Heartburn is a burning feeling in the chest caused by stomach acid travelling up towards the throat (acid reflux). Laryngopharyngeal reflux: When acid from the stomach gets into the throat, the voice becomes hoarse. Finally, other common problems that may be causing GERD like symptoms can be diagnosed (for example ulcers, inflammation, or cancers of the stomach or duodenum) with EGD. There are several possible results of endoscopy and each requires a different approach to treatment. If the esophagus is normal and no other diseases are found, the goal of treatment simply is to relieve symptoms. Therefore, prescription strength H2 antagonists or PPIs are appropriate. If damage to the esophagus (esophagitis or ulceration) is found, the goal of treatment is healing the damage. In this case, PPIs are preferred over H2 antagonists because they are more effective for healing.
If medications don’t completely resolve your symptoms of acid reflux disease and the symptoms are severely interfering with your life, your doctor could recommend surgery. There are two types of surgical treatment used to relieve symptoms of GERD if daily use of medication isn’t effective. Although GERD may cause cough online , it is not a common cause of unexplained coughing. Although GERD also may be a cause of asthma , it is more likely that it precipitates asthmatic attacks in patients who already have asthma. Although chronic cough and asthma are common ailments, it is not clear just how often they are aggravated or caused by GERD.
GERD affects people of all ages, sometimes for unknown reasons. Often, it is due to a lifestyle factor, but it can also be due to causes that cannot always be prevented. For infrequent heartburn, the most common symptom of GERD, life-style changes and an occasional antacid may be all that is necessary. If heartburn is frequent, daily non-prescription-strength (over-the-counter) H2 antagonists may be adequate. A foam barrier also can be used with the antacid or H2 antagonist. Problems swallowing is a symptom of acid reflux, but may be caused by something else. Be sure to chew food thoroughly (40 chews is good) and mix it with a lot of saliva. Saliva contains compounds (enzymes) that begin the digestion process.
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. The stomach produces hydrochloric acid after a meal to aid in the digestion of food. Take H2 blockers before eating to prevent symptoms of acid reflux, or after eating to treat heartburn.
The three main types of medicines to treat acid reflux symptoms or those caused by GERD are antacids, histamine type 2 receptor antagonists (H2 blockers) and proton pump inhibitors (PPIs). Should these not work or more serious intervention is needed, doctors will sometimes recommend surgery to tighten the lower esophageal sphincter. Unfortunately, this surgery is not a cure and symptoms may return. In fact, reflux of the stomach’s liquid contents into the esophagus occurs in most normal individuals. One study found that reflux occurs as frequently in normal individuals as in patients with GERD. In patients with GERD, however, the refluxed liquid contains acid more often, and the acid remains in the esophagus longer. It has also been found that liquid refluxes to a higher level in the esophagus in patients with GERD than normal individuals.