GERD (Gastro-Esophageal Reflux Disease) occurs when acid from the stomach backs up into the esophagus. People will experience heartburn, also known as acid indigestion, when excessive amounts of acid reflux into the esophagus. Most people describe heartburn as a feeling of burning chest pain, localized behind the breastbone that moves up toward the neck and throat. Some even experience the bitter or sour taste of the acid in the back of the throat. The burning and pressure symptoms of heartburn can last as long as 2 hours and are often worsened by eating food.
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In this video, pathogenesis, diagnosis, and treatment of GERD are described.
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hello my name is dr. Paul joy I am the director of endoscopy at the Los Angeles endoscopy center and I’m also a fellow member of american gastroenterological association in this video I’ll be discussing gastro oesophageal reflux disease commonly known as skirt girl is a very common disorder it is thought that up to ten percent of adult population suffer from the symptoms of girth at one point in their lives it is thought that obesity and our dietary habits are important factors which affecting the increasing incidence of girl around us often patients who have symptoms of girl complained of Harper burning sensation in your heart some patients complained of indigestion or dyspepsia acid regurgitation so throat cough and even asthma it is important that you realize that symptoms huger often can mimic the heart condition such as angina therefore I if you have other risk factors such as family history smoking history high blood pressure diabetes that you make sure that the symptoms that you think occur is not from your heart when we eat we swamp food into the esophagus and it pass through a sphincter called lower esophageal sphincter and through the sphincter the food goes down into the stomach when the sphincter does not function properly the food content as well as the active and digestive and John in the stomach backs up and reflux into the southwest when this happens we can cause inflammation and the symptoms that we have described to make the accurate diagnosis of girl and it’s important that we review the history history can tell you whether this is likely to be occurred on most cases however if you have other risk factors for heart condition as I mentioned it is important that you make sure that this is not coming from the heart additionally if the symptoms of curb persist or not respond to medical therapy then you undergo upper endoscopy examination to make sure that this is indeed verb and there are no other confounding variables such as pre malignant conditions such as varus esophagus and even cancer of the esophagus the treatment of girl often consisted of consist of dietary as well as medical therapy as far as dietary management is concerned it is important that one we used to wait if a person is overweight because when you’re obese the abdominal pressure increase in the sphincter of the lowest official region to be the president to below and promote the reflux of the gas or stomach content into the esophagus to do so it is important that you exercise and reduce the size of your meal so that the stomach when you eat is not overflow with food which can happen when you really stop your stomach with let’s say a large dinner additionally we recommend that you stop smoking and drinking both of which can affect your lower esophageal sphincter and reduce the food from your dietary habit that can reduce the sphincter tone of the esophagus such as tomato peppermint onion chocolate and greasy food if this measures do not work you can also try elevating the head of the bed of the 30 degrees and night to lessen the reflux by elevating your head up from the level of your stomach as far as medical therapies concerned we recommend then you try over the counter antacids such as tongues or melantha to neutralize the acid in your stomach as an initial therapy if this does not work then one can also try acid suppressant such as sad that while prob low side both of which can reduce the amount of that C content in your stomach if these measures of do not prove to be effective then you should as I mentioned make sure that there are no other confounding variables by undergoing a fantastic elimination girl is a very common disorder we can often effectively treat this disorder by simple dietary and lifestyle modification if however these simple measures do not work and conventional medical treatment not a sin to be effective then we recommend that you see a specialist to make sure that it is indeed curve and that adequate effective therapy can be provided I hope I have been able to provide you with a brief summary of the symptoms and pathogenesis as well as a treatment of very important disorder called gastro oesophageal reflux disease thank you for listening..