Stages of Stomach Cancer

After gastric cancer has been diagnosed, tests are done to find out if cancer cells have spread within the stomach or to other parts of the body.

The process used to find out if cancer has spread within the stomach or to other parts of the body is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment.

The following tests and procedures may be used in the staging process: B-hCG (beta-human chorionic gonadotropin), CA-125, and CEA (carcinoembryonic antigen) assays: Tests that measure the levels of ß-hCG, CA-125, and CEA in the blood. These substances are released into the bloodstream from both cancer cells and normal cells. When found in higher than normal amounts, they can be a sign of gastric cancer or other conditions. Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body. Endoscopic ultrasound (EUS): A procedure in which an endoscope (a thin, lighted tube) is inserted into the body. The endoscope is used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. This procedure is also called endosonography. CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography. Laparoscopy: A surgical procedure to look at the organs inside the abdomen to check for signs of disease. Small incisions (cuts) are made in the wall of the abdomen and a laparoscope (a thin, lighted tube) is inserted into one of the incisions. Other instruments may be inserted through the same or other incisions to remove lymph nodes or take tissue samples for biopsy. PET scan (positron emission tomography scan): A procedure to find malignant tumor cells in the body. A small amount of radionuclide glucose (sugar) is injected into a vein. The PET scanner rotates around the body and makes a picture of where glucose is being used in the body. Malignant tumor cells show up brighter in the picture because they are more active and take up more glucose than normal cells. ******

The following stages are used for gastric cancer:

Stage 0 (Carcinoma in Situ)

In stage 0, cancer is found only in the inside lining of the mucosal (innermost) layer of the stomach wall. Stage 0 is also called carcinoma in situ.

Stage I

Stage I gastric cancer is divided into stage IA and stage IB, depending on where the cancer has spread. Stage IA: Cancer has spread completely through the mucosal (innermost) layer of the stomach wall. Stage IB: Cancer has spread: completely through the mucosal (innermost) layer of the stomach wall and is found in up to 6 lymph nodes near the tumor; or to the muscularis (middle) layer of the stomach wall.

Stage II

In stage II gastric cancer, cancer has spread: completely through the mucosal (innermost) layer of the stomach wall and is found in 7 to 15 lymph nodes near the tumor; or to the muscularis (middle) layer of the stomach wall and is found in up to 6 lymph nodes near the tumor; or to the serosal (outermost) layer of the stomach wall but not to lymph nodes or other organs.

Stage III

Stage III gastric cancer is divided into stage IIIA and stage IIIB depending on where the cancer has spread. Stage IIIA: Cancer has spread to: the muscularis (middle) layer of the stomach wall and is found in 7 to 15 lymph nodes near the tumor; or the serosal (outermost) layer of the stomach wall and is found in 1 to 6 lymph nodes near the tumor; or organs next to the stomach but not to lymph nodes or other parts of the body. Stage IIIB: Cancer has spread to the serosal (outermost) layer of the stomach wall and is found in 7 to 15 lymph nodes near the tumor.

Stage IV

In stage IV, cancer has spread to: organs next to the stomach and to at least one lymph node; or more than 15 lymph nodes; or other parts of the body.

******

More information on stomach cancer

What is Stomach Cancer?
Symptoms of Stomach Cancer
Diagnosing Stomach Cancer
Treating Stomach (Gastric) Cancer

******

Information adapted from the National Cancer Institute

View the original article here

Symptoms of a Hiatal Hernia

Fifty percent of hiatal hernia patients don't experience any symptoms. For the other fifty percent of patients, the following symptoms may occur. Heartburn (which is worse when bending over or lying down shortly after eating) Regurgitation (backflow of stomach contents into the back of the throat Vomiting Gastric reflux (backflow of stomach contents into the esophagus) A sour or bitter taste in the mouth Frequent belching Frequent hiccups Chest pain radiating from below the breastbone (the sternum) Feeling of pressure in the chest A bloated feeling after eating Abdominal discomfort Abdominal pressure, especially soon after eating Discomfort or pain in the stomach Discomfort or pain in the esophagus Gas Unexplained coughing Difficulty swallowing

View the original article here

Stomach Pain Symptoms Tell You

If you are suffering from stomach pain, you need to find the cause before you can start a treatment. Listed below are a few of the conditions that can cause stomach pain. As always, you should discuss your symptoms with your doctor for an evaluation to diagnose the cause.

Heartburn

Heartburn is a digestive symptom that occurs when stomach acid comes into contact with the lining of the esophagus, causing irritation.

The symptoms of heartburn include a burning sensation behind your breastbone that may also travel to your throat. Other symptoms may include chest pain, difficulty swallowing, persistent cough, and a sour taste in the mouth. Symptoms can get worse soon after you eat or if you lie down shorty after eating.

There are various causes of heartburn. These causes include eating foods that can trigger heartburn, pregnancy, asthma, diabetes, and hiatal hernias.

You can eliminate the heartburn in a number of ways, including chewing gum (although for some patients this worsens the pain), drinking seltzer, or taking an antacid. If you have frequent heartburn, you should see your doctor for evaluation. If you are diagnosed with gastroesophageal reflux disease (GERD), your doctor may suggest the use of H2 blockers or proton pump inhibitors (PPIs) for relief from heartburn. First steps, however, will be to make some lifestyle modifications and avoid foods that can cause heartburn.

Related Resources:

Peptic Ulcer

A peptic ulcer is an erosion or sore that forms either in the lining of the stomach (gastric ulcer) or in the lining of the duodenum (duodenal ulcer).

Symptoms of a peptic ulcer vary from patient to patient, but can include a burning or gnawing pain in your stomach that often feels worse when your stomach is empty, and better after you have eaten.

The most frequent cause of a peptic ulcer is Helicobacter pylori (H. pylori). Other causes of peptic ulcers may include alcohol and non-steroidal anti-inflammatory drugs (NSAIDs). The most common NSAIDs are aspirin, ibuprofen, and naproxen sodium.

Treatment of peptic ulcers depends on the cause. If the cause is H. pylori, the standard treatment is antibiotics. A proton pump inhibitor may also be prescribed. If NSAIDS are the cause of your ulcer, you should stop taking them. During the healing process for an NSAID-induced ulcer, your doctor may recommend the use of antacids to neutralize the acid, and H2-blockers or proton pump inhibitors to reduce stomach acid production.

Related Resources

Gallstones

There are two types of gallstones -- cholesterol stones and pigment stones. Cholesterol stones are the most common type of gallstone, occurring in approximately 80% of patients with gallstones. Cholesterol stones are made mostly of hardened cholesterol, and are usually yellowish-green in color. Pigment stones are made of bilirubin, and are usually small and dark in color.

Symptoms of gallstones can include pain in the upper abdomen that rapidly worsens and can last from a few minutes to a few hours, nausea and/or vomiting, and heartburn. Gallstone pain often feels sharper and more localized than heartburn or ulcer pain. If the pain doesn't go away within a few hours, or if you are vomiting or have a fever, you should go to your doctor.

Causes of gallstones are usually the result of too much cholesterol or bilirubin in the bile. There are risk factors for developing gallstones, and these can be a combination of factors, including heredity, body chemistry, body type, gender, and maybe even diet.

Treatment of gallstones depends partly on whether you are experiencing symptoms or not. If you have symptoms, especially severe pain, surgical removal of the gallbladder is the most common treatment. If you have no symptoms, you and your doctor may decide that no treatment is needed.

Related Resources:

View the original article here

Vegetarian Recipes

All these recipes are meatless, but still contain a lot of flavor, and are heartburn-friendly.

