These drugs provide short-term relief, but over-the-counter H2 blockers should not be used for more than a few weeks at a time. They are effective for about half of those who have GERD symptoms. Many people benefit from taking H2 blockers at bedtime in combination with a proton pump inhibitor. Your primary care provider or pediatrician will often refer you to an ENT (ear, nose, and throat) specialist, or otolaryngologist, for evaluation, diagnosis, and treatment if you are having related symptoms. Some people can manage symptoms with prescription pain medication, though in extreme cases, surgery is necessary.
A sore throat and ear pain can also be accompanied by headache, fever, and general feeling of being unwell, depending on the cause. A sore throat and ear pain may sound self-explanatory, but the type of pain and severity can vary, depending on the cause.
(With PPIs, although the amount of acid reflux may be reduced enough to control symptoms, it may still be abnormally high. Therefore, judging the adequacy of suppression of acid reflux by only the response of symptoms to treatment is not satisfactory.) Strictures may also need to be treated by endoscopic dilatation (widening) of the esophageal narrowing. With Barrett’s esophagus, periodic endoscopic examination should be done to identify pre-malignant changes in the esophagus. The drugs described above usually are effective in treating the symptoms and complications of GERD. Nevertheless, sometimes they are not.
Therefore, it is believed that the primary effect of metoclopramide may be to speed up emptying of the stomach, which also would be expected to reduce reflux. The second type of drug developed specifically for acid-related diseases, such as GERD, was a proton pump inhibitor (PPI), specifically, omeprazole (Prilosec). A PPI blocks the secretion of acid into the stomach by the acid-secreting cells. The advantage of a PPI over an H2 antagonist is that the PPI shuts off acid production more completely and for a longer period of time.
Strep throat is a contagious infection caused by a group of bacteria. Strep throat can cause a very painful sore throat that comes on very quickly. Sometimes, the bacteria from a throat infection can travel into the eustachian tubes and middle ear, causing an ear infection. The following are causes of sore throat and ear pain together.
- Like a sore throat, ear pain also has a few underlying causes.
- If however, they persist, then evaluation with an ear nose and throat physician to rule out throat cancer is recommended.
- You might have a heartburn remedy at hand in your kitchen without even knowing it.
- Gastroesophageal reflux disease (GERD) is a digestive condition in which the stomach’s contents often come back up into the food pipe.
- Swallowing causes a ring-like wave of contraction of the esophageal muscles, which narrows the lumen (inner cavity) of the esophagus.
- As discussed above, some 20% of patients will have a decrease in their symptoms even though they don’t have GERD (the placebo effect).
Biopsies also may be obtained. Most reflux during the day occurs after meals. This reflux probably is due to transient LES relaxations that are caused by distention of the stomach with food. A minority of patients with GERD, about, has been found to have stomachs that empty abnormally slowly after a meal.
What is gastroesophageal reflux disease?
Elevation of the upper body at night generally is recommended for all patients with GERD. Nevertheless, most patients with GERD have reflux only during the day and elevation at night is of little benefit for them. It is not possible to know for certain which patients will benefit from elevation at night unless acid testing clearly demonstrates night reflux. However, patients who have heartburn, regurgitation, or other symptoms of GERD at night are probably experiencing reflux at night and definitely should elevate their upper body when sleeping.
Antacids neutralize stomach acid. Chewing gum stimulates saliva production and swallowing.
This acid may also irritate your throat. Chronic dry coughing is another silent symptom of GERD that plagues many sufferers. According to researchers at the University of North Carolina School of Medicine, as many as 25 percent of cases of chronic coughing can be attributed to GERD. Health experts aren’t entirely clear on why GERD can cause coughing, but one theory is that the reflux of acids into the esophagus can splash into the bronchial tract, causing the body to react by coughing.