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  • Life''t close completely, stomach acid or bile may leak back into the throat, according to the National Institutes of Health (NIH).

    "" Upchurch told Live Science. ""

    Frequent heartburn is a common symptom of GERD, and often becomes worse when the person bends or lies down. However, heartburn is just a symptom and may also occur from time to time in people who don''s esophagus.

    "" Upchurch said. 

    Primary care doctors are often the first to diagnose GERD by taking a detailed history of symptoms, according to the Mayo Clinic.

    If the symptoms are severe enough, a primary care doctor may refer a patient to a gastroenterologist who may order further imaging tests such as an esophagogastroduodenoscopy (EGD).

    An EGD involves inserting a small camera on a flexible tube down the throat to examine the lining of the esophagus, stomach and the start of the small intestine, according to the NIH.

    Doctors may also order a “barium swallow” in which patients literally swallow a barium-laced drink and then go for a series of X-rays in different positions. Each X-ray allows doctors to track the barium as the person digests the drink.

    By using a catheter running from the nose down to the throat, doctors may also use a probe to monitor the amount of stomach acid in the esophagus in a technique called esophageal pH monitoring.

    Doctors may also perform an esophageal manometry to measure the pressure where the throat joins the stomach by using a catheter.

    Treatment & medication

    Many medications and prevention measures can relieve the symptoms of GERD. Over-the-counter antacids can provide quick relief by neutralizing stomach acid. But frequent use of these drugs may cause diarrhea or constipation, according to the Mayo Clinic.

    Spettacoli porno gratis barcellona festival anali travestiti 2o18 Without Medication (⭐️ Acid Reflux Every Day) | Spettacoli porno gratis barcellona festival anali travestiti 2o18 13 Surprisinghow to Spettacoli porno gratis barcellona festival anali travestiti 2o18 for H2-blockers can neutralize acid for a longer period of time, although they may not provide immediate relief. H2-blockers are available both over the counter and by prescription. Proton pump inhibitors, the most potent acid inhibitors, are also available by prescription, according to the NIH.

    Proton pump inhibitors are a daily medication, and "" Upchurch said. However, they also have side effects, including decreased calcium absorption, which may lead to increased risk for fractures and osteoporosis, he said. 

    Extreme cases of GERD may need surgery to increase the pressure at the opening of the stomach. For instance, surgeons can take the top of the stomach, and use it to create a new valve by wrapping it around the lower esophagus, Upchurch said. This surgery can be done laparoscopically, in which doctors insert a laparoscope — a thin, lighted tube — into a small incision in the abdominal wall.

    Side effects of the surgery can include difficulty swallowing, and difficulty belching or the 1 last update 2020/01/24 vomiting, but "" he said. Side effects of the surgery can include difficulty swallowing, and difficulty belching or vomiting, but "" he said. 

    Sufferers can also try several home remedies, including sleeping with their heads elevated by 6 inches (15 centimeters) if GERD symptoms bother them during the night.

    Avoiding tight-fitting clothing and food that triggers heartburn. Common heartburn triggers the 1 last update 2020/01/24 include alcohol, caffeine, chocolate, citrus fruits, spicy foods, full-fat dairy products and mint, according to Upchurch and the NIH. (Peppermint can relax the LES, making it easier for heartburn to happen, Upchurch said.)Avoiding tight-fitting clothing and food that triggers heartburn. Common heartburn triggers include alcohol, caffeine, chocolate, citrus fruits, spicy foods, full-fat dairy products and mint, according to Upchurch and the NIH. (Peppermint can relax the LES, making it easier for heartburn to happen, Upchurch said.)

    Herbal remedies for GERD include licorice, slippery elm and chamomile — although rigorous studies herbal remedies for GERD are lacking.

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    Healthy eating tips

    Excess weight will put pressure on the stomach pushing more acid into the throat, so doctors often recommend overweight patients lose weight to prevent heartburn.

    "" Upchurch said. 

    Eating a healthy diet, exercising and counting calories are the most proven methods to losing weight. Doctors advise losing no more than two pounds a week, according to the Mayo Clinic.

    In addition to counting calories, the NIH recommends cooking whole grains, varying vegetables, focusing on fruit and choosing lean proteins to eat a healthy diet.

    Eating smaller portions will also help GERD, and help weight loss.

    Additional reporting by Live Science News Writer Laura Geggel. Follow her on Twitter @LauraGeggel. Follow Live Science @livescience, Facebook & Google+.

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