A Simple Guide to Gastroesophageal Reflux Disease and Related Conditions (A Simple Guide to Medical Conditions)


Gastic acid reflux is no joke
It can really burn your vocal cords and throat
Many have lost their voice in this way
And have chronic coughs that stay

Obesity and pregnancy both force acid up the gullet course
Weight loss will definitely reduce the abdominal force
Reduce your level of nerves and stress
Lying on the left make the acid flow less

Smaller meals towards bedtime will help faster digestion
Indigested food will not flow up the gullet to add to congestion
Raising the head of bed is also effective to reduce the acid hub
So will a higher wedge like pillow to keep the head and chest up

Avoid alcohol, mint, spicy and sour foods which increase the acid
Neutralize the acid with gasvicon or actalor other antacids
Add in H2 inhibitors and proton pump inhibitor medication
Incompetancy of the opening of the gullet may require surgical ligation

-An original poem by Kenneth Kee

Interesting Tips about the GERD

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Weight loss for the Obese to reduce GERD

Positional therapy for GERD

a. Sleeping on the left side has been shown to drastically reduce nighttime reflux episodes in patients

b. Elevating the head of the bed is also effective.

The head of the bed can be raised by wooden bed risers that support bed posts or legs.

Elevation must be at least 6 to 8 inches (15 to 20 cm) to be able to prevent the backflow of gastric fluids.

Eat smaller meals

Avoid triggers of reflux like alcohol, caffeine, mint and sour and spicy foods

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the neurons and brain cells.

Too much alcohol with smoking can increase the risk of acid reflux.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them.

Chapter 1

Gastroesophageal Reflux Disease

What is Gastroesophageal reflux disease?

Gastro esophageal reflux disease (GERD) is a chronic disease of the esophagus whose mucosa is damaged by abnormal reflux of gastric acid from the stomach to the esophagus causing heartburn.

What are the causes of GERD?

1. Incompetent Lower Esophageal Sphincter (LES) allow the acid and gastric juice to reflux up the esophagus

a. Incompetence of the cardia (junction between the stomach and esophagus),

b. Transient cardia relaxation,

c. Impaired expulsion of gastric reflux from the esophagus

2. Hiatus hernia – hole in diaphragm separating esophagus from stomach is enlarged allowing the easier flow of acid up the esophagus

3. Obesity and pregnancy: increased body weight cause pressure in the abdomen to push gastric contents upwards towards esophagus

4. Zollinger-Ellison syndrome- this condition typically increase gastric acid

5. Hypercalcemia, increase gastrin production, leading to increased acidity


Chapter 1 GERD

Chapter 2 Interesting Facts about GERD

Chapter 3 Peptic Ulcer

Chapter 4 Helicobac

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