QUESTION In addition to suffering from nausea and vomiting of pregnancy, which is being treated with antiemetics, some of my pregnant patients complain of heartburn and acid reflux. Should these symptoms also be treated and, if so, which acid-reducing medications are safe for use during pregnancy? ANSWER Increased severity of nausea and vomiting of pregnancy is associated with the presence of...

Functional heartburn is a common disorder and appears to be composed of several distinct subgroups. Identifying the different subgroups based on clinical history only is not achievable at present. The mechanisms responsible for pain, clinical characteristics, and the optimal therapeutic approach remain poorly understood. Response to potent antireflux treatment is relatively limited. Current and...

We propose a diagnostic algorithm based on the evaluation of GERD symptoms, the test results with a single dose of alginate with heartburn and EGD--esophagogastroduodenoscopy data. The diagnosis of GERD with reflux esophagitis based on the endoscopic detection of characteristic changes of esophagus. Diagnostic criteria endoscopically negative forms of GERD are the presence of symptoms of concer...

Dr Stephen Bergman, Professor of medical humanities at New York University, writes under the name Samuel Shem. He is an acclaimed author of several novels, plays and textbooks, and his work has been translated into several languages -'The House of God' his first novel has sold over 3 million copies. His work exposes the potential moral challenges of the medical workplace and the connection betw...

The purpose of this study was to investipte the effects of metoclopramide on some gastrointestinal disorders. The author reports the results of a longitudinal study (since 1979 for 10 yrs) on 3700 patients with gastroesophageal reflux, heartburn, gastric peptic ulcer, gastritis, duodenitis, duodenal peptic ulcer and constipation due to decreas.ing intestinal peristaltism. The patients were 14-7...

background gastroesophageal reflux disease (gerd) is a common problem seen in pediatrics and adolescents. the bravo tm ph monitoring system is a capsule that detects and quantifies the severity of reflux disease. this test is also valuable for evaluation of patients with extra-gastrointestinal manifestations of gerd such as asthma, chronic cough, hoarseness, aspiration pneumonia, and pre/post f...

The aim of the study was to frequency and nature episodes heartburn bloating in patients with duodenal gastric ulcers Georgian population, considering histomorphological morphometric changes mucosa parameters secretion. At same time, we were interested analyzing patients' anamnesis before being hospitalized for last 2 months. analysis material showed that incidence population is clearly higher ...