| Discussion in 'All Categories' started by Ashish Chaurasia - Dec 9th, 2011 7:17 pm. | |
Ashish Chaurasia
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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.. |
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re: GERD
by Dr M.K. Gupta -
Dec 10th, 2011
12:35 am
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Dr M.K. Gupta
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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 |
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