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
- 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
Children / Babies
- 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 |
|---|---|---|---|
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PLV |
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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
| Robin |
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| NAt-p |
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| Nux-v |
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Banerji protocols | |
|---|---|
| First line | |
| Second line |
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| Third line |
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Ambr
- Hypersensitive / Hysterical women, who are weakened by age or overwork.
- Sensation as if food did not go down into the stomach.
- Eructation + Violent convulsive cough
- Distension of abdomen after midnight.
- Heartburn from drinking milk.
Ip
- Heart burn with nausea or vomiting and excessive flatulence.
- Suitable in pregnancy digestive problems
- Clean tongue + Thirstless
Nux-v
- Heart burn + Flatulence but without Nausea / Vomiting
- Stomach is generally out of order + Coated Tongue with creamy fur
- Acidity after Rich / Spicy food / Alcohol.
- Polycrest of modern lifestyle.
- Gastralgia, pain goes into back and chest
- Nausea/ Violent retching and patient feels if he vomits, he will get relief.
Robinia
- Excellent remedy for hyperchlorhydria when the eructation and vomiting is so sour that it sets the teeth on edge or dulls them.
- The acidity in Robinia is accompanied by frontal headache, which agg with motion.
- Acidity in children; infants with sour smell of the body.
Calc
- Burning sensation / Acrid eructation / Heartburn/ Acidity / Hyperchlorhydria.
- Feeling of pressure over the stomach +Vomiting of food and mucus.
- Loud belching.
- Sour Eructation / Vomiting.
- Swelling over pit of stomach
- Pica: Craving for indigestible things like chalk, coal, pencil
- Craving for eggs
- Milk disagrees
Staph
- Heart burn caused by smoking.
Ars
- Foul / Sour taste/ Hot burning sensation in Esophagus / Pharynx
- Eructation of Sour/ Acrid fluid/ Nausea
- Retching / Vomiting of slimy mucus tingled with blood.
- Trembling / Coldness of extremities + Oppressive anxiety + Stomachache
- Irregular / Frequent pulse.
Chin
- Abdominal discomfort, Only relieved by belching.
- Sour and bitter eructation or offensive flatus, Worse
- At night
- After meals
- Dyspepsia causes eructation and finally undigested food is vomited
Nat-p
- 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.
- Key point: Yellow creamy coating of tongue and posterior portion of the roof of mouth
Puls
- Dryness of the mouth + No thirst, only a desire to moisten the mouth
- Putrid / Bad / Sour-bitter taste in the morning on walking
- Sensation as if food had lodged under the sternum
- Tongue coated with thick rough white fur;
- Water-brash / Acidity / Heartburn and eructation tasting of food
- Dyspepsia due to Fatty foods/ Pork/ Pastry / Mixed diets.
- The patient is chilly, but is worse from heat, Worse in the evening.
Phos
- Acid peptic disorders (A.P.D)
- Regurgitation of ingesta/ Water-brash + Esophagus spasm
- Craving for Cold Drink / Food, which gives temporary relief in Burning / Heartburn.
- Hungry soon after eating.
- Belching after eating.
- Vomiting; water is thrown up as soon as it gets warm in the stomach.
- Gastritis + Burning extending to throat.
- Craving for Salt/ Acid / Spicy things.
- Spitting of blood without nausea
Aesc
- Heart burn / Great burning distress
- Pressure as from stone in the pit of stomach
- Empty eructation of wind
Ferr
- Heartburn
- Vomiting only of food after eating and drinking
Rheum
- Rheum is a remedy for 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.
Carb-v
- Key points: Slowness/ Sluggishness / Lack of reaction
- Slow / Weak digestion causes excessive flatulence and distension esp in the upper part of abdomen.
- Eructions rancid and loud, but do not give any relief to the patient.
- Asthmatic breathing with water-brush.
- Constrictive pain extending to chest with acidity.
- Aversion to meat, fat and milk.
- Desire for salty things.
Sul-ac
- Marked debility /Weakness esp the digestive tract
- Craving for stimulants / Fresh food
- Heartburn / Gastralgia
- Water causes coldness of the stomach; must be mixed with liquors.
- Aversion to the smell of coffee.
- Recurring aphthae in Mouth / Throat