GERD, Gastroesophageal Reflux Disease: Difference between revisions

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(Created page with " === Clinic === * GERD or gastro-oesophageal reflux disease (GORD) is one of the upper GI chronic diseases where stomach content persistently and regularly flows up into the esophagus * Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications. * Acid reflux is due to poor closure of LES === 2 Signs and symptoms === ==== 2.1 Adults ==== * The most common symptoms are an '''Acidic taste''' in the mouth, '''Regurgitation''', and ''...")
 
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=== Clinic ===
=== Clinic ===


* GERD or gastro-oesophageal reflux disease (GORD) is one of the upper GI chronic diseases where stomach content persistently and regularly flows up into the esophagus
* GORD or GERD is one of the chronic upper GI diseases where stomach content persistently and regularly flows up into the esophagus
* Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications.
* Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications.
* Acid reflux is due to poor closure of LES
* Acid reflux is due to poor closure of LES (Lower Esophageal Sphincter)
 
=== 2 Signs and symptoms ===


==== 2.1 Adults ====


* The most common symptoms are an '''Acidic taste''' in the mouth, '''Regurgitation''', and '''Heartburn'''.
=== Signs / Symptoms ===
* Less common symptoms include Odynophagia, Sore throat, Increased salivation (Water brash), nausea, chest pain, coughing, and globus sensation.
{| class="wikitable"
|+
!Adults
!Children / Babies
|-
|
*'''Acidic taste''' in the mouth, '''Regurgitation''', and '''Heartburn''' are most common
* Other symptoms include Odynophagia, Sore throat, Increased salivation (Water brash), nausea, chest pain, coughing, and globus sensation.
* Acid reflux can induce asthma attack symptoms like shortness of breath, cough, and wheezing in those with underlying asthma.
* Acid reflux can induce asthma attack symptoms like shortness of breath, cough, and wheezing in those with underlying asthma.


* Complication: Reflux esophagitis, Esophageal strictures, Barrett's esophagus, Esophageal adenocarcinoma, Laryngeal injury and Aspiration pneumonia.
* Complication: Reflux esophagitis, Esophageal strictures, Barrett's esophagus, Esophageal adenocarcinoma, Laryngeal injury and Aspiration pneumonia.
* Note that these are dynamic post nodes
* Note that these are dynamic post nodes
 
|
==== 2.2 Children / Babies ====
*GERD may be difficult to detect in infants and children since they cannot describe it.
 
* GERD may be difficult to detect in infants and children since they cannot describe it.
* It may cause repeated vomiting, effortless spitting up, coughing, and other respiratory problems, such as wheezing.
* It may cause repeated vomiting, effortless spitting up, coughing, and other respiratory problems, such as wheezing.
* Inconsolable crying, refusing food, crying for food and then pulling off the bottle or breast only to cry for it again,
* Inconsolable crying, refusing food, crying for food and then pulling off the bottle or breast only to cry for it again,
* Failure to gain adequate weight, bad breath, and burping are also common.
* Failure to gain adequate weight, bad breath, and burping are also common.
* Children may have one symptom or many; no single symptom is universal in all children with GERD.
* Children may have one or many symptom and no single symptom is universal in all children with GERD.
|}


=== 3 Entities ===
{| class="wikitable"
|+
!
=== Causes ===
!
=== [[Entities list|Entities]] ===
!
=== [[Viral miasms|Miasms]] ===
!
=== Related [[Diseases list|disease]] ===
|-
|
*Hiatal hernia
* [[Obesity]]


* Stomach, Eructation
* [[Obstructive sleep apnea]]
* [[Gall Bladder remedies|Gallstones]]
* ''H. pylori'' infection
|
*Stomach, Eructation
* Gastric dilation
* Gastric dilation
|[[PLV, Polio Virus|PLV]]
|
*[[Achalasia]]: GERD is due to poor closure of LES but achalasia is characterized by incomplete LES relaxation/ Increased LES tone, and lack of esophageal peristalsis.
* [[Gastroparesis miasms|Gastroparesis]]
* [[Ileus miasms|Ileus]]
* [[Sandifer syndrome entities|Sandifer syndrome]]
* [[Dyspepsia]]
|}


