what would cause feet and food to the regurgitate back up into the throat and through the mouth

Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak astern from the stomach into the esophagus (food pipe). Food travels from your mouth to the breadbasket through your esophagus. GERD can irritate the food piping and cause heartburn and other symptoms.

When y'all consume, food passes from the throat to the stomach through the esophagus. A ring of muscle fibers in the lower esophagus prevents swallowed food from moving back up. These muscle fibers are called the lower esophageal sphincter (LES).

When this ring of muscle does non shut all the way, stomach contents can leak back into the esophagus. This is chosen reflux or gastroesophageal reflux. Reflux may cause symptoms. Harsh stomach acids can too damage the lining of the esophagus.

The adventure factors for reflux include:

• Use of alcohol (possibly)
• Hiatal hernia (a condition in which role of the tum moves above the diaphragm, which is the musculus that separates the chest and abdominal cavities)
• Obesity
• Pregnancy
• Scleroderma
• Smoking
• Reclining within iii hours afterwards eating

Heartburn and gastroesophageal reflux tin be brought on or fabricated worse by pregnancy. Symptoms can also be acquired past certain medicines, such every bit:

• Anticholinergics (for example, sea sickness medicine)
• Bronchodilators for asthma
• Calcium channel blockers for high blood pressure
• Dopamine-agile drugs for Parkinson affliction
• Progestin for abnormal menstrual bleeding or birth control
• Sedatives for insomnia or anxiety
• Tricyclic antidepressants

Talk to your wellness intendance provider if you lot think 1 of your medicines may exist causing heartburn. Never alter or finish taking a medicine without showtime talking to your provider.

Mutual symptoms of GERD include:

• Feeling that food is stuck backside the breastbone
• Heartburn or a burning pain in the chest
• Nausea later eating

Less common symptoms are:

• Bringing food back up (regurgitation)
• Cough or wheezing
• Difficulty swallowing
• Hiccups
• Hoarseness or change in vocalisation
• Sore throat

Symptoms may go worse when you bend over or prevarication downwardly, or later on you eat. Symptoms may too be worse at nighttime.

You may non demand any tests if your symptoms are mild.

If your symptoms are astringent or they come back subsequently you have been treated, your md may perform a test chosen an upper endoscopy (EGD).

• This is a exam to examine the lining of the esophagus, stomach, and beginning part of the small intestine.
• It is done with a pocket-sized photographic camera (flexible endoscope) that is inserted down the throat.

You may also need 1 or more of the following tests:

• A test that measures how often stomach acid enters the tube that leads from the mouth to the breadbasket (called the esophagus)
• A exam to measure the pressure inside the lower part of the esophagus (esophageal manometry)

A positive stool occult blood examination may diagnose bleeding that is coming from the irritation in the esophagus, stomach, or intestines.

You lot can make many lifestyle changes to aid treat your symptoms.

Other tips include:

• If you lot are overweight or obese, in many cases, losing weight tin help.
• Enhance the head of the bed if your symptoms get worse at dark.
  
• Have your dinner 2 to 3 hours before going to sleep.
  
• Avoid drugs such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). Take acetaminophen (Tylenol) to relieve pain.
• Take all of your medicines with plenty of water. When your provider gives you a new medicine, ask whether it will make your heartburn worse.

You may use over-the-counter antacids after meals and at bedtime, although the relief may not last very long. Common side effects of antacids include diarrhea or constipation.

Other over-the-counter and prescription medicines can care for GERD. They piece of work more slowly than antacids, simply give you lot longer relief. Your pharmacist, doctor, or nurse tin tell you how to accept these medicines.

• Proton pump inhibitors (PPIs) decrease the amount of acid produced in your tummy.
• H2 blockers also lower the corporeality of acrid released in the stomach.

Anti-reflux surgery may be an option for people whose symptoms practise not go away with lifestyle changes and medicines. Heartburn and other symptoms should improve after surgery. Only you may yet need to have medicines for your heartburn.

There are besides new therapies for reflux that can exist performed through an endoscope (a flexible tube passed through the rima oris into the tummy).

Virtually people answer to lifestyle changes and medicines. However, many people need to continue taking medicines to command their symptoms.

Complications may include:

• Worsening of asthma
• A change in the lining of the esophagus that tin can increment the risk of cancer (Barrett esophagus)
• Bronchospasm (irritation and spasm of the airways due to acrid)
• Long-term (chronic) cough or hoarseness
• Dental problems
• Ulcer in the esophagus
• Stricture (a narrowing of the esophagus due to scarring)

Phone call your provider if symptoms do not improve with lifestyle changes or medicine.

Also telephone call if you have:

• Bleeding
• Choking (coughing, shortness of jiff)
• Feeling filled up quickly when eating
• Frequent vomiting
• Hoarseness
• Loss of appetite
• Trouble swallowing (dysphagia) or hurting with swallowing (odynophagia)
• Weight loss
• Feeling like food or pills are sticking behind the breast os
  

Avoiding factors that cause heartburn may aid forestall symptoms. Obesity is linked to GERD. Maintaining a healthy body weight may help foreclose the condition.

Peptic esophagitis; Reflux esophagitis; GERD; Heartburn - chronic; Dyspepsia - GERD

ASGE Standards of Practice Committee, Muthusamy VR, Lightdale JR, et al. The role of endoscopy in the management of GERD. Gastrointest Endosc. 2015;81(6):1305-1310. PMID: 25863867 pubmed.ncbi.nlm.nih.gov/25863867/.

Falk GW, Katzka DA. Diseases of the esophagus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 129.

National Constitute of Diabetes and Digestive and Kidney Diseases website. Acrid reflux (GER & GERD) in adults. www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults. Updated July 2020. Accessed May 26, 2021.

Richter JE, Vaezi MF. Gastroesophageal Reflux Disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 46.

Updated by: Michael Thou. Phillips, MD, Clinical Professor of Medicine, The George Washington University Schoolhouse of Medicine, Washington, DC. Internal review and update on 06/03/2021 past David Zieve, Medico, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.Thousand. Editorial team.

taylorrectee.blogspot.com

Source: https://medlineplus.gov/ency/article/000265.htm

Share this post