GERD Relief

Motility disorders of the distal esophagus (e.g. reduced peristaltic amplitude, decreased velocity and increased duration of peristaltic contractions) cause prolonged exposure of the esophagus to refluxed gastric contents.

Factors which facilitate reflux are i.e.

• Hernia, fatty meal
• Diabetes mellitus, sliding hiatus
• Prolonged gastric tube intubation
• Scleroderma Drugs – e.g. Anticholinergics, β-adrenergic agents, calcium channel blockers, nitrates
• Ascites, obesity, pregnancy
• Alcohol, smoking
• Pyloric obstruction, fatty foods
• Gastroparesis
• Large meals, Z-E syndrome 

The pathophysiology is multifactorial, but dysfunction of the lower esophageal sphincter (LOS) has a primary role. 

• Typical symptoms: e.g. Heartburn, acid regurgitation.
• Atypical symptoms: Dysphasia, Globus sensation, noncardiac Chest pain, either dyspepsia or abdominal pain.
• Extraesophageal symptoms: In detail, Hoarseness or sore throat, Or both, sinusitis, otitis media, chronic cough, laryngitis or polyps on the vocal cords or both, dental erosions, non-atopic asthma, recurrent aspiration or pulmonary fibrosis, or both.
• Sleep related GERD can present with multiple awakenings. Additionally, Substernal burning and/or chest discomfort, indigestion or heartburn. Other symptoms include a sour or bitter taste in the mouth, water brash, coughing or choking.
• Malignancy: Esophageal adenocarcinoma, head also Neck cancer.
• All in all, Barrett’s esophagus is found in 10–20% of patients with Reflux esophagitis, the squamous epithelium is injured by chronic gastro-esophageal reflux also repair is effected by columnar instead of squamous cells Upper GI scopy can be diagnostic assisted by biopsy. This columnar epithelium may undergo malignant transformation.

1. Firstly, Radiology Barium swallow with fluoroscopy Upper esophageal sphincter disorders Defective opening of pharyngo-esophageal segment Airway aspiration.
2. Secondly, Upper esophageal endoscopy
3. Thirdly, Manometry

• Upper esophageal sphincter
• Tone of upper esophageal sphincter also relaxation

During swallowing i.e.-

• Coordination between relaxations of upper esophageal sphincter and contraction of the pharynx.
• Body motility
• Evaluation of amplitude, duration also velocity of waves.
• Lower esophageal sphincter tonic pressure and relaxation.

4. Esophageal pH testing
5. Scintigraphy. 

Your Doctor  will often be able to diagnose gastro-esophageal reflux disease (GERD) based on your symptoms.

They may prescribe medication to treat it without needing to carry out any tests.

Tests you may have i.e.:

• Endoscopy
• Either Barium swallow or barium meal test
• Manometry
• 24-hour pH monitoring
• Blood tests 

• Acute gastritis
• Atrophic gastritis
• Chronic gastritis
• Crohn’s disease
• Peptic ulcer disease
• Gastrinoma
• Gastric Adenocarcinoma
• Primary gastric lymphoma 

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Homeopathic Medicines for Gastro- esophageal reflux disease (GERD) :

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.

Medicines:

1. Podophyllum:

• Nausea, with acidity. Vomiting of the contents of the stomach and of bile, at time mixed with blood, or of hot frothy mucus.

2. Arsenic:

• Craving for acids and brandy. Constant desire to drink, but takes very little at a time.
• Eructations, Hiccough, Nausea, Vomiting of food also drink as soon as they reach the stomach.
• The distress in the stomach is not relieved by vomiting, but the extreme irritability, burning and indescribable distress continue.
• Inflammation and ulceration, with terrible distress. In the pit of stomach, anxiety, soreness, burning or internal chilliness.

3. Argentum nitricum:

• Craving for sugar.
• Nausea, Retching; vomiting; ejecta become black.
• Furthermore, Flatulent distention of stomach, extreme.
• Pit of stomach painfully swollen Bursting sensation in pit, ameliorated by eructations.
• Besides this, Eructations difficult, as if esophagus were spasmodically closed.

• Vomiting of glairy mucus. Lastly, Pain in pit, extends around sides or into the chest.

4. Anacardium:

• Feeble digestion; melancholy especially after eating.
• All in all, a shattering sensation in the pit of the stomach on every step after eating.

5. Ipecac:

• General loss of appetite as from weakness of the stomach.
• Furthermore, Aversion to all food; or dislike for sweets and dainty things. No thirst.
• Nausea, which seems to come from the stomach, with empty eructations also salivation.
• Besides this, Retching and vomiting of food; of bile; of green, bilious mucus; of blood; renewed after taking cold drinks or smoking tobacco.

6. Baptisia:

• The whole throat becomes red, frequent inclination to swallow, with pain at the root of the tongue.
• General sore throat with a constrictive sensation; additionally, frequent efforts to swallow.

7. Hepar sulph:

• Basically, Speech very weak, voice lost. Hoarseness, painless.

• Cough hoarse, paroxysmal,  aggravation from the slightest cold, caused by tickling in the upper part of the throat, left side, talking and stooping.

• Cough rough, scraping, suffocative, in the evening on going to sleep. Dyspnoea.

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• Eat plenty of whole foods naturally low in fat also sugar, such as fruits, vegetables, whole grains, nonfat dairy, and fish.
• Steer clear of fatty meat, sugary drinks (especially carbonated drinks), processed foods, and fatty, sugary desserts.
• Either Drink little or no alcohol and caffeine.

What is Gastroesophageal reflux disease?

Gastro-esophageal reflux disease (GERD) is caused by recurrent reflux of gastric contents into the distal esophagus.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Gastroesophageal reflux disease?

• Podophyllum
• Arsenic
• Argentum nitricum
• Anacardium
• Ipecac
• Baptisia
• Hepar sulph

What causes Gastroesophageal reflux disease?

• Hernia, fatty meal
• Diabetes mellitus, sliding hiatus
• Prolonged gastric tube intubation
• Scleroderma Drugs
• Ascites, obesity, pregnancy
• Alcohol, smoking
• Pyloric obstruction, fatty foods
• Gastroparesis
• Large meals, Z-E syndrome

What are the symptoms of Gastroesophageal reflux disease?

• Heartburn
• Acid regurgitation
• Dysphasia
• Globus sensation
• Noncardiac Chest pain
• Dyspepsia
• Abdominal pain.

[1]Medicine Golwala

[2]https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/gastro-oesophageal-reflux-disease-gord#:~:text=in%20the%20oesophagus.-,24%2Dhour%20pH%20monitoring,nose%20and%20down%20your%20oesophagus.

[3]https://www.pritikin.com/acid-reflux diet#:~:text=Eat%20plenty%20of%20whole%20foods,or%20no%20alcohol%20and%20caffeine.

[4]https://www.wikidoc.org/index.php/Gastroesophageal_reflux_disease_differential_diagnosis