=== 4 Miasms ===
=== Remedies ===
* Ambr, Asaf, Bry, Calc, Caps, Carb-v, Chin, Lob, Lyc, Mag-c, Nat-m, Nux-v
* Phos, , Puls, Rheum, Sep, Sulph-ac, Anac, Apis, Arg-m, Arg-n, Ars, [[Bism, Bismuthum subnitricum|Bism]], Canth, Carb-ac, Chel, Dios, Ign, Iris, Kali-c, , Nat-c, Nat-p, Nat-s, Nit-ac, Staph, Tab, [[Teucr, Teucrium Marum Verum|Teucr]], Val
* Morgan Pure By Paterson (Bowel Nososde), Robinia Pseudacacia, Tamarindus Indica and Populus Tremuloides
{| class="wikitable"
|+
! colspan="2" |
== [[Banerji protocols]] ==
|-
|'''First line'''
|
* [[Iris, Iris versicolor|Iris]] C200 BD or 15-20 min before food
* [[Lyc , Lycopodium clavatum|Lyc]] C30 BD
|-
|'''Second line'''
|
* Condurango C30 BD
* [[Ars, Arsenicum Album|Ars]] C3 tBD or 15 min before food
|-
|'''Third line'''
|
* [[Nat-p, Natrium Phosphoricum|Nat-p]] C30 5-20 min before food
|}
{| class="wikitable"
|+
! colspan="3" |
== Top remedies ==
!Concomitants / Modalities
|-
|'''<big>Acid Reflux and GERD</big>'''
|
=== [[Robinia, Robinia Pseudoacacia|Robin]] ===
|
*Hyperchlorhydria when the eructation and vomiting is so sour that it sets the teeth on edge or dulls them.
*Acidity in children; infants with sour smell of the body.


* PLV
* Intense heartburn
* Sour belching and vomiting
|
* Acidity is accompanied by frontal headache,
* Acidity agg with motion
* Night time agg, Lying down agg
* Acidity can causeinsomnia
|-
|'''<big>Sour, Bitter Belching/ vomiting</big>'''
|
=== [[Iris, Iris versicolor|Iris]] ===
|
* Vomiting of sour bitter fluid that burns the throat
* Smarting, burning sensation in the throat, and heartburn
* Burning distress and pains in the epigastric region at frequent intervals.
* Constant nausea may be present with these symptoms.
* There is excessive indigestion. Food is vomited an hour after eating
* Heartburn; burning in throat
|
* Vomiting with weakness
* Headache arising with acidity
|-
|<big>'''Heartburn + Dysphagia'''</big>
|
=== [[Nat-p, Natrium Phosphoricum|Nat-p]] ===
|
* ''S''our belching, waterbrash
* Vomiting of sour fluid or cheesy, curdled masses.


