Wednesday, December 31, 2014

Stomach Acid Reflux

Stomach Acid Reflux When the partially digested food in the stomach with higher than normal acid content regurgitates into the esophagus, this tube gets inflamed. The inflammation of esophagus signals occurrence of stomach acid reflux. The damage to the esophagus lining from stomach acid can be so severe as to cause esophageal bleeding. Stomach acid reflux is generally not serious but persistence of the symptoms and ignoring them for long can have serious health consequences. Adopting a healthy lifestyle and treating the symptoms with over-the-counter antacids at the initial stage are all that is needed to prevent aggravation of the symptoms. Causes Certain lifestyle activities induce stomach GERD. Some of these are overeating, lying down flat on your back and bending of the body including for lifting objects. Night is the time when stomach acid reflux symptoms are most pronounced. It causes more pain at this time as the esophagus gets inflamed as it is covered with the refluxed acid from the stomach. The more the damage to the esophagus, the more severe is the pain. Pregnant women suffer a lot from heartburn as a result of stomach acid reflux. The painful symptoms are caused by a combination of the fetal pressure and increased hormonal secretion during pregnancy. However in post delivery, the symptoms in most cases disappear. Possible Complications Symptoms of stomach GERD do not usually turn into complications. However in a few cases where there is persistent and excessive flow of acid, the esophagus is severely injured by the acid to become scarred and narrow. Such constriction of the esophagus makes swallowing difficult and produces the effect where the patient feels that food is being stuck in the esophagus. This condition is called 'dysphagia'. If the esophageal irritation is persistent due to continuous bombardment by the stomach acid, a condition called Barrett's esophagus is developed with the esophagus losing its normal shape and color. It can lead to cancer.
James Mwangi 2009 -, a comprehensive article resource to help people understand acid reflux disease, choose the best acid reflux cure, product reviews, stomach acid reflux, heartburn related books and much more information about acid reflux, as we are passionate about helping as many people as possible regain and maintain optimal health.
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Monday, May 19, 2014

Using the GERD defense in DWI cases – Local 10

By Attorney Steven B. EpsteinSpecial to THELAW.TV
Gastro esophageal reflux disease, commonly referred to as GERD, is a digestive disorder that affects an estimated 30 million Americans annually. Attorneys who handle DWI cases should screen clients for GERD, since GERD can compromise a person’s ability to give a forensically reliable breath sample.
Most individuals charged with DWI offenses in New York will be asked to submit to a breath test to measure their blood alcohol concentration (BAC). Breath testing requires the collection and testing of a sample of deep lung or alveolar air. Simply stated, a person who has GERD is unable to provide an uncontaminated sample of alveolar air. That contamination causes falsely high BAC measurements.
GERD can affect the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. In normal digestion, the lower esophageal sphincter opens to allow food to pass into the stomach and closes to prevent solids, liquids, or gases from flowing back into the esophagus. Gastro esophageal reflux occurs when the LES is weak or relaxes inappropriately, allowing the stomach’s contents to flow up into the esophagus. This is often associated with heartburn or acid indigestion, a symptom of the disease. The passage of gases, liquids, or solids from the stomach into the oral cavity occurs continuously, regardless of the presence of symptoms such as heartburn.
GERD is relevant in evaluating the reliability of a breath sample because the alveolar air sample collected from a person with GERD will necessarily be contaminated with gas from the stomach, and may be contaminated with liquid or, even worse, solids that have a vastly higher concentration of alcohol than the alveolar air. The result is an artificially inflated BAC.
The importance of obtaining a sample of uncontaminated air has been long recognized by the New York State Department of Health, which promulgates rules and regulations concerning breath analysis techniques and methods. Section 59.5 of the New York State Codes, Rules and Regulations requires that a breath sample of alveolar air must be collected free of contamination from any other source. This is the reason for the requirement that prior to the collection of the breath sample, the subject must be observed for a minimum period of fifteen minutes (the “Deprivation Period”) to be certain he has not ingested alcoholic beverages or other fluids, regurgitated, vomited, eaten, smoked, or been allowed to place anything in his or her mouth. GERD makes it impossible for a Deprivation Period to be effective due to the subject’s inability to completely close the esophageal or laryngeal sphincter muscle, subjecting the person to continuous regurgitation of stomach gases.
As a result, it is essential that any attorney representing a client on a DWI case where a breath test was administered inquire about whether the client has ever been diagnosed with GERD and, if so, obtain the client’s complete medical records. In doing so, be sure to determine whether an endoscopy was ever performed, as this will conclusively establish the medical diagnosis of GERD. Moreover, since GERD is a chronic condition, an endoscopy is relevant regardless of whether it was done contemporaneously with the client’s arrest, so long as it pre-dates the breath test. In the absence of an endoscopy, a physician may have examined your client and prescribed a course of medications based on a diagnosis of GERD, but an endoscopy is preferred since it would show the amount of any deterioration of the lower or upper esophageal sphincters.
From an evidentiary perspective, be prepared to meet the challenges of a prosecutor for failure to comply with discovery obligations. Any medical records you intend to introduce may be discoverable pursuant to Criminal Procedure Law §240.30(a).
Also be prepared to address any challenges by the prosecutor seeking to preclude testimony related to GERD on the basis that the evidence, although technically relevant, will be excluded if it is too “slight, remote, or conjectural to have a legitimate influence in determining the fact at issue.”
Complications of GERD can include difficulty swallowing, regurgitation, discomfort, and an increased risk of cancer. These symptoms typically result in seeing a doctor for care. A doctor can treat this disease once it is diagnosed; but a lawyer representing a client who has GERD can do nothing about it unless he is aware of the diagnosis, knows its impact on the reliability of the breath sample, and can utilize that knowledge to Get Enough Reasonable Doubt!
Steven B. Epstein is a founding partner in New York-based criminal defense law firm of Barket Marion Epstein & Kearon LLP.  Mr. Epstein defends people accused of all crimes throughout the New York metropolitan area and has extensive experience in DWI and vehicular assault/homicide defense.
PAID ATTORNEY ADVERTISEMENT. This website contains attorney advertising. The choice of a lawyer is an important decision and should not be based solely upon advertisements. THELAW.TV, LLC and our media partner, Post-Newsweek Stations, and its parent company and subsidiaries, are not law firms. THELAW.TV is an advertising platform for lawyers. THELAW.TV is not a lawyer referral service or prep, Using the GERD defense in DWI cases â€" Local 10 ,Read more ..., %%url%%

