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Digestion begins in the mouth, as food is broken down by chewing into smaller pieces. And by saliva releasing digestive enzymes such as; alpha-amylase and lingual lipase When food is swallowed, it enters the esophagus A muscular tube, that carries food from the mouth to the stomach for further digestion. Contractions called ‘peristalsis’ push the food down the esophagus. At the bottom of the esophagus food passes through a muscular valve Called the ‘Lower Esophageal Sphincter’ or ‘LES’ and into the stomach. The digestive juices secreted by the stomach are highly acidic. When the stomach contracts to move the food into the intestine, The ‘LES’ closes tightly in order to prevent these acidic juices From moving back into the esophagus where they can cause damage. A breathing muscle called the ‘diaphragm’ separates the chest from the abdomen. To reach the stomach the esophagus passes through the diaphragm, At a point called the ‘hiatal ring’. If the patient has gastroesophageal reflux disease or GERD, Their LES does not close properly allowing acidic stomach contents, To flow backward into the esophagus. If GERD is not treated it can lead to variety of esophageal problems Including; ulcers, bleeding, stricter and narrowings And Barrett’s esophagus, in which the normal Stratified squamous epithelium lining of the esophagus, Is replaced by simple columnar epithelium Which are usually found lower in the GI tract. If the patient has hiatal hernia A portion of their stomach Is protruding into their chest cavity Through the opening in their diaphragm. A Hiatal hernia can effect the LES And increase the risk and severity of GERD. Some of the factors that can contribute to GERD are; Hiatal hernia, as we have already mentioned, Obesity Zollinger-Ellison syndrome, which can present with Increase gastric acidity, due to increase ‘gastrin’ production, Hypercalcemia, which can also increase gastrin production Leading to increase acidity. Scleroderma and Systemic sclerosis, which can feature esophageal dysmotility. Signs and symptoms of GERD includes; Epigastric burning pain traveling up into the chest known as ‘heartburn’ Which can sometimes spread to the throat Along with a sour metallic taste in the mouth. Difficulty swallowing Dry cough Sore throat Hoarseness Which is due to the acid damaging the larynx or the voice box. Regurgitation of food or sour liquids And, a sensation of a lump in the throat. GERD is most often diagnosed based on the patient’s history and symptoms. In some patients in whom the diagnosis is not clear 24 hour pH monitoring is done to confirm the etiology Endoscopy is not routinely needed, if the case is typical and responds to treatment. It is however recommended, when people either do not respond well to treatment or have alarming symptoms including; dysphagia, anemia, blood in the stool, wheezing, weight loss or voice changes. Some physicians encourage either once in a life time, or 5 to 10 yearly endoscopy for people with long-lasting GERD to evaluate the possible presence of dysplasia or Barrett’s esophagus. The treatment for GERD includes; lifestyle modification medications and possibly surgery. All patients should lose weight if obese, Avoid alcohol, nicotine, spicy food, caffeine and peppermint They should also avoid eating 3-4 hours before sleeping And of course elevate their head off the bed while sleeping. The primary medications used for GERD are; Proton pump inhibitors or PPI’s Such as ‘Omeprazole’ Which is also the first-line medication. Others include; H2 receptor blockers such as ‘Cimetidine’ And antacids. For those patients who do not respond to medical therapy Surgery may be required The standard surgical treatment for severe GERD is ‘fundoplication’ In this procedure, The upper part of the stomach is wrapped around The lower esophageal sphincter To reenforce the sphincter and prevent acid reflux And to repair the hiatal hernia. Endocinch can also be done Which, by using a scope a suture is placed around the lower esophageal sphincter to make it tighter.

69 thoughts on “GERD, Gastroesophageal reflux disease – Heartburn – MADE EASY

  1. VIDEO TUTORIAL
    Gastroesophageal reflux disease (GERD), is a chronic symptom of mucosal damage caused by stomach acid coming up from the stomach into the esophagus.

    GERD is usually caused by changes in the barrier between the stomach and the esophagus, including abnormal relaxation of the lower esophageal sphincter, which normally holds the top of the stomach closed, impaired expulsion of gastric reflux from the esophagus, or a hiatal hernia. These changes may be permanent or temporary.
    #gerd   #gastroesophagealrefluxdisease   #acidreflux   #medicalschool   #medicalinstitution   #GI   #gastrointestinal   #medical   #medicine   #health   #medicalstudent   #usmle   #usmlestep1   #usmlestep2  
    http://www.youtube.com/user/medicalinstitution?sub_confirmation=1

  2. As soon as you start feeling burning sensations on your upper gastro tract it's time to really take a look at what you are eating!! Get on Aloe Vera Juicing from George's Aloe Vera. The best! Get on probiotics to clean the gut & get the healthy bacteria to fight off the bad. Call me if you have any questions! Would love to help!