=== 5 Related disease ===
*Sourness / Hyperacidity (Like vinegar):
**Eructation/ Vomiting/ Stomach
**Stools
**Expectoration
**Perspiration
* Ulceration of stomach with sour risings.
* Vomiting and diarrhea of infants who have been fed with excess sugar and milk.
|
* Lump sensation in the throat + Loss of appetite (Maybe)
* Key point: Yellow creamy coating of tongue and posterior portion of the roof of mouth
|}
{| class="wikitable"
|+
! colspan="3" |
== Second class remedies ==
!Concomitants / Modalities
|-
|<big>'''Burning Pain in Throat'''</big>
|
=== [[Ars, Arsenicum Album|Ars]] ===
|
* Regurgitation of acrid matter, water brash, heartburn,
* Esophagitis
* Foul / Sour taste/ Hot burning sensation in Esophagus / Pharynx
* Eructation of Sour/ Acrid fluid/ Intense nausea
* Retching / Vomiting of slimy mucus tingled with blood.
|
* Burning agg upon swallowing.
* Swallowing is difficult and painful.
* Weakness
* Irregular / Frequent pulse
* Trembling / Coldness of extremities
* Oppressive anxiety + Stomachache
|-
|<big>'''Sour Taste in Mouth'''</big>
|
=== [[Calc-c, Calcerea carbonica|Calc]] ===
|
* ''R''egurgitation of sour substances + Flow of sour, watery fluid from the mouth.
* Foul odor from the mouth + Nausea. (Maybe)
* Sour, bitter belches, vomiting of sour, bitter slime and heartburn (Maybe)
* Burning from the food pipe extends to the throat.
* Continued loud belching esp after eating + Cough/ Nausea.
* Burning sensation / Acrid eructation / Heartburn/ Acidity / Hyperchlorhydria.
* Feeling of pressure over the stomach +Vomiting of food and mucus.
* Sour Eructation / Vomiting.
* Swelling over pit of stomach
|
*Pica: Craving for indigestible things like chalk, coal, pencil
* Craving for eggs
* [[Milk intolerance|Milk disagrees]]
|-
|<big>'''Bloating + Heartburn'''</big>
|
=== [[Carb-v, Carbo vegetabilis|Carb-v]] ===
|
* Sour, offensive belching that gets worse after drinking or eating
* Burning sensation in the throat and dysphagia
* Even the simplest of food tend to trigger the condition.
* Slow digestion causes excessive Flatulence esp in upper part of abdomen.
* Rancid / Loud Eructions, but do not give any amel
|
*Asthmatic breathing with water-brush.
* Constrictive pain extending to chest with acidity.
* Aversion to meat, fat and milk.
* Desire for salty things.
* General Slowness/ Sluggishness / Lack of reaction
|-
|<big>'''Acid Reflux + Cough'''</big>
|
=== [[Nux-v , Nux Vomica|Nux-v]] ===
|
* Vomiting usually appears from coughing.
* Throat is sore and raw
* Swallowing may be painful.
* Burning in the throat, esp at night time
* Regurgitation of food + Heartburn and sour belching
* Heart burn + Flatulence without Nausea / Vomiting
* Stomach is generally out of order + Coated Tongue with creamy fur
|
* Gastric cough that agg at night time and prevents sleep
* Acidity after Rich / Spicy food / Alcohol
* [[Polycrest]] of  modern lifestyleGastralgia, pain goes into back and chest
* Nausea/ Violent retching
* he feels if he vomits, he will get relief.
|-
|'''<big>Acid Reflux + [[Laryngitis]] (Hoarse Voice)</big>'''
|
=== [[Phos, Phosphorus|Phos]] ===
|
* ''H''ard, dry, racking cough
* Heartburn, Sour belching, Sour taste in the mouth
* Vomiting of food or sour, Acidic liquid
* [[Peptic ulcer disease|Acid peptic disorders]] (A.P.D)
* Regurgitation of ingesta
* Water-brash + Esophagus spasm
* Belching after eating.
* [[Gastritis]] +  Burning extending to throat.
|
*Craving for Cold Drink / Food, which amel Burning / Heartburn temporary
* Hungry soon after eating
* Craving for Salt/ Acid / Spicy things.
* Spitting of blood without nausea
*
* Vomiting; water is thrown up as soon as it gets warm in the stomach.
|-
|<big>'''Acid Reflux from Fatty Food'''</big>
|
=== [[Puls, Pulsatilla pratensis|Puls]] ===
|
* Heartburn and water brash.
* Belching of food, bitter taste in mouth,
* Nausea and a sensation of having a lump (Maybe)
* Putrid / Bad / Sour-bitter taste in the morning on walking
* Sensation as if food had lodged under the sternum
* Water-brash / Acidity / Heartburn and eructation tasting of food
* [[Dyspepsia]] due to Fatty foods/ Pork/ Pastry / Mixed diets.
|
* Fatty food like creams, pastries, and ice creams trigger the acid reflux
* Dryness of the mouth + No thirst, only a desire to moisten the mouth
* Tongue coated with thick rough white fur
* She is chilly, but agg from heat
* Agg in the evening.
|-
|'''<big>Acid Reflux + Intense Sour Belching</big>'''
|
=== [[Sul-ac, Sulphuric acid|Sul-ac]] ===
|
* Sour vomiting and nausea
* Sour vomiting mostly appears after eating.
* Heartburn / Gastralgia
* Water causes coldness of the stomach; must be mixed with liquors.
|
* Marked debility /Weakness esp the digestive tract
* Craving for stimulants / Fresh food
* Aversion to the smell of coffee.
* Recurring [[Aphthous stomatitis|aphthae]] in Mouth / Throat
|}
{| class="wikitable"
|+
! colspan="3" |
== Third class remedes ==
!Concomitants / Modalities
|-
|
|
=== [[Ambr, Ambra grisea|Ambr]] ===
|
*Sensation as if food did not go down into the stomach.
* Eructation + Violent convulsive cough
* Distension of abdomen after midnight.
|
* Hypersensitive / Hysterical women, who are weakened by age or overwork
* Heartburn from drinking milk.
|-
|
|
=== [[Ip, Ipecacuanha|Ip]] ===
|
*Heart burn with nausea or vomiting + Excessive flatulence.
* Suitable in [[pregnancy]] digestive problems
|
* Clean tongue + Thirstless
|-
|
|
=== [[Staph, Staphysagria|Staph]] ===
|
* Heart burn caused by [[Cigarette smoke poisoning|smoking]].
|
|-
|
|
=== [[Chin, China Officinalis|Chin]] ===
|
*Abdominal discomfort, Only relieved by belching.
* Sour and bitter eructation or offensive flatus, Worse
* [[Dyspepsia]] causes eructation and finally undigested food is vomited
|Agg