Sunday, May 18, 2014

Discover Some Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And … – PR Web (press release)

Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And Bloating In Adults, a new report on the website uncovers some kinds of foods that can cause digestive problems.

Seattle, Wa (PRWEB) May 13, 2014
Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And Bloating In Adults, a new report created by Van Tran on the site shows some kinds of foods that can cause digestive problems, and detailed instructions on how to improve the digestive system. At the beginning of this report, people will discover some foods that can cause acid reflux and heartburn in adults such as:
    Tomatoes and Citrus Fruit including orange juice, lemonade, lemon, cranberry juice, grapefruit juice, tomato, and mashed potatoes
    Chocolate: chocolate contains caffeine and other stimulants like theobromine that cause reflux.
    Beverages such as liquor, wine, coffee, and tea
    Dairy such as sour cream, ice cream, milk shake, and regular cottage cheese
    Grains involving spaghetti with marinara sauce, and macaroni and cheese
    Meats including marbled sirloin, ground beef, chicken nugget-style, and chicken wings
    Tomato juice
    Garlic and onions
    Pepper and salt
    Spicy foods
    Caffeine and soda
    Nuts, cheese, and avocados
    Fried food
    High-fat protein foods including fried eggs, fatty cuts of red meat, and lunch meats
Next, Van Tran reveals to readers some natural and safe remedies for reducing acid reflux, heartburn, indigestion, bloating and gas including:
    Quit smoking.
    Limit the consumption of nuts like walnuts and almonds.
    Avoid lying down immediately after meals.
    Avoid drinking carbonated beverages during meals.
    Do not eat fatty foods and high-fat meals.
    Chew gum after meals.
    Relax and eat slowly.
    Check out trigger foods.
    Wear looser clothing.
    Shed pounds.
    Eat Yogurt and Probiotics: eating probiotic yogurt or other foods, which contain good bacterias may help relieve digestive disorders such as acid reflux, heartburn, bloating and gas.
    Eat Peanut Butter: peanut butter is a lower-fat protein food.
    Eat foods that are high in Fiber: fiber may help reduce symptoms of Gastroesophageal reflux disease.
Huy Pham from the site says, “Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And Bloating In Adults is a good report that helps readers understand more about positive and side effects of foods on human health. In this report, the author uncovers to readers some simple and easy tips to prevent or treat digestive problems quickly.”
If people want to get more detailed information from the Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And Bloating In Adults article, they should visit the website:
About Van Tran: Van Tran is an editor of the website In this website, Van Tran provides people with a collection of articles on positive and side effects of foods on human health.

