Gastroesophageal reflux disease, commonly referred to as GERD, or acid reflux, is a condition in which the liquid content of the stomach regurgitates (backs up, or refluxes) into the esophagus. The liquid can inflame and damage the lining of the esophagus although this occurs in a minority of patients. The regurgitated liquid usually contains acid and pepsin that are produced by the stomach. (Pepsin is an enzyme that begins the digestion of proteins in the stomach.) The refluxed liquid also may contain bile that has backed-up into the stomach from the duodenum. (The duodenum is the first part of the small intestine that attaches to the stomach.) Acid is believed to be the most injurious component of the refluxed liquid. Pepsin and bile also may injure the esophagus, but their role in the production of esophageal inflammation and damage (esophagitis) is not as clear as the role of acid.
GERD is a chronic condition. Once it begins, it usually is life-long. If there is injury to the lining of the esophagus (esophagitis), this also is a chronic condition. Moreover, after the esophagus has healed with treatment and treatment is stopped, the injury will return in most patients within a few months.
Once treatment for GERD is begun, therefore, it usually will need to be continued indefinitely. Actually, the reflux of the stomach's liquid contents into the esophagus occurs in most normal individuals. In fact, 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.
As is often the case, the body has ways (mechanisms) to protect itself from the harmful effects of reflux and acid. For example, most reflux occurs during the day when individuals are upright. In the upright position, the refluxed liquid is more likely to flow back down into the stomach due to the effect of gravity. In addition, while individuals are awake, they repeatedly swallow, whether or not there is reflux. Each swallow carries any refluxed liquid back into the stomach.
Finally, the salivary glands in the mouth produce saliva, which contains bicarbonate. With each swallow, bicarbonate-containing saliva travels down the esophagus. The bicarbonate neutralizes the small amount of acid that remains in the esophagus after gravity and swallowing have removed most of the liquid.
Unfortunately, The most frequent symptoms of GERD are so common that they may not be associated with a disease and can be misdiagnosed. Self-diagnosis can lead to mistreatment. Consultation with a physician is essential to proper diagnosis and treatment of GERD.
GERD, affects at least an estimated 5% to 7% of the global population ? men, women, and children. (Prevalence based on once per day heartburn.) Heartburn and/or acid regurgitation experienced weekly has been found to occur in almost 20% of individuals.
Although common, GERD often is unrecognized ? its symptoms misunderstood. This is unfortunate because GERD is generally a treatable disease. Serious complications can result if it is not treated properly.
Persistent heartburn is the most frequent ? but not the only ? symptom of GERD. (The disease may be present even without apparent symptoms.) Heartburn is so common that it often is not associated with a serious disease, like GERD. All too often, GERD is either self- treated or mistreated.
GERD is a chronic disease. Treatment usually must be maintained on a long-term basis, even after symptoms have been brought under control. Issues of daily living, and compliance with long-term use of medication need to be addressed as well. This can be accomplished through follow-up, support, and education.
What Is Acid Reflux
Acid reflux, also known as GERD (gastro esophageal reflux disease) is the phenomenon where stomach juices including acid travel back (reflux) to the esophagus from the stomach. Research done recently shows that some one in five people in the developed world must put up once a week with symptoms related to acid reflux, while a further one in five suffer from the distress and sometimes pain of these symptoms at least every month. However, most patients do not really know what GERD is.
What are the local causes of acid reflux?
Gastro esophageal reflux disease happens when the lower esophageal sphincter (the name for the circle of muscle that is the valve between the stomach and the esophagus) does not shut correctly and lets stomach juices be thrown back up, or reflux, into the esophagus. When the esophagus lining is impacted by these juices, this produces the burning sensation in the chest and/or the throat, which is called heartburn.
Although it seems strange, heartburn may also be symptomatic of too little stomach acid. The level of stomach acid has to be enough for digestion to be effective, and prevent the stomach from being obliged to work much harder for the food to be digested. In time, the extra effort of the stomach can lead to acid reflux happening.
As well as the immediate factors leading to gastro esophageal reflux disease, there are also genetic factors (beyond our control) and several other internal factors and cofactors, that make for a context encouraging GERD. A long-term solution can only come from treating the internal factors primarily responsible for causing GERD.
What are the symptoms of acid reflux?
Healthy people also get occasional heartburn, and this alone does not mean that you have a gastro esophageal reflux disease. Diagnosis of GERD is typically based on a recurring (twice weekly or more) manifestation of heartburn. Symptoms may be different for some GERD patients, such as chest pains, morning hoarseness or problems swallowing. Other patients experience a sensation of food getting stuck in their throat or choking or stricture. Recurring dry coughs are also symptoms for this last group of patients.
What are the dangers of acid reflux?
Neglected GERD can have not only unpleasant, perhaps painful symptoms, but can also generate grave complications. Firstly, tissue damage scars can cause constriction of the esophagus and problems in swallowing. Secondly, gastric acid can inflame the esophagus over time to lead to ulcers or bleeding. Thirdly, some victims can develop a condition where cells in the lining of the esophagus take on abnormal shapes and colors, a condition known as Barrett's esophagus. Protracted Barrett's esophagus may result in cancer, notably for adults who are more than 60 years old.
Solutions for acid reflux
Treating gastro esophageal reflux disease can be done in one of three ways: a surgical operation; prescription or over-the-counter medicaments; and holistic therapy, using dietary and lifestyle changes, detox, and specific herbal supplements. In very many cases, gastro esophageal reflux disease can be resolved and stopped by natural solutions, avoiding the dangers of surgical treatment or prescribed medicaments. This holistic approach to GERD is also confirmed by a review of recent research that indicates that acid reflux is a medical condition provoked mostly by factors of diet, lifestyle and behavior.
So what is acid reflux? Seen in the context of conventional medicine that compares it to other similar recurring conditions, acid reflux is to be treated by constantly ingesting drugs, antacids and over the counter medicament that only bring temporary relief.
Seen from the holistic viewpoint, gastro esophageal reflux disease is the danger signal for a major internal imbalance that must be corrected. Alternative treatments for GERD therefore (homeopathic cures, herbal treatment, diet and lifestyle alterations and detoxification), by solving the internal cause of acid reflux, are inherently better compared to conventional cures that only bring superficial relief.
Both Bunny Vreeland, Ph.d & Jeff W. Martin are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Bunny Vreeland, Ph.d has sinced written about articles on various topics from Irritable Bowel, Health and Irritable Bowel. Dr. Bunny is a former model and award winning image consultant. When her own allergies and migraine headaches disappeared using hypnotherapy she was hooked! She earned her PhD in clinical Hypnotherapy with a specialty in IBS. Featured on radio and televi. Bunny Vreeland, Ph.d's top article generates over 8100 views. to your Favourites.
Jeff W. Martin has sinced written about articles on various topics from Acid Reflux, Anger Control and Acid Reflux. Jeff Martin is an author of the best-selling e-book, "Heartburn No More- Open The Door To an Acid Reflux Free Life". To Learn More About His Unique 5-Step Holistic Acid Reflux Cure System Visit:. Jeff W. Martin's top article generates over 6600 views. to your Favourites.
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