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as of November 21, 2009
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GERD Corner

OVERVIEW

Gastroesophageal reflux disease (GERD) is a condition in which food or liquid travels backwards from the stomach to the esophagus (the tube from the mouth to the stomach). This action can irritate the esophagus, causing heartburn and other symptoms.

CAUSES/RISK FACTORS

Gastroesophageal reflux is a common condition that often occurs without symptoms after meals. In some people, the reflux is related to a problem with the lower esophageal sphincter, a band of muscle fibers that usually closes off the esophagus from the stomach. If this sphincter doesn't close properly, food and liquid can move backward into the esophagus and may cause the symptoms.

The risk factors for reflux include hiatal hernia, pregnancy, and scleroderma.

SYMPTOMS

-Heartburn
-Involves a burning pain in the chest (under the breastbone)
-Increased by bending, stooping, lying down, or eating
-Relieved by antacids
-More frequent or worse at night
-Belching
-Regurgitation of food
-Nausea and vomiting
-Vomiting blood
-Hoarseness or change in voice
-Sore throat
-Difficulty swallowing
-Cough or wheezing

CARE/TREATMENT

General measures include:

-Weight reduction
-Avoiding lying down after meals
-Sleeping with the head of the bed elevated
-Taking medication with plenty of water
-Avoiding dietary fat, chocolate, caffeine, peppermint (they may cause lower esophageal pressure)
-Avoiding alcohol and tobacco

Medications that alleviate symptoms include:
-Antacids after meals and at bedtime
-Histamine H2 receptor blockers
-Promotility agents
-Proton pump inhibitors

Anti-reflux operations (Nissen fundoplication) may help a small number of patients who have persistent symptoms despite medical treatment. There are also new therapies that can be performed through an endoscope (a flexible tube passed through the mouth into the stomach) for reflux.

PREVENTION

Avoid foods and activities that worsen symptoms. Maintain a healthy weight.

Source

Real Stories, Expert Advice

Health Corner Videos: GERD

Dr. Steven Peikin: Dr. Lisa's Interview

"Tell us what heartburn is," Dr. Lisa says. "Heartburn is a burning feeling below the breastbone often occurring after eating or when lying down," says Dr. Steven Peikin, Professor of Medicine at Cooper University Hospital in Camden, NJ....

+ Heartburn Under 30: No Appointment Necessary
+ GERD: Health Story
+ Dr. Steven Peikin: Dr. Lisa's Interview

In the News: GERD

Reflux Esophagitis Due To Immune Reaction, Not Acute Acid Burn

Fri, 20 Nov 2009 01:00:00 PST
http://www.medicalnewstoday.com/articles/171581.php

Contrary to current thinking, a condition called gastroesophageal reflux disease (GERD) might not develop as a direct result of acidic digestive juices burning the esophagus, UT Southwestern Medical Center researchers have found in an animal study. Rather, gastroesophageal reflux spurs the esophageal cells to release chemicals called cytokines, which attract inflammatory cells to the esophagus.

Addex ADX10059 Monotherapy Is Effective On GERD Symptoms In Phase IIb Clinical Trial

Mon, 16 Nov 2009 03:00:00 PST
http://www.medicalnewstoday.com/articles/171047.php

Addex Pharmaceuticals (SWISS: ADXN), the allosteric modulation company, announced that it achieved statistically significant efficacy on the primary endpoint, increasing the number of symptom free days in the Phase IIb trial of ADX10059 as a monotherapy in patients with gastroesophageal reflux disease (GERD), the cause of heartburn and other symptoms.

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