Gastro-oesophageal reflux disease (GORD) is a common condition, where acid from the stomach leaks up into the oesophagus (gullet). If there are no symptoms or signs of complications and no suspicion of other diseases, a therapeutic trial of acid suppression with H2 antagonists often is used. If H2 antagonists are not adequately effective, a second trial, with the more potent PPIs, can be given. Sometimes, a trial of treatment begins with a PPI and skips the H2 antagonist. If treatment relieves the symptoms completely, no further evaluation may be necessary and the effective drug, the H2 antagonist or PPI, is continued. As discussed previously, however, there are potential problems with this commonly used approach, and some physicians would recommend a further evaluation for almost all patients they see.
You can start with your family or general practitioner (primary care provider). You may be referred to a gastroenterologist, a specialist in disorders of the gastrointestinal (GI) tract. If your symptoms are severe and require surgery, you will be referred to a general surgeon. Certain diagnostic tests for GERD are done by a radiologist. Heartburn-like pain is a common symptom of gastroesophageal reflux disease (GERD). Clearly, we have much to learn about the relationship between acid reflux and esophageal damage, and about the processes (mechanisms) responsible for heartburn. This issue is of more than passing interest. Knowledge of the mechanisms that produce heartburn and esophageal damage raises the possibility of new treatments that would target processes other than acid reflux.
Since acid reflux is more common after meals, heartburn is more common after meals. Heartburn is also more common when individuals lie down because without the effects of gravity, reflux occurs more easily, and acid is returned to the stomach more slowly. Many patients with GERD are awakened from sleep by heartburn. Stand upright or top article sit up straight, maintain good posture. This helps food and acid pass through the stomach instead of backing up into the esophagus. Symptoms of acid reflux include heartburn , regurgitation of bitter acid into the throat, bitter taste in mouth, ches pain, dry cough , hoarseness , feeling of tightness in the throat, and wheezing.
GERD may damage the lining of the esophagus, thereby causing inflammation ( esophagitis ), although this is uncommon. Heartburn can range from uncomfortable to painful. However, the severity of the burning sensation doesn’t necessarily indicate lasting or permanent injury to the esophagus. Heartburn , regurgitation, and dyspepsia are a few of the most common acid reflux symptoms. National Institutes of Health. Gastroesophageal reflux disease. Antacids, such as Alka-Seltzer, Maalox , Mylanta , Rolaids , or Riopan, can neutralize the acid from your stomach. But they may cause diarrhea or constipation , especially if you overuse them. It’s best to use antacids that contain both magnesium hydroxide and aluminum hydroxide. When combined, they may help counteract these gastrointestinal side effects.