Taking the Fire Out of GERD

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8 • 997 Ratings

🗓️ 28 March 2022

⏱️ 18 minutes

🔗️ Recording | iTunes | RSS

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Summary

GERD affects about 10-20% of the population in the western world. Here, we will take you through a brief primer on getting the fire out of GERD. This way you can help your patients enjoy their foods, live without heartburn, and be able to wake up in the morning without pain.

In this episode, we will discuss the differences between GERD, dyspepsia (also known as heartburn), and dysphagia. We will also talk about the different treatments that work and others that do not work. Then we will offer some lifestyle and dietary modifications for your patient, the treatment options and all the things your patient should not do when GERD attacks.

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Transcript

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0:00.0	Gastroesophageal reflux disease has been affecting patients for thousands of years.
0:04.7	In the Western world, it affects anywhere between 10 to 20 percent of the population.
0:09.2	In the of Heartburn in around 3,000 BC in ancient Mesopotamia. In the 1st century
0:25.3	AD, Pliny the Elder wrote about Heartburn, describing methods to treat the fire in their
0:30.1	chest with something called coral powder.
0:33.8	Coral powder actually contained calcium carbonate.
0:37.2	Sounds like Tums?
0:38.2	That's because it's an ingredient still used in all of those over-the-counter medications
0:41.8	that we see today like Tums and
0:43.4	rollades. In Greece, the ailment was also very well known. The
0:47.0	famed physician Galen referred to heartburn as cardi-ladia, which literally
0:51.8	translates to heart pain.
0:53.2	It's likely not a surprise that the early cultures mistook the burning sensations of heartburn
0:57.9	to be for chest pain and that's where the name began.
1:00.7	And this is simply because we know that the esophagus is located directly behind the breastbone.
1:06.0	Heartburn made its appearance into early human culture, but back then there wasn't much people could do for the treatment.
1:11.0	As you can see, they tried coal or powder
1:13.5	and other various home remedies.
1:15.4	But it wasn't until the 1920s in which Gurd was formally diagnosed.
1:20.2	Fridenwald and Feldman in 1925 described the relationship between heartburn and possibly this thing called a hyatal hernia.
1:27.0	In fact, it wasn't until 1934 when Asher Winklestein described reflex and figured out that the symptoms were due to stomach acid.
1:34.6	That's right, hydrochloric acid.
	...

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