26 سنوات
Hi Dr.Zakia,i have 2 questions,using natural mix like limon with sugar can remove face hair permenantly? & since 3 days when i eat i have daw5a w la3ayen w 7ari2 men zla3imi la me3dte,is it bcz kor7a?
14 أكتوبر 2014
2- The symptoms you are describing (burning sensation from the throat down to the stomach) are most consistent with heartburn associated with acid reflux from the stomach up through the esophagus (the tube that connects the throat -زلعوم- to the stomach), which is usually accompanied by nausea (لعيان) and loss of appetite, sometimes chest pain, food spitting (after eating, you burp and partially digested food comes out), choking, cough, hoarseness (بحة), and a sour sensation in the mouth specially in the morning.
To make the diagnosis of GERD, the doctor will examine your throat and vocal cords with a rigid or flexible telescope. Due to the damage imparted by acid reflux, the larynx (voice box) is typically inflamed: red, irritated, and swollen.
Another diagnostic technique is the pH metry, which measures the amount of acid that refluxes into your throat. This test relies on a probe, or a small tube (catheter), that is inserted through your nose and down into your esophagus. The catheter is kept for a 24-hour period. Although often not necessary, this test can help establish the diagnosis in certain cases.
Most of the time, GERD is well controlled with medications (Proton Pump Inhibitors, or PPI's). In severe and/or refractory (poor response to medical therapy) cases, surgery may be required. The recommended surgery is called a Laparoscopic Nissen Fundoplication, whereby a knot is created around the lower esophageal sphincter to narrow it down and thus prevent reflux from happening.
Lifestyle changes are, luckily, the initial steps to do to help alleviate the symptoms, and they are quite helpful. Many foods and drinks can make worsen your symptoms worse, so they should be eliminated. In addition, being overweight, smoking, and drinking alcohol are all factors that worsen reflux disease. It is important to work on the following areas as well:
1. Caffeine: avoid coffee (highest caffeine content), tea, and caffeinated beverages, including sodas (Pepsi, Coke) and energy drinks. Soft drinks such as Coke and Pepsi are particularly bad, because of their very acidic content (pH of 2.3), and the carbonation leads to belching and further reflux of acid into the throat. Other acidic juices (orange, grapefruit, cranberry) can worsen reflux.
2. Chocolate and mints are also to be avoided.
3. Alcohol, particularly in the late evening and before bedtime, should be stopped
4. Smoking: quitting smoking is essential; it also has many health benefits besides prevention of GERD
5. Food: drop deep fried and fatty, spicy foods. Onions and garlic are also notorious for causing reflux.
6. Weight control: if you’re overweight or obese, you need to shed off the extra kilograms. You also need to avoid tight-fitting clothing.
7. Have your last mean at least 3 hours before bedtime: heavy meals just before going to sleep exacerbates your reflux condition.
8. Sleep with your head elevated at about 45 degrees: placing several pillows under your head does not substitute for raising the head of the bed; in fact, this maneuver can make the problem worse.
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