  3. It is so hard to find that you got GERD if you got it since kid. from mild asthma, bad teeth, depression, heart burn, throat burn. Until that one two symptom become obvious:  heart burn, throat burn.

  4. huh….guess I'll get checked out soon. only recently did I notice it feels like a lump in my throat. I do have occasional heart burn after fatty foods but not often after I started exercising

  5. I have GERD and it's getting pretty bad I'm almost always throwing up food whenever I eat I lose a lot of body liquid I weight less than my little brother and I don't know what to do someone plz help because the pills the doctor gave me aren't working very well

  6. Though you've suffered for years, you still will be able to cure the root cause of acid reflux only by making use of natural treatment.

  7. You may not only prevent heartburn recurrence, but save tons of money utilizing the all natural treatment method instead of typical ones.

  8. hi I always feel like there is something in my throat and in my chest, I have to burp for sudden relif and burping is continue, before 1 month I had gallstone and surgery done so I have no more gallbladder now. I also gone through endoscopy nothing found then Dr. declared gastrict problem and 2 weeks I took medicine now chest problem is gone also I am not burping like before but about throat is still same. before surgery h. pylori was diagnosed but that is no more after medicine. so can I have some suggestions please?

  9. Thank you! your video is very easy to understand & very educational,very thorough about Acid reflux disease,Thank you & may God bless you & your work,in helping people's cure. Tess

  10. To all GERD sufferers:
    Plain yoghurt (strained or not), natural mastic gum, Ice cubes, okra*, goat milk, feta cheese, natural carob syrup and baking soda (right dose) alleviate the symptoms of GERD.

  11. I got diagnose with gerd I never get heart burn sensation but I do feel tighting in my chest and a emptiness in my stomach like hungry kind feeling then goes to my chest and attacks me only when I get worry of things so far I been good taking meds and eating the right foods . I still have appointments to follow to see what I truly have

  12. I have spent months researching top natural cure for heartburn and discovered a great resource at Fergs Treatment Crusher (google it if you are interested)

  13. I have spent months investigating reducing heartburn at home and found a great resource at Fergs Treatment Crusher (google it if you are interested)

  14. There are a few components to reducing heartburn quickly . One plan I discovered which succeeds in merging these is the Fergs Treatment Crusher (google it if you're interested) without a doubt the no.1 plan i've seen. Check out all the interesting info .

  15. I am currently in my Medical Surgical semester of nursing school and studying gastrointestinal diseases and problems. I have found this to be the absolute best resource in my studying. I applaud you on the clear and concise delivery of Gastroesophageal Reflux Disease. I will certainly be utilizing your channel from this day forward as a great tool in my study. Thank you so much!

  16. I have had this all my life since I was a baby. All the doctors thought I was lactose intolerant but now I can not have milk when I visit India. Lately I have been throwing up every week and it curdles up. I hate this feeling. Please teach me how to help my stomach relax and make this stop. Because of GERD I have weight loss, I throw up a lot, I get sick often, and I am very prone to norovirus. It is not fun.

  17. modern medicine sucks! you cant cure shit! you are only good for treating symptoms and making people take pills for the rest of their lives which also have adverse side effects and fuck you up too! i cant believe this shit is incurable. cant these fuckers make a new esophageal valve, artificial valve or something like that to fucking hold the acid where it belongs and end this shit once and for all?! you should avoid this, you should avoid that, you know what fuck you! i wont avoid shit, i will drink, i will eat whatever the fuck i want and i will smoke. it doesn't make difference with my symtoms anyway whether i do or not and im not going to take ppis for my whole life! you all suck! medicine my ass haha.

  18. I have acid reflux and I'm 13 I only get 2 symptoms I get bile come up in my mouth and heartburn 😩

  19. Hello the greatest results that I have had was with the Fergs Treatment Crusher (i found it on google) – definately the no.1 resource that I've followed.

  20. Hi everyone I was a vegetarian. I have GERD + hypothyroidism and lost 9 kg. Anyone with a similar condition?

  21. not sure if cannabis cures cancer , but i suffered from alarming levels of gerd , choking n asthmatic feeling in throat n lot of stress n complex issues due to it, difficulty ib breathing n swallowing, . from october 2015 to dec 2016. by chance i consumed a high dosage of bhaang/ cannabi while travelling alone in an unknown part of india and ended up soon after in emergency, 2 hours thr wid drips , n i walked out from hospital stright to my abnb accomodation n slept all nyt,n the nex magical morning was a freshness i ve never experienced , felt without a single ailment that was puling my life down all along. thr was the magic medicine tat god blessed upon me. never touchd canabis after it wid fear of addictions , but oh my its medicine of gods…. 6 mnths now till date i m happy healthy. ps: i dint smoke it , i consumed the grind green leaves in water a massive morcel.

