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If you are like most Americans, you have experienced that burning feeling you get when you have heartburn. But when those symptoms persist, you have Gastroesophageal Reflux Disease (GERD).
So what is GERD?
Often referred to as acid reflux, gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the esophagus. When this backwash (acid reflux) touches the lining of the esophagus it causes a burning feeling.
Some of the symptoms you may experience when you have GERD include the following:
If you have any of the following symptoms, you need to see a doctor IMMEDIATELY.
The following are some tips to help you get relief from your GERD symptoms.
Avoid these foods:
H2 blockers are medications that include Ranitidine (Zantac), famotidine (Pepcid AC). They should be used on occasion, not long-term, because the body can build resistance to them.
For more persistent and long-term symptoms, Proton Pump Inhibitors (PPIs) are typically used.
PPIs must be prescribed by physicians and include Esomeprazole (Nexium), Omeprazole (Prilosec), and pantoprazole (Protonix). They should be taken 30 minutes to 1 hour before eating to be effective. It is recommended that you take the lowest dose possible.
PPIs are safe, even though recent headlines have linked PPIs with kidney disease, heart attack/stroke, dementia, and hip fractures. The studies are flawed. People with symptomatic GERD should be on a PPI, and should take the lowest effective dose. Try an over-the-counter (OTC) dose for two weeks to start.
If GERD continues for an extended period of time, it can cause scar tissue. The body creates a ring-shaped scar tissue barrier to protect the esophagus from acid splashing up, and this can cause food to get stuck.
Barrett’s Esophagus is when normal esophageal cells start changing their identity, which can end in cancer if not monitored by your physician.
The risk to develop Barrett’s Esophagus is extremely low, at 0.25-0.5 percent each year for developing it. This means that if you are 50 years old, by the time you are 90 your risk for developing esophageal cancer will be 10-20 percent. Your risk for other things such as a heart attack or even dying in your sleep will be much higher.
While this is not very common, esophageal cancer can develop in those with persistent GERD. Elderly men are most at-risk.
GERD is common, with more than half of Americans experiencing heartburn at any time.
To help ease symptoms of GERD, lose weight and follow the anti-reflux diet. If needed, use the PPIs, and always use the lowest effective dose. And don’t worry too much unless there are alarming symptoms. In that case, see a physician immediately.
Dr. Shannon Scholl is a board certified gastroenterologist who practices out of the Women’s Center for GI Health in Cary, NC.
Dr. Scholl has training in the fields of Crohns disease, Ulcerative Colitis, reflux disease (heartburn), Barrett’s Esophagus, and Irritable Bowl Syndrome (IBS).
Learn more about gastroenterology services at WakeMed, and request a gastroenterology appointment today.
3000 New Bern Ave.
Raleigh, NC 27610