* Achalasia: GERD is due to poor closure of LES but achalasia is characterized by incomplete LES relaxation/ Increased LES tone, and lack of esophageal peristalsis.
*At night
* [[Gastroparesis entities|Gastroparesis]]
* After meals
* Ileus
|-
* Sandifer syndrome
|
|
=== [[Aesc , Aesculus hippocastanum|Aesc]] ===
|
*Heart burn / Great burning distress
* Empty eructation of wind
|
* Pressure as from stone in the pit of stomach
|-
|
|
=== [[Ferr, Ferrum Metallicum|Ferr]] ===
|
*Heartburn
* Vomiting only of food after eating and drinking
|
|-
|
|
=== [[Rheum, Rheum palmatum|Rheum]] ===
|
*Suckling and children where liver and bile duct is mainly affected.
* Sourness is so marked that even washing does not remove that sour smell from child.
|
* Desire for many things but cannot eat them.
|}


=== 6 Causes ===
Factors that can contribute to GERD:


* Hiatal hernia, which increases the likelihood of GERD due to mechanical and motility factors.
== Reflux in Children ==
* Obesity: increasing body mass index is associated with more severe GERD. In a large series of 2,000 patients with symptomatic reflux disease, it has been shown that 13% of changes in esophageal acid exposure is attributable to changes in body mass index.
{| class="wikitable"
|+
!
!
!
|-
|'''<big>Vomit soon After Milk</big>'''
|
=== [[Aeth, Aethusa cynapium|Aeth]] ===
|
* He throws up all the milk immediately after its intake forcibly.
* The character of vomiting is like '''Curdled milk''' / '''Cheesy matter'''/ Frothy white matter.
* He gets drowsy after vomiting.
* Repeated hiccoughing.
|-
|'''<big>Irritable / Restless Infants</big>'''
|
=== [[Cham, Chamomilla|Cham]] ===
|
* Wind colic and regurgitation of food.
* Colic causes pain in stomach due to obstruction of wind in the intestines.
* He vomits out whatever has been Drunk / Eaten,
* Vomit is usually Slimy/ Sour smelling.
* Abdomen is distended, full and tensed.
* Hiccough and foul smelling belches
* Stomach problems.
* The child cries, screams, groans and asks to be carried around.
|-
|'''<big>Vomiting + Colic Abdomen</big>'''
|
=== [[Nat-p, Natrium Phosphoricum|Nat-p]] ===
|
* It works by neutralizing the stomach acid and promotes healthy digestion.
* Children vomit out curdled milk or cheesy masses.
* Child may experience several attacks of acid reflux during the day, along with vomiting.
* Abdominal colic is usually very intense and can lead to restless sleep.
* A characteristic yellow, creamy coating on the back of the roof of mouth and tongue
|-
|'''<big>Night agg</big>'''
|
=== [[Robinia, Robinia Pseudoacacia|Robin]] ===
|
* ''A''cid reflux in babies when there is a regurgitation of stomach acid with sour vomiting.  
* The child tends to have a rancid odor all over the body.
* Symptoms agg during the night time and disturb the child’s sleep.
* Abdominal distension is well noted, and burps may be present.
* Burping can bring temporary relief, but the child may cry with colic after eating.
|-
|'''<big>Sour Smelling Vomiting</big>'''
|
=== [[Calc-c, Calcerea carbonica|Calc]] ===
|
* Whatever has been eaten gets vomited,
* Vomit: Curdled milk / Milk in the form of cheese
* Stomach cramps may appear along with vomiting.
* Abdomen is hard and tense, and there are frequent hiccoughs and belching.
* Vomiting in infants during the [[Teething problems remedies|teething period]]
|-
| '''<big>Excessive Burping</big>'''
|
=== [[Carb-v, Carbo vegetabilis|Carb-v]] ===
|
* Violent belchings that are foul-smelling
* Offensive belchings occur after eating or drinking + Gagging and vomiting.
* Child feels very uncomfortable after eating even the smallest amount of food.
* Abdominal pain may arise with much flatus.
* Stomach is distended and seems full to bursting with trapped wind.
* Release of gas brings comfort to the baby.
|-
|'''<big>Vomiting of Food/ Milk Soon After eating</big>'''
|
=== [[Sanic, Sanicula Aqua|Sanic]] ===
|
* All the food comes up with a gush immediately after eating.
* Child usually tends to fall asleep after eating
* The vomiting looks like large and tough curds.
* Abdominal bloating + Gurgling sounds.
|}
====Others====
*[[Lyc , Lycopodium clavatum|Lyc]]
*[[Sul-ac, Sulphuric acid|Sul-ac]]


