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So, what exactly causes GERD? As                   Apart from medical treatment, there are
         mentioned earlier, a weakened LES is one           also natural remedies that can help manage
         of the main factors. But there are other           GERD. These include consuming ginger,
         factors that can contribute to GERD as             aloe Vera juice, and chamomile tea, which
         well. These include a hiatal hernia, which         are known for their anti-inflammatory
         occurs when the upper part of the stomach          properties. Additionally, raising the
         bulges through the diaphragm into the              head of your bed by a few inches can help
         chest cavity, and delayed gastric emptying,        prevent acid from flowing back up into the
         where the stomach takes longer than usual          esophagus while you sleep.
         to empty its contents.                              It is essential to treat GERD as it can lead
          To diagnose GERD, your doctor may                 to serious complications if left untreated.
         perform various tests, including an upper          These include esophageal strictures,
         endoscopy, pH monitoring, and esophageal           where the esophagus narrows due to
         manometry. An upper endoscopy involves             damage from stomach acid, and Barrett’s
         a thin, flexible tube with a camera being          esophagus, a condition in which the cells
         inserted into the esophagus to examine             in the esophagus change and increase the
         the lining and look for any damage. pH             risk of developing esophageal cancer.
         monitoring measures the amount of acid in           In some cases, surgery may be necessary
         the esophagus, and esophageal manometry            for the treatment of GERD. This includes
         measures the strength and coordination of          procedures such as fundoplication, where
         the muscles in the esophagus.                      the top of the stomach is wrapped around
          Treatment for GERD can vary depending             the lower esophagus to tighten the LES,
         on the severity of the condition. Lifestyle        and LINX, a device that is inserted
         changes, such as avoiding trigger foods,           around the LES to prevent acid reflux.
         losing weight, and quitting smoking, can            It is crucial to understand that GERD is a
         help alleviate symptoms. Over-the-counter          chronic condition that requires long-term
         medications, such as antacids and H2               management. With proper treatment
         blockers, can also provide relief. For more        and lifestyle changes, most people can
         severe cases, proton pump inhibitors (PPIs)        manage their symptoms and prevent
         may be prescribed to reduce the production         complications. However, it is essential to
         of stomach acid.                                   work closely with your doctor to find the
                                                            best treatment plan for you.
                                                             In conclusion, acid reflux and GERD
                                                            are two related but distinct conditions.
                                                            Acid reflux is a common occurrence,
                                                            while GERD is a chronic condition that
                                                            can lead to serious complications. It is
                                                            essential to be aware of the symptoms and
                                                            risk factors of GERD and seek medical
                                                            attention if necessary. With the right
                                                            treatment and lifestyle changes, you can
                                                            manage GERD and improve your overall
                                                            quality of life.


        SENIORS TODAY | ISSUE #63 | SEPTEMBER 2024                                                          21
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