Am I the Only One Who Likes to Vomit My Food Back Up and Taste It Again

Gastroesophageal reflux disease (GERD) is a status in which the stomach contents leak backward from the stomach into the esophagus (food pipe). Food travels from your oral cavity to the stomach through your esophagus. GERD can irritate the nutrient pipe and crusade heartburn and other symptoms.

When you eat, food passes from the throat to the stomach through the esophagus. A ring of musculus fibers in the lower esophagus prevents swallowed food from moving back up. These muscle fibers are chosen the lower esophageal sphincter (LES).

When this ring of muscle does not close all the way, stomach contents can leak back into the esophagus. This is called reflux or gastroesophageal reflux. Reflux may cause symptoms. Harsh stomach acids tin also damage the lining of the esophagus.

The risk factors for reflux include:

• Use of alcohol (possibly)
• Hiatal hernia (a condition in which office of the tum moves above the diaphragm, which is the muscle that separates the breast and intestinal cavities)
• Obesity
• Pregnancy
• Scleroderma
• Smoking
• Reclining within 3 hours afterwards eating

Heartburn and gastroesophageal reflux tin can be brought on or fabricated worse past pregnancy. Symptoms can also be caused by certain medicines, such equally:

• Anticholinergics (for case, sea sickness medicine)
• Bronchodilators for asthma
• Calcium aqueduct blockers for loftier claret pressure
• Dopamine-active drugs for Parkinson disease
• Progestin for abnormal menstrual bleeding or birth control
• Sedatives for insomnia or anxiety
• Tricyclic antidepressants

Talk to your health care provider if you think one of your medicines may be causing heartburn. Never modify or stop taking a medicine without showtime talking to your provider.

Common symptoms of GERD include:

• Feeling that food is stuck backside the breastbone
• Heartburn or a burning hurting in the chest
• Nausea subsequently eating

Less mutual symptoms are:

• Bringing food back up (regurgitation)
• Cough or wheezing
• Difficulty swallowing
• Hiccups
• Hoarseness or alter in voice
• Sore throat

Symptoms may get worse when you bend over or lie downward, or later on yous eat. Symptoms may as well be worse at night.

Y'all may not need any tests if your symptoms are mild.

If your symptoms are astringent or they come dorsum subsequently you accept been treated, your doctor may perform a exam called an upper endoscopy (EGD).

• This is a exam to examine the lining of the esophagus, stomach, and first part of the small intestine.
• Information technology is done with a small camera (flexible endoscope) that is inserted down the throat.

You may besides demand one or more of the following tests:

• A test that measures how often stomach acid enters the tube that leads from the mouth to the stomach (called the esophagus)
• A test to measure the pressure inside the lower part of the esophagus (esophageal manometry)

A positive stool occult blood test may diagnose haemorrhage that is coming from the irritation in the esophagus, stomach, or intestines.

Y'all can brand many lifestyle changes to assistance treat your symptoms.

Other tips include:

• If you are overweight or obese, in many cases, losing weight can help.
• Heighten the head of the bed if your symptoms go worse at dark.
  
• Accept your dinner 2 to 3 hours earlier going to slumber.
  
• Avert drugs such equally aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). Take acetaminophen (Tylenol) to relieve pain.
• Take all of your medicines with plenty of water. When your provider gives yous a new medicine, ask whether it volition make your heartburn worse.

You may use over-the-counter antacids after meals and at bedtime, although the relief may not final very long. Common side effects of antacids include diarrhea or constipation.

Other over-the-counter and prescription medicines can treat GERD. They work more slowly than antacids, but give yous longer relief. Your pharmacist, dr., or nurse can tell you how to take these medicines.

• Proton pump inhibitors (PPIs) decrease the corporeality of acid produced in your stomach.
• H2 blockers also lower the corporeality of acrid released in the stomach.

Anti-reflux surgery may be an pick for people whose symptoms do non go away with lifestyle changes and medicines. Heartburn and other symptoms should improve later on surgery. But yous may still need to take medicines for your heartburn.

There are too new therapies for reflux that can exist performed through an endoscope (a flexible tube passed through the mouth into the stomach).

Most people respond to lifestyle changes and medicines. However, many people demand to go on taking medicines to command their symptoms.

Complications may include:

• Worsening of asthma
• A alter in the lining of the esophagus that tin can increment the gamble of cancer (Barrett esophagus)
• Bronchospasm (irritation and spasm of the airways due to acid)
• Long-term (chronic) cough or hoarseness
• Dental problems
• Ulcer in the esophagus
• Stricture (a narrowing of the esophagus due to scarring)

Call your provider if symptoms practice not improve with lifestyle changes or medicine.

Also phone call if yous have:

• Bleeding
• Choking (coughing, shortness of breath)
• Feeling filled up quickly when eating
• Frequent vomiting
• Hoarseness
• Loss of appetite
• Trouble swallowing (dysphagia) or hurting with swallowing (odynophagia)
• Weight loss
• Feeling like food or pills are sticking behind the breast bone
  

Avoiding factors that cause heartburn may aid prevent symptoms. Obesity is linked to GERD. Maintaining a healthy body weight may help prevent the condition.

Peptic esophagitis; Reflux esophagitis; GERD; Heartburn - chronic; Dyspepsia - GERD

ASGE Standards of Practice Committee, Muthusamy VR, Lightdale JR, et al. The role of endoscopy in the management of GERD. Gastrointest Endosc. 2015;81(6):1305-1310. PMID: 25863867 pubmed.ncbi.nlm.nih.gov/25863867/.

Falk GW, Katzka DA. Diseases of the esophagus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 129.

National Establish of Diabetes and Digestive and Kidney Diseases website. Acid reflux (GER & GERD) in adults. world wide web.niddk.nih.gov/wellness-information/digestive-diseases/acid-reflux-ger-gerd-adults. Updated July 2020. Accessed May 26, 2021.

Richter JE, Vaezi MF. Gastroesophageal Reflux Disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 46.

Updated past: Michael K. Phillips, Md, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Internal review and update on 06/03/2021 past David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.Yard. Editorial team.

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Source: https://medlineplus.gov/ency/article/000265.htm

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