General information about acid reflux, GORD.

Acid Reflux

Acid reflux is a common condition in which acid and gastric contents leak `upwards' from the stomach into the oesophagus (gullet). The correct medical term for this condition is gastro oesophageal reflux disease or GORD.

Causes

GORD may be due to a weakness or poor control of the muscle ring, which acts like a valve separating the gullet from the stomach. In other cases, part of the stomach protrudes into the chest cavity through the diaphragm. This is called a hiatus hernia, which causes acid to `reflux'into the gullet.

Hiatus hernia is more common in overweight people, especially middle aged women, smokers and women who have had two or more pregnancies. However, it can also be of genetic origin e.g a baby may be born with the abnormality, where the symptoms can be easily overlooked. Typically, the baby regularly regurgitates its feeds, but is unable to describe it's symptoms!

Symptoms

The classic symptom of acid reflux is `heartburn' which is a very unpleasant burning sensation behind the breastbone and extending up into the throat.

Acid reflux can be brought on by bending, stooping or lying flat. Many sufferers have to avoid gardening and sleep propped up by several pillows.

Diagnosis

Acid reflux can be diagnosed using an X-ray known as a barium swallow, or by looking directly down the gullet with a small type of telescope called a gastroscope.

Treatment

Many sufferers initially treat themselves with `over the counter' preparations such as antacids (Rennies, Bisodol etc), reflux suppressants (Gaviscon), or drugs which reduce or stop acid production (Zantac, Pepcid, Tagamet).

However, if symptoms remain uncontrolled, you must see your GP, for further investigation and maybe specialist help.

Most sufferers of hiatus hernia gain relief from medication, but a small number may require surgery.

Patients can help themselves by losing weight, stopping smoking, avoiding or reducing their intake of coffee, spirits, chocolate, large meals, spicy foods, hot fatty meals, onions, cucumber and very hot drinks.

Further information can obtained from: http://www.digestivedisorders.org.uk
IMPORTANT NOTICE : This content is from the Dr Chris Steele personal archive and is provided for convenience only. Information contained here may no longer agree with the most up to date medical advice. Please check with a medical professional before taking any action.

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