100 questions & answers about gastroesophageal reflux by David L Burns; Neeral L Shah; Lahey Clinic PDF

By David L Burns; Neeral L Shah; Lahey Clinic

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Extra resources for 100 questions & answers about gastroesophageal reflux disease (GERD) : a Lahey Clinic guide

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Some medications can exacerbate GERD. 44 Some medications can exacerbate GERD. Good examples are certain blood pressure drugs. Antihypertensive medications, or medications for high blood pressure, are of many types and have multiple mechanisms of action to effect lower blood pressure. One class of such drugs is called calcium-channel blockers, and they are quite effective at lowering blood pressure. But, as mentioned, all medications can have side effects that are generally undesirable. Calcium-channel blockers relax a type of muscle cell in the body called 100 QUESTIONS & ANSWERS ABOUT GASTROESOPHAGEAL REFLUX DISEASE (GERD) Lifestyle, Medications, Diet, and GERD smooth muscle; hormones and other local factors control these muscle cells.

When a hiatal hernia occurs, the LES becomes weaker, predisposing you to reflux. There are two major types of hiatal hernias, and both increase GERD. Typically, people refer to a sliding hiatal hernia. It is called a sliding type because the stomach can slide in and out of the chest. The other type of hiatal hernia is called a paraesophageal hernia. A paraesophageal hernia is a condition in which the stomach slides up into the chest through the hiatus alongside the esophagus. Paraesophageal hernias are more common in those older than 70 years.

This can lead to irritation of the airways and cause a cough and, in more severe instances, asthma attacks. Silent GERD can damage the voice box and cause voice changes such as hoarseness. An ear, nose, and throat (ENT) doctor can make this diagnosis by passing a tiny scope up the nose and down into the airway to examine the area. The ENT doctor can see changes caused by chronic acid damage, even in the absence of typical GERD symptoms. In fact, ENT doctors send many patients for further evaluation for GERD.

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