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Acid Reflux

    , Discover Some Foods That Cause Acid Reflux, Heartburn, Indigestion, Gas And … â€" PR Web (press release) ,Read more ..., %%url%%

    Tuesday, March 25, 2014

    Heartburn: lifestyle changes are best antidote for abdomen's sulfurous set off

    [unable to retrieve full-text content]acerb reflux – better known as heartburn – was causing his symptoms. Formally, doctors call it GERD, gastroesophageal reflux disease. It’s commons: nearly 15 per cent of Canadians experience acerb reflux daily. So a busybodied dwelling star sign doctor might visualise 100 domicile …and to a greater extent »

    , Heartburn: lifestyle changes are best antidote for abdomen's sulfurous set off , Read more ...,

    Saturday, March 22, 2014

    don't be sidelined by heartburn

    [unable to retrieve full-text capacity]-But, following a few tips from Dr. Wagar Qureshi, associate professor of medicine and chief of endoscopy at Baylor College of medicine, means basketball fans won’t own to worry about heartburn and toilet concentrate instead on those all-vital …

    , don't be sidelined by heartburn , Read more ...,

    Thursday, March 20, 2014

    cold water: A cancel repair For Heartburn

    [unable to regain full-text content]Heartburn is the burning sensation in the chest and throat because of indigestion. This is due to excess production of gastric juices. The gastric juices tend to come on from the breadbasket to the oesophagus and the acidic nature of the gastric juices …

    , cold water: A cancel repair For Heartburn , Read more ...,

    Monday, March 17, 2014

    Dr Le Fanu's online health clinic, Friday 7th March 2014

    Dr James Le Fanu photo: PHILIP HOLLIS

    Welcome to the latest online clinic for 2014 with the usual mixture of the
    intriguing and instructive.

    dear medico James

    1 was diagnosed with Scheuermann’s Disease inch 2000. l had a severe schurman
    kyphosis ( 96°) Scheuermann’s Disease, the curve was very painful. equally the
    curve was very clay, l was advised that pressure was impairing my heart and
    lung function and needed anterior and rear end spinal surgery through my
    chest, left field position and back. 1 underwent an 18.5 hour surgery wherever four
    titanium rods were inserted to overstretch the spine straight and apply it there,
    and a screwed fusion through to join the bones together to life the spine
    straight. It is a complex operation and l deliver 40% paralysis from T4 downwards.
    For these reasons, it is not through very often and the finding needs to be
    made very carefully. But, l was advised that l would probably fleet within
    hexad to 12 months, but granted only a 50% gamble of surviving the surgery equally my
    age was 48, which made me the oldest patient to be subjected to this character of

    inch improver to paralysis, l deliver chronic pain, due to the severe spunk
    hurt and or a CVA during the surgery. l now undergo Tramadol 100SR x devil,
    Oxycontin 20mg x devil and OxyNorm for breakthrough pain management, l also
    undergo a Statin, Omeprazole and Zomig. Is this perilous?

    rob reciprocal ohm

    dear rob reciprocal ohm,

    Thanks for being inch hint and your tale of the devastating impression of this
    illness and the heroic surgical procedure to right it. 1 would deliver not
    deliver that the medicines you are fetching to minimise the pain due to spunk
    hurt are ‘perilous’. 1 doh, but, curiosity whether the statins that are
    well known to lawsuit musculoskeletal pains are requisite.


    dear Dr Le Fanu,

    1 should be grateful for any advice along curing (not simply relieving)
    turgidity, from which 1’ve suffered for nearly two years, after
    (successful) actinotherapy for prostate malignant neoplastic disease.

    1 was also left field with bleeding blood vessels (radiation proctitis) which
    deliver not been really eliminated. The combination is unpleasant!

    No wet nurse, medico or specialist has been able to kick improving a cure for my
    turgidity. whoremaster you or any lector forethought?

    springiness thanks you,

    GH J

    dear gm H J,

    Thanks for your query. 1 billet from an brilliant review of the gut symptoms
    pursuit actinotherapy for prostate malignant neoplastic disease that ‘distressing’ turgidity inch
    surprisingly frequent (J Andreyev, Lancet Oncology 2007, vol eighter from Decatur, pp 1007-17)
    -though why this should be thence is not {{cleared|{{enlighten|{shed light, Dr Le Fanu's online health clinic, Friday 7th March 2014 , Read more ...,

    Saturday, March 15, 2014

    Implantable magnetic 'bracelet' brings relief to GERD sufferers

    An groundbreaking laparoscopic procedure that implants a knell of magnetic beads to help prevent acid reflux in patients who suffering from Gastroesophageal Reflux Disease (GERD) is the latest prick surgeons at stony creek University Hospital (SBUH) have to treat the disease.