Artichoke and Olive Quiche
Instead of a meat and tomato quiche, this recipe a vegetarian version that is also heartburn-friendly.

Baked Broccoli and Rice Casserole
This is an easy recipe that promises good taste but is still heartburn-friendly.

Baked Spinach and Artichoke Casserole
If your family doesn't want to eat their spinach, try this casserole recipe. It makes a great meal while being heartburn free.

Bean and Cheese Burritos with Avocado
Burritos are an all-time favorite in many families. With this recipe, you dont' need to worry about heartburn.

Cashew Vegetable Fried Rice
Rice is the staple food, and is nutritious while being ideal for special diets. The vegetables add more flavor.

Cheese and Olive Manicotti with Mushroom Sauce
A filling pasta dish that is also heartburn-friendly.

Cheese Topped Vegetable with Rigatoni
This pasta dish can either be served as a side dish, or served as a complete meal.

Creamy Potato Soup with Herb Croutons
This hearty soup makes a great first course to an evening meal, or a satisfying lunch. The ingredients also make it heartburn-friendly.

Lentil and Vegetable Barley Soup
The lentils, barley, and vegetables make this soup tasty and filling, not to mention low-fat and heartburn-friendly.

Parmesan-Mushroom Penne with Herb Sauce
This pasta dish is a great addition to any meal, and with the low fat ingredients, is heartburn-friendly.

Pasta and Vegetable Frittata
Fat can be a heartburn trigger for some people. This pasta recipe uses fat-free ingredients, making it a safe choice for heartburn sufferers.

Skillet Zucchini with Pasta Shells
Prepared with a minimal amount of oil, with no added fat when preparing the pasta, makes this a tasty, heartburn-friendly recipe.

View the original article here

What to Eat With Peptic Ulcers

For some people, certain foods seem to aggravate their symptoms. For them, they need a diet that is designed to accomplish the following: Restrict or avoid those foods that may cause irritation to the digestive system Reduce excessive acid production Prevent unpleasant side effects, such as heartburn. Eat 5 to 6 small meals a day instead of 3 larger meals. It is important that you avoid overeating. Frequent, smaller meals will be more comfortable and easier on the stomach than two or three large meals a day. Eat a diet rich in fiber, especially from fruits and vegetables Rest and relax a few minutes before and after each meal, as well as remaining relaxed during meals. Eat slowly and chew you food well Avoid eating within 3 hours before bedtime Eat foods that are low fat Avoid foods that are fried Avoid foods that are spicy Cut down on the following foods: Coffee Decaffeinated coffee Tea Cola drinks Carbonated beverages Citrus fruits Tomato-based products ChocolateAvoid alcohol Quit smoking

****

****

Useful Links:

View the original article here

The Ulcer-Friendly Diet

Some people who have peptic ulcers can eat whatever they want with no problems. For many others, however, eating certain foods can cause irritation, excessive acid production, and heartburn. For them, they need to know what foods are safe, and what foods to avoid. They need to know how to prepare foods to avoid ingredients that will cause a flare-up of their symptoms. If you are a ulcer patient and need to make some dietary changes, the following resources will get you started. There are lists of what you can eat and what you shouldn't. There are heartburn-free, ulcer-friendly recipes. There are also links to menus suggestions.

Foods Recommended for the Peptic Ulcer Diet
The foods listed in this table are the most common foods that are usually pretty safe for heartburn sufferers to eat.

Foods to be Avoided on the Peptic Ulcer Diet
The foods listed in this table are the most common foods that can produce heartburn.

******

Recipes For the Peptic Ulcer Diet
These recipes that will help ulcer-sufferers prepare food that will aide in good digestion. It isn't just the foods you select. It is also important how the foods are prepared. Categories of recipes include:

******

Weekly Menus - Index
These charts are arranged Sunday through Saturday. You can try them all in the order given, rearrange them, or choose the ones that appeal to your palate. These are suggestions only, and not the only foods you may be able to eat. You can add or subtract foods according to your preferences and what may or may not be your heartburn triggers.

Daily Menus - Index
This index gives sample menus featuring heartburn-friendly foods and recipes. Each daily menu for this acid reflux diet includes breakfast, lunch, and dinner selections, along with 2 snacks. Each dinner menu gives an Entree with a link to the recipe for its preparation.

Breakfast Menus - Index
These links give sample breakfast menus featuring heartburn-friendly foods for the acid reflux diet.

Lunch Menus - Index
These links give sample lunch menus featuring heartburn-friendly foods for the acid reflux diet.

Dinner Menus - Index
Each dinner menu gives an Entree with a link to the recipe for its preparation, along with suggestions for side dishes.

View the original article here

Treating Infants with GERD

Treatment of infant reflux depends on the severity of the problem. Your baby's doctor may decide no treatment is needed, that the reflux will disappear on it's own as your baby grows older. For most babies, reflux will resolve itself during the first year of life. If your baby is otherwise healthy, happy, and growing, your doctor may recommend a few lifestyle changes for your baby in order to ease her reflux problem. These include:

Hold Baby Upright
Keep infants upright during feedings, and for at least 30 minutes after feedings. This will decrease the amount of gastric reflux.

Nighttime Sleep Position
As noted above, position your infant on his back, and elevate the head of the bed 30 degrees. Gravity will help keep stomach contents where they belong.

Try Smaller, More Frequent Feedings
Feedings every two to three hours when the infant is awake will reduce the occurrence of gastric reflux. Overfeeding can increase abdominal pressure, which can lead to gastric reflux.

Rice Cereal May Help
This can reduce the amount an infant will regurgitate. Start with one teaspoon of rice cereal to each ounce of formula. If the baby is breast-feed, try pumping and then adding rice cereal to the breast milk.

Diet Modifications for Mothers who Breastfeed
Certain foods -- such as caffeine, chocolate, and garlic -- can promote reflux, so if you breastfeed your infant, you should consider cutting these foods out of your diet.

Infant Seats and Car Seats
The way the infant is positioned in the car seat can cause regurgitation to increase. If the infant slouches over, it causes abdominal compression, increasing the risk of reflux. Using simple supports to keep the infant upright will prevent this.

Burping the Infant
Burping your infant several times during the feeding will help minimize gastric pressure, and the reflux it can cause. Waiting to burp your infant until after she has a full stomach can increase the chances of regurgitation.

——

If the reflux is more serious, or if your baby has been diagnosed with GERD, the doctor may prescribe a prescription medication or over-the-counter remedy to help treat the reflux. These remedies include: Acid Suppressers - These suppress acid production in the stomach. These include Tagamet, Pepcid, Zantac. and Axid. Acid Blockers - These completely block acid production in the stomach. Prilosec and Prevacid have been approved for children over certain ages. It is very important to discuss treatment options with your baby's doctor before beginning any treatment method, especially before using any over-the-counter remedy.

Sources:

"Gastroesophageal Reflux in Infants." NIH Publication No. 06-5419 August 2006. National Digestive Diseases Information Clearinghouse (NDDIC). 06 Mar 2008

"Heartburn, Hiatal Hernia, and Gastroesophageal Reflux Disease (GERD)." NIH Publication No. 03-0882 June 2003. National Digestive Diseases Information Clearinghouse. Accessed on 06 Mar 2008

Marsha Kay, M.D., Vasundhara Tolia, M.D. "COMMON GASTROINTESTINAL PROBLEMS IN PEDIATRIC PATIENTS." The American College of Gastroenterology. 06 Mar 2008

View the original article here

Zollinger-Ellison Syndrome

Zollinger-Ellison Syndrome (ZES) is a rare disorder that causes one or more tumors to form in the pancreas or the upper part of the small intestine called the duodenum. It can also cause ulcers to develop in the stomach and the duodenum.

