Asthma and GERD

April 20, 2018

Adult onset asthma has been forever associated with GERD.  Asthma is triggered by irritation of the airway. It is an overreactionNew Jersey Reflux Doctor of the bodies normal response to an irritant.  It can result in wheezing, pain and shortness of breath. If left untreated Asthma can result in respiratory failure and even death.  A recent review from the, Clinical Gastroenterology and Hepatology Journal, questions “(Asthma)Extraesophageal Symptoms…attributed to GERD…”  DOI: 10.1016/j.cgh.2018.02.001

A difficult scenario to navigate, The Surgical Affiliates of NJ, have the experience to guide you through the process of appropriately diagnosing and treating your GERD related condition.  Testing the waters with prescription strength proton pump inhibitors/PP

March 28, 2018

GERD Doctors New JerseyA recent study evaluating patients with Gastroesophageal Reflux Disease (GERD) and associated paraesophageal hernia, showed significant improvement after surgery. Those who underwent, laparoscopic paraesophageal hernia repair had significantly improved quality of life as measured by 3 different scoring systems. This included RAND’s 36 item Short Form survey, the Reflux Symptom Index,as well as the GERD-Health Related Quality of Life scores. These scores improved at all postoperative time points.

 https://doi.org/10.1016/j.jamcollsurg.2017.12.054

When evaluating or screening for GERD,patients may come across one or several survey indexes. These screening tools can help the individual, as well as, physician recognize the severity of GERD. These tools can also help differ

March 28, 2018

New Jersey GERD DoctorsA recent study presented at a national meeting in Chicago last year found pH testing important part of the work-up when evaluating individuals with Gastroesophageal Reflux Disease and Esophagitis.  While those found to have high grade esophagitis may not need further testing it was still recommended in those with low grade esophagitis.  https://doi.org/10.1007/s11605-017-3554-

Diagnosing GERD is typically made by combining symptoms and objective testing.  Objective testing typically involves pH testing, endoscopy and manometry. Physicians may choose to trial patients with PPI’s alone and see how they respond to those medications.  If choosing a surgical solution, pH testing is typically used when uncertainty of the condition exists or GERD is not confirmed on endoscopy.

March 28, 2018

New Jersey GERD DoctorsInteresting new information relates Depression to Proton-pump inhibitors (PPI). PPI’s are commonly used as first line of treatment for GERD. Gut bacteria produce hormones and neurotransmitters which have an effect of the brain. Likewise, the brain, through stress or anxiety can have a profound effect on those same bacteria, creating a gut-brain axis. This recently published research suggest that PPI’s disrupt the gut’s bacteria which may play a major role in the bodies adaptive capability to respond to stress.

Post-traumatic Stress Disorder has been linked with findings of specific bacteria living in your GI tract. While more studies are pointing to the numerous ways in which our gut bacteria may influence both our mental and emotional well-being, this recent study links certain medications to those findings. This study examined nearly 12,000 individuals and found correlation with depression and in those who had high cumulative daily doses of PPI’s.