    More than 30 million American’s suffering from acid reflux each month, and the risk for developing GERD increases after age twoscore. The symptoms of GERD include heartburn, vomiting, sore throat, coughing, and chest painfulness. When left untreated, reflux disease can leading to serious complications, such as esophagitis, stricture, Barrett’s esophagus and esophageal cancer.
    victimisation a small, flexible band of titanium beads with magnetic cores, surgeons implant the band around the patient role’s esophagus just above the belly. The magnetic attracter between the beads strengthens the weakened esophageal sphincter’s barrier function. The band is substantial enough to allow food and liquids to authorize normally to the belly, but immediately closes after swallowing to restore the magnetic barrier to reflux. following the procedure, patients are able to resume a normal diet and wish typically resume normal activities in less than a week.
    “This new procedure represents a substantial advancement in our ability to treat patients who suffering from GERD,” said mark Talamini, Ancient Line State, chair of the Department of surgery at stony creek University school Medicine and founding Director of the stony creek Medical instauration Institute, who wish be among the surgeons performing the procedure at SBUH. “In addition to brilliant clinical results, this procedure provides many lifestyle benefits compared to the traditional surgery for reflux called Nissen fundoplication. Studies show that implanting the magnetic beads often reduces or eliminates the need for medications and offers improved woodland of aliveness for our patients.”
    victimisation the LINX® Reflux management system, the procedure is indicated for patients diagnosed with reflux who continue to have chronic reflux symptoms despite maximum medical therapy, said Aurora Pryor, Ancient Line State, Professor of surgery at stony creek University school of Medicine, Chief of the General surgery Division, and Director of the Bariatric and Metabolic angle ruby ink Center, who wish also be performing the procedure at SBUH, along with fellow surgeon Dana Telem, Ancient Line State, Assistant Professor of surgery and Associate Director of the Bariatric and Metabolic angle ruby ink Center.
    “GERD is a caused by a mechanistic shortcoming and requires a mechanistic solution, which is achieved through this minimally invasive procedure,” Dr. Telem said. “as the first surgeons in Suffolk County to perform this procedure, we wish be able to directly benefit many patients who suffering from acid reflux.”
    The LINX device was Food and Drug administration approved in March 2012 after 10 years of development and testing, including two clinical trials with 144 patients. antiophthalmic factor sum of four hundred implant procedures were per, Implantable magnetic 'bracelet' brings relief to GERD sufferers , Read more ...,

    Wednesday, March 12, 2014

    Report: Drugs to caution for heartburn

    [unable to retrieve full-textbook content]Several of the PPIs deliver been widely advertised to consumers and heavily promoted to physicians, and this has led to an overuse of the drugs in the handling of garden-variety heartburn. PPIs are among the highest-selling classes of drugs in the U.S …

    , Report: Drugs to caution for heartburn , Read more ...,

    Monday, March 10, 2014

    Puyallup surgeon provides new treatment for acid reflux

    [unable to retrieve full-text content]March 05 â€"Dr. Robert Wright , a leading Puget Sound surgeon in the area of gastroesophageal reflux disease, has become one of the first doctors in the United States to provide LINX , an FDA -approved device, for the treatment of GERD. “This is the … , Puyallup surgeon provides new treatment for acid reflux , Read more ...,

    Saturday, March 1, 2014

    Foods That Cause Heartburn

    Seattle, Wa (PRWEB) January 25, 2014

    The new “Foods That Cause Heartburn” report on the website delivers nutrition tips that are useful for heartburn sufferers. At the beginning of the article, people will get to know some common symptoms of heartburn, such as chest pain, burning in the throat, chronic cough, and sore throat. The author indicates that people should not consume acidic foods, which are oranges, lemons, pineapples, and grapefruits because these foods can trigger heartburn symptoms, especially when consumed on an empty stomach. After that, the article also points out that coffee is a common heartburn trigger food. The high levels of caffeine in coffee may lead to an enhanced secretion of gastric acid in the stomach which can cause acid reflux. People should also avoid drinking alcohol, particularly red wine, in order to prevent acid reflux or heartburn effectively. Beer with low-alcohol content could cause heartburn in some people. Next, the writer reveals that carbonated drinks can promote pressure levels in the stomach, which in turn will enhance the acidic response.

    Additionally, the article takes readers through an interesting process of discovering ways to prevent acid reflux symptoms. In this writing, the author advises people that they should avoid eating chocolate to reduce the risk of developing heartburn. In other words, this report also covers many other foods that cause heartburn, including spicy foods, beef, dairy products, tomatoes, pepper, salt, butter, peppermint, cheese, nuts, and avocados. After the “Foods That Cause Heartburn” article was launched, a lot of readers all over the world found a way to improve their knowledge about health issues and prevent heartburn naturally and safely.

    Hanh Hoang from the website comments that: “The ‘Foods That Cause Heartburn’ post is really informative, and it contains many nutrition tips on how to prevent acid reflux efficiently. In addition, the information this article delivers is easy-to-understand for most people regardless of their age and their gender.”

    Acid Reflux