Reflux

Acid reflux, or gastroesophageal reflux disease (GERD), is a chronic digestive condition that causes painful heartburn and regurgitation for millions of Americans every year. It occurs when the contents of the stomach seep backward into the esophagus.

What Causes Reflux?

Normally, following a meal, a valve on your esophagus – the sphincter – closes, preventing hydrochloric acid produced in the digestive process from backing up (refluxing) into the esophagus. When reflux occurs, this valve fails to seal properly, and the stomach contents flow freely into the throat and esophagus. This damages the esophageal lining and causes a variety of painful symptoms.

Other risk factors can help to exacerbate the condition. These include eating large meals or lying down afterward, eating certain foods (spicy and fatty foods, citrus, tomato, chocolate, mint, garlic and onions), drinking certain beverages (alcohol, caffeine, carbonated liquids), smoking, obesity and pregnancy.

What Are the Symptoms of Reflux?

Heartburn is most commonly associated with GERD. Also known as acid indigestion, this burning pain radiates from the stomach to the abdomen and chest, and may last for up to two hours after a meal. It is frequently accompanied by regurgitation, a sour taste in the mouth, and dyspepsia or general stomach discomfort. Other symptoms often include belching, bloating, coughing, wheezing, hoarseness and nausea.

Symptoms occur most frequently after eating, when lying down or when bending over. They are most common at night. The most common cause of GERD is a hiatal hernia, a stomach abnormality that causes the sphincter valve and upper portion of the stomach to move above the diaphragm, allowing stomach acids to reflux more easily.

How Is Reflux Treated?

An effective way to treat acid reflux is to avoid the triggers that cause painful heartburn and other symptoms. Stay away from those foods and beverages that are likely to cause a negative reaction. Change your eating habits: stick with smaller, more frequent meals, and avoid eating too closely to bedtime. Quit smoking, and ask your doctor if the medications you are taking might be responsible for your symptoms. If you are overweight, exercise to take off excess pounds.

Over-the-counter antacids taken immediately after meals will help neutralize stomach acids and can prevent heartburn from occurring, or relieve the symptoms. For serious cases that do not respond to medical treatment, surgery may be recommended.

pH Probe

Our clinic offers a 24-hour pH probe monitoring service for patients who suspect they may have reflux disease.

Participants will wear the device for 24 hours to determine if they have reflux. The device will show if reflux is prevalent during the day or in the evening. These results will help us guide your  treatment accordingly.

Patients who have the 24-hour pH probe service will be divided into one of three categories:

1. No clinically significant reflux disease. Patients in this category should discontinue taking medications for reflux disease. These medications have long-term negative side effects that we would like to avoid if possible.
2. Substantial reflux disease. These patients need to see a gastroenterologist and have their esophagus monitored closely. Patients in this category are at greater risk of developing Barrett’s esophagitis and other more serious esophageal pathology. Making lifestyle modifications and taking a proton pump inhibitor or other medications may not be adequate for this group of patients.
3. Mild to moderate reflux disease. These patients can be followed conservatively, undertaking behavior modifications, and may find relief using a proton pump inhibitor or other appropriate medical intervention.

We look forward to meeting your ear, nose and throat needs!

Call Willamette ENT & Facial Plastic Surgery at (503) 581-1567 for more information or to schedule an appointment.