Factors that have been linked with GERD, but not conclusively:
*[[Iris, Iris versicolor|Iris]]
*Anac
*Arg-n
*Ant-c
*Carb-v
* Chin
*Colch
*Puls
* Psor


* Obstructive sleep apnea
* Gallstones, which can impede the flow of bile into the duodenum, which can affect the ability to neutralize gastric acid


In 1999, a review of existing studies found that, on average, 40% of GERD patients also had ''H. pylori'' infection. The eradication of ''H. pylori'' can lead to an increase in acid secretion, leading to the question of whether ''H. pylori''-infected GERD patients are any different than non-infected GERD patients. A double-blind study, reported in 2004, found no clinically significant difference between these two types of patients with regard to the subjective or objective measures of disease severity.
My stomach is sour. Acid rises from stomach to the throat. My stomachache is completely bothering me.<blockquote>MIND - ANGUISH - pain; from - Stomach: aeth.kr1 cann-i.a Crot-h.hr1 gins.a, c1 irisa, hr1 kali-bi.a kali-br.a Lyc.hr1 med.a merc-c.a1 merc-pr-r.a1 orni.c1 phyt.bg Rob.hr1 sul-ac.a1, hr1 verat-v.a


Stomach - PAIN - extending to - throat : Aloe, Alum, Coc-c, con, mag-m, nat-m


THROAT - PAIN - burning - extending to - Stomach : Acon.k anan.k ant-c.a1, k Apisk Arn.a1, k ars.a1, k carb-ac.a1, k Carbn-s.k cic.a1 dor.a1, k euph.a1, k irissne Kali- bi.hr1, k mag-s.a1, k mez.a1 ol-an.a1 psor.a1, k rhus-t.a1 sec.a1, k still.a1, k sul-ac.a1, k ulm-c .jsj8</blockquote>Possible remedy: Sul-ac, Iris


=== Remedies ===
 
Cough due to Acid-Reflux
*[[Bell, Belladona|Bell]]: Throat pain
*[[Phos, Phosphorus|Phos]] : Laryngitis or Aphonia due to acid-Reflux
===Related disease===
*[[Dyspepsia]]
*[[GERD, Gastroesophageal Reflux Disease|GERD]]
===[[Tissue Salt Remedies]] ===
*NP
*NS
*SIL

Latest revision as of 12:45, 31 January 2024


Clinic

  • GORD or GERD is one of the chronic upper GI diseases where stomach content persistently and regularly flows up into the esophagus
  • Risk factors include obesity, pregnancy, smoking, hiatal hernia, and taking certain medications.
  • Acid reflux is due to poor closure of LES (Lower Esophageal Sphincter)


