Book Review: "Heartburn: Extinguishing The Fire Inside"
This is my review of the book "Heartburn: Extinguishing The Fire Inside" by M. Michael Wolfe, M.D. and Thomas J. Nesi. If you have read this book, you can share thoughts on it by clicking on the Comments link below this post. Related Information: What is Heartburn? Why Heartburn Happens Risk Factors for Heartburn Is There a Cure for Heartburn? What is GERD? Heartburn Myths Controlling Heartburn with Lifestyle Modifications Dietary Changes for Preventing Heartburn GERD and Asthma Complications of Chronic Heartburn Book Review: "Heartburn: Extinguishing The Fire Inside" originally appeared on About.com Heartburn / GERD on Thursday, December 12th, 2013 at 00:03:44.Permalink | Comment | Email this
Conclusion: The specific items on our questionnaire relating to patient characteristics, complications, and triggers of cough, represent useful tools for diagnosing the primary disease producing cough.
This holiday season we are all in search of the perfect gift. What is the one thing you truly desire for yourself and your family? Don’t you think we all want it? What if you were handed a beautifully wrapped box containing a miraculous tool that caused dramatic weight loss without limiting calories or requiring exercise? What if this gift reduced appetite, shrunk belly fat, dropped your dress size into the single digits, and accomplished all of this while sparing you from a Biggest Loser sob fest? What if that same gift freed you from acid reflux, heartburn, bowel urgency, and diarrhea, but also improved mood, incre...
It is not clear whether we should test for reflux in patients with refractory heartburn or extraesophageal reflux (EER) symptoms, such as cough, hoarseness, or asthma. Guidelines recommend testing patients by pH monitoring when they are on or off acid-suppressive therapies based on pretest probability of reflux, determined by expert consensus. However, it is not clear what constitutes a low or high pretest probability of reflux in these patients. We aimed to develop a model that clinicians can use at bedside to estimate pretest probability of abnormal reflux.
It is not clear whether we should test for reflux in patients with refractory heartburn or extra-esophageal reflux (EER) symptoms, such as cough, hoarseness, or asthma. Guidelines recommend testing patients by pH monitoring when they are on or off acid-suppressive therapies based on pre-test probability of reflux, determined by expert consensus. However, it is not clear what constitutes a low or high pre-test probability of reflux in these patients. We aimed to develop a model that clinicians can use at bedside to estimate pre-test probability of abnormal reflux.
CONCLUSION: Our findings support the conclusion that ESD may be a safe alternative to conventional surgery for removal of large symptomatic gastric lipomas. PMID: 30134740 [PubMed - as supplied by publisher]
AbstractPatients with gastroesophageal reflux disease (GERD) may present with a variety of symptoms, including heartburn, regurgitation, dysphagia, chronic cough, laryngitis, or even asthma. Therefore, the clinical presentation of GERD varies among individuals and conversely symptoms not always correspond to the presence of actual reflux. For that reason, the diagnosis poses certain challenges to the physician. To overcome these challenges, a thorough clinical examination followed by objective functional testing could improve diagnostic accuracy. In addition, a proper evaluation of patients with GERD can help in identifyin...
Authors: Gelardi M, Ciprandi G Abstract Introduction: Gastroesophageal reflux (GER) is a common disease usually limited to the oesophagus. Laryngopharyngeal reflux (LPR) is an inflammatory reaction of the mucosa of pharynx, larynx, and other associated upper respiratory organs, caused by a reflux of stomach contents outside the oesophagus. LPR is considered to be a relatively new clinical entity with a vast number of clinical manifestations which are treated sometimes empirically and without a correct diagnosis. However, there is disagreement between specialists about its definition and management: gastroenterologi...
ConclusionsDespite the high prevalence of GERD in asthma and COPD, a causal link is lacking. The results of anti‐reflux therapy on pulmonary outcome are inconsistent and contradictory. Future studies will need to identify subgroups of asthmatics and COPD patients that may benefit from anti‐reflux therapy (nocturnal or silent reflux).
ConclusionsThe diagnostic evaluation should include multiple tests, in addition to a thorough clinical examination.
Authors: Abstract Children whose mothers take medication to treat acid reflux during pregnancy have a greater risk of developing asthma, a new study claims. PMID: 28145207 [PubMed - in process]