The tumors are called gastrinomas, and they secrete a large amount of the hormone gastrin. This then causes an excessive production of stomach acid, which can lead to peptic ulcers.

Zollinger-Ellison syndrome is rare, and though it may occur at any age, people between the ages of 30 and 60 are more likely to develop it. Also, of all the people who suffer with a peptic ulcer, only a tiny percentage of those people will have Zollinger-Ellison.

The tumors are cancerous in 50 percent of the cases. They secrete a hormone called gastrin that causes the stomach to produce too much acid, which in turn causes stomach and duodenal ulcers (peptic ulcers). The ulcers caused by ZES are less responsive to treatment than ordinary peptic ulcers. What causes people with ZES to develop tumors is unknown, but approximately 25 percent of ZES cases are associated with a genetic disorder called multiple endocrine neoplasia. Gnawing, burning pain in the abdomen This pain is usually located in the area between the breastbone and the navel. Sensation of pressure, bloating, or fullness This pain usually develops 30 to 90 minutes after a meal, and is often relieved by antacids.Pain or burning sensation in the abdomen that travels up toward the throat Vomiting The vomit may contain blood or resemble coffee grounds.Diarrhea Black, tarry stools Blood in the stools will turn them dark red or black, and make them tarry or sticky.Nausea Fatigue Weakness Weight loss Zollinger-Ellison syndrome is caused by a tumor (gastrinoma) or tumors in the pancreas and the upper small bowel (duodenum). These tumors produce the hormone gastrin and are called gastrinomas. High levels of gastrin cause overproduction of stomach acid. This increase in acidity can lead to the development of peptic ulcers in the stomach and duodenum. Blood test.
A blood test is performed to see whether there is an increased gastrin level in the blood. An elevated level of gastrin may indicate tumors in the pancreas or duodenum.

Barium X-ray.
The patient drinks a liquid that contains barium, which will coat the walls of the esophagus, stomach, and duodenum. X-rays are then taken. The doctor will then view the X-rays, looking for signs of ulcers.

Upper endoscopy.
The doctor examines the inside of the esophagus, stomach, and duodenum with an instrument called an endoscope, a thin flexible lighted tube with a lens. The endoscope is inserted through the mouth and down the throat, and into the stomach and duodenum. The doctor can look for ulcers, and can also remove a tissue sample, called a biopsy, for examination in the laboratory to identify if there is the presence of gastrin-producing tumors.

Imaging techniques.
A doctor may use a computerized tomography (CT) scan, a magnetic resonance imaging (MRI) scan, and ultrasound, or a nuclear scan in an effort to pinpoint where tumors may be located. A CT scan is a diagnostic test that uses X-rays with aided by computer technology. The X-ray beams are taken from many different angles to create cross-sectional images of the patient's body. Then a computer assembles these images into a three-dimensional picture that can display organs, bones, and tissues in great detail.

With the MRI scan, magnetic signals are used rather than X-rays to create images of the human body. These images show the differences between types of tissues.

An ultrasound sends out high frequency sound waves which go into area being examined, and bounce back when they hit an organ. This is processed by a computer, which produces a map of the area being scanned.

With the nuclear scan, radioactive substances are introduced into the body that permit a gamma camera to detect tumors.

**********

Part 1: Symptoms - Causes - Diagnosis
Part 2: Complications - Treatment - Prognosis

View the original article here

When Does Heartburn Strike?

If you know when your heartburn is most likely to occur, there are steps you can take ahead of time to prevent it. Certain foods can aggravate your heartburn symptoms. If you find that you frequently suffer heartburn after eating, it will be helpful for you to limit or avoid completely those foods and drinks that result in acid reflux. The following resources will help you accomplish that.

**********

Nearly eight in ten heartburn sufferers experience symptoms at night. There are tips you can follow to relieve nighttime heartburn.

Find useful tips at Easing Nighttime Heartburn

**********

While stress hasn't been linked directly to heartburn, it is known that it can lead to behaviors that can trigger heartburn. During stressful times, routines are disrupted and people may not follow their normal routines in regards to meals, exercise, and medication. It is important to find ways to alleviate the stress, and thus make stress-related heartburn less likely.

Follow the relaxation tips at Managing Stress to Ease the Heartburn

**********

Exercise is rarely the cause of heartburn if a person doesn't suffer from chronic heartburn otherwise. But some exercises can induce episodes of acid reflux. Acid reflux happens because the lower esophageal sphincter (LES) is loose, opens inappropriately and allows stomach contents to back up into the esophagus. Acid reflux usually happens during certain types of exercise, not necessarily during all exercise.

Find exercise tips at Heartburn and Exercise

**********

Alcohol can have several unpleasant affects on heartburn sufferers. It is best to avoid alcohol as much as possible if you suffer from acid reflux. But there are a few tips that may make it possible for you to enjoy alcoholic beverages if consumed in moderation.

Find those tips at Heartburn and Alcohol

**********

If you smoke, consider stopping or decreasing the amount you smoke. Smoking stimulates the production of stomach acid, and can weaken and relax the lower esophageal sphincter (LES), allowing this excess acid to reflux back up into the esophagus.

Read those reasons at Heartburn and Smoking

View the original article here

Your Guide to Hiatal Hernias

There are two categories of hiatal hernias, sliding and para-esophageal.

Sliding hiatal hernias are those in which the gastro-esophageal junction and part of the stomach slides into the chest. This junction can stay permanently in the chest, or just slide into the chest during swallowing. The later results because with each swallow, the esophagus contracts, causing the esophagus to shorten and pull on the stomach. After the swallow, the junction falls back into the abdomen. Approximately 90% of all hiatal hernias are the sliding type.

With para-esophageal hernias, the gastro-esophageal junction remains where it belongs, but part of the stomach is squeezed up into the chest beside the esophagus. These hernias remain in the chest at all times. With this type of hernia, complications can occur, such as incarceration and strangulation. Incarceration means the hernia is stuck and being squeezed. Strangulation results from teh lack of blood supply, leading to death ofthe tissues involved, when incarceration persists too long. Surgical intervention is required.

View the original article here

What is Barrett's Esophagus?

Question: What is Barrett's Esophagus?Answer: Barrett's esophagus is a condition in which the lining of the esophagus is replaced by tissue that is similar to that which is normally found in the stomach and intestine. The process of this change is called intestinal metaplasis. The normal esophagus, the muscular tube that extends from the throat to the stomach, is lined by a pinkish-white tissue called squamous epithelium. Barrett's esophagus is a condition in which the normal lining, or epithelium, of the esophagus has been replaced by an abnormal epithelium. The Barrett's lining always begins at the bottom of the esophagus where the esophagus joins the stomach and extends upward toward the mouth for varying lengths.if(zSbL

View the original article here

Your Guide to Gastritis

Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing (Stomach acid irritates the inflamed tissue in the stomach). Antacids or other medications, such as Tagamet (to decrease or neutralize gastric acid in the stomach) or proton pump inhibitors such as Prilosec, will usually eliminate the symptoms and promote healing. Medications known to cause gastritis should be discontinued. Gastritis caused by pernicious anemia is treated with vitamin B12.

Avoidance of certain foods, beverages, or medicines may also be recommended. Following a diet recommended for peptic ulcer sufferers may help. For recommended foods, and foods to avoid, you can follow these foods lists.

If your gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too. Talk to your doctor before stopping any medicine or starting any gastritis treatment on your own.

View the original article here

Acidic foods cause heartburn?

