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Esophagus: Reflux (Heartburn) and GERD

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer
Overview
Cough Due to Heartburn
Heartburn, GERD and Scleroderma
About Reflux (Heartburn)
Hiatal Hernia
About GERD
Reflux and Atrial Fibrillation
Reflux and Lung Involvement
Reflux Prevention and Treatments
Personal Stories

Overview

Clown holding stomachHeartburn (reflux) is very common in the general population. It can often be managed well with lifestyle changes, such as avoiding carbonated soft drinks. Treatments can include medications and surgery.

Chronic heartburn can cause gastroesophogeal reflux disease (GERD). (Also see Scleroderma Gastrointestinal Involvement, What is Scleroderma?, Types of Scleroderma, and Systemic Sclerosis)

Heartburn or GERD (Gastroesophogeal Reflux Disease)? GERD can develop as a result of chronic heartburn. GERD is associated with more serious complications including stricture (narrowing) of the esophagus or a potentially precancerous condition called Barrett's esophagus. WebMD.

Cough Due to Heartburn

Effect of anti-reflux treatment on gastroesophageal reflux (GER)-associated chronic cough: Implications of neurogenic and neutrophilic inflammation. Successful treatment of GER-associated cough may be associated with the attenuation of neurogenic and neutrophilic inflammation. PubMed, J Asthma, 2019 Jul 15:1-9.

Heartburn, GERD, and Scleroderma

Heartburn usually occurs by itself, without any underlying disease. In very rare cases, esophageal problems can be due to systemic sclerosis (scleroderma), which is an autoimmune disease.

Abnormal esophageal acid exposure on high-dose proton pump inhibitor therapy is common in systemic sclerosis (SSc) patients. The lack of increased reflux episodes in the SSc patients, and longer bolus clearance times and lower nocturnal impedance, supports ineffective clearance as the potential mechanism. PubMed, Neurogastroenterol Motil, 2018 Feb;30(2).

About Reflux (Heartburn)

Heartburn (reflux) is the main symptom of Gastro Esophageal Reflux Disease (GERD). Heartburn is a painful, burning feeling in the chest, which is caused by stomach acid flowing back into the esophagus (throat). (Source: Columbia Healthcare)

Chest Pain, Chronic Many different types of problems can cause discomfort, shortness of breath, pain with swallowing, and many other symptoms in the chest area. This chart may help you pinpoint your problem as you confirm your symptoms. familydoctor.org.

About GERD

Nausea and Vomiting Many illnesses can cause stomach pain, nausea and vomiting. Some are mild sicknesses that will pass by themselves, but others are serious and need medical attention. familydoctor.org.

Prevalence of anxiety, depression, sleep disturbance, fibromyalgia, obesity, and gastroesophageal disease in patients with rheumatic diseases. Fibromyalgia was found to be related to higher disease activity scores. PubMed, Curr Rheumatol Rev, 12/11/2020. (Also see Fibromyalgia)

The impact of gastroesophageal reflux disease (GERD) symptoms in scleroderma (SSc): effects on sleep quality. Future studies should examine mechanisms underlying nocturnal GERD symptoms in SSc patients, and the impact of improved GERD symptom control on sleep quality. PubMed, Dis Esophagus, 01/31/2019. (Also see Sleep Disorders)

Hiatal Hernia

Hiatal Hernia. Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm. This condition may cause reflux (backflow) of gastric acid from the stomach into the esophagus. Medline Plus.

Hiatal Hernia. Most hiatal hernias are asymptomatic and are discovered incidentally. On rare occasion, a life-threatening complication, such as gastric volvulus or strangulation, may present acutely. Medscape.

Paraesophageal Hiatal Hernia. There are two categories of hiatal hernias, sliding or paraesophageal. VeryWell.

Hiatal Hernia Diet Tips. A few quick tips about eating with a hiatal hernia. VeryWell.

Reflux and Atrial Fibrillation

Gastroesophageal reflux disease (GERD), functional dyspepsia (FD) and irritable bowel syndrome (IBS): common overlapping gastrointestinal disorders. The aim of the present review article was to appraise and discuss the current evidence supporting the possible concomitance of GERD with IBS and FD in the same patients and to evaluate how various GERD treatments could impact on the quality of life of these patients. PubMed, Ann Gastroenterol, 2018 Nov-Dec;31(6):639-648. (Also see Irritable Bowel Syndrome)

Reflux and Lung Involvement

Usefulness of pH monitoring in predicting the survival status of patients with scleroderma awaiting lung transplantation. Esophageal pH monitoring could identify those for whom laparoscopic antireflux surgery should be performed quicker to prevent GERD and its detrimental effects in patients awaiting lung transplantation. Journal of Surgical Research. (Also see Lung Transplants)

Reflux Prevention and Treatments

Reflux Prevention and Treatments . Heartburn (reflux) is very common in the general population. It can often be managed well with lifestyle changes, such as changing eating habits, sleeping differently, and increasing your activities. ISN

Overview
Lifestyle Changes
Reflux and Diet
Reflux and GERD Treatments
Surgery
Reflux Prevention Forum Discussions

Personal Stories

Scleroderma Personal Stories of Heartburn, Reflux and Esophageal Problems. These are stories about people who are dealing with heartburn (reflux), gastroesophageal reflux disease (GERD), or other esophageal problems, caused by systemic sclerosis (scleroderma) and related autoimmune diseases. ISN.

Go to Personal Stories of Heartburn
 
 

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