Heartburn is a burning feeling in the chest caused by stomach acid travelling up towards the throat (acid reflux). Different people have different triggers. Your doctor may suggest you keep a food journal to find out what aggravates your acid reflux symptoms. Esophageal manometry is a test that measures the function of the lower esophageal sphincter and the motor function of the esophagus. A tube is passed down your throat until it reaches the esophagus. It is often performed along with 24-hour pH probe study. 2 Bell, R.C.W., Freeman K. Clinical and pH-metric outcomes of transoral esophago-gastric fundoplication for the treatment of gastroesophageal reflux disease (GERD). Surgical Endoscopy (published online on December 13, 2010).
Treatment for acid reflux depends on a number of factors. Mild and occasional reflux reduces with lifestyle changes and over-the-counter meds like an antacid. Dr. Podolsky will evaluate each patient and, generally, try these conventional approaches first to reduce incidents of discomfort. There are surgical options for serious reflux disease, including the Nissen fundoplication. Q: Dr. Buie, thank you for your care and concern of the autistic population with gastric problems. My 35-year-old autistic son is always jamming his finger down his throat and has difficulty swallowing. He has had a procedure to open up his throat and is on medication daily. But still has throat issues. Do you think probiotics would help his gastric problems? I do watch his diet so as not to get many offending foods.
It’s best to take these with food or soon after eating, as this is when you’re most likely to get heartburn. They may also work for longer if taken with food. Hiatal hernia is a condition where the upper part of the stomach protrudes through the opening in the diaphragm where the esophagus passes through to its connection with the stomach. In this case, the upper part of the stomach is up above the diaphragm (the strong muscle that separates the organs of the chest from those of the abdomen). It may feel like it’s difficult to swallow or feel a tightness in the throat when you have heartburn, and it may feel as if food is stuck in your throat or esophagus.
Being able to eat all my favourite foods and drink alcohol again without any acid reflux is fantastic. It may take some tweaking to figure out the right combination of medication and lifestyle adjustments for you. If you don’t find relief from any of these approaches, Dr. Guram may suggest surgery for the esophagus. The prognosis for acid reflux (GERD) is good in mild to moderate cases. Chronic cases often respond to prescription drugs, and severe cases may require surgery to avoid serious complications. When acid reflux keeps you up at night, it’s time to make an appointment with Dr. Guram. Call or book an appointment online at Texas Gastroenterology Associates.
1 Barnes, W.E., et al. Transoral incisionless esophago-gastric fundoplication offers high patient satisfaction and relief of therapy-resistant typical and atypical symptoms of GERD in community practice. Surgical Innovation (published Fedruary 8, 2011). Although many people can relieve their reflux disease symptoms by changes in their habits, diet, and lifestyle, great post to read others need to consult their health-care professional. Dr. Buie: There are many possible reasons for frequent burping. We see it – as well as frequent hiccupping – with acid reflux. It can also result from poor gastric emptying that causes gas to build up in the stomach. Signs of excessive gassiness can include abdominal distention and flatulence.