Fighting Gastroesophageal Reflux Disease (GERD) : Your online pharmacy selection

What is gastro-oesophageal reflux disease (GERD) and what are its main causes?

Gastroesophageal reflux disease (GERD) is a medical condition where stomach contents back up into the esophagus, resulting in a burning sensation behind the chest, commonly known as heartburn. The main causes include failure of the lower esophageal sphincter, obesity, a high-fat diet and certain behaviors such as smoking and excessive alcohol consumption. Stress and pregnancy can also exacerbate this condition.

What symptoms can indicate the presence of gastro-oesophageal reflux disease?

Typical symptoms of GERD include:

• Heartburn, often after meals or at night
• Acid regurgitation or backflow of food
• Difficulty swallowing (dysphagia)
• A feeling of blockage in the throat
• Frequent coughing or throat clearing
• Tooth erosion due to acid

These symptoms may become more severe when the individual bends over or lies down shortly after eating.

What lifestyle changes are recommended to manage gastro-oesophageal reflux disease?

Lifestyle changes can go a long way towards managing GERD:

1. Avoid trigger foods: reduce consumption of spicy foods, fats, coffee, chocolate, and acidic foods such as citrus fruits.
2. Lose weight: obesity increases abdominal pressure, exacerbating reflux.
3. Stop smoking: tobacco weakens the lower esophageal sphincter.
4. Eat smaller meals: more frequent, smaller meals reduce pressure on the stomach.
5. Raise the head of the bed: sleeping with your head slightly elevated can prevent night-time reflux.

How is gastro-oesophageal reflux disease diagnosed?

The diagnosis of GERD may require several approaches:

• Esophageal endoscopy to observe the condition of the esophagus.
• Esophageal pH-metry to measure acidity in the esophagus.
• Esophageal manometry to assess sphincter function. These tests confirm the presence of reflux and evaluate any damage to the esophagus.

What treatment options are available for gastro-oesophageal reflux disease?

Treatments for GERD vary according to severity and may include:

1. Medications: antacids, proton pump inhibitors, and H2 blockers are often prescribed to reduce gastric acidity.
2. Lifestyle changes: as described above, these adjustments can be very effective.
3. Surgery: in severe cases, procedures such as Nissen fundoplication may be considered to strengthen the esophageal sphincter.

What is the link between gastro-oesophageal reflux and a sedentary lifestyle?

A sedentary lifestyle can accentuate symptoms of gastro-oesophageal reflux disease by increasing abdominal pressure and reducing overall muscle tone, including that of the lower oesophageal sphincter. Regular physical activity is recommended not only to maintain a healthy weight, but also to improve digestion and reduce the frequency of reflux episodes. It's advisable to wait at least two hours after eating before engaging in physical activity, to give your stomach time to digest.

Can gastro-oesophageal reflux disease be completely cured?

Although gastro-oesophageal reflux disease is chronic, many patients can effectively manage their symptoms and significantly reduce their impact on quality of life through appropriate treatment and lifestyle changes. A "cure" is not always possible, but with appropriate treatment, the majority of patients experience a significant reduction in symptoms. Regular assessment by a healthcare professional is essential to adjust treatment as needed.

Are natural remedies effective against gastro-oesophageal reflux?

Some natural remedies can help manage mild symptoms of gastroesophageal reflux disease. For example, ginger, known for its anti-inflammatory properties, can reduce burning sensations. Other recommendations include diluted apple cider vinegar, baking soda and chamomile-based infusions, which can help neutralize gastric acidity. However, it's important to consult a healthcare professional before starting any natural treatment, as some remedies may interact with conventional medications or exacerbate symptoms.

How does stress affect gastro-oesophageal reflux disease?

Stress can aggravate gastro-oesophageal reflux disease by increasing gastric acid production and relaxing the lower oesophageal sphincter. Stress management techniques such as meditation, yoga and deep breathing can help. It is also advisable to maintain a work-life balance and adopt relaxation strategies to better control stress-related reflux.

What role does diet play in managing gastro-oesophageal reflux?

Diet plays a crucial role in the management of gastro-oesophageal reflux disease. We recommend avoiding foods that trigger symptoms, such as spicy dishes, fatty foods, soft drinks, coffee and alcohol. Eating a diet rich in green vegetables, whole grains and lean proteins can help reduce reflux episodes. Eating small quantities at regular intervals, and not going to bed immediately after eating, are also beneficial in minimizing the risk of reflux.