10 GERD Symptoms Not Recognized by Most Acid Reflux Sufferers

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Gastroesophageal reflux disease, or GERD, can have a variety of symptoms we do not typically associate with acid reflux. GERD is caused by a weakness in the lower esophageal sphincter, the muscular valve that separates the stomach from the esophagus. When functioning properly, the LES opens only to allow food and liquids to enter the stomach. However, a loose LES can allow gastric acid to backflow into the esophagus, and heartburn is only one of many symptoms.

Here are some hidden symptoms of GERD that you might not recognize as being caused by reflux:

  1. Hoarse or husky voice — A deeper-sounding voice after a meal might mean that you are experiencing reflux of acid into the esophagus or throat.
  2. Sore throat — GERD can also cause your throat to become sore after eating.
  3. Bitter taste — A bitter or sour taste in your mouth after eating might be gastric acid from the stomach caused by GERD. In severe cases, acid reflux can cause choking.
  4. Asthma — Wheezing and coughing can be caused by stomach acid reaching the lungs.
  5. Chest pain — Heartburn or chest pain can be due to repeated acid reflux.
  6. Nausea — Feeling queasy after a meal could also point to reflux.
  7. Excessive saliva — Extra saliva may be produced to wash acid from the esophagus.
  8. Bad breath — The acidity of reflux can cause bad breath.
  9. Difficulty swallowing — A feeling of a lump in the throat that won’t go away could indicate inflammation of esophageal tissue and strictures.
  10. Ear ache — Ear aches and ear infections are not uncommon for GERD sufferers.

If you have several of the symptoms above, make an appointment with a gastroenterologist. Undiagnosed GERD can cause long-term complications that can lead to serious health problems so make an appointment today. 

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Cataract Prevention: What You Need to Know

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About one in every six Americans over 40 has a developing cataract, but you can reduce your risk of cataracts by making some healthy lifestyle choices:

1. Protect your eyes from the sun. Ultraviolet radiation from the sun exposes your eyes to harmful free radicals that can damage your lenses. Protect your eyes and skin by applying sunscreen with a minimum SPF of 30 and wearing sunglasses that offer 100 percent UVA and UVB protection. You can also wear a wide-brimmed hat for additional protection.

2. Eat a diet that is rich in fruits, vegetables and whole grains. Studies show that antioxidants like vitamin C, lutein and zeaxanthin have healing properties and combat the effects of free radical damage. Fill your plate with foods like leafy greens, berries, tomatoes, citrus and yellow peppers to protect your vision. Omega-3 fatty acids may also lower your risk for cataracts, so boost your intake of fatty fish like salmon and sardines, as well as walnuts, chia seeds, eggs and cauliflower.

3. Say no to smoking. One cigarette contains 600 ingredients that produce over 7,000 chemicals when burned (American Lung Association). Every time you take a puff of a cigarette, you are breathing ammonia, acetone, carbon monoxide, lead and tar. These toxins cause oxidative stress to your eyes and make them more susceptible to cataracts.

4. Save alcohol for special occasions. Studies show that most Americans consume more beer, wine and cocktails than they would like to admit. Alcohol can damage the structure and function of eye cells and increase your risk for cataracts, so show moderation when you drink. There are many health risks associated with alcohol, so talk to your doctor for more information about how alcohol affects the body.

5. Exercise regularly. Physical activity increases levels of high density lipoproteins (HDL) commonly known as “good cholesterol.” HDLs have anti-inflammatory and anti-oxidative effects, which can help lower your risk for cataract development.  

6. See your eye doctor regularly. Even if you do not have vision problems, visit your ophthalmologist every year for a full eye exam. A comprehensive eye exam with dilation allows your doctor to assess your overall eye health and look for indications of eye disease like cataracts, glaucoma and macular degeneration.

By adjusting your habits and making a few lifestyle changes, you could reduce your risk for cataracts and improve your health.  Make an appointment with an ophthalmologist today.

Probiotics Aid Gut Health, Prevent Disease

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Most of these organisms reside in the gut, and help process food into energy, absorb nutrients, strengthen immunity and more. Here are just some of the things probiotics can do for your gut health:

  • Ease gas and bloating
  • Reduce abdominal pain or cramping
  • Support regular bowel movements
  • Manufacture essential vitamins such as vitamin K
  • Prevent the overgrowth of harmful bacteria

Beyond these benefits, studies have shown that certain strains of probiotics may even reduce the risk of developing certain diseases, ease the symptoms of some diseases, alleviate allergy symptoms and reduce negative effects of lactose intolerance. Other research has suggested that probiotics can help with depression and promote mental health.

