Fact Sheet: Functional Heartburn516
By: Joel Richter, MD
Functional heartburn is characterized by episodes of burning discomfort in the chest, behind the breastbone. There is no evidence of inflammation in the lining of the esophagus or other disease. The discomfort generally comes in waves, occurs after meals and can be accompanied by belching, regurgitation, or dyspeptic symptoms, such as upper abdominal discomfort, bloating, or early feeling of being full. Describes diagnostic prcedures, causes, and treatment.Topics: Heartburn
Fact Sheet: Esophageal Motility Disorders518
Difficulty swallowing liquids or solids, heartburn, regurgitation, and atypical (or non-cardiac) chest pain may be symptoms of an esophageal motility disorder. These disorders are characterized by specific criteria based upon the pressures generated within the esophagus when swallowing occurs.
Fact Sheet: Antacids520
Antacids seem to help many of those with bloating or nonulcer dyspepsia, as well as heartburn. A discussion of various antacids.
Fact Sheet: Holiday Heartburn or GERD?525
It seems to happen every year - you eat just a bit too much of the turkey, enjoy that extra piece of pumpkin pie, or indulge in a second portion of yams. Hours later, the heartburn sets in. Is is simple heartburn, or a symptom of GERD?
The H2 blockers (also called H2 antagonists) were the first effective drugs for peptic ulcer. In the 1980s, they were the backbone of treatment for ulcers and gastroesophageal reflux disease (GERD). Now, antibiotics cure non-NSAID ulcers, and proton pump inhibitors (PPIs) are better for GERD. Therefore, H2 antagonists face an uncertain future as prescription drugs. Nonetheless, they are comparatively cheap, effective, and very safe for heartburn relief. Lower dose preparations are available over-the-counter. Reviewed and updated 2009.
Fact Sheet: Heartburn, Hiatal Hernia, and Gastroesophageal Reflux Disease (GERD) in Adults and Children530
Gastroesophageal reflux disease, or GERD, occurs when the lower esophageal sphincter (LES) does not close properly and stomach contents leak back, or reflux, into the esophagus. The LES is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and stomach. The esophagus carries food from the mouth to the stomach.
Proton pump inhibitors (PPIs) have been widely used for the treatment of gastroesophageal reflux disease (GERD) since 1989. These drugs have proven to be highly effective. However, a recently published research study suggests that taking proton pump inhibitors for prolonged periods may increase the risk of developing pneumonia. What does this mean for those who use the drugs?
Fact Sheet: Historical perspective on the long-term safety of proton pump inhibitors (PPIs) for gastroesophageal reflux disease (GERD)536
For decades, it has been known that stomach acid can cause heartburn when it refluxes back up in to the esophagus. Nearly all remedies that neutralize or suppress stomach acid relieve the symptoms of acid reflux. Millions of people have taken these medications for long periods with great benefit and seemingly few side effects. This article takes a look at several challenges to the safety of acid suppressing medications that have appeared in medical and popular literature.
Fact Sheet: Indigestion538
Indigestion, also known as upset stomach or dyspepsia, is discomfort or a burning feeling in the upper abdomen. It is often accompanied by nausea, abdominal bloating, belching, and sometimes vomiting. Revised and updated 2009.
Many patients with throat discomfort are surprised when they are told that they have laryngeal pharyngeal reflux (LPR). Gastric acid can cause significant inflammation when it falls on the vocal cords. If this happens repeatedly, a person can be left with a number of bothersome throat problems, such as hoarseness, frequent throat clearing, coughing, or the sensation that there is something stuck in their throat. Many patients with LPR do not have any of the typical GERD symptoms. This has lead to some controversies and misunderstandings about LPR.
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