Foods don't cause heartburn just because they are acidic.
Some acidic foods, such as orange juice, do cause problems for heartburn sufferers, but it isn't because of the acid content. Even nonacidic orange juice causes problems for some people. A particular food may cause heartburn for some people and not for others, so it's important to keep a food log or diary to find out what foods trigger your heartburn.

Food Charts

View the original article here

Any Heartburn Home Remedies?

Answer: Many people who suffer from heartburn -- whether occasionally (once a month) or chronically (2 or more times a week) -- want natural remedies for heartburn. While there are drug treatment options available, such as antacids, H2 blockers, and proton pump inhibitors (PPIs), they'd rather try home remedies first, or as an alternative if they have been taking medications for some time.

First, it's important that you see a doctor to be evaluated if you are experiencing frequent heartburn. Frequent heartburn can be a symptom of something more serious, such as gastroesophageal reflux disease (GERD). Once you receive a diagnosis, you can discuss your treatment options with your doctor. Also, you should never begin or stop any treatment without consulting a physician.

Effective treatment of GERD is important because, if not treated properly, GERD may result in serious problems, such as esophagitis and Barrett’s esophagus. If a medication or home remedy isn't working to control your heartburn, it is important to discuss an alternative treatment with your doctor.

The alternative remedies listed below, such as apple cider vinegar and chamomile tea, have been used as home remedies for heartburn. However, it's important to note that in most cases there haven't been any clinical trials to support their effect on heartburn.

Some home remedies you may want to try are:

Baking soda is a natural antacid. If you dissolve a teaspoon of baking soda in 8 ounces of water, it can neutralize acid and temporarily alleviate heartburn caused by acid reflux.

There are some drawbacks to this, however. When you add baking soda to water, it releases carbon dioxide. That's what causes the fizz. This fizz can open the lower esophageal sphincter (LES) to enable you to burp and help relieve the pressure from bloating. Unfortunately, though, opening the LES can also allow stomach contents to reflux up into the esophagus.

DGL is another remedy used for heartburn. It is available in chewable tablets or capsules that you can break open and dissolve in water. You should not use DGL if you have been diagnosed with hypertension and/or are receiving treatment for hypertension. While it's not established medical fact, some people believe bananas may act as a natural antacid in the body. You can eat either fresh or dried bananas. Chamomile has been used to help neutralize stomach acid. It is also used by people as a stress reliever. People have reported that natural apple cider vinegar works for them. Apple cider vinegar can be taken in tablet, capsule, or liquid form. Fresh ginger is one of the oldest home remedies for heartburn. It is also used to help treat nausea. Ginger can be added to food when it's cooked, eaten raw, or consumed as ginger tea. Turmeric helps stimulate digestion and prevent acid build-up. Turmeric is used in curried foods. If you don't want to use turmeric in your cooking, it is available in capsule form and can be taken before meals. The juice from the aloe vera plant has been used to soothe an irritated esophagus. Aloe vera juice has a long history of use in Europe as a natural home remedy to relive heartburn. You should only use aloe vera juice that has been specifically prepared for internal use.

Again, it is important to remember that none of these remedies have been carefully studied or compared with standard medications for acid suppression. Before trying any of them, discuss with your healthcare provider.

Sources:

Carol Ann Rinzler, Ken DeVault, MD. Heartburn & Reflux for Dummies. Wiley Publishing, Inc., 2004. ISBN: 0-7645-5688-6

Magee, Elaine: Tell Me What to Eat If I Have Acid Reflux. Book-mart Press: New Page Books, 2001, ISBN: 1564145743.

Rogers, M.D., Sherry A.. No More Heartburn: Stop the Pain in 30 Days -- Naturally. Kensington Publishing Corp., 2000.

Sklar, Jill and Cohen, Annabel: Eating for Acid Reflux: Marlowe & Company; Imprint of Avalon Publishing Group, Inc. 2003, ISBN: 1569244928.

View the original article here

Swedish Meatballs

Most swedish meatball recipes usually contain fatty beef and lots of sour cream. This recipe is heartburn-safe because turkey is substituted for the beef and fat-free sour cream is used.

The first part of the ingredients is for the meatballs (mb) and the second part of the ingredients is for the sauce (sa).

(mb) 1 cup plain bread crumbs(mb) 2 egg whites(mb) 1/4 teaspoon grated nutmeg(mb) 1/2 ground allspice(mb) 1 teaspoon salt(mb) 2 pounds chilled ground turkey breast meat--------------------(sa) 2 tablespoons olive oil(sa) 3 tablespoons cornstarch(sa) 1/2 cup water(sa) 3 cups beef broth(sa) 1 tablespoon Worcestershire sauce(sa) 1 tablespoon fat-free sour cream(sa) Pinch of saltPreheat oven to 350 degrees F. To make meatballs, combine bread crumbs, egg whites, nutmeg, allspice, salt, and turkey in a large bowl. Mix with your hands. With wet hands, form turkey mixture into 1-inch balls. Chill turkey balls in refrigerator until ready to use. Pour olive oil in a large nonstick skillet and heat over a medium-high heat until hot. Place turkey balls into the skillet and brown until browned on all sides. Place turkey balls into a 9 x 13-inch baking dish, and cover with foil. Bake for 20 minutes. As turkey balls are baking, prepare sauce. In a small bowl combine constarch and water, stirring until smooth. Set aside. Combine Worcestershire and beef broth in a large saucepan and bring to a boil over medium-high heat. Whisk in the cornstarch mixture and continue whisking until the mixture begins to thicken. Remove mixture from heat and gently whisk in sour cream. Pour this mixture over the turkey balls and stir well. Serve warm.Serves 6 if(zSbL

View the original article here

Causes of Sour Taste in Mouth

Answer: When stomach contents reflux back up into the esophagus and reach the back of the throat, you may notice a sour taste in your mouth. This could be due to a condition known as gastroesophageal reflux disease (GERD), where the lower esophageal sphincter (LES) opens inappropriately and allows stomach contents to reflux into the esophagus.

Normally, the LES works like a one-way valve, opening to allow food to pass into the stomach and then closing to keep food and digestive juices from flowing back into the esophagus. But if the sphincter relaxes when it shouldn't or becomes weak, stomach acid can flow backward into the esophagus, causing the burning sensation we know as heartburn and potentially a sour taste in your mouth.

Other symptoms of GERD can include:

Chest pain
This pain usually starts behind the breastbone (the sternum), and may travel up to the throat. It usually occurs shortly after eating, and can last from a few minutes to several hours. It is important to remember that sometimes the pain of a heart attack can be confused with the burning pain of GERD, and it is always important to seek medical attention if there is any doubt as to the origin of this chest pain.

Hoarseness in the morning
Irritation caused by refluxed stomach acid into the throat can lead to hoarseness.

Difficulty swallowing
Trouble with swallowing (dysphagia) occurs when food does not pass normally from the mouth through the esophagus to the stomach. There may be a sensation of food sticking in the throat or a feeling of choking. Difficulty swallowing should always be evaluated by a physician.

Persistent dry cough
In some studies, GERD accounted for about 41% of cases of chronic cough in nonsmoking patients. If refluxed stomach acid is breathed in, it can cause coughing.

Bad breath
When acid from the stomach comes up into the throat and mouth, acrid-smelling breath can result.

Heartburn can occur for a number of reasons. These include eating foods that often trigger heartburn, such as acidic foods (e.g. tomatoes and citrus fruits), drinking alcohol, smoking cigarettes, being pregnant, and being overweight.

If you suffer from chronic heartburn, you should speak with your doctor. The two of you can discuss a treatment plan that works for you. A doctor will usually suggest lifestyle modifications first. You can also reduce your chances of heartburn occurring by avoiding foods that can trigger heartburn, and learning how to sleep to prevent nighttime heartburn.

