At the moment we will talk about GERD symptoms. Stinging heartburn is a common complaint heard. Almost every person who has this problem usually make an instant diagnosis, giving ‘label” on the complaint that they suffered, heartburn or gastritis. Like the classic advice, avoid foods that are stimulating, spicy, sour, then no matter the pain subsided. But how does it if the complaint is not immediately go? Or even if the intensity is getting worse?
If the some of that symptoms above happens to you, then be aware that heartburn symptoms that you feel is not usual heartburn or not such transient response due to the presence of gastric acid influx spicy foods. Perhaps you suffer GERD or (gastro esophageal reflux disease).
What is GERD ?
Gastro esophageal reflux disease (gastro esophageal reflux Disease / GERD) is a pathological condition due to reflux of stomach contents into the esophagus, with a range of GERD symptoms that arise due to the involvement of the esophagus, pharynx, larynx and respiratory tract.
How GERD can happen ?
If the valve is not functioning properly gastro esophageal, the door is not closed tightly or loosely, so stomach acid can flow back upward into the esophagus. It occurs that causes GERD.
Esophageal and gastric separated by a zone of high pressure (high pressure zone) generated by the contraction of LES. In normal people, this separator will be maintained except in the event of ante grad flow that occurs during the process of swallowing or retrograde flow in the event of belching or vomiting. Backflow from the esophagus through the LES gaster only happen if the tone of the LES does not exist or is very low (<3mmhg)
Esophageal reflux in GERD can occur through three mechanisms, namely:
A. Spontaneous reflux that occurs when the LES relaxation is not adequate
2. Retrograde flow that precedes the return of LES tone after swallowing
3. Increased abdominal pressure
Thus can be explained that the pathogenesis of GERD involves a balance between defensive factors of the esophagus and extensive factor of refluxstat material.
What is GERD Symptoms ?
Typical clinical GERD symptoms is the emergence of pain / discomfort on epigastrium. GERD can also lead to manifestation of symptoms of atypical and outside the esophagus ranged from non-cardiac chest pain (Non-cardiac Chest Pain / NCCP), hoarseness, laryngitis, cough due to the occurrence of aspiration or asthma bronchiectasis
Meanwhile, some lung diseases may be a predisposing factor for GERD that occurs that can lead to anatomical changes in areas of high gastro esophageal zone pressures caused by the use of medications that lower LES tone (theophylline)
GERD Symptoms in Pregnant Women
GERD symptoms of heartburn also occurs in pregnant women. Heartburn that occurs due to increased hormones that cause the digestive system work more slowly. Hormone also causes the muscles that push food job to esophagus slower. In addition, the growth of the uterus causing the stomach and pushed upwards towards forcing stomach acid up the esophagus. But the GERD symptoms will improve after parturition.
Want to prevent GERD symptoms? you can drive to this GERD Video to understanding more deeply, here you can get detail illustration and watch GERD Pathophysiology Video