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Esophagus: Reflux (Heartburn) and GERD

Author: Shelley Ensz. Scleroderma is highly variable. See Types of Scleroderma. Read Disclaimer
Overview
Cough Due to Heartburn
Heartburn, GERD and Scleroderma
About Reflux (Heartburn)
Hiatal Hernia
About GERD
Reflux and Atrial Fibrillation
Reflux and Lung Involvement
Reflux Prevention and Treatments
Personal Stories

Overview

Heartburn (reflux) is very common in the general population. It can often be managed well with lifestyle changes, such as avoiding carbonated soft drinks. Treatments can include medications and surgery. (Also see: Scleroderma Gastrointestinal Involvement, What is Scleroderma?, Types of Scleroderma, and Systemic Sclerosis)
Heartburn or GERD (Gastroesphogeal Reflux Disease)? GERD can develop as a result of chronic heartburn. GERD is associated with more serious complications including stricture (narrowing) of the esophagus or a potentially precancerous condition called Barrett's esophagus. WebMD.

Cough Due to Heartburn

Chronic Cough and Gastroesophageal Reflux Disease: How Do We Establish a Causal Link? It's possible that acid-suppression therapy could benefit patients with chronic cough and rigorous patient selection is necessary to identify patient populations likely to be responsive. Chest Journal April 2013, Vol 143, No. 3.

Heartburn, GERD, and Scleroderma

Heartburn usually occurs by itself, without any underlying disease. In very rare cases, esophageal problems can be due to systemic sclerosis (scleroderma), which is an autoimmune disease.
Treatment of Systemic Sclerosis Complications: What to Use When First-Line Treatment Fails—A Consensus of Systemic Sclerosis Experts. Symptoms treatment recommendations by over 100 scleroderma experts, for scleroderma renal crisis (SRC), digital ulcers (DU), pulmonary hypertension (PAH/PH), reflux, skin involvement, and arthritis. Seminars in Arthritis and Rheumatism Volume 42, Issue 1 , Pages 42-55, August 2012. (Also see: Scleroderma Renal Crisis, Digital Ulcers, Pulmonary Hypertension, Skin Involvement, Skeletal Involvement, Scleroderma Treatments, and Dr. Janet Pope)

About Reflux (Heartburn)

Heartburn (reflux) is the main symptom of Gastro Esophageal Reflux Disease (GERD). Heartburn is a  painful, burning feeling in the chest, which is caused by stomach acid flowing back into the esophagus (throat). (Source: Columbia Healthcare)
Chest Pain, Chronic Many different types of problems can cause discomfort, shortness of breath, pain with swallowing, and many other symptoms in the chest area. This chart may help you pinpoint your problem as you confirm your symptoms. familydoctor.org

About GERD

How Does Gerd Cause a Cough? Although not one of the more obvious symptoms of GERD, cough is perhaps the most easily overlooked. Cough and wheezing are common symptoms often not associated with GERD. Cheryl Joenes. EHow Health. May 2011.
Nausea and Vomiting Many illnesses can cause stomach pain, nausea and vomiting. Some are mild sicknesses that will pass by themselves, but others are serious and need medical attention. familydoctor.org

Hiatal Hernia

Hiatal Hernia. Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm. This condition may cause reflux (backflow) of gastric acid from the stomach into the esophagus.
Hiatal Hernia. Most hiatal hernias are asymptomatic and are discovered incidentally. On rare occasion, a life-threatening complication, such as gastric volvulus or strangulation, may present acutely. eMedicine.com.
Paraesophageal Hiatal Hernia. There are two categories of hiatal hernias, sliding or paraesophageal. About.com.
Hiatal Hernia Diet Tips. A few quick tips about eating with a hiatal hernia. About.com.

Reflux and Atrial Fibrillation

Atrial fibrillation (AF) ablation in patients with gastroesophageal reflux disease (GERD) or irritable bowel syndrome (IBS): the heart to gut connection! 60% of AF patients with GERD and/or IBS triggered AF and a positive vagal response during radiofrequency catheter ablation (RFA), compared to only 13% of matched controls. PubMed, J Interv Card Electrophysiol. 2013 Jun 6. (Also see: Irritable Bowel Syndrome and Scleroderma Heart Involvement)

Reflux and Lung Involvement

Gastro-Esophageal Reflux and Pulmonary Fibrosis (ILD) in Scleroderma (SSc): A Study Using pH-Impedance Monitoring. SSc patients with ILD have more severe reflux i.e. more reflux episodes and more reflux reaching the proximal esophagus. Savarino E. (PubMed) Am J Respir Crit Care Med. 2008 Dec 18. (Also see: Pulmonary Fibrosis)

Reflux Prevention and Treatments

Reflux Prevention and Treatments . Heartburn (reflux) is very common in the general population. It can often be managed well with lifestyle changes, such as changing eating habits, sleeping differently, and increasing your activities. ISN
Overview
Lifestyle Changes
Reflux and Diet
Reflux and GERD Treatments
Surgery
Reflux Prevention Forum Discussions

Personal Stories of Heartburn/Reflux and Esophageal Problems

Scleroderma Personal Stories of Heartburn, Reflux and Esophageal Problems. These are stories about people who are dealing with heartburn (reflux), gastroesophageal reflux disease (GERD), or other esophageal problems, caused by systemic sclerosis (scleroderma) and related autoimmune diseases. ISN.
 
Go to Personal Stories of Heartburn
About the ISN

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