If these steps don't work to control your heartburn, your doctor will discuss other treatment options, such as proton pump inhibitors (PPIs). An upper endoscopy may also need to be done.

Sources:

"Heartburn and GERD FAQ." American College of Gastroenterology. 8 Jan 2010

"Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD)." NIH Publication No. 07–0882 May 2007. National Digestive Diseases Information Clearinghouse (NDDIC). 8 Jan 2010

"Is it just a little HEARTBURN or something more serious?." American College of Gastroenterology. 8 Jan 2010

View the original article here

Day One Sample Menu

Daily menu featuring heartburn-friendly foods and recipes. These are ideal for those individuals on a heartburn diet. Suggestions for breakfast, lunch, dinner, and snacks are given. Each dinner menu shown here gives an Entree with a link to the recipe for its preparation, along with suggestions for side dishes.

Breakfast: 1 cup hot oatmeal cereal8 oz skim or 1% milk1/2 cup papaya slices2 slices whole-wheat bread1 tbsp margarine

Mid-Morning Snack:

Lunch: 1 1/2 cups cream of chicken soup Chicken sandwich (2 slices whole grain bread, 4 oz deli-style sliced chicken, 1 tbsp low-fat mayonnaise, 1 lettuce leaf) 1/2 cup raw carrot sticks

Mid-Afternoon Snack:

Dinner: Beef and Mushroom Stroganoff 1 small tossed salad 2 tbsp low-fat or fat-free dressing 1 cup steamed green beans 1 dinner roll 1 tbsp margarine

View the original article here

10 Heartburn Facts

Fact #1:
Heartburn begins as a burning pain behind the breastbone, and it then usually radiates upward to the neck. There is often a sensation of food coming back into the mouth, and is accompanied by a sour or bitter taste in the mouth.

Fact #2:
More than 60 million American adults suffer from heartburn at least once a month, and about 25 million American adults suffer from heartburn on a daily basis.

Fact #3:
Approximately 94 percent of sufferers can link their heartburn symptoms to specific foods.

Fact #4:
80 percent of heartburn sufferers report symptoms at night. 75 percent of heartburn sufferers say nighttime heartburn awakens them during the night, or prevents them from sleeping. 40 percent say that their nighttime heartburn symptoms affects their ability to work the next day.

Fact #5:
While lifestyle habits can worsen your heartburn symptoms, and increase the number of heartburn episodes, heartburn is a medical condition with biological causes.

Fact #6:
Heartburn is caused when the lower esophageal sphincter (LES), which is located between the esophagus and stomach, is weakened or opens inappropriately. This allows acid and other stomach contents back into the esophagus, causing irritation.

Fact #7:
Lifestyle changes can often reduce the onset of heartburn. These include knowing what are the good foods and bad foods for heartburn, avoiding alcohol consumption, stop smoking and reducing stress.

Fact #8:
Heartburn is the most common symptom of gastroesophageal reflux disease, or GERD. GERD also affects infants and children and adolescents. There are several ways to prevent the heartburn in adults and children, and several preventative steps for infants.

Fact #9:
Heartburn is more common among the elderly, as well as among pregnant women.

Fact #10:
Chronic acid reflux, or gastroesophageal reflux disease, can lead to serious complications. The constant presence of refluxed acid in the esophagus can lead to conditions such as Barrett's esophagus , erosive esophagitis, esophageal strictures, and even esophageal cancer.

View the original article here

Dangerous Nighttime Heartburn

Why is heartburn more dangerous at night? There are several reasons this may be the case, and why heartburn sufferers should take precautions.
When symptoms of Gastroesophageal Reflux Disease (GERD) occur at night, they can be more damaging than those same symptoms during the day. If you are a GERD sufferer, you know how your symptoms can cause problems, such as the pain and the irritation. When you sleep at night, your body is less prepared to deal with these symptoms, and less able to prevent possible lasting damage. While we know from experience that acid reflux at night can disrupt our sleep, we also need to understand the other potentially harmful factors that can make nighttime heartburn more likely to cause damage.
These factors include:  
Sleeping in a supine position.
Laying flat in bed allows stomach acid to flow more easily into the esophagus, and stay there more longer periods of time then when a person is in an upright position. Even elevating the head and shoulders 6 to 8 inches will help keep stomach acid where it belongs, in the stomach.
 
We can't drink or swallow every time an acid reflux episode occurs when sleeping.
When GERD sufferers are awake and there's an episode of acid reflux, they often will rinse their mouth or swallow some liquid. Even swallowing saliva helps. When asleep, once the refluxed acid is in the esophagus or throat, the sufferer isn't always aware of it, and thus doesn't take steps to rinse the acid away.
 
There's an increased risk of choking on refluxed stomach contents.
If refluxed acid is in the throat and mouth, a GERD sufferer can inhale this into their lungs. Once in the lungs, it can cause a GERD sufferer to cough and choke on this aspirated material. The acid can also cause the same damage to the lungs as it can cause when refluxed into the esophagus.
———
Anyone who is troubled with nighttime GERD symptoms should talk to their doctor. There are medications that can help control the acid reflux. The doctor can also discuss preventive measures a GERD sufferers can use to help prevent damage that can occur with nighttime reflux.
For suggestions on easing nighttime heartburn, read this nighttime heartburn prevention article.
——————
Updated: 02/14/2006
View the original article here

Yogi Lemon Ginger, Herbal Tea Supplement, 16-Count Tea Bags (Pack of 6)

Our lemon ginger tea is based on a traditional formula that supports digestion, eases minor stomach upset and provides a refreshing herbal pick-me-up. We use organic ginger, used for centuries by Ayurvedic practitioners to support digestion and warm the metabolism. The sourness of lemon promotes the secretion of digestive juices and provides the perfect counterpoint to the piquant-sweet taste of ginger. Licorice and peppermint leaf add sophisticated nuance to the formula. Enjoy a cup of lemon ginger tea when your tummy needs a little taming, when you need to reinvigorate your body, or when you simply want a delicious, healthy drink.

Price: $27.00

Click here to buy from Amazon

Memory Foam Wedge Pillow - Multifunctional (White) (11"H x 24"W x 21"D)

This multi functional bed wedge pillow elevates and supports the upper torso, allowing for better breathing and digestion while you sleep. It is a fabulous drug-free way to relieve nighttime symptoms of heartburn, acid reflux disease or GERD, and hiatal hernias. This wedge shaped pillow also helps decrease sinus congestion while you sleep, reducing snoring, and sleep apnea symptoms. This back bed wedge pillow is wonderful for watching TV, doing homework, or resting comfortably. It elevates you to a 45-degree angle that helps reduce swelling, and creates the perfect way to sit comfortably in bed, especially if you have to be in an upright position due to a medical procedure or condition. This wedge reading pillow is covered in an easy to remove, white cotton zippered pillowcase. View larger image and "Other Info" tab to see more details.*Important Note: This item is not returnable.* Assembly level/degree of difficulty: No Assembly Required.

Price:

Click here to buy from Amazon

Heartburn-Free Kids Recipes

One of the leading triggers of heartburn is the food we eat. In addition, fatty foods can cause a lot of problems for those prone to suffering heartburn, so parents can do their kids' bodies a favor by finding low-fat options for school lunches. Since our kids have to eat, we need to do our kids' bodies a favor by creating an acid reflux diet for them with low-fat options for their favorite dishes.

Tuna Melts
Fat can be a heartburn trigger for some people. Tuna, when packed in water instead of oil, is low-fat. This recipe also calls for low-fat or fat-free ingredients, making it a safe choice for heartburn sufferers.

