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I don't really suffer from GERD and IBS, but i really wanted to know..can you survive or in other words, get rid of GERD and IBS once and for all? How long does GERD and IBS last for ? and can this be a thing that stays with your for the rest of your life ?

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  • Posted

    Hi Stephonsbb

    In my opinion you cannot get rid of GERD but what you can do is to know several things

    The triggers that cause a attack, keeping a food diary is inportant in helping

    Knowing how to bring it under control and what you helps you get better

    Knowing which foods antagonise the condition and those which help recovery

    These are steps in bringing GERD under control and

    Helping have a more fulfilled and healthy balanced life

    I feel this can mean long periods of remisson and

    Even minimising the severity of attacks when they occur

  • Posted

    GERD can be "cured" through lifestyle and avoiding trigger foods.

    Although many suggest it is a disease, it is actually just a description of a disorder. (GERD should actually be short for Gastro-oEsophageal Reflux Disorder. )

    It does depend on the nature and genesis of your reflux. This is usually a malfunctioning lower oesophageal sphincter (LOS) and you need to understand why it isn't working properly. For most people it will be due to a Hiatus Hernia when the stomach pushes up (herniates) through the hole in the diaphragm (hiatus) the oesophagus passes through at the point where it meets the stomach. (See attached graphic. ) There are a number of possible reasons for hiatus herniationon one being obesity but you can also be born with it (genetic HH) .

    Temporary repairs of HH may be achieved by some chiropractors using external manipulation but if it can slide that easily, reherniation is almost a certainty.

    The herniated stomach misaligns the two groups of muscles (phrenoesophageal and diaphragmatic) that constitute the LOS and hold the bottom of the oesophagus closed. Some deep breahing exercises can strengthen the diaphragmatic musculature which can help to an extent. However, complete repair of a hiatus hernia requires surgery (fundoplication) .

    If your malfunctioning LOS is not due to HH, the second most common cause is drug related. Certain drugs like nicotine and caffeine may relax the sphincter. This is why people are told smoking and coffee should be avoided. (Though in the case of coffee, there is conflicting evidence and for those whose LOS is already compromised, any relaxation caused by caffeine is like bolting the stable door once the horse has bolted, so the advice may be worthesss. )

    There is a lot of rubish spoken about diets to reduce reflux. It's not what we eat but how we eat that needs to be addressed. The diets usually provide more benefit to the seller (financially) than the patient.

    Yes GERD can be cured. But it is usually with surgery.

    • Posted

      So Barretts, i understand the concept of changing my lifestyle to get rid of GERD, known as  Gastro-Esophageal Reflux Disorder...My question to you is...If one one can make all the necessary changes to the food intake etc, can they truly get rid GERD ? One more thing, what is the name of that surgery to get rid of GERD, and do you know how long it take a person to get rid of GERD ? any thoughts of that Mr. Barretts, also wanted to say thank you very much for taking your time to my discussion.
    • Posted

      Don't worry about the dietary advice. Most of it is propagated myth. You only need to avoid foods you have identified as being particular triggers for you.

      You can only hope to avoid GERD by observing the lifestyle advice - but there's on magic wand which means you can then eat and drink recklessly - apart from, possible, surgery.

      There are many different reflux reduction devices hitting the market place. If you visit www DownWithAcid org uk, you will find a large section devoted to reflux reduction. However, the gold standard, which I had 9 years ago, is Laparoscopic Nissen Fundoplication whereby the stomach is repositioned in the abdomen and the top of the stomach (fundus) is wrapped around the end of the oesophagus and stitched (plicated) in place. This "knot" prevents reherniation, whilst the muscles of the LOS are realigned and their grip tightened by the wrap around it.


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