Foods High in Probiotics

While it is not necessary for you to do anything to maintain probiotics in your gut, there are things you can do to support this healthy system. One is to consume fermented foods that are high in probiotics. Here are some to try:

  • Yogurt or Kefir. Most yogurt is high in probiotics. However, yogurt that has been heat treated after fermentation does not contain any live beneficial probiotics. Check the label before purchasing yogurt and make sure it says that the contents contain “live and active cultures” like Lactobacillus bulgaricus and Streptococcus thermophilus.
  • Sauerkraut. When cabbage is fermented, it becomes sauerkraut, a food dense in probiotics and other nutrients. Try including it as a regular side dish at the dinner table.
  • Kimchi. Kimchi, a traditional Korean food, is another cabbage-based fermented food high in probiotics. Unlike sauerkraut, kimchi can be very spicy, although there are many variations on the basic recipe. Because of this, you may want to try several different kinds of kimchi to find one you like best.
  • Miso Soup. Miso soup, a traditional Japanese food, is made from fermented beans, rye, rice or barley. It is very easy to make: just purchase miso paste, then dissolve a spoonful in hot water. It has a mild, salty flavor.
  • Pickles. Pickles are fermented cucumbers. Most contain probiotics, however, like yogurt, some may have been heat-treated and lost their probiotic properties, so check the label before purchasing.
  • Kombucha. Kombucha is a type of fermented tea high in probiotics that has become popular in recent years. Today, you can buy kombucha at most grocery stores. It comes in a variety of flavors and is low in calories too.
  • Soy Milk. If you are lactose-intolerant, but want to consume more probiotics, try soy milk. Check the label before you buy, though, to make sure it contains live and active cultures.

If you have tried the foods on the list and are having a hard time finding ones you like, you can still add probiotics to your diet by taking probiotic supplements. However, before you do, make sure to check with your doctor before taking any type of vitamin or supplement.

Sugar Aids Production of Bad Bacteria

One final tip for supporting the probiotic system in your gut: eat less refined sugar. In addition to the many negative consequences of eating refined sugar — such as greater risk of obesity — it also promotes the growth of bad bacteria and upsets your gut flora balance.

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Taking Heartburn Medicine 3+ Times a Week May Cause Harm

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Are you taking medicine three or more times a week for heartburn? If so, read the warning label. Not all heartburn medicines are meant to be used that often, and it could be harming your health. 

Antacid Tablets

Antacids like Tums and Rolaids contain calcium carbonate and magnesium hydroxide to help neutralize the acid in your stomach. They can provide fast, short-term relief and do not have lasting harmful side effects if taken as directed. Follow dosage recommendations though because high levels of calcium carbonate in the body can cause constipation, nausea, mood changes or even heart rate changes. But acid neutralizers are considered safe when taken properly and are often used for calcium supplementation as well as heartburn relief.

H-2 Blockers and Proton Pump Inhibitors (PPIs)

H-2 blockers like Zantac, Tagamet and Pepcid reduce the production of stomach acid. They are effective in treating peptic ulcers and reflux in people who have heartburn a few times per month but are not intended for everyday use. Some research suggests that overuse of H-2 blockers can cause headaches, constipation and nausea, but their long-term use has not been extensively studied.

Proton-pump inhibitors (PPIs) like Prevacid, Prilosec or Nexium are stronger than H-2 blockers and work by blocking acid-producing cells in the lining of the stomach. They provide lasting relief from symptoms of GERD and are available without a prescription.

While PPIs are helpful in managing severe heartburn, they are not recommended for more than a 14-day treatment. Recent studies show that overuse of PPIs can be harmful to your health and should not be used long-term. Side effects of proton pump inhibitors include infections, bone fractures and vitamin and mineral deficiencies. Research has even connecting extended PPI drug use to increased risk of stomach cancer.

Are you trying to manage your heartburn symptoms on your own? It might be time to call a gastroenterologist. Your doctor can diagnose your symptoms and help you begin an effective treatment plan. There also may be some lifestyle changes and diet modifications that can jump-start the healing process, so make an appointment today.

