritation, difficulty swallowing, and, possibly, nausea or vomiting.
- But doctors at NYU Langone may recommend surgery if GERD symptoms, such as heartburn, chest pain, and hoarseness, persist or if diagnostic tests show that GERD is caused by a hiatal hernia-a hole in the diaphragm that allows part of the stomach to enter the chest cavity.
- You may need to keep up with treatment over the long term to prevent GERD symptoms from coming back.
If you have been using nonprescription medicines to treat your symptoms for longer than 2 weeks, talk to your doctor. Stomach acid could be causing damage to your esophagus. If you have GERD symptoms often, or if they are very bad, your doctor may recommend that you use prescription medicines. You may be referred to a doctor who specializes in diseases of the digestive tract (gastroenterologist) to check severe GERD symptoms or to get an opinion on whether surgery is needed. If you are thinking about having surgery, you may also be referred to a general surgeon who has experience treating stomach and esophagus problems.
This low-acid fruit can help those with acid reflux by coating an irritated esophageal lining and thereby helping to combat discomfort. Due to their high-fiber content, bananas also can help strengthen your digestive system – which can help ward off indigestion. One soluble fiber found in bananas is pectin, which helps move stomach contents through your digestive tract. And thatâ€™s a good thing – because food that sticks around will only continue to generate acid. Sternum pain can result from a variety of causes.
This lasts for only a few weeks, until your esophagus slowly adjusts. In addition, the repaired esophageal muscle is initially so strong that gas may become trapped in the digestive system, leading to bloating and flatulence. These symptoms usually subside after a few weeks, when the muscles relax after surgery. People treated with laparoscopic fundoplication can usually go home the day of surgery but occasionally after overnight observation.
If symptoms do not respond to treatment, or if other symptoms such as weight loss, trouble swallowing or internal bleeding are present, additional testing may be necessary. Surgery is an option when medicine and lifestyle changes do not work. Surgery may also be a reasonable alternative to a lifetime of drugs and discomfort. Fundoplication, usually a specific variation called Nissen fundoplication, is the standard surgical treatment for GERD. The upper part of the stomach is wrapped around the LES to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia.
The wrapping of the top part of the stomach can be partial or complete. Medications that block acid production and heal the esophagus. 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).