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GERD (reflux)

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Acute

What is GORD (reflux)?

Gastroesophageal reflux disease (GERD) occurs when stomach acid repeatedly flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus. Many people experience acid reflux from time to time.

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  • Bad breath.
  • Bloating and belching.
  • Feeling or being sick.
  • Pain when swallowing.
  • A sore throat and hoarseness.
  • A sore, inflamed oesophagus (oesophagitis)
  • Difficulty swallowing, which may feel like a piece of food is stuck low down in your throat.

Complications of GORD could be either benign or malignant. Benign complications include erosive oesophagitis, bleeding and peptic strictures. Premalignant and malignant lesions include Barrett's metaplasia, and oesophageal cancer. Management of both the benign and malignant complications can be challenging.

GORD is usually caused by the ring of muscle at the bottom of the oesophagus becoming weakened. Normally, this ring of muscle opens to let food into your stomach and closes to stop stomach acid leaking back up into your oesophagus. But for people with GORD, stomach acid is able to pass back up into the oesophagus.

Smoking. Eating large meals or eating late at night. Eating certain foods (triggers) such as fatty or fried foods. Drinking certain beverages, such as alcohol or coffee.

  • Maintain a healthy weight.
  • Stop smoking.
  • Elevate the head of your bed.
  • Start on your left side.
  • Don't lie down after a meal.
  • Eat food slowly and chew thoroughly.
  • Avoid foods and drinks that trigger reflux.
  • Avoid tight-fitting clothing.

How is it diagnosed?

How is it diagnosed?
  • Maintain a healthy weight.
  • Stop smoking.
  • Elevate the head of your bed.
  • Start on your left side.
  • Don't lie down after a meal.
  • Eat food slowly and chew thoroughly.
  • Avoid foods and drinks that trigger reflux.
  • Avoid tight-fitting clothing.
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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter. The procedure is called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus

 

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