Signs / Symptoms

Adults Children / Babies
  • Acidic taste in the mouth, Regurgitation, and Heartburn are most common
  • Other symptoms include Odynophagia, Sore throat, Increased salivation (Water brash), nausea, chest pain, coughing, and globus sensation.
  • Acid reflux can induce asthma attack symptoms like shortness of breath, cough, and wheezing in those with underlying asthma.
  • Complication: Reflux esophagitis, Esophageal strictures, Barrett's esophagus, Esophageal adenocarcinoma, Laryngeal injury and Aspiration pneumonia.
  • Note that these are dynamic post nodes
  • GERD may be difficult to detect in infants and children since they cannot describe it.
  • It may cause repeated vomiting, effortless spitting up, coughing, and other respiratory problems, such as wheezing.
  • Inconsolable crying, refusing food, crying for food and then pulling off the bottle or breast only to cry for it again,
  • Failure to gain adequate weight, bad breath, and burping are also common.
  • Children may have one or many symptom and no single symptom is universal in all children with GERD.

Causes

Entities

Miasms

Related disease

  • Stomach, Eructation
  • Gastric dilation
 PLV

Remedies

  • Ambr, Asaf, Bry, Calc, Caps, Carb-v, Chin, Lob, Lyc, Mag-c, Nat-m, Nux-v
  • Phos, , Puls, Rheum, Sep, Sulph-ac, Anac, Apis, Arg-m, Arg-n, Ars, Bism, Canth, Carb-ac, Chel, Dios, Ign, Iris, Kali-c, , Nat-c, Nat-p, Nat-s, Nit-ac, Staph, Tab, Teucr, Val
  • Morgan Pure By Paterson (Bowel Nososde), Robinia Pseudacacia, Tamarindus Indica and Populus Tremuloides

Banerji protocols

First line
  • Iris C200 BD or 15-20 min before food
  • Lyc C30 BD
Second line
  • Condurango C30 BD
  • Ars C3 tBD or 15 min before food
Third line
  • Nat-p C30 5-20 min before food

Top remedies

 Concomitants / Modalities
Acid Reflux and GERD

Robin
  • Hyperchlorhydria when the eructation and vomiting is so sour that it sets the teeth on edge or dulls them.
  • Acidity in children; infants with sour smell of the body.
  • Intense heartburn
  • Sour belching and vomiting
  • Acidity is accompanied by frontal headache,
  • Acidity agg with motion
  • Night time agg, Lying down agg
  • Acidity can causeinsomnia
Sour, Bitter Belching/ vomiting

Iris
  • Vomiting of sour bitter fluid that burns the throat
  • Smarting, burning sensation in the throat, and heartburn
  • Burning distress and pains in the epigastric region at frequent intervals.
  • Constant nausea may be present with these symptoms.
  • There is excessive indigestion. Food is vomited an hour after eating
  • Heartburn; burning in throat
  • Vomiting with weakness
  • Headache arising with acidity
Heartburn + Dysphagia

Nat-p
  • Sour belching, waterbrash
  • Vomiting of sour fluid or cheesy, curdled masses.
  • Sourness / Hyperacidity (Like vinegar):
    • Eructation/ Vomiting/ Stomach
    • Stools
    • Expectoration
    • Perspiration
  • Ulceration of stomach with sour risings.
  • Vomiting and diarrhea of infants who have been fed with excess sugar and milk.
  • Lump sensation in the throat + Loss of appetite (Maybe)
  • Key point: Yellow creamy coating of tongue and posterior portion of the roof of mouth

Second class remedies

 Concomitants / Modalities
Burning Pain in Throat

Ars
  • Regurgitation of acrid matter, water brash, heartburn,
  • Esophagitis
  • Foul / Sour taste/ Hot burning sensation in Esophagus / Pharynx
  • Eructation of Sour/ Acrid fluid/ Intense nausea
  • Retching / Vomiting of slimy mucus tingled with blood.
  • Burning agg upon swallowing.
  • Swallowing is difficult and painful.
  • Weakness
  • Irregular / Frequent pulse
  • Trembling / Coldness of extremities
  • Oppressive anxiety + Stomachache
Sour Taste in Mouth

