This risk seems to be higher in people who have more frequent symptoms. But GERD is very common, and most of the people who have it do not go on to develop esophageal cancer. GERD can also cause Barrett’s esophagus (discussed below), which is linked to an even higher risk. Acid reflux is an uncomfortable condition in which stomach acid flows back into the food pipe.
But frequent vomiting associated with discomfort and difficulty feeding or weight loss may be caused by something more serious known as GERD (gastroesophageal reflux disease). Both GER and GERD can cause the upward movement of stomach content, including acid, into the esophagus and sometimes into or out of the mouth. Often times, that vomiting is repetitive.
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When the stomach is very full, there can be more reflux into the esophagus. If it fits into your schedule, you may want to try what is sometimes called “grazing”-eating small meals more frequently rather than three large meals daily. You may have medicines to decrease the production of stomach acid.
Unlike GERD, LPR rarely produces heartburn, and is sometimes called silent reflux. When acid reflux leads to persistent heartburn, occurring maybe twice a week for 3 weeks or more, this is known as gastroesophageal reflux disease, or GERD. Silent reflux, or laryngeal-pharyngeal reflux (LPR), is similar, but without the heartburn and indigestion. Obesity has been established as an independent predictor of GERD symptoms.
Some people will have their condition monitored regularly. Others will be advised to have treatment. Your doctor or specialist nurse will discuss the options with you. The oesophagus (gullet) is the muscular tube that carries food from the mouth to the stomach (see diagram below).
Common GERD food triggers are tomatoes, citrus fruits, fatty foods, spicy foods and fried foods. “Some people who are genetically predisposed may get acid reflux whatever they do,” he said.
The condition affects a person’s swallowing. A stricture is an anbnormal narrowing of the esophagus. Human papillomavirus (HPV).
An estimated 50 percent of patients with eosinophilic esophagitis also have seasonal allergies or asthma. Many others also have food allergies or eczema. Some patients note a seasonal flare up of the condition, typically in the spring and in the summer. Researchers studying eosinophilic esophagitis theorize that both genetic and environmental factors play a role in the development of the disease.
Proper diagnosis of eosinophilic esophagitis should be confirmed by an allergist and gastroenterologist, who will take a clinical history and may perform food allergy testing and/or an upper endoscopy to get a close look at the esophagus to check for inflammation. It is important that other causes of esophageal eosinophilia such as reflux is ruled out. Sometimes eosinophils may be present in an esophagus that appears normal. A biopsy of the esophagus must be performed to confirm diagnosis. Crabb DW, Berk MA, Hall TR, Conneally PM, Biegel AA, Lehman GA. Familial gastroesophageal reflux and development of Barrett’s esophagus.
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Reflux refers to a backward or return flow. In LPR, stomach acid flows back into the esophagus and irritates the throat.