Oct 14

Reflux Disease

I know that exercise help, diet, etc.

I want to know more about what surgeries are available.

A: There is a procedure performed usually laproscopically called a Nissen Fundoplication.

It can either be a full or partial wrap.

It is not stomach stapling.

They take the top part of the stomach called the fundus and wrap it around the bottom of the oesphagus called the cardiac sphincter and pull it tight.
This stops stomach acid leaving your stomach and burning your oesphagus. It does what the sphincter is supposed to do.
It works extremely well.

Recovery time varies but is usually around two weeks for laproscopic surgery.

Reflux is only deadly if it is severe and over a long period of time as it causes errosion of the lining of the oesphagus and can cause ulceration and cancer. But that is extreme.
Worrying will make it worse.

Q: How do you prevent Acid Reflux from turning into Acid Reflux Disease?
I’ve been horribly sick for the last four days. It all started when I ate a whole Large Italian Sausage Pizza an hour before I went to bed on the couch. That was on Tuesday. I felt very bad Wenesday. Thursday I felt better. Friday and Saturday a drank to much. I think I got acid reflux cause it hurts when I belch.

A: Lifestyle changes Preventing Acid Reflux 10 Tips Preventing Acid Reflux

Remember, diet does NOT cause GERD. Nevertheless, GERD and its most frequent symptom of heartburn can be aggravated by foods, certain medications and other factors. Here are some suggestions to improve your heartburn symptoms.

1. Eat smaller, more frequent meals.
A full stomach can put extra pressure on the lower esophageal sphincter (LES), which will increase the chance that some of this food will reflux into the esophagus.

2. Avoid foods and beverages that can trigger reflux of stomach contents.
Some foods and beverages increase the risk of reflux by relaxing the LES. These include alcohol; beverages containing caffeine, such as coffee, tea and cola drinks; carbonated beverages; citrus fruits and juices; tomatoes and tomato sauces; chocolate; spicy and fatty foods.

3. Don’t eat within two to three hours before bedtime.
Lying down with a full stomach can cause stomach contents to press harder against the LES, increasing the chances of refluxed food.

4. If you’re overweight, lose the extra pounds.
Obesity increases abdominal pressure, which can then push stomach contents up into the esophagus.

5. Elevate your head a few inches while you sleep.
Lying down flat presses the stomach’s contents against the LES. With the head higher than the stomach, gravity helps reduce this pressure. You can elevate your head in a couple of ways. You can place bricks, blocks or anything that’s sturdy securely under the legs at the head of your bed. You can also use an extra pillow, or a wedge-shaped pillow, to elevate your head.

6. Don’t wear belts or clothes that are tight fitting around the waist.
Clothing that fits tightly around the abdomen will squeeze the stomach, forcing food up against the LES, and cause food to reflux into the exophagus. Clothing that can cause problems include tight-fitting belts and slenderizing undergarments.

7. Stop smoking.
The chemicals in cigarette smoke weaken the LES as they pass from the lungs into the blood.

8. Avoid alcohol.
Alcohol relaxes the lower esophageal sphincter, allowing the reflux of stomach contents into the esophagus. It also increases the production of stomach acid. If you want to consume alcohol, follow these tips: Dilute alcoholic beverages with water or club soda, drink moderate amounts of alcoholic beverages — the suggested amounts are 1-2 mixed drinks, 12-16 ounces of wine, or 2-3 beers, drink white wine instead of red, choose non-alcoholic beer or wine whenever you can.

9. Keep a heartburn record.
Record what triggerd your acid reflux episodes, the severity of each episode, how your body reacts, and what gives you relief. The next step is to take this information to your doctor so the both of you can determine what lifestyle changes you will need to make and what treatments will give you maximum relief.

10 Take your medication at the same time every day.
It is very important to take your medication every day. If you are prone to forgetting, leave yourself a note to remind you or take your medication when you do another daily activity that you don’t forget doing, such as brushing your teeth or washing your face.


Q: if you puke all the time you eat, does it mean you have acid reflux disease?
everytime i eat i puke but my step mom says i might b pregnant and im thinkin its acid reflux disease or something. i mean im not stressed out and m not sick.

A: You should go to the doctor for a work up and you should (at least temporarily) go on a clear liquid diet and slowly add solid foods back in. Also, take a pregnancy test to rule out pregnancy. If you’re not pregnant and the doctor isn’t sure what’s wrong with you then ask about gallbladder problems as that can make you vomit after you eat.

Q: I have acid reflux disease. Would tomato sauce give me an acid reflux episode?
I had spaghetti and tomato sauce for dinner and I still feel sick. I’m having a lot of acid reflux episodes (where you throw up in your mouth and it burns your chest and throat) and I don’t know what triggered them.

