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Heartburn, Acid Reflux, and Gastroesophageal Reflux Disease

GERD/GORD : Causes, Symptoms, and Treatment

Dubai is the neo global nucleus of 21st century. Eminent masters with skills and exceptional talent are flocking here for two decades. UAE boasts a critical mass of these highly talented individuals, master clinicians, architects, culinary or sartorial experts.

Heartburn, acid reflux, and gastro esophageal reflux disease(GERD or GORD) are common digestive issues that affect millions of people worldwide. Understanding the causes, symptoms, and treatment options is essential for managing these conditions and improving your quality of life. In this article, we will explore the differences between heartburn, acid reflux, GERD, and GORD, as well as provide insights into their symptoms, risk factors, and available treatment options.

While we enjoy great weather, views and hospitality in some of the finest cuisine joints in the city and go home with a sweet taste in our mouth and a freshened mind and body, about one in five of us may be dreading the night ahead after evening excesses of culinary delights and drinks. Staying up late at night, waking up multiple times with burning sensation in chest or throat, pacing up and down in our room or trying to sleep while sitting in a chair is never an ideal way to spend the crucial potentially revival hours at night. It affects our rest, one’s family life and work the following day, least to mention the all-important good mood and humor which is so crucial for good home and work environment. Probably an ongoing concerned look replaces the calm and comfortable look of the person, suffering from GERD!  

Gastro Esophageal Reflux Disease (GERD) is a common condition affecting about 1 in 3 persons every now and then. However, in general public 1 in 5 persons (20%) do suffer from GERD that is severe enough to take medication, restrictive precautions and medical advice on regular basis. No age is exempt from heart burn or reflux, as commonly known. From new borns to the elderly in their 90s, anyone can have GERD and may require medical or surgical treatment.

Medical treatment is safe and mandatory to avoid some serious complications of GERD, which could be cancer of Oesophagus (gullet). While medical treatment is ideal in short and medium term to keep the symptoms under control, Surgery is appropriate and recommended for medium to long term cure of the condition and to improve the quality of life.      

Surgery for the complex condition of GERD in a bespoke fashion in the hands of an expert surgeon in a good hospital setting is worth considering.  

Not only the quality of life improves after Laparoscopic Nissen’s Fundoplication ( a minimally invasive surgery done with a camera, also known as a keyhole or laparoscopic operation, involving few small cuts in the abdomen to carry out the operation, requiring only 1 night stay in the hospital.) but also the sartorial skills of an artistic surgeon will allow the sufferers from GERD to enjoy the culinary delights of master chefs in beautiful and sunny Dubai.  

What is Heartburn?

Heartburn is a burning sensation in the chest, often rising up toward the neck and throat. Despite its name, heartburn has nothing to do with the heart. It occurs when stomach acid backs up into the esophagus, irritating its lining. Occasional heartburn is normal, but frequent or severe episodes may indicate a more serious condition such as GERD or GORD.

A patient and doctor gastroenterologiest, examination of patient for heatburn at Fakeeh University Hospital Dubai
Signs you need to see a Gastroenterologist

Understanding Acid Reflux

Acid reflux occurs when stomach acid flows back into the esophagus. This happens due to the weakening or malfunctioning of the lower esophageal sphincter (LES), a valve that usually prevents stomach acid from moving upwards. Acid reflux can lead to discomfort, a bitter taste in the mouth, and heartburn. It is common after eating large meals, consuming spicy foods, or lying down immediately after eating, is hot water good for acidity​? Yes, acid reflux can be relieved by drinking more warm and hot water, but it is only a temporary relief and cannot treat acid reflux. Reflux Relief System is a natural way to relieve symptoms of acid reflux.

What is GERD and GORD?

Gastro esophageal Reflux Disease (GERD) and Gastro-Oesophageal Reflux Disease (GORD) are chronic conditions caused by frequent acid reflux. While GERD is the term commonly used in the UnitedStates, GORD is the term used in Europe and other parts of the world for stomach burning​. Both terms refer to the same condition.