Calc
  • Regurgitation of sour substances + Flow of sour, watery fluid from the mouth.
  • Foul odor from the mouth + Nausea. (Maybe)
  • Sour, bitter belches, vomiting of sour, bitter slime and heartburn (Maybe)
  • Burning from the food pipe extends to the throat.
  • Continued loud belching esp after eating + Cough/ Nausea.
  • Burning sensation / Acrid eructation / Heartburn/ Acidity / Hyperchlorhydria.
  • Feeling of pressure over the stomach +Vomiting of food and mucus.
  • Sour Eructation / Vomiting.
  • Swelling over pit of stomach
  • Pica: Craving for indigestible things like chalk, coal, pencil
  • Craving for eggs
  • Milk disagrees
Bloating + Heartburn

Carb-v
  • Sour, offensive belching that gets worse after drinking or eating
  • Burning sensation in the throat and dysphagia
  • Even the simplest of food tend to trigger the condition.
  • Slow digestion causes excessive Flatulence esp in upper part of abdomen.
  • Rancid / Loud Eructions, but do not give any amel
  • Asthmatic breathing with water-brush.
  • Constrictive pain extending to chest with acidity.
  • Aversion to meat, fat and milk.
  • Desire for salty things.
  • General Slowness/ Sluggishness / Lack of reaction
Acid Reflux + Cough

Nux-v
  • Vomiting usually appears from coughing.
  • Throat is sore and raw
  • Swallowing may be painful.
  • Burning in the throat, esp at night time
  • Regurgitation of food + Heartburn and sour belching
  • Heart burn + Flatulence without Nausea / Vomiting
  • Stomach is generally out of order + Coated Tongue with creamy fur
  • Gastric cough that agg at night time and prevents sleep
  • Acidity after Rich / Spicy food / Alcohol
  • Polycrest of modern lifestyleGastralgia, pain goes into back and chest
  • Nausea/ Violent retching
  • he feels if he vomits, he will get relief.
Acid Reflux + Laryngitis (Hoarse Voice)

Phos
  • Hard, dry, racking cough
  • Heartburn, Sour belching, Sour taste in the mouth
  • Vomiting of food or sour, Acidic liquid
  • Acid peptic disorders (A.P.D)
  • Regurgitation of ingesta
  • Water-brash + Esophagus spasm
  • Belching after eating.
  • Gastritis + Burning extending to throat.
  • Craving for Cold Drink / Food, which amel Burning / Heartburn temporary
  • Hungry soon after eating
  • Craving for Salt/ Acid / Spicy things.
  • Spitting of blood without nausea
  • Vomiting; water is thrown up as soon as it gets warm in the stomach.
Acid Reflux from Fatty Food

Puls
  • Heartburn and water brash.
  • Belching of food, bitter taste in mouth,
  • Nausea and a sensation of having a lump (Maybe)
  • Putrid / Bad / Sour-bitter taste in the morning on walking
  • Sensation as if food had lodged under the sternum
  • Water-brash / Acidity / Heartburn and eructation tasting of food
  • Dyspepsia due to Fatty foods/ Pork/ Pastry / Mixed diets.
  • Fatty food like creams, pastries, and ice creams trigger the acid reflux
  • Dryness of the mouth + No thirst, only a desire to moisten the mouth
  • Tongue coated with thick rough white fur
  • She is chilly, but agg from heat
  • Agg in the evening.
Acid Reflux + Intense Sour Belching

Sul-ac
  • Sour vomiting and nausea
  • Sour vomiting mostly appears after eating.
  • Heartburn / Gastralgia
  • Water causes coldness of the stomach; must be mixed with liquors.
  • Marked debility /Weakness esp the digestive tract
  • Craving for stimulants / Fresh food
  • Aversion to the smell of coffee.
  • Recurring aphthae in Mouth / Throat

Third class remedes

 Concomitants / Modalities

Ambr
  • Sensation as if food did not go down into the stomach.
  • Eructation + Violent convulsive cough
  • Distension of abdomen after midnight.
  • Hypersensitive / Hysterical women, who are weakened by age or overwork
  • Heartburn from drinking milk.

Ip
  • Heart burn with nausea or vomiting + Excessive flatulence.
  • Suitable in pregnancy digestive problems
  • Clean tongue + Thirstless

Staph

Chin
  • Abdominal discomfort, Only relieved by belching.
  • Sour and bitter eructation or offensive flatus, Worse
  • Dyspepsia causes eructation and finally undigested food is vomited
 Agg
  • At night
  • After meals

Aesc
  • Heart burn / Great burning distress
  • Empty eructation of wind
  • Pressure as from stone in the pit of stomach

Ferr
  • Heartburn
  • Vomiting only of food after eating and drinking

Rheum
  • Suckling and children where liver and bile duct is mainly affected.
  • Sourness is so marked that even washing does not remove that sour smell from child.
  • Desire for many things but cannot eat them.