A: Yes, tomato sauce is one of those things you need to stay away from (same with carbonated drinks, critic drinks, chocolate, spisy food, caffeine, tea) It is importnt to follow your doctor’s advice and take your medications. The treatment vaies with the severity of your Gastroesophageal reflux. Usually when you take a medication to stop the production of acid in yur stomach, it means that your doctor wants to get rid of the infammation in your esophagus and allevialte and give better tone to the sphyncter of your stomach. Some times they use a medication to give more strength to that sphyncter so your stomach content does not regurgitate up, and at the same take relaxes the sphyncter of the Pylorus to empty your stomach faster. Late meals are not good, But for sure I would stay away from tomato sauce (ketchup is ok, believe or not). I hope this answer yur question.

Q: Why do i keep burping all the time even though I am taking an acid reducer for acid reflux disease?
Well i was diagnosed with acid reflux (gerd or what ever) about a year ago, and now i burp ALL the time, quite loudly, and not just a little burp, sometimes more like a belch. Its really embarassing and I was wondering if the antacid (generic brand of Zantac) is supposed to be making me do this? I’m a girl in my early teens.

A: The gases are being released via belching. Be lucky its not coming out the other end lol. jk. But really, it does have to come up, or it will stay in your tummy and keep botherin you.

Q: Whats the best thing to do about bile reflux and acid reflux disease?
Has anyone seen a gastroenterologist about reflux problems? I am wondering what the course of action is for reflux problems if the medication doesn,t work. I am suffering from bile reflux and acid reflux after having my gallbladder removed. Has anyone any experience of this and the operation necessary to fix this and the sucess of it. Thankyou

A: I always found that drinking neutral fluids like water or milk help combat the acidity.

Q: Exactly how exactly did the aztecs and the american indians treat and or cure gastroesophegeal reflux disease?
I take nexium on a daily basis to treat gastroesophegeal disease that i have and I am curious to know if their is a way to treat it with natural medicine or alternative medicine so I wont have to put chemicals powders inside my body that i don’t know 100% clearly what are all of the negative effects that it produces or might produce inside of my body that worries me in the long term use of nexium.

A: when you eat a diet consisting of fresh foods and live an active lifestyle, there is no need for anything like that because digestion works well.

it is the modern diet with preservatives and chemicals that causes digestive disorders.

look into getting a good source of digestive enzymes and take them every time you eat or feel heartburn. this will allow you to work WITH your body, which is trying hard to digest fod, instead of against it thereby creating other problems. you are wise to look for something other than their pills.

Q: Why are there so many people all off sudden with acid reflux disease?
Why all of sudden are there so many people with this problem? I mean 20 years ago, yes there were people with heartburn, but it seems like within the last 5 years millions and millions of people are getting this disease. What’s causing it? Is this wave of diagnosis isolated to the U.S., or are Europe and other areas also seeing the same issue? Why isn’t anyone researching why this is such a widespread problem that came about so quickly?
I don’t think it’s just fast food. I know several people who never have fast food, and are careful what they eat, and they still have severe acid reflux.

I know drug companies are making tons of money off this, but this isn’t a made-up disease. It can keep you up all night and it can destroy your esophagus. Millions of people have this moderately-serious medical condition, and no one seems to have any serious answers on where it comes from, and why so many people have it all of sudden.
Well no one really gave me an answer as to what is causing this epidemic besides poor eating habits. But Americans have been eating poorly for decades, it doesn’t really explain why there is this rash outbreak of Acid Reflux in the past 5 years (or why there isn’t more research going into the cause, instead of just treating the symptoms)

A: Here are some interesting tidbits I gleaned from the Wikipedia article on acid reflux (also known as GERD – Gastroesophageal Reflux Disease)

Certain foods and lifestyle are considered to promote gastroesophageal reflux:

Coffee, alcohol, and excessive amounts of Vitamin C supplements are stimulants of gastric acid secretion. Taking these before bedtime especially can promote evening reflux. Calcium containing antacids are in this group[3].
Foods high in fats and smoking reduce lower esophageal sphincter competence, so avoiding these tends to help, as well. Fat also delays emptying of the stomach.
Having more but smaller meals also reduces the risk of GERD, as it means there is less food in the stomach at any one time.
avoid eating for 2 hours before bedtime
avoid soft drinks that contain caffeine
avoid chocolate and peppermint
avoid spicy foods
avoid acidic foods like oranges and tomatoes(okay when fresh.)
avoid cruciferous vegetables: onions, cabbage, cauliflower, broccoli, Brussel sprouts
milk and milk-based products contain calcium and fat, so should be avoided before bedtime.

