Surgery may cure heartburn

This is an interesting article that I got it from The Detroit News:

Dear Dr. Donohue: I have been suffering from GERD for 19 years. Stomach acid stays in my throat. I have tried all kinds of medicines, but they make things worse. I have had acid tests with a tube in my throat that indicated an acid rise when I step out of bed. Why on an empty stomach? My sphincter muscle doesn't work. I had a procedure called EndoCinch; it didn't work. I spoke to a surgeon about laparoscopic surgery. Do you feel surgery would benefit me?

L.T.

Dear L.T.: You'd be hard-pressed to find a single person who hasn't had at least one episode of GERD -- gastroesophageal reflux disease, or heartburn, in common language. It's often felt on an empty stomach. Food initially neutralizes stomach acid, but some foods do increase acid production shortly after they hit the stomach.

GERD is like Old Faithful, except instead of water, it is a geyser of stomach acid, which shoots up into the esophagus because of a lax sphincter (SFINK-tur) muscle. The sphincter, if working, would shut and prevent the upward spurt of acid. Sometimes, as in your case, stomach acid can rise as high as the throat and mouth to cause hoarseness, cough or an awful taste sensation.

Have you tried the non-medicine approaches that can sometimes control GERD? Chocolate, peppermint, spearmint, coffee (including decaf), other caffeine-containing foods and drinks, citrus fruits, tomato products, high-fat foods, garlic, onions and spicy foods often make it worse. Six-inch blocks under the bedposts at the head of the bed keep stomach acid in the stomach during sleep. Weight loss, if needed, is another way to stop stomach acid from spurting up. Small meals, slowly chewed, help. Smoking and alcohol aggravate GERD.

If nothing works, surgery is a definite option. The Nissan fundoplication is successful 90 percent of the time. It can be done with a scope. The upper part of the stomach is wrapped around the lower esophagus to create a barrier to acid reflux. A number of procedures, like your EndoCinch, can be done through a gastroscope -- a scope passed into the esophagus through the mouth. The long-term results of these procedures aren't as well-known.

The booklet on GERD, heartburn and hiatal hernia discusses these topics in depth. Readers can order a copy by writing: Dr. Donohue -- No. 501, Box 536475, Orlando, FL 32853-6475. Enclose a check or money order (no cash) for $4.75 U.S./$6 Can. with the recipient's printed name and address. Please allow four weeks for delivery.

Write to Dr. Paul Donohue at P.O. Box 536475, Orlando, FL 32853-6475.

Learn about the Foods Heartburn Sufferers MUST Avoid

What acid reflux foodstuffs must I avoid?

It is a perplexing question for many heartburn sufferers. Making changes in your diet and lifestyle have been shown to be natural components of any long-term holistic acid treatment and they cannot be dissociated either. A preference for healthy foods and selective nutrition to ban certain foods and eat more of others can show long-term health benefits to acid reflux sufferers.

The reduction of the consumption of unsuitable foods and the adoption of new diet habits in particular to aid digestion for heartburn sufferers could create a very positive effect on your current heartburn conditions.

The kind of food we eat determines how we can maintain the delicate and natural equilibrium inside our bodies. Certain dietary customs and nutritional habits have been shown to contribute indirectly or directly to the degradation of a heartburn condition.

These kinds of foods are:

Drinks with caffeine content like coffee. They cause increase acidity, so stop consuming large cups of coffee. Where possible, halve your cup of coffee to give two separate drinks and drink less coffee before going to sleep. Do not go over two cups of coffee per day and reduce even further if you can.

Alcohol can also be at the same time a relaxant for the LES muscle and an irritant for the stomach, causing an increase in acidity and reflux.

Foods high in fat content have a longer digestion time and take more effort for your body to get rid of them. They increase the risk of acid refluxing into your esophagus and are among the worst delinquents for triggering acid reflux symptoms. The exceptions are fish and fish oil omega-3 fatty acids. These are actually strong anti-inflammatory substances.

If you are addicted to chocolate, go for dark, organic types in preference to others limiting your consumption to two or three little two or three times in any week. Containing large quantities of caffeine and fat, chocolate can also lead to heightened acidity and degraded digestion, and thus should not be consumed.

Before going to sleep, make sure that you do not drink milk or consume any products based on milk containing a lot of calcium.

Leave aside food with strong mint. The same goes for herbal tea that is mint-based. Acid reflux symptoms can be aggravated still more by peppermint and spearmint amongst others.

The esophageal sphincter is also liable to open in response to cruciferous vegetables (such as spinach, cauliflower, cabbage, brussels sprouts, broccoli) and foods high in acid (tomatoes and oranges, to take two examples) leading to further acid reflux.

So finally, which acid reflux food has to be taken out of your nutrition? It doesn't matter what your current level of acid reflux level is; when you make the choice of an improved quality of life, you can make the choice to terminate heartburn permanently, with a holistic solution. You can move to eliminate acid reflux and put your well-being and quality of life on a different level, by making these modifications in your diet and having the right motivation to revamp your lifestyle.

The keys to solving the problem will be yours. To learn more, click here to find out in more details and steps to prevent your heartburn symptoms.

Nexium for Kids with Acid Reflux Got FDA Approval

FDA has approved the liquid and delayed-release capsules of Nexium in doses of 10mg, 20mg for children aged 1 to 11 who have acid reflux problem. Previously, it has approved in doses of 20mg or 40 mg for those kids aged 12 to 17.

What is Nexium?
It is is a type of drug known as a proton pump inhibitor, which reduces the amount of acid produced in the stomach. At the same time, it can help to heal damage to the esophagus caused by excess acid. The drug is manufactured by AstraZeneca of Wilmington, Del.,

FDA said:-

The approval was for short-term use in these children.

Also, the most common side effects that happen in children are headache, diarrhea, abdominal pain, nausea, gas, constipation, dry mouth and sleepiness.