Gastroesophageal Reflux

Gastroesophageal Reflux

Condition Description

Gastroesophgeal reflux disease (GERD) is a common condition that results from reflux of stomach acid into the esophagus, causing damage or irritation to the esophagus

Gastroesophageal reflux disease (GERD), caused when the lower esophageal sphincter (LES) does not close properly, and stomach contents leak back (reflux) into the esophagus. When refluxed stomach acid touches the lining of the esophagus, it causes a burning sensation (heartburn). GERD may lead to histopathological changes in the esophagus.

Common Symptoms

  • Heartburn, acid reflux or difficulty swallowing
  • Coughing or wheezing
  • Hoarseness
  • Chest pain

Underlying Causes

  • Yeast overgrowth
  • Food allergies
  • Hypochlorhydria (low stomach acid)
  • Obesity

Traditional Approach

  • H2-receptor antagonists like Ranitidine (Zantac), Cimetidine (Tagamet), Famotidine (Pepcid) or Nizatidine (Axid)
  • Proton pump inhibitors like Omeprazole (Prilosec), Lansoprazol (Prevacid), Rabeprazol (Aciphex) or Esomeprazole (Nexium)
  • Prokinetics like Metoclopramide (Reglan)
  • Surgery for complications resulting from scarring of the esophagus

EHAC Approach

  • Test for and treat any yeast overgrowth or food allergies
  • Therapeutic trial of betaine hydrochloride where Hypochlorhydria is suspected
  • Where obesity is involved, improved diet and increased exercise to reduce weight
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