Free Medical Advice | Asesoramiento médico gratuito| मुफ्त चिकित्सा सलाह

GERD
Discussion in 'All Categories' started by Ashish Chaurasia - Dec 9th, 2011 7:17 pm.
Ashish Chaurasia
Ashish Chaurasia
Sir,
In 2007 I suffered from GERD. In which I was admitted to hospital as suufered from severe Chest & stomach burns for 15 to 20 days. Doctors prescried pantaprozle, different anatcids etc..n short all avaialable prazole were given to me. Gastroscopy was also done on me. very mild swelling was found in stomach. Nothing abnormal as such was found. Now in 2011 after 4 yrs I am suffering from same GERD. Dr has given me Rabeprazole Sodium & Itopride Hydochoride Capsules with Antacids. There is still no relief. Pls help me as this burning is killing me..
re: GERD by Dr M.K. Gupta - Dec 10th, 2011 12:35 am
#1
Dr M.K. Gupta
Dr M.K. Gupta
Dear Ashish Chaurasia

Statical data has shown that the patient who do not respond very nicely by Proton Pump Inhibitor or H2 receptor antogonist doest not get much benifit even after Surgery. If you Want we can re-examine you and we can find out the best solution for you.

Gastroesophageal reflux disease (GERD) is a symptom in which the contents of the stomach (food or liquid) leak backwards in the stomach into the esophagus (the tube in the mouth towards the stomach). This course of action can irritate the esophagus, causing heartburn along with other symptoms.
Causes, incidence, and risk factors

When you eat, food leaves the throat to the stomach with the esophagus (also known as the food pipe or swallowing tube). Once food is within the stomach, a diamond ring of muscle tissue prevents food motionless backward into the esophagus. These muscle tissue are known as the lower esophageal sphincter, or LES.

If the sphincter muscle doesn't close well, food, liquid, and stomach acid can leak into the esophagus. This is known as reflux or gastroesophageal reflux. Reflux could cause symptoms, or it can even damage the esophagus.

The risk factors for reflux include:

Alcohol (possibly)

Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities)

Obesity

Pregnancy

Scleroderma

Smoking

Heartburn and gastroesophageal reflux could be triggered or made worse by pregnancy and several different medications. Such drugs include:

Anticholinergics (e.g., for seasickness)

Beta-blockers for high blood pressure level or cardiovascular disease

Bronchodilators for asthma

Calcium channel blockers for top blood pressure

Dopamine-active drugs for Parkinson's disease

Progestin for abnormal menstrual bleeding or contraception

Sedatives for insomnia or anxiety

Tricyclic antidepressants

If you suspect that one of the medications may be causing heartburn, talk to your doctor. Never change or stop a medicine you take regularly without speaking with your doctor.
Symptoms

More prevalent symptoms are:

Feeling that food is stuck behind the breastbone

Heartburn or a burning pain in the chest (underneath the breastbone)

Increased by bending, stooping, lying down, or eating

More likely or worse at night

Relieved by antacids

Nausea after consuming

Less frequent symptoms are:

Bringing food back up (regurgitation)

Cough or wheezing

Difficulty swallowing

Hiccups

Hoarseness or alternation in voice

A sore throat

Signs and tests

You might not need any tests if your symptoms are not severe.

In case your symptoms are severe or they are available back after you have been treated, a number of tests may help diagnose reflux or any complications:

Esophagogastroduodenoscopy (EGD) is usually used to discover the cause and examine the esophagus (swallowing tube) for damage. The doctor inserts a thin tube having a camera on the end using your mouth. The tube is then passed into your esophagus, stomach, and small intestine.

Barium swallow

Continuous esophageal pH monitoring

Esophageal manometry

A positive stool occult blood test may diagnose bleeding that's from the irritation in the esophagus, stomach, or intestines.
Treatment

You may make many lifestyle changes to help treat your symptoms. Avoid foods that create problems for you. Making changes to your routine prior to going to rest may also help.

See: Gastroesophageal reflux - discharge for more on managing your symptoms at home.

Avoid drugs such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). Take acetaminophen (Tylenol) to alleviate pain. Take your medicines with lots of water. Whenever your doctor gives you a new medicine, remember to ask whether it can make your heartburn worse.

You can utilize over-the-counter antacids after meals and at bedtime, although they do not last very long. Common negative effects of antacids include diarrhea or constipation.

Other over-the-counter and prescription medications can treat GERD. They work more slowly than antacids but give you longer relief. Your friendly phamacist, doctor, or nurse can tell you how to take these drugs.

Proton pump inhibitors (PPIs) reduce the quantity of acid manufactured in your stomach

H2 blockers (antagonists) lower the quantity of acid released within the stomach

Anti-reflux operations (fundoplication and others) might be an option for patients whose symptoms do not go away with change in lifestyle and drugs. Heartburn and other symptoms should improve after surgery, but you can always have to take drugs for the heartburn.

There's also new therapies for reflux that may be performed through an endoscope (a flexible tube passed with the mouth into the stomach).

With regards

M.K. Gupta
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Simple catpcha image
*
* - required fields
 

 

Get Free Postoperative Advice

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×