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Relux throught trial#

Raising the head with pillows defeats the purpose since it kinks the abdomen, puts excessive pressure on the stomach, and may results in more acid reflux. Gravity now assists in keeping stomach contents where they belong. This procedure puts the entire bed on a slight downward slant from head to foot. Most commonly, old books or wooden blocks work well for this purpose.

Use 4 to 6-inch bed blocks under the head posts of the bed.

Avoid the following substances which may increase stomach acidity or loosen the valve separating the esophagus from the stomach.

The purpose of these suggestions is to have the stomach relatively empty when one lies down so that there is not a lot of "back pressure" to push stomach contents up the esophagus. In addition try to eat the heavier meal of the day at noon, and a lighter one in the evening.

Eat the last meal/snack of the day no fewer than three hours before going to sleep.

It is preferred to eat small, more frequent meals than large meals.

Loss excess pounds if you are overweight.

Relux throught trial#

If symptoms such as those just listed occur, a trial of the simple steps that control acid reflux is recommended. Successful treatment with twice-daily Proton Pump Inhibitor (PPI) medication ( Prilosec, Nexium, Prevacid, Protonex, Aciphex, etc ) when used for a minimum of 2- 3 months regularly

Successful treatment with once daily Proton Pump Inhibitor (PPI) medication ( Prilosec, Nexium, Prevacid, Protonex, Aciphex, etc) Hoarseness, cough, difficulty swallowing, globus sensation, sore throat, throat clearing, gaggingĮffectiveness of dietary and lifestyle modificationsĮffectiveness of over the counter antacids and anti-reflux medication ( Tagamet, Zantac, Pepcid, etc) As a result, prescription Proton Pump Inhibitor (PPI) medication to block acid production in the stomach needs to be taken twice daily preferably one hour prior to a significant meal. Unfortunately, most medication prescribed for GERD last at most 14 hours leaving the throat unprotected for many hours each day. The throat is more fragile than the esophagus to the effects of acid reflux and results in inflammation with only minimal exposure. In fact, 70% of patients with documented LPR do not have indigestion or heartburn. It is important to note that although most patients with LPR do not have GERD, some patients do indeed have both LPR and GERD. Unlike GERD symptoms, LPR symptoms do not resolve in a matter of days to weeks often it takes several months for resolution to occur. Patients with LPR appear to have different symptoms, findings, and patterns of reflux and response to treatment than do patients with GERD.

It has become increasingly apparent that LPR differs in many ways from classic GERD. LPR refers to the backflow of stomach contents into the throat. This is referred to as Laryngopharyngeal reflux (LPR). Some people instead complain of difficulty swallowing, a feeling of mucus or thick phlegm in the throat, sensation of a ball in the throat (globus pharyngeus), chronic sore throat, chronic irritative cough, hoarseness, chronic throat clearing, frequent gagging and post nasal drip. However, not everyone has these obvious symptoms.

18 million Americans take medication of heartburn more than twice a week. As many as 60 million Americans complain of heartburn, indigestion or acid belching every day. This occurs when regurgitation of the stomach contents into the esophagus with enough frequency to cause symptoms or esophageal inflammation.

This is contrasted with Gastroesophageal Reflux Disease (GERD). Everyone has somedegree of Gastroesophageal reflux (GER).