However, following this list of foods directly is not 100% accurate for some have a more serious case of GERD than others. Thus, it is up to an individual to decide which foods bother tham and which ones do not. But practical advice offered by many sources is to avoid food for a minimum of 2 hours before bedtime and, also, not lying down after a meal.

Q: What are some ways of treating acid reflux disease?
Also I have a big problem with burping. I burp for about 4-5 hours straight right after I eat.

A: You can try over the counter antacids. Avoid spicy foods or milk products. If this does not work you should see a doctor as you may need prescription medications. In severe cases which do not respond to medication surgery may be indicated.

Q: What foods should you eliminate from your diet if you have acid reflux disease?
What should you eat and drink?

A: Its often not what you are eating that causes foods reflux, it can just as easily be what you are not eating.

Foods you should try and include more of in your diet to reduce your heartburn are things like fruits and vegetables.

more details can be found here in the resources given below.

Q: Can you tell me about acid reflux disease?
I have nausea a lot, especially first thing in the morning (NOT pregnant) and vomit a lot more than usual. I also do that throw up in the mouth thing with acidy type stuff.
It’s becoming very bothersome and is getting worse.
Should I see a doctor, and what could they do to help me?
Thanks for any info.

A: Acid Reflux Disease, or medically known as GERD or Gastroesophageal Reflux Disease is an condition wherein your gastroesophageal sphincter (the valve that closes the stomach when digesting your food and prevents the acid in your stomach from reaching your esophagus) is lax. This is usually caused by skipping meals, drinking too much alcohol, milk, or coffee when you’re hungry, and other things. Beware, this is one condition that can lead to esophageal cancer.

Common signs and symptoms would include burning pain at the epigastric area, vomiting, belching, as well as acidic taste in the mouth upon lying down, etc.

Omeprazole 40mg tab once per day every morning for 2 weeks is the medicine i usually give to my patients, along with advices on proper timing of meals, as well as at least a slight snack in between meals, and avoiding alcohol and cigarettes.

However, it is truly advisable to seek the advise of your own personal doctor for proper check-up and physical examination, you’ll never know if what you’re having is not acid reflux in the first place.

and follow the old advise, “if symptoms persists, consult your doctor.”

hope this helps.

Q: What can be taken to prevent Acid Reflux Disease?
I wake up in the morning coughing up acid from my stomach and it’s starting to become painful.

A: Prilosec OTC. It is over the counter, but expensive. They have recently started making knock off brands of prilosec that are much cheaper. also dont eat before you go to bed, chew your food better, and maybe put blocks under your bed so your head is more elevated than the rest of your body, this will keep your food and acid from entering your esophagus while you sleep.

Q: What medication for serious acid reflux disease have you found most helpful?
Some people say they can still eat some forbidden foods, but I have not found this to be true with the proton pump inhibitors I have tried.

A: My mother has this condition, and she has fairly good luck with OTC Prilosec 20 mg.

Q: Any teens here have acid reflux disease?
I just got diagnosed with acid reflux disease, and was wondering if any other teens on this forum have this?
And do you know what causes acid reflux disease?
I went undiagnosed for 2 yrs

A: I have it. Stomach acid comes up and burns the lining of ur esophagus! nasty i no right!!? It also causes ulsers in ur throat. It can cause cancer if left untreated. It also causes extreme heartburn:( I was diagnosed about 6 months ago.


Q: Can Acid Reflux Disease kill you if left untreated?
My b/f and I have been together for 5 yrs and he suffers from it, he doesn’t have insurance or a doctor.After every meal he throws up and I’m very concerned. Is there medicine you can buy over the counter?We’re planning on getting married and we have a daughter,I’m afraid for his health and want to grow old w/ him HELP what can I do?!

A: My husband has suffered with acid reflux, and barretts (barretts is precancerous, caused by the acid) for years. He to couldn’t get private ins. because of all the tests and problems he has had in previous years. He only threw up a couple of times from the acid, but he rarely ever throws up, so for him to do that was a huge flag for me. I really thought that he had cancer, thankfully he is doing better. In september we were introduced to a botanical juice called seven+. This is a juice produced from 7 super fruits. You can get a bottle if you go to the web site. Try the juice for 7 days and see if it helps. BTW since sept. he has had a total of 4 maybe 5 episodes of bad AC. Before sept. we had our bed up 8 inches at the head. I usually would wake up at the bottom of the bed by morning. Since then the times he has had ac at least 3 of those nights were from eating a 1/2 plate of brownies before bed. Some things are just self induced (it is a guy thing). This can’t hurt you and if you go there you will be able to see the things that are in it. I feel your pain in your concern. It is not fun to always worry about the people you love. Hope this helps you.

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