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Should I use medications or surgery to treat gastroesophageal reflux disease (GERD)?

Gastroesophageal Reflux Disease (GERD), SVCMC; New York NY
Before surgery, additional tests will usually be done to be certain surgery is likely to help relieve the person's GERD symptoms and to diagnose problems that surgery could make worse. For more information on this testing, see esophageal testing in the Exams and Tests section of this topic. this time, no other treatment for gastroesophageal reflux disease (GERD) has been shown to be effective. A number of experimental treatments are being investigated.
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What is Gastroesophageal Reflux Disease (GERD)?

Glasgow & Glasgow FAQs
During normal ingestion and digestion, food travels from the mouth through a tube of muscle called the esophagus to the stomach, where it remains until it is pushed into the intestine. Muscles in the lower part of the esophagus just above the stomach, called the lower esophageal sphincter (LES), tighten to keep food and digestive acid in the stomach.
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Gastroesophageal Reflux Disease (GERD), SVCMC; New York NY
Reflux means that stomach acid and juices flow from the stomach back up into the tube that leads from the throat to the stomach (esophagus). This causes heartburn. When you have heartburn at least 2 times a week, it is called gastroesophageal reflux disease, or GERD. Eating too much or bending forward after eating sometimes causes heartburn and a sour taste in the mouth. But having heartburn from time to time doesn't mean you have GERD.
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What causes gastroesophageal reflux disease (GERD)?

HeartburnHelp.com: Heartburn and GERD FAQ
In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the LES is weak or relaxes inappropriately, allowing the stomach's contents to flow up into the esophagus. The severity of GERD depends on LES dysfunction, as well as the type and amount of fluid brought up from the stomach and the neutralizing effect of saliva.
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What is GERD or Gastroesophageal Reflux Disease?

Center for Videoscopic and Laser Surgery
It is a common health problem that physicians feel is caused by a hiatal hernia or when the lower esophageal sphincter or LES which is the opening to your stomach doesn't work well enough to hold food and fluids in the stomach and allows food and stomach juices and acids to wash back into the esophagus.
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How do I modify my lifestyle to manage gastroesophageal reflux disease (GERD) symptoms?

Gastroesophageal Reflux Disease (GERD), SVCMC; New York NY
Along with lifestyle changes, nonprescription medications may be needed to control occasional heartburn. Medications used for home treatment of GERD include antacids, or nonprescription medicines that reduce or block acid. These include H2 blockers (for example, Pepcid) or a proton pump inhibitor (for example, Prilosec OTC). For more information about prescription forms of these drugs, see the Medications section of this topic.
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Why is gastroesophageal reflux (GERD) a concern?

Health Information
Some infants and children who have gastroesophageal reflux may not vomit, but may still have stomach contents move up the esophagus and spill over into the windpipe. This can cause asthma, pneumonia, and possibly even SIDS (sudden infant death syndrome). Infants and children with GERD who vomit frequently may not gain weight and grow normally. Inflammation (esophagitis) or ulcers (sores) can form in the esophagus due to contact with stomach acid.
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Gastroesophageal Reflux Disease (GERD)
Reflux means that stomach acid and juices flow from the stomach back up into the tube that leads from the throat to the stomach (esophagus). This causes heartburn. When you have heartburn at least 2 times a week, it is called gastroesophageal reflux disease, or GERD. Eating too much or bending forward after eating sometimes causes heartburn and a sour taste in the mouth. But having heartburn from time to time doesn't mean you have GERD.
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What is gastroesophageal reflux?

HeartburnHelp.com: Heartburn and GERD FAQ
Gastroesophageal refers to the stomach and esophagus (or "food pipe"). Reflux means to flow back or return. Therefore, gastroesophageal reflux is the return of the stomach's contents back up into the esophagus.
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What About Surgery To Treat My GERD?

Center for Videoscopic and Laser Surgery
Some people may need or elect to have surgery because their reflux disease is severe or it isn't responding to medications and lifestyle changes. Surgical treatments for this disorder have been very successful in treating it. Today surgery can often be done using a less invasive method with quicker recovery and less pain. This surgery is done utilizing an instrument called a laparoscope and does not involve making a large incision into the stomach through muscles and tissue.
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What is acid reflux disease (GERD)?

PurplePill.com: FAQs - Acid Reflux Disease
Acid reflux describes a backflow of acid from the stomach into the swallowing tube or esophagus. This acid can irritate and sometimes damage the lining on the inside of the esophagus. Almost everyone experiences acid reflux at some time. The usual symptom is heartburn, an uncomfortable burning sensation behind the breastbone, most commonly occurring after a meal. In some individuals this reflux is frequent or severe enough to cause more significant problems.
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What are the most common prescription medications used to treat GERD symptoms?

HeartburnHelp.com: Heartburn and GERD FAQ
Proton pump inhibitors, such as Prilosec OTC® and Aciphex® , are another type of acid reducer. They suppress stomach acid. By drastically reducing the acid, these drugs can help stop the irritation and allow the damaged tissue in the esophagus to heal.
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What is Gastroesophageal Reflux Disease?

