GERD: Evaluation and Management of Acid Reflux - Lisa D. Lin, MD | UCLAMDChat

[GoneGone-on]

I'm finally free from bad breath and white tongue after having a horrible outbreak and I feel the same way you described in your interview. Listening to you share your experience of improvement gave me the ray of hope I needed to hear. I'm glad there are people like you who simply want to help other people struggling with the same problems. Your words gave me the courage I needed to hear today to know that it is okay. I can still be myself and now enjoy my life like I'm supposed to. I am blessed to have found you, Dr. Emovon, on YouTube…✊🏿✊🏿✊🏿✊🏿

[vKashiv]

Does anyone feel nausea, vomiting up everything you eat, and feel weak and got a burning sensation in your chest, back and throat ? And also constipated and shortness of breath ?

[annashiegl]

I wake up choking on stomach acid, and can't breathe, but I don't have heartburn, and I don't eat after 6pm, and I'm not overweight. It's very scary, I've read its best to sleep on left side, as it always happens on right side.

[e.miller]

I have been taking proton pump inhibitors for about 40 years. They completely resolve any issues with GERD, but I have tried many alternatives with no success. Keeping a healthy weight seems to help, along with not eating for a few hours before bedtime.

[rosewhite---]

I had total syncope with really frightening black out three times over about 9 days and each time after eating last bite/last spoonful of food.
I had had GERD for some years that I now know is CAFFEINE ALLERGY that gave me a stinging pain either side of my throat before the usual acid reflux started. The stinging started immediately after usual light breakfast of slice of bread or toast with butter and usually some jam or marmalade.
During rest of day the GERD was slight and if worse I took antacid.
Then I started getting a pain at bedtime when lying on left side and had to turn over onto right that made the pain almost disappear.
If I turned back left i almost heard and felt a heaviness sort of slopping over as though my esophagus was filled with food or drink that had not progressed down into my stomach over the 1-2 hours since last meal or drink.
I wonder if the lower lower esophageal sphincter LES was not opening to allow the last meal to pass into the stomach.
This went on for several weeks at the time had first COVID lockdown made it impossible to get doctors appointment.
Then I had the first of the three syncopes and finally managed to call a doctor who immediately said it sounded as though I might have a esophageal cancer and arranged an endoscopy.
That took a month due to COVID delays.
I only had a drink of water several hours before the endoscopy and was surprised to see camera entering esophagus, stomach and first few inches of small intestine looked healthy and pink and the doctor said no sign of cancer or other problems.
Just after the endoscopy I noticed I had the pains in throat and reflux after a breakfast of tea and a rye crispbread. I reasoned that the rye was so innocuous that maybe the tea was the culprit though as I'd been drinking tea for at least 70 years it seemed ridiculous.
But I searched the medical literature and found that a caffeine allergy can develop and give reflux.
I immediately stopped drinking tea and bought and drank decaf coffee and almost all the gerd has disappeared except for a slight sore throat if I make the coffee a little strong. I mostly drink water and soya or almond milks and cow's milk and only two weak decaf coffees a day.
Therefore I think this is what happens with GERD-SYNCOPE is actually a SPHINCTER PARALYSIS:
The caffeine induces GERD.
The GERD irritates the esophagus and LES.
Eventually the GERD irritation causes the LES to fail to open so that the last meal remains in the esophagus to give that feeling of food at the back of the throat.
At some point after this LES paralysis develops a meal will so fill the esophagus that it causes pressure on the adjacent windpipe sufficient enough to starve the lungs of oxygen,
The lack of oxygen then starves the brain and causes the SYNCOPE BLACKOUT!
The syncope causes a self-preservation reflex of deep swallowing and deep breathing that restores the oxygen supply to the brain.
As I now eliminate all caffeine and GERD inducing food from my diet by carefully checking ingredients of all food and drink I have little GERD and no sensation of esophagus being filled with unpassed food.

[kynguyen]

Hello. How long is the Bravo test result good for? For example, if my Bravo is positive and I want to do surgery in 10 years, do I have to test again?

[marcelofigueroa]

Typically patients who are diagnosed of Gerd are given from doctors a list of food to avoid and brief explanation of this disease. Thanks Lisa for this valuable info. I got just one question: I was operated of Inguinal Hernia and my recovery took 5 years of physiotherapy and daily pain killers. I am wondering if this long term treatment recovery caused me to get Gerd.

[tonyfontana]

I have been suffering from GERD for the last 15 years and pantoprazole has been a life changer. I do take a digestive enzyme to break down my food, the pantoprazole suppressing stomach acid does cause issues with food digestion.

[marinaantonova]

Do you have any recommendations for exercising with GERD? I wonder if abs exercises, stomach vacuum and bridges are bad for GERD. Is there any guide on what’s good and bad with this disease?

[agustindejesus]

I like your video, very informative. Hope i get rid of this vomiting all day long...it is killing me.

[leahmarfil]

Stress /anxiety wasn't mention as culprit of triggers of acidity/GERD

[dyandragilbert]

So can this be fully cured? If so what’s the best thing to do and what is the best stuff to eat

[bessyurban]

Thank you Dic Lisa for this very informative video. Right now I have GERD and been taking omeprazole for almost 2wks. My acid reflux’s come and go and I always burp and passing gas. I found a link that shows what to eat and what to avoid. If I don’t get any better Then I have to consult my doctor who’s treating my respiratory and digestive system.

[gregl]

if u have the operation will u still have a normal life----abdomen operations usually lead to advice to never lift again---I wouldn't be able to return to construction work---pls answer guys

[govindang.r.]

Thanks Dr Lisa for your Webinar on GERD. It was very interesting and informative indeed. I am 66 years old and have been a GERD patient for over 3 decades and taking a maintenance dose of omeprazole 20mg once in 36 hours. Though I have tried several times to come off it, I could not. Is there any acid suppressing medication that does not cause dependence.

[bertaga]

At the end you mention endoscopic therapy but I don't recall you explaining this. Please could you say more about it?

[weiminyang]

This video is about to treat the SYMPTOM. Is there any way to treat the root cause? PPI makes big pharma shareholder rich!

[cfspitt]

So, this doctor said that acid suppressing medication is safe for long-term use ... so, how long is long-term use? Does this mean taking it for the rest of one's life? Taking acid suppressing medication long term can lead to more symptoms such as altering the GI bacteria, decreasing the absorption of iron; magnesium; etc.

[Bee-rnsl]

Medication is like the fire brigade comes to put the fire out but instead turns the alarm off. Leaving the fire burning. Should we listen to the body and find the cause not shut the body up and make it worse.

[alif]

Can GERD cause someone heart palpitation?