GERD/GORD occurs when acid reflux becomes persistent and causes damage to the esophagus lining. If left untreated, GERD can lead to serious complications, including esophageal ulcers, strictures, and even an increased risk of esophageal cancer.

Symptoms of GERD/GORD

The most common symptoms of GERD or GORD include:

1. Frequent heartburn (occurs more than twice a week).

2. Regurgitation of food or sour liquid.

3. Chest pain (often mistaken for heart problems).

4. Difficulty swallowing (dysphagia).

5. Chronic cough or throat irritation.

6. Sore throat or hoarseness.

7. Bad breath (due to stomach acid in the mouth).

If you experience any of these symptoms, especially on a regular basis, it is important to consult a healthcare professional for proper diagnosis and treatment.

Causes and Risk Factors

Several factors can contribute to the development of heartburn, acid reflux, and GERD/GORD:

1. Diet: Spicy foods, fatty meals, caffeine, alcohol, and citrus fruits can trigger acid reflux.

2. Obesity: Excess weight can put pressure on the abdomen, pushing stomach contents back into the esophagus.

3. Smoking: Smoking weakens the lower esophageal sphincter and increases acid production.

4. Pregnancy: Hormonal changes and increased abdominal pressure can cause acid reflux.

5. Hiatal hernia: A condition where part of the stomach moves above the diaphragm, making acid reflux more likely.

Diagnosis of GERD/GORD

If you suspect you have GERD or GORD, a healthcare provider may perform several tests to confirm the diagnosis. These tests can include:

1. Endoscopy: A flexible tube with a camera is inserted into the esophagus to check for inflammation or damage.

2. pH Monitoring: A probe is placed in the esophagus to measure acid levels over 24 hours.

3. Esophageal Manometry: Measures the strength of esophageal muscles to check for abnormalities in swallowing.

Treatment Options

Fortunately, GERD and GORD can be managed with lifestyle changes, medications, and in some cases, surgery.

Lifestyle Changes:

1. Dietary adjustments: Avoid trigger foods like spicy, fatty, or acidic items.

2. Weight management: Losing weight can reduce pressure on the stomach and prevent reflux.

3. Quit smoking: Stopping smoking can significantly improve reflux symptoms.

4. Elevate the head of the bed: Raising the head while sleeping can prevent acid from flowing back into the esophagus.

Medications:

1. Antacids: Provide quick relief by neutralizing stomach acid.

2. H2 Blockers: Reduce acid production in the stomach.

3. Proton Pump Inhibitors (PPIs): More potent acid reducers that heal the esophagus over time.

4. Prokinetics: Help strengthen the lower esophageal sphincter and improve stomach emptying.

Surgical Options:

In severe cases where lifestyle changes and medications are ineffective, surgery may be required. The most common procedure is fundoplication, where the top of the stomach is wrapped around the LES to strengthen it and prevent reflux.

When to See a Doctor

If you are experiencing frequent heartburn or other symptoms of GERD/GORD, it’s important to seek medical attention. Persistent acid reflux can lead to more serious health problems if left untreated.

Fakeeh University Hospital Dubai, our team of experienced gastroenterologists provides expert care for individuals dealing with GERD, acid reflux, and other digestive conditions. With comprehensive diagnostic and treatment services, we’re here to help you find relief from your symptoms and improve your quality of life.

Heartburn, acid reflux, and GERD/GORD can be painful and disruptive to your daily life. However, with proper lifestyle changes, medications, and medical intervention, these conditions are manageable. If you suspect you have GERD or experience any of the symptoms mentioned, don’t hesitate to seek professional help.

Best gastroenterologist dubai for Heartburn Treatment

Consult with our Gastroenterology Specialist in Dubai;
https://www.fuh.care/specialties/stomach-digestive-system-gastroenterology#doctors

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