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6 Tips on Eye Protection While Working in the Yard

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Over 90 percent of eye injuries are preventable, so remember these eye safety tips when working in the yard this spring:

1. Wear safety goggles at all times when working outside. Choose eye goggles that create a seal around the eyes to keep them fully protected.

2. Examine safety glasses and safety goggles for cracks and tears. If the condition is questionable, replace them.

3. Leaf blowers blow more than just leaves. Make sure that no one is around you when clearing out flower beds, especially children. Leaf blowers can dislodge dirt, debris, and small rocks easily and can cause eye injuries.

4. Plants can carry diseases, so protect the hands with gloves and avoid touching your eyes.

5. When spraying chemicals, wear a mask as well as safety goggles.

6. When finished with lawn work, shower immediately. Pollen and mold can cause eye irritation and aggravate eye allergies.

Make the most out of the mild spring weather and enjoy the time outside. Follow safety precautions and preserve your vision (source Safety Glasses USA).

If it has been over a year since you have seen an ophthalmologist, make an appointment for a comprehensive eye exam. A full eye exam with dilation will ensure that your vision is clear and your eyes are healthy.

Many eye diseases like glaucoma and age-related macular degeneration (AMD) have no symptoms in the early stages, but they can slowly deteriorate your eyesight and make you more susceptible to falls and injury. Visit an eye doctor today for a vision health check-up. 

5 Foods To Eat When Sick

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When sick, you might be tempted to reach for your favorite candy or junk food for comfort, even if you know they are unhealthy. But if you find yourself doing this, stop. These foods are typically loaded with immune-suppressing fats or sugars, which could actually prolong your illness instead of helping you get better.

On the other hand, when you choose foods that are known to help with illness, it can not only help you feel better now, it can even speed your recovery.

While the general rules of healthy eating still apply when you are sick — like avoiding processed foods and sugar-laden snacks — there are a few specific foods you might want to consider adding to your get-well diet, such as:

  1. Bananas: Bananas are high in vitamins and potassium. They contain energizing calories. Plus, they are gentle on your digestive system. If you are suffering from a digestive-related sickness or have had nausea, bananas could be a good choice for you. Plus, potassium is especially important when you are sick, because it gets depleted when you have vomiting, diarrhea or sweating.
  2. Chicken Soup: Chicken soup has been used as a get-well staple for years. Part of the reason it works so well is that broth — especially bone broth — is packed with nutrients such as magnesium, phosphorus and other trace minerals.
  3. Yogurt: Yogurt is an excellent choice when you are sick. Not only is it rich in vitamins, minerals and calcium, it also contains probiotics, which have been shown to help with colds.
  4. Oranges: Oranges are loaded with nutrients, including vitamin C which helps fight the common cold. Try eating grapefruit for breakfast or adding lemon to your water or tea as these citrus fruits are also packed with vitamin C.
  5. Oatmeal: Because oatmeal is bland, it is often easy to eat when you are sick. Plus, it provides calories, vitamins and minerals. Just be sure to steer clear of eating artificially flavored oatmeal with added sugar. Instead, cook whole oats and use honey as a sweetener.

What to Eat When You Have Lost Your Appetite

What happens if you are sick and you do not feel like eating at all? Until your appetite returns, there are still ways you can use foods to help heal your body. Here are few suggestions:

  • Herbal Tea: Herbal teas contain antioxidants, which help fight infection. Consider adding some lemon as well, which will give you another dose of vitamin C.
  • Apple Cider Vinegar: Apple cider vinegar is antibacterial, anti-inflammatory, anti-viral and anti-fungal. Try adding a tablespoon of apple cider vinegar, along with some honey for flavor, to your next glass of water.
  • Ginger: Ginger can help prevent and soothe nausea. But instead of reaching for a sugar-laden ginger ale, try drinking ginger tea instead. If you need sweetener, add a bit of honey.

Finally, keep in mind that any healthy lifestyle choices you make while you are sick can contribute to you getting better sooner. That could mean getting extra sleep, drinking extra fluids or taking a warm bath. So, assess your situation, see what might be lacking, then give your body what it needs. It will thank you!

Heartburn, Acid Reflