GERD, Gastroesophageal Reflux Disease

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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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