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Gastroesophageal reflux disease refers to the abnormal frequency of acid from the stomach washing up the swallowing tube (esophagus) which can lead to the feeling of heartburn or burning in the throat. With time this can lead to erosion (or wearing away) of the swallowing tube (esophageal) lining.
Just about everyone has heartburn occasionally especially with certain foods like pepperoni pizza or garlicky foods.
GERD refers to a disorder where this occurs with abnormal frequency of at least 3 times per week or where there are esophageal erosions. Avoid overeating and avoid those foods you know aggravate the symptoms typically greasy foods, spicy foods and alcohol. In many cases special testing with EGD endoscopy (a flexible thin scope to look into the esophagus stomach under sedation) is appropriate. Those medicines will work for GERD, but it is important if symptoms are chronic that you know what your diagnosis is and that a proper evaluation be done.


GERD is a chronic condition and getting things right the first time in terms of a treatment plan is important.
Minor red blood on wiping after bowel movement or small amts of red blood on the stool are usually NOT form a stomach ulcer from other sources. This is a chronic infection that is often acquired in childhood and it is difficult tell one has this infection without testing.
Ulcer are diagnosed by taking a physician taking a history and doing certain exams such as endoscopy or X-rays. It used to be thought that stress causes ulcer and it may play a role, but other factors likely play a bigger role. H pylori can be diagnosed by special testing of the breath, blood or by endoscopic exam with tissue sample of the stomach. Aspirin like medication known as NSAID medication, including aspirin, Anacin, Bufferin, ibuprofen, Motrin, Aleve and other arthritis meds.


H pylori if present is treated with a series of medications in addition to the ulcer treatment with acid blockers. Rarely vomiting of blood or passing blood that is dark near black in the stool or dark red if ulcer is bleeding heavily which is uncommon. Since the late 1980s it has been shown that a bacteria H pylori that lives in the stomach in some person has a strong association with ulcers.



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