Which specific medications can exacerbate GERD or damage the esophagus

As mentioned, medications can act in different ways to affect GERD and reflux symptoms (see Table 1). Medications can either affect the nerves that control the LES or the muscles that control the tightness of the LES. All muscles, including the LES, are controlled by nerves. Muscles of the gut are called smooth muscle and you cannot consciously control them by thinking about it. The nerves transmit signals from the brain to the rest of the body. Nerves that make up what is called the autonomic...

What kind of doctor treats GERD

Your primary care doctor should do the initial evaluation of GERD. This kind of doctor is usually an internist or doctor who does general internal medicine and only treats adults. Other primary care doctors might be family practitioners who treat both adults and children. Your doctor may treat you with medication for GERD and or order tests. If you are on medication that is not working or have any of the symptoms from the preceding question, your doctor may refer you to a gastroenterologist....

Is there a difference between daytime and nighttime GERD

GERD can occur at any time because the stomach is constantly producing acid, but acid production varies at different times. Food enters the mouth and moves down to the stomach, stimulating production of stomach enzymes and acid for digestion. The first major step in food processing is in the stomach, which slowly moves material into the small intestines where nutrients are absorbed. Certain fried and high-fat foods can stimulate the stomach to produce more acid and digestive juices than normal....

How many people are affected by GERD

GERD is not a new disease it is a common disease that affects many people. In 1994, the U.S. Department of Health and Human Services reported that about 7 million people in the United States at that time suffered from chronic GERD. That number has grown since, likely because of the increasing incidence of obesity and people being overweight, which are contributing factors to reflux problems. These days, Americans work longer hours, buy more fast food, and eat on the run. Poor dietary habits and...

What does an endoscopy show when patients have GERD

Patients with chronic GERD symptoms undergoing endoscopy have been studied by Winters and colleagues. In a report published in Gastroenterology in 1987, the authors found that of approximately 100 patients with longstanding or chronic GERD who had an upper endoscopy, 42 were normal, 45 demonstrated erosive esophagitis, and 12 had Barrett's esophagus. So, it is reassuring that more than 40 of patients were found to be normal however, it is the other nearly 60 of patients who have a positive exam...

What is a Stretta procedure

Stretta Procedure

Generally, a weak or lax lower esophageal sphincter causes reflux, although some reflux is related to inappropriate relaxation of the LES. Historically, antireflux surgical procedures wrap part of the stomach around the LES to tighten or reinforce this region. As mentioned earlier, several techniques have been developed to accomplish this nonoperatively with an endoscope to avoid the risks and discomfort of surgery. When tissue is damaged, it scars and shortens or contracts and becomes stiffer....