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Wendy, who is 44, saw me recently about a diagnosis of gastroesophageal reflux disease (GERD). She reported that she had been experiencing such classic symptoms as heartburn, belching, regurgitation, a sour taste in her month and a mild burning sensation in her upper chest for the past several months on a regular basis. She added that symptoms increase when she rides her bike, which is one of her main types of exercise.
Less common symptoms that are associated with GERD include difficulty swallowing, hoarseness, chest pain, cough and asthma. The incidence of GERD in the general population is thought to be on the rise, with an estimated 30-50 percent of people reporting symptoms.
Identifying the Problem
A GERD diagnosis is usually based on the clinical symptom picture and therapeutic trials. People who don't respond to therapy warrant a further diagnostic evaluation to detect other possible problems.
GERD is marked by a dysfunction in the lower esophageal valve that allows the movement of stomach acid and content into the esophagus. Contributing factors may include hiatal hernia, poor acid clearance from the stomach, poor neutralization of acid in the stomach, decreased salivation, decreased hydrochloric acid (HCL), and dysfunctional peristaltic movement in the digestive tract.
Natural Know-How
There are many different factors to address in the natural medicine approach to GERD. The naturopathic doctor must treat both the symptoms and the underlying causes. A multifaceted plan offers the best outcomes.