  22. my doctor say it cant be cured 😢 just maintain my medicine. and im afraid long term medication for gerd have side effects.

  23. I have this white foam come in mouth it's excessive when I eat drink liquids spitting cup is it related to acid reflux I don't have heartburn is this h pylori infection stomach or candida disease stomach issues

  24. i smoke, I drink alcohol, i eat lots of fatty and spicy foods but i treated and cured my what? GERD?duhhhh hahahaha! i suffered this for a long time but found a natural way to cured this GERD(Hyperacidic,Low Stomach Acid, Hiatal Hernia,Indigestion) God! it feels like heaven for me!

  25. I have started having a bad Acid Reflux for the past year and the medication does not work, I don't eat junk food , don't ever drink alcohol and have stopped drinking coffee/tea for year now . I also don't eat spicy food, too much meat or acidic food or fruits so I have no idea what is causing this issue. I have recently started drinking Apple Cider Vinegar with warm water so I 'm hoping that helps !!!!! Going to see an specialist soon so hopefully they can help !!

  26. I am also suffering from gerd whenever i eat food it back in my mouth
    I m suffering from last year anybody can suggest me what is the best solution to solve this problem

  27. How come every time one I don't eat for more then 10 or 15 hour I get a sore stomach and my throat feel like it is opening and I throw up

  28. my heartburn is so painful. at the site of it my whole mouth is filled with saliva. sometimes I have to gag to get the thick mucus out of my lung. my pain is so terrible I feel it on my neck , back of my head like a terrible feezy headache and I also feel it on my upper back. it's just terrible and this can happen when I eat very little. I'm suffering it now and I haven't had anything to eat in almost two weeks. I think at this point I need help or surgery. and I'm starving but afraid to eat.

  29. For anyone with GERD, or related, please read my comment to Aquatic Gamer. In my view it's hugely important, especially those who are at the end of their tether and considering some surgical intervention. My wife was at this point and this cured her same day.

  30. I have this… it only affects me in the morning then it goes away and I only have it every once in a while. it goes away after I take something with framodadine

  31. here's several ideas for reducing heartburn naturally
    Make sure you drink enough water.
    Avoid tomatoes
    Avoid citrus fruit eg lemons, oranges
    Avoid dairy products such as ice cream, sour cream and cottage cheese

  32. Hey everyone, the greatest success that I have had was with the Heat Healer Plan (just google it) – definately the most incredible idea i've seen.

  33. I like the way they broke it down because I have gas and Gerd so bad I just went for Endoscopist everything was normal And I do not do peppermints I noticed when I eat peppermint it will come on so bad no spicy foods good work hope is not my gallbladder Sometimes your gallbladder will stop you from eating certain things too

  34. im not sure if i have GERD or not. GERD runs very strong in my family, but i think my symptoms are a little different. lately i have been feeling very nauseated and dizzy, along with excessive burping and a little bit of acid reflux. sometimes i feel fine but when i try to eat food, or even the thought of food, makes me feel extremely nauseated. i haven't thrown up due to this problem yet. does anyone with GERD feel this way?

  35. Many thanks, I've been looking for "constant stomach acid reflux" for a while now, and I think this has helped. Ever heard of – Mackorny Cool Stomach Blueprint – (Have a quick look on google cant remember the place now ) ? Ive heard some decent things about it and my partner got great results with it.

  36. Ty, my mom has Gerd and I have begun to have food come back up on me with extreme pain if I eat too much or eat certain foods. It's terrible, my dog was even just diagnosed with a H-Hernia. 75% of the living beings in my home are on Pepsi ac.. lol. Its ridiculous!

  37. You are always misled no one will going to tell you the real reason of acid reflux / acidity, Now I give you a Root reason always cook your food in stainless steel cooking pots and always avoid aluminum cooking pots this will give you a surprise which I experienced my self also to avoid tetra packed milk juices & aluminum canned beverages because they are one of leading causes of introduction of aluminum into your body which causes Sever Oxidative Stress and Acidity always remember that

  38. Your stomach needs more acid instead of alkali. Inhibition of the production of HCL opens the sphincter. Diet is the choice.

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