Crunchy Fish Sticks
You may think that fish sticks have a lot of fat, and if fatty foods trigger your heartburn, you may also think you can't eat them. This may be true of the fish sticks you buy pre-made in the storet. Fish by itself is low in fat. And with the recipe below, you can make your own fish sticks with low-fat ingredients, such as dressing and cream cheese, instead of fat-laden coatings and tartar sauces. You can enjoy fish sticks without the heartburn.

Chicken Nuggets with Rice
You may think that chicken nuggets have a lot of fat, and if fatty foods trigger your heartburn, you may also think you can't eat them. This may be true of the chicken nuggets you buy pre-made in the store or those from a restaurant. With the recipe below, you can make your own nuggets with low-fat ingredients, such as chicken breast and skim milk. These nuggets are tasty but won't give you heartburn.

Meatballs with Pasta
You may think you can't have meatballs if you suffer from heartburn. Using only lean ground beef and cooking without added fat can help you enjoy meatballs without the heartburn.

Chicken and Cheese Bake
Using low-fat ingredients, such as low-fat margarine and cheese, skim milk, and skinless chicken breasts, make this tasty recipe heartburn safe.

Pasta and Ham
Pasta prepared with low sodium chicken broth and low sodium ham. Lean ham helps keep this recipe heartburn-friendly.

Chicken & Mozzarella Roll-Ups
Using low-fat cheese helps make this recipe heartburn friendly. Using skinless chicken breasts are also heartburn friendly since fatty foods can trigger heartburn, but by removing the skin, the fat content of this meal goes down.

View the original article here

Living with Chronic Heartburn

What we do in our daily lives will often determine whether we suffer from heartburn or not. If you suffer from GERD, your lifestyle habits can have a huge impact. Our lifestyle habits, from the way we dress to the way we sleep to the what and when we eat, can determine how frequently we suffer from acid reflux, and how severe those episodes will be. When we make changes in our lifestyles, we are able to have some control over these heartburn episodes.

Eat smaller, more frequent meals Large meals expand your stomach and increase upward pressure against the lower esophageal sphincter, and make it hard for it to stay closed.

Don't lie down for about three hours after you eat When you lie down within three hours of eating, the stomach acid that is working to digest your food may flow up into your esophagus causing heartburn. Gravity helps to keep the stomach juices from backing up into the esophagus and assists the flow of food and digestive juices from the stomach to the intestines is.

Limit your intake of acid stimulating foods and beverages You should eat foods that rarely cause you heartburn and avoid those foods that do. The foods and beverages listed below are known heartburn triggers for the majority of sufferers: Coffee, tea (decaffeinated and regular) Caffeinated beverages Carbonated beverages Alcoholic beverages Spices Pepper Onions Tomatoes and tomato-based products Citrus fruits (oranges and grapefruits) Fried foods Fatty foods Chocolate Peppermint When you eat out, you don't have as much control for your food and its preparation as you do at home. You can still enjoy eating out heartburn-free, if you know ahead of time what to look for and what to ask for.

When eating in a restaurant, don't be afraid to ask questions about how the food is prepared and what ingredients are used. You can ask for a substitution, and if you want, state that it's due to a health condition. Most restaurants are willing to accommodate you.

The following are the suggestions of what you should and shouldn't eat when dining out.

What you shouldn't eat: Fried foods, such as burgers, fried chicken and fried fish Foods prepared in butter or oil High-fat side dishes, such as French fries High-fat sauces, salad dressings, gravies and mayo Creamy soups Chili Dishes with lots of citrus fruit Peppers Onions Foods with a lot of extra cheese Tomato-based foods, including ketchup Citrus drinks such as orange juice and lemonade Caffeinated beverages Alcoholic beverages Chocolate

What is better to eat: White meat Lean cuts of meat Sandwiches with turkey, chicken, or roast beef on whole grain bread Grilled foods Broth-based soups Steamed vegetables Baked potatoes topped with low-fat salad dressing Low-fat or no-fat salad dressings Lighter desserts, such as angel food cake For some GERD patients, an occasional alcoholic drink will not cause any adverse side effects. For others, however, even a small drink will result in a bout with heartburn. Alcohol can increase the production of stomach acid, and it can also relax the LES.

For those who feel the urge to drink an alcoholic beverage, the following are a few tips for reducing the risk of suffering from heartburn: Dilute alcoholic beverages with water or club soda. Drink moderate amounts of alcoholic beverages -- the suggested amounts are 1 to 2 mixed drinks, 12 to 16 ounces of wine, or 2 to 3 beers. When having wine, drink white wine instead of red. Choose non-alcoholic beer or wine. Keep track of which alcoholic drinks aggravate your heartburn, and avoid them as much as possible.In numerous studies, smoking has been shown to have adverse effects on GERD symptoms. In these studies, the smokers were monitored using esophageal manometry or with a 24-hour ambulatory pH test. The results showed that when the test subjects smoked and for a few minutes afterwards, the LES relaxed, allowing stomach contents to reflux back into the esophagus. Other studies show that individuals who smoke and have erosive esophagitis will have longer healing times. Research has shown sleeping with your head elevated can help keep stomach contents where they belong -- in the stomach and not in the esophagus. Also, people who go to bed too soon after eating a big meal are much more likely to suffer from acid reflux than those who wait two to three hours after a meal to go to bed.

The following tips will help you to have a heartburn-free nighttime: Sleep with your head and shoulders elevated. Sleep on your left side. Studies have shown that this position aids digestion and helps with the removal of stomach acid. Wait at least two to three hours after eating to go to bed. Make sure your bed clothes are loose-fitting. Take an antacid when heartburn hits. Antacids will work very quickly on heartburn you may be experiencing before you go to bed. If you are taking an antacid more than once or twice a week, you should see your doctor about another treatment plan. Wait at least two hours after a meal before exercising. Exercising on a too full stomach can trigger heartburn. Check your medications. Some medications can worsen heartburn symptoms, so talk to your doctor if you have any concerns.

Sources:

"Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD)." NIH Publication No. 07–0882 May 2007. National Digestive Diseases Information Clearinghouse (NIDDK). 22 Jul 2007 .

"The Word on GERD." American College of Gastroenterology. 22 Jul 2007 .

Jill Sklar, Annabel Cohen. Eating for Acid Reflux: A Handbook and Cookbook for Those with Heartburn. New York, NY: Marlowe & Company, 2003.

View the original article here

Heartburn-Free School Lunches

School lunches prepared by a school can often be higher in fat, which can be a heartburn trigger for those children and teens who suffer from chronic heartburn or GERD. The best option, therefore, may be for kids to take home prepared lunches to school.

Fatty foods can cause a lot of problems for those prone to suffering heartburn, so parents can do their kids' bodies a favor by finding low-fat options for school lunches.

The following tips can help parents prepare heartburn-friendly lunches for their children. Use fresh fruit, veggies, and whole grain crackers instead of cookies and chips. If using canned or individual serving packs of juice, select those packaged in natural juices, not syrups. For a treat, give kids baked chips instead of regular chips. For sandwiches, use whole grain breads instead of white, with lean cuts of deli meats (e.g. turkey or chicken) instead of higher fat lunch meats (e.g. bologna). Use reduced fat mayonnaise or light mustard instead of the regular mayonnaise. Give kids low fat yogurt instead of puddings. Pack small boxes of low fat or skim milk, bottled water, or 100% fruit juices in kids' lunches instead of sugar-laden juice drinks or sodas. Preventing heartburn goes beyond the foods children eat. The following tips can help can further help reduce the chances of heartburn. Make sure your child's clothing is not tight at the waist. Tight clothing can put pressure on the stomach, which in turn pressures the LES and can allow heartburn to happen. Have your child do something quiet immediately after meals. Especially with elementary-aged children, recess is common after lunch at school. Talk to your children about doing something quiet during recess, such as swinging, instead of something vigorous, such as running and jumping. Active play can trigger heartburn. Tell your children not to bend at the waist for 15 to 30 minutes after eating.