Digestique - Frequently Asked Questions, IBS, Food Allergies...
GERD describes a backflow of acid from the stomach into the swallowing tube or esophagus. This acid can irritate and sometimes damage the delicate lining on the inside of the esophagus. Almost everyone experiences GERD at some time. The usual symptom is heartburn, an uncomfortable burning sensation behind the breastbone, most commonly occurring after a meal.
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How can I find more information about reflux and GERD?

Frequently asked questions about acid reflux disease and the...
Please go to our "links" page, where we maintain an updated Internet guide to web sites concerning GERD. What Is Reflux | Treating Acid Reflux | How to Use Bedge | Order a Bedge | E-Mail Us | FAQ's | GERD Links | Home
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Is surgery ever an option to treat reflux disease?

Naab Road Surgical Group, P.C.
Yes. Surgery is a very good option to treat reflux disease. Patients on antiacids who have worsening symptoms, or who are relatively young with a long life expectancy are good candidates for surgery. The surgery consists of wrapping the stomach around the esophagus to create a new valve around the esophagus and thus prevent the regurgitation and reflux of gastric contents.
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How is HUMIRA different from other medications that treat Crohn's disease?

Questions About HUMIRA and Crohn's Disease
HUMIRA is a medication that is taken by injection. And once your doctor shows you how to take HUMIRA, the injections can be taken in the convenience of your own home. After your initial starting doses, you only need to take one injection of HUMIRA every other week.
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What are the symptoms of gastroesophageal reflux laryngitis?

Frequently Asked Questions
Morning hoarseness; chronic sore throat; frequent throat clearing; excessive phlegm; prolonged voice warn-up time; a sensation of a "lump in the throat"; night coughing. These do not enhance vocal quality. Salt water and lemon juice, are each irritating and drying to the tissues of the mouth and throat.
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Heartburn, Reflux, GERD, and Hiatal Hernia - How do they relate?

Frequently Asked Questions
Heartburn, reflux, and acid indigestion are symptoms (physical discomforts), which may indicate a disease that most physicians today call GastroEsophageal Reflux Disease, or GERD for short. In the past, this disease process was often referred to as a Hiatal Hernia (see below). The terms GERD and Hiatal Hernia are sometimes used interchangeably, although today they mean different things.
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Do any medications make GERD worse?

Untitled Document
Yes. Medicines that delay emptying of acid from the stomach or that increase acid backup into the esophagus can worsen GERD. If you have, or suspect you have, GERD and you require medication for other conditions, you should make sure you inform your doctor about all medications you are taking including prescription and over-the-counter medications.
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What is the status of Medicare coverage of Enteryx for treatment of gastroesophageal reflux disease?

CIGNA Government Services Part B
Based on the evaluation of peer reviewed literature and technology assessments, this is considered an investigational service at this present time. Any time providers bill for a service that is statutorily excluded or does not meet the definition of any Medicare benefit, they may append modifier GY. When billing for Enteryx, an unspecified code should be used (as there is no designated code).
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I have never heard of GERD. Is it a new disease?

Untitled Document
No. GERD has probably been around as long as heartburn. The term is relatively new (about 20 years), however, and has really come into common usage over the past few years. GERD is often called "reflux," "reflux esophagitis," or sometimes even "hiatus hernia" (although hiatus hernia is a specific diagnosis that may or may not have anything to do with GERD).
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What is acid reflux disease?

Stomach Pain - Frequently Asked Questions
The term Acid reflux refers to a backflow problem from the stomach to the esophagus. Food substance that come from the stomach contain acids that the esophagus is not designed to handle and they can eventually do damage to the lining of the esophagus. Most everyone experiences some level of Acid Reflux from time to time. Periodic occurrences are generally referred to as heartburn and are accompanied by a 'burning' sensation at the top of the stomach area.
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Is there a cure for Acid Reflux disease?

Stomach Pain - Frequently Asked Questions
this time there is no cure for Acid Reflux disease. In some cases it can be directly related to a specific aggravating factor and will leave when these factors are removed. However, in most cases Acid Reflux is chronic to some degree. It can, however, be managed effectively in most cases via lifestyle and/or medications. In some sever cases, surgery can become an option, but this should be discussed thoroughly with your physician.
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What types of surgery are used to treat inflammatory bowel disease (IBD)?

Inflammatory Bowel Disease
Sometimes severe IBD does not get better with medicine. In these cases, doctors may suggest surgery to fix or remove damaged parts of the intestine. There are different types of surgery used to treat IBD. About 75 percent of people with CD need surgery at some point in their life. Surgery can relieve symptoms and correct problems like blockages, fistulae or bleeding in the intestine. After surgery, some people are able to stop taking daily medicines for CD.
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Will I need to take my reflux medications after the surgery ?

Frequently Asked Questions
No. One of the the reasons to have the surgery is to remove the need to take expensive reflux medications for the rest of your life. Studies have shown about one in 5 patients do resume their medication after a year but unlike pre surgery, the medication is able to control the reflux symptoms. A majority of poeple will not need medication again and experience dramatic improvement in their lives with resolution of the reflux pain.
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