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Gastroesophageal reflux disease (GERD) is likewise called acid reflux disease. It is a long-time period digestive disorder that impacts the lower esophageal sphincter, the hoop of muscle between the esophagus and belly which reasons the stomach contents to come back returned up into the esophagus ensuing in either symptoms or headaches. 

As per Dr. Rahul Nerlikar, Gastroesophageal reflux disease is slight acid reflux disorder that takes place at the least two times every week or mild-to-excessive acid reflux which happens at least as soon as every week.


Risk Factors

1.Obesity

2.Pregnancy

3.Hiatus hernia

4.Scleroderma and systemic sclerosis

5.The use of drugs inclusive of prednisolone

6.Delayed stomach emptying Zollinger-Ellison syndrome which can display growth in gastric acidity due to gastrin manufacturing

7.A high blood calcium level that can boom gastrin production, leading to expanded acidity

8.Visceroptosis or Glénard syndrome, in which the stomach has sunk inside the stomach scary the motility and acid secretion of the belly.


Factors which could increase acid reflux disease 

1.Smoking addiction

2. Eating heavy food or eating past due at night time

3. Eating fatty or fried ingredients

4.Drinking sure drinks, including alcohol or espresso

5.Medications, which includes aspirin

6.Tight clothes

7.Increased intra-stomach stress


Differential Diagnosis

1.Heart ailment inflicting chest ache

2.Laryngopharyngeal reflux OR extraesophageal reflux disorder

3.Infection

4.Peptic ulcer

5.Esophageal spasm

Complications

1. Narrowing of the esophagus (esophageal stricture): Stomach acid causes the formation of a scar tissue which narrows the meals pathway.

2.An open sore in the esophagus (esophageal ulcer): Acid causes an open sore which bleeds, causes ache, and makes swallowing hard.

3. Precancerous changes inside the esophagus (Barrett’s esophagus): Damage from acid can purpose changes within the tissue lining the lower esophagus

4.Anemia

How to reach on the analysis?

1.Upper gastrointestinal endoscopy/esophagogastroduodenoscopy

2.Esophageal manometry

3.Ambulatory 24-hour pH tracking


Treatment

1. The goals of remedy are controlling signs, recovery esophagitis, and prevention of recurrent esophagitis or other headaches.

2. Lifestyle changes include the following:

3. Losing weight (if overweight)

4. Eating small and common meals in place of large food

5. Waiting three hours after a meal to lie down

6. Elevating the head stop of the mattress by using 8 inches

7. Avoiding bending or stooping positions

Medications

1. H2 receptor antagonists (ranitidine, cimetidine)

2. Proton pump inhibitors (omeprazole, pantoprazole)

3. Prokinetic marketers (aluminum hydroxide)

4. Antacids (magnesium hydroxide)