Additional resources:

Sources:
Marsha Kay, M.D., Vasundhara Tolia, M.D.. "COMMON GASTROINTESTINAL PROBLEMS IN PEDIATRIC PATIENTS." The American College of Gastroenterology. 16 Feb 2008.

"Gastroesophageal Reflux in Children and Adolescents." NIH Publication No. 06–5418 August 2006. National Digestive Diseases Information Clearinghouse (NDDIC). 16 Feb 2008

View the original article here

Treating GERD

If you have had heartburn or any of the other symptoms for a while, you should see your doctor. You may want to visit an internist, a doctor who specializes in internal medicine, or a gastroenterologist, a doctor who treats diseases of the stomach and intestines. Depending on how severe your GERD is, treatment may involve one or more of the following lifestyle changes and medications or surgery. If you smoke, stop. Do not drink alcohol. Lose weight if needed. Eat small meals. Wear loose-fitting clothes. Avoid lying down for 3 hours after a meal. Raise the head of your bed 6 to 8 inches by putting blocks of wood under the bedposts--just using extra pillows will not help.Your doctor may recommend over-the-counter antacids, which you can buy without a prescription, or medications that stop acid production or help the muscles that empty your stomach.

 Antacids
Antacids, such as Alka-Seltzer, Maalox, Mylanta, Pepto-Bismol, Rolaids, and Riopan, are usually the first drugs recommended to relieve heartburn and other mild GERD symptoms. Many brands on the market use different combinations of three basic salts--magnesium, calcium, and aluminum--with hydroxide or bicarbonate ions to neutralize the acid in your stomach. Antacids, however, have side effects. Magnesium salt can lead to diarrhea, and aluminum salts can cause constipation. Aluminum and magnesium salts are often combined in a single product to balance these effects. Calcium carbonate antacids, such as Tums, Titralac, and Alka-2, can also be a supplemental source of calcium. They can cause constipation as well.

Foaming agents
Foaming agents, such as Gaviscon, work by covering your stomach contents with foam to prevent reflux. These drugs may help those who have no damage to the esophagus.

H2 blockers
H2 blockers, such as cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75), impede acid production. They are available in prescription strength and over the counter. These drugs provide short-term relief, but over-the-counter H2 blockers should not be used for more than a few weeks at a time. They are effective for about half of those who have GERD symptoms. Many people benefit from taking H2 blockers at bedtime in combination with a proton pump inhibitor.

 Proton pump inhibitors
These include omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix), rabeprazole (Aciphex), and esomeprazole (Nexium), which are all available by prescription. Proton pump inhibitors are more effective than H2 blockers and can relieve symptoms in almost everyone who has GERD.

 Prokinetics
Another group of drugs, prokinetics, helps strengthen the sphincter and makes the stomach empty faster. This group includes bethanechol (Urecholine) and metoclopramide (Reglan). Metoclopramide also improves muscle action in the digestive tract, but these drugs have frequent side effects that limit their usefulness.

Because drugs work in different ways, combinations of drugs may help control symptoms. People who get heartburn after eating may take both antacids and H2 blockers. The antacids work first to neutralize the acid in the stomach, while the H2 blockers act on acid production. By the time the antacid stops working, the H2 blocker will have stopped acid production. Your doctor is the best source of information on how to use medications for GERD.

**********

The preceding information was adapted from the National Digestive Diseases Information Clearinghouse, NIH Publication No. 03-0882 June 2003

View the original article here

Prevent Heartburn Complication

There are several complications that can occur with long-term heartburn / acid reflux. These complications include Barrett's esophagus, esophageal cancer, esophagitis, and esophageal strictures. There are, however, six steps you can take that can drastically reduce your chances of developing one of these complications.

1. Make the necessary lifestyle changes
Heartburn symptoms can often be relieved if sufferers make a few lifestyle changes. Many people can significantly reduce the occurrence of symptoms by avoiding heartburn triggers and behaviors that contribute to acid reflux flare-ups. With less acid reflux episodes, there is less chance of esophageal damage. Follow these ten suggestions to significantly reduce the occurrence of acid reflux symptoms.

2. Watch what you eat
If you suffer from acid reflux, you need to know what foods are safe to eat and what foods to avoid. Most heartburn sufferers indicate their heartburn is worse after eating. If you can reduce the occurrences of food-related heartburn, this can go a long way in reducing the risk of complications. For example, drinking carbonated drinks may increase your risk of esophageal cancer. There are the foods with little risk of causing heartburn, foods that can be consumed in moderation, and foods that should be avoided completely. Also, knowing how to prepare foods will reduce heartburn. Check out this recipe index for heartburn-free recipes. Another resource to help you with your dietary needs as a heartburn sufferer is the Dining Out Guide For Heartburn Sufferers.

3. Keep track of your heartburn triggers
When you experience chronic heartburn, the first step to controlling your heartburn is to record what may trigger your attacks, the severity of the attacks, how your body reacts, and what gives you relief. The next step is to take this information to your doctor so the both of you can determine what lifestyle changes you will need to make and what treatments will give you maximum relief, and prevent complications. You can use this heartburn record as an example of what to track.

4. Learn how to prevent heartburn before it happens
Here are a few tips to significantly reduce the occurrence of acid reflux symptoms, and in most cases prevent the acid reflux before it starts. With less acid reflux episodes, there is less chance of esophageal damage.

5. Reduce nighttime heartburn
Nighttime heartburn can be the most dangerous. If frequent nighttime heartburn occurs, the risk of complications increases. There are several reasons reasons for this. For example, refluxed acid tends to remain in the esophagus for longer periods, allowing it to cause more damage to the esophagus. There are, however, a few ways to prevent nighttime heartburn.

6. Take prescribed medications
You should always contact your doctor if your heartburn occurs two or more times a week. While under the care of your physical, he or she may prescribe prescription medications or suggest over-the-counter remedies. There are alternative "home" remedies for easing heartburn. Discuss these with your doctor also.

View the original article here

Heartburn New Year Resolutions

The beginning of a new year has always been a time we reflect on the changes we want or need to make. It is a time we make resolutions for change, and resolve to follow through on those changes. If you are thinking about making some changes in the coming new year on how you approach the care and treatment of your heartburn, the resolutions below will make a good start.

Photo by filipes (stock.xchng)Your doctor will likely suggest lifestyle changes to help you control your heartburn. Other options include using antacids, H2 blockers, and proton pump inhibitors (PPIs) to control your heartburn. Learning what your treatment options are is an important step in controlling your heartburn.zSB(3,3)Photo by Sharon GillsonIt is important to keep a food diary or heartburn record so you can see what foods trigger your heartburn, and what helps relieve it.Photo by biewoef (stock.xchng)If certain foods cause your heartburn, mealtime may not be a pleasant experience for you. There are meal planning tips you can follow that can help you enjoy meals again.Photo by filipes (stock.xchng)Eight out of every 10 heartburn sufferer will experience heartburn at night. You can prevent heartburn from keeping you up at night by following a few nighttime heartburn prevention tips.Photo Courtesy of PriceGrabberHeartburn medication can work effectively for many people, but only if it is taken consistently and every day. If you find yourself forgetting to take your medication every day, you can try using a medication organizer. Some have alarms that will alert you when it's time to take your medication.Photo by Johanna Hantel (Getty Images)

It can take awhile to bring your heartburn under control. Don't despair if your heartburn isn't totally gone after your first dose of medication or after the first meal you eat that doesn't contain your trigger foods. It can take time to bring your heartburn under control, especially if it's frequent and severe.

