Amino acids are necessary for sustaining life. Doctor has told me I have GERD and to identify the foods that trigger it and avoid them. So far I have found my night time pain (generally 8-10 hours after consumption) comes when Ive eaten tomato, vinegar or anything deep fried.
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The need for maintenance therapy depends largely on the severity of the disease and the persistence of symptoms after the withdrawal of initial pharmacologic therapy. -Receptor Blockers . Before proton pump inhibitors were introduced, H 2 -receptor blockers were the agents of choice for treating reflux symptoms and healing esophagitis. They remain the mainstay of pharmacologic treatment.
An evaluation of gastric emptying, therefore, may be useful in identifying patients whose symptoms are due to abnormal emptying of the stomach rather than to GERD. Finally, other common problems that may be causing GERD like symptoms can be diagnosed (for example ulcers, inflammation, or cancers of the stomach or duodenum) with EGD. Upper gastrointestinal endoscopy (also known as esophago-gastro-duodenoscopy or EGD) is a common way of diagnosing GERD. EGD is a procedure in which a tube containing an optical system for visualization is swallowed. As the tube progresses down the gastrointestinal tract, the lining of the esophagus, stomach, and duodenum can be examined.
That’s the muscle that controls the passage between the esophagus and stomach, and when it doesn’t close completely, stomach acid and food flow back into the esophagus. The medical term for this process is gastroesophageal reflux; the backward flow of acid is called acid reflux.
Another kind of acid reflux, which causes respiratory and laryngeal signs and symptoms, is called laryngopharyngeal reflux (LPR) or “extraesophageal reflux disease” (EERD). Unlike GERD, LPR rarely produces heartburn, and is sometimes called silent reflux.
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Despite the development of potent medications for the treatment of GERD, antacids remain a mainstay of treatment. Antacids neutralize the acid in the stomach so that there is no acid to reflux. The problem with antacids is that their action is brief. They are emptied from the empty stomach quickly, in less than an hour, and the acid then re-accumulates. The best way to take antacids, therefore, is approximately one hour after meals, which is just before the symptoms of reflux begin after a meal.
Heartburn, sometimes called acid indigestion, is a painful, burning feeling in the middle of your chest or the upper part of your stomach. The pain, which can also spread to your neck, jaw, or arms, can last just a few minutes or stick with you for hours.
A studied remedy for GERD symptoms, artichoke extract has been shown in many clinical studies-such as this research published in Evidence-Based Complementary Alternative Medicine-to relieve nausea, bloating, abdominal pain, and other symptoms of indigestion. This is because compounds in artichoke leaves called caffeoylquinic acids stimulate the release of bile from the gall bladder.
What is acid
In addition, being overweight often worsens symptoms. Many overweight people find relief when they lose weight. Doctors recommend lifestyle and dietary changes for most people needing treatment for GERD. Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials. The burning, pressure, or pain of heartburn can last as long as 2 hours and is often worse after eating.
Since the food from meals slows the emptying from the stomach, an antacid taken after a meal stays in the stomach longer and is effective longer. For the same reason, a second dose of antacids approximately two hours after a meal takes advantage of the continuing post-meal slower emptying of the stomach and replenishes the acid-neutralizing capacity within the stomach. There are problems with using pH testing for diagnosing GERD. Despite the fact that normal individuals and patients with GERD can be separated fairly well on the basis of pH studies, the separation is not perfect.