Brief Explanation of What is GERD?
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There are many
words thrown to describe this condition and that is a
part of the confusion. Whether you call it heartburn,
GERD, reflux or acid reflux it does not matter, as it is
the same exact thing. What I want you to take away is
that any information that you come across which pertains
to any of the above is worth checking out since you have
it.
It all
starts with a meal that is chewed and makes its way down to the
stomach. That food is then worked on in order to break it down
to extract any nutrients, vitamins and what have you. If what
you just ate is calorie heavy fast food than all that energy
spent does not get replaced with anything worthwhile. Since the
stomach isn’t strong enough to do all of the work by itself, it
produces gastric juices and enzymes which relieve some of the
muscular action by helping out. The most notable ones are
pepsin and hydrochloric acid which directly break down the
contents.
If
everything is working correctly than the sphincter stays closed
to stop the food from wondering in the wrong direction and
escaping its fate. The sphincter is located between the lower
esophageal sphincter or LES which is also called the stomach
and the esophagus, also known as the throat. It should only
open when the food is coming down and as long as it does we
have no worries.
In
heartburn, this activity changes. The pain comes from excess
acid splashing past an inhibited, malfunctioning or weakened
LES. This either happens during the actual digestion or after
the food has made its way out of the stomach. There are many
reasons why the sphincter can become damaged but the results
experienced are the same. The acid goes up into throat and
irritates the mucosa, which is the most sensitive lining of the
esophagus.
This
activity is one with such strong erosive qualities that the
mucosa cannot withstand it and can become very damaged over
time. It can have erosions, scar tissue or inflammation and if
left untreated long enough turn into esophageal cancer. The
statistics here are not great and it is better to make some
lifestyle changes and get out of the harm’s way as it is not a
chance you want to take.
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