Photo by lovleah (stock.xchng)If you know you are going to a family gathering or restaurant where you won't have as much control over what is being served, you can plan ahead and take the steps needed to avoid heartburn. You can let your family know what foods are your heartburn triggers. If this won't always work, you can plan on taking your own food that you know won't trigger your heartburn. When it comes to restaurants, planning ahead and knowing what to order will go a long way in helping you prevent heartburn while dining out.Photo by filipes (stock.xchng)There may be times when it seems that no matter what you do, nothing works and your heartburn keeps returning. Don't be afraid to ask for help. You can discuss your concerns with your doctor. The two of you may decide that a change in treatment is needed. Perhaps what you need is to be able to discuss your situation with other heartburn sufferers and get their tips for coping. The Heartburn Forum is a great place to do this.if(zSbL

View the original article here

DGL Licorice for Heartburn

Answer: Deglycyrrhizinated licorice (DGL) is a remedy that has been used for heartburn and other digestive ailments. While many people have used licorice to treat their heartburn, it's important to note that there haven't been any clinical trials to support licorice's effect on heartburn. It is also important that you consult your doctor before trying licorice or any other treatment for your heartburn.

How does DGL work? It doesn't reduce stomach acid itself or decrease acid reflux. DGL may soothe the tissues of the stomach and esophagus that have been irritated by refluxed stomach acid. It may also act as an anti-inflammatory. DGL has been used to provide some relief for the stomach and esophageal pain that can occur with acid reflux; however, remember that no clinical trials have supported its effectiveness.

You should not use DGL if you have been diagnosed with hypertension and/or are receiving treatment for hypertension.

You can alleviate heartburn by making wise choices in the foods you eat. One of the leading triggers of heartburn is the food we eat. Since we all have to eat, we need ways to prevent food from causing heartburn. The following tips can help you.

Avoid foods and beverages that weaken the LES muscle
These foods include chocolate, peppermint, caffeinated beverages, alcohol, fatty foods, and greasy or fried foods.

Avoid foods and beverages that may irritate the esophagus
These include citrus fruits and juices, tomatoes and tomato-based products, chili peppers, and black pepper.

Eat smaller, more frequent meals
Eating large meals increases pressure in the stomach and against the LES muscle. It's better to eat five or six small meals instead of three larger ones. And remember not to eat too quickly. Putting your fork or spoon down between bites can help you do this.

Don't drink alcohol
Drinking alcohol before, during, or after meals can worsen heartburn because alcohol weakens the LES muscle.

Sources:

"Heartburn, Hiatal Hernia, and Gastroesophageal Reflux Disease (GERD)." NIH Publication No. 03­0882 June 2003. NIH Publication No. 03­0882. National Digestive Diseases Information Clearinghouse (NDDIC).

"Herbs at a Glance - Licorice Root" National Center for Complementary and Alternative Medicine

"Licorice: a possible anti-inflammatory and anti-ulcer drug" National Center for Biotechnology Information

Rinzler, Carol, and Ken DeVault, MD. Heartburn & Reflux for Dummies. Wiley Publishing, Inc, 2004

View the original article here

Side Dish Recipes

If you suffer from acid reflux, try these side dish recipes that will keep you heartburn-free. Side dishes can be creative, delicious, and quick to make too!

Baked Sweet Potatoes and Apples
An easy side dish of baked sweet potatoes and apples that's naturally low in fat and high in fiber.

Broccoli Mashed Potatoes Recipe
This broccoli mashed potatoes recipe is a tasty combination of steamed broccoli and mashed potatoes.

Cauliflower and Cheese
Enjoy a creamy and delicious cauliflower and cheese with a fraction of the fat.

Cole Slaw
Cole slaw is a favorite side dish with any meal, and with the low-fat or fat-free ingredients such as milk, sour cream, and mayonnaise, you won't have to worry about heartburn that other cole slaw recipes may cause.

Grilled New Potatoes
This easy recipe is cooked in a foil pan right on your grill, perfect for summer cookouts.

Oven Steak Fries
Fried foods, such as French Fries, can trigger heartburn. Try this alternative to French Fries that are still golden brown and crispy.

Potato Salad
This potato salad recipe contains nonfat mayonnaise instead of high-fat mayonnaise, making it better for your digestive system.

Sour Cream Potatoes
These potatoes are good with any meal, and with the low-fat and fat-free ingredients (e.g. sour cream, milk, and margarine), you won't have to worry about heartburn.

Sweet Potato Fries
These low fat sweet potato fries are baked in the oven, and make a delicious low fat side dish.

View the original article here

Symptoms

Knowing the symptoms of following digestive disorders can help you get diagnosis and treatment sooner.

Symptoms of GERD
Gastroesophageal reflux disease, or GERD, occurs when the lower esophageal sphincter (LES) does not close properly and stomach contents reflux back up into the esophagus. Knowing the symptoms can help you receive a diagnosis and treatment sooner.

Additional Resources:

——————

Symptoms of Heartburn
Despite the name, heartburn has nothing to do with the heart. Heartburn is a digestive problem that occurs when stomach acid comes into contact with the lining of the esophagus, causing irritation. Most people suffer from heartburn occasionally, usually after a meal. These are the most commonly experienced symptoms of heartburn.

Additional Resources:

——————

Symptoms of Hiatal Hernias
50 percent of hiatal hernia patients don't experience any symptoms. For the other 50 percent of patients, the following symptoms may occur.

Additional Resources:

——————

Symptoms of Esophageal Cancer
Esophageal cancer is a disease in which malignant (cancer) cells form in the tissues of the esophagus. It is important to know what the symptoms are for this type of cancer.

Additional Resources:

——————

Symptoms of Peptic Ulcers
It is important to learn the symptoms of a peptic ulcer in order to quickly receive needed diagnosis and treatment.

Additional Resources:

——————

View the original article here

Avoiding Alcohol

Alcohol relaxes the lower esophageal sphincter, allowing the reflux of stomach contents into the esophagus. It also increases the production of stomach acid. If you want to consume alcohol, follow these tips: Dilute alcoholic beverages with water or club soda, drink moderate amounts of alcoholic beverages -- the suggested amounts are 1-2 mixed drinks, 12-16 ounces of wine, or 2-3 beers, drink white wine instead of red, choose non-alcoholic beer or wine whenever you can. To minimize alcohol's affect on your digestive system: Dilute alcoholic beverages with water or club soda. Drink moderate amounts of alcoholic beverages -- the suggested amounts are 1-2 mixed drinks, 12-16 ounces of wine, or 2-3 beers. When having wine, drink white wine instead of red. Choose non-alcoholic beer or wine. Keep track of which alcoholic drinks aggravate your heartburn, and avoid them as much as possible.Peptic Ulcers
An ulcer is a sore or lesion that forms in the lining of the stomach or duodenum. Ulcers in the stomach are called gastric or stomach ulcers, and those in the duodenum are called duodenal ulcers, and both are usually referred to as peptic ulcers. Understanding the causes and symptoms of ulcers, and then getting a diagnosis and proper treatment, most people can find relief.

Mechanisms of Acid Reflux
There are three disturbances in the normal gastrointestinal (GI) function that can lead to GERD.

Gastritis
Gastritis is not a single disease, but means inflammation of the stomach lining. One of the causes can be drinking too much alcohol.

View the original article here