Reflux in Children

Vomit soon After Milk

Aeth
  • He throws up all the milk immediately after its intake forcibly.
  • The character of vomiting is like Curdled milk / Cheesy matter/ Frothy white matter.
  • He gets drowsy after vomiting.
  • Repeated hiccoughing.
Irritable / Restless Infants

Cham
  • Wind colic and regurgitation of food.
  • Colic causes pain in stomach due to obstruction of wind in the intestines.
  • He vomits out whatever has been Drunk / Eaten,
  • Vomit is usually Slimy/ Sour smelling.
  • Abdomen is distended, full and tensed.
  • Hiccough and foul smelling belches
  • Stomach problems.
  • The child cries, screams, groans and asks to be carried around.
Vomiting + Colic Abdomen

Nat-p
  • It works by neutralizing the stomach acid and promotes healthy digestion.
  • Children vomit out curdled milk or cheesy masses.
  • Child may experience several attacks of acid reflux during the day, along with vomiting.
  • Abdominal colic is usually very intense and can lead to restless sleep.
  • A characteristic yellow, creamy coating on the back of the roof of mouth and tongue
Night agg

Robin
  • Acid reflux in babies when there is a regurgitation of stomach acid with sour vomiting.
  • The child tends to have a rancid odor all over the body.
  • Symptoms agg during the night time and disturb the child’s sleep.
  • Abdominal distension is well noted, and burps may be present.
  • Burping can bring temporary relief, but the child may cry with colic after eating.
Sour Smelling Vomiting

Calc
  • Whatever has been eaten gets vomited,
  • Vomit: Curdled milk / Milk in the form of cheese
  • Stomach cramps may appear along with vomiting.
  • Abdomen is hard and tense, and there are frequent hiccoughs and belching.
  • Vomiting in infants during the teething period
Excessive Burping

Carb-v
  • Violent belchings that are foul-smelling
  • Offensive belchings occur after eating or drinking + Gagging and vomiting.
  • Child feels very uncomfortable after eating even the smallest amount of food.
  • Abdominal pain may arise with much flatus.
  • Stomach is distended and seems full to bursting with trapped wind.
  • Release of gas brings comfort to the baby.
Vomiting of Food/ Milk Soon After eating

Sanic
  • All the food comes up with a gush immediately after eating.
  • Child usually tends to fall asleep after eating
  • The vomiting looks like large and tough curds.
  • Abdominal bloating + Gurgling sounds.

Others

  • Iris
  • Anac
  • Arg-n
  • Ant-c
  • Carb-v
  • Chin
  • Colch
  • Puls
  • Psor


My stomach is sour. Acid rises from stomach to the throat. My stomachache is completely bothering me.

MIND - ANGUISH - pain; from - Stomach: aeth.kr1 cann-i.a Crot-h.hr1 gins.a, c1 irisa, hr1 kali-bi.a kali-br.a Lyc.hr1 med.a merc-c.a1 merc-pr-r.a1 orni.c1 phyt.bg Rob.hr1 sul-ac.a1, hr1 verat-v.a

Stomach - PAIN - extending to - throat : Aloe, Alum, Coc-c, con, mag-m, nat-m

THROAT - PAIN - burning - extending to - Stomach : Acon.k anan.k ant-c.a1, k Apisk Arn.a1, k ars.a1, k carb-ac.a1, k Carbn-s.k cic.a1 dor.a1, k euph.a1, k irissne Kali- bi.hr1, k mag-s.a1, k mez.a1 ol-an.a1 psor.a1, k rhus-t.a1 sec.a1, k still.a1, k sul-ac.a1, k ulm-c .jsj8

Possible remedy: Sul-ac, Iris


Cough due to Acid-Reflux

  • Bell: Throat pain
  • Phos : Laryngitis or Aphonia due to acid-Reflux

Related disease

Tissue Salt Remedies

  • NP
  • NS
  • SIL
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