(GERD)- It is caused by re-flux of the stomach contents into the lower end of the esophagus.
The foods when reaches into the stomach mixes with hydrochloric acid in the stomach, it becomes acidic in nature. And these acidic foods cause damage to the inner lining of esophagus and thus heartburn.
In normal individual, the sphincter in the lower end of the esophagus prevents the back flow foods from the stomach to the esophagus because the sphincter is intact. However, once it becomes weak, the tone of the sphincter reduces and when intra-abdominal pressure raises the food reflux back.
Causes of GERD
Hiatus Hernia (HH)
Hiatus hernia develops due to the pressure difference between abdominal and thoracic cavities. Besides the angulations between cardia and esophagus is lost. Patients with Hiatus hernia may be symptomatic or asymptomatic.
Delayed esophageal clearance
When esophageal clearance is delayed there is an increase in acid exposure time. Defective acidic clearance occurs after inflammation of the oesophagus.
Defective gastric emptying
The exact reason which causes defective gastric emptying is not known.
Gastric content
Since the gastric content is acidic there is a relationship between acid exposure time and development of symptoms.
Increased intra abdominal pressure
Factors which increase the intra abdominal pressure like pregnancy, obesity causes GERD. So weight loss may sometimes improve the symptoms.
Dietary and environmental factors
Non steroid anti-inflammatory drugs (NSAIDs), alcohol, smoking; chocolate, coffee, fatty food will relax the lower esophageal sphincter which leads to GERD.
SYMPTOMS AND CONDITIONS ASSOCIATED WITH GERD
TYPICAL SYMPTOMS: heartburn, acid regurgitation.
Atypical symptoms: dysphagia, globus sensation, non-cardiac chest pain, dyspepsia or abdominal pain.
Extra esophageal symptoms: hoarseness or sore throat, sinusitis, Otis media, chronic cough, laryngitis or polyps on the vocal cords or both, dental erosions, non atopic asthma, recurrent aspiration or pulmonary fibrosis.
Other symptoms include sour or bitter taste in the mouth, water brash, coughing or choking.
Malignancy: esophageal adenocarcinoma,
Homeopathic treatment.
The treatment strategy-acute symptoms such as heart burn, dysphagia, and dyspepsia are given prime importance, because these symptoms are most distressing to the patient. So these symptoms should be cured first and for that medicines like Ars alb, Robenia, Carbo veg, Iris vers etc; are given based on the present symptomatology. This is followed by a deep acting anti miasmatic remedy to prevent the recurrence as well as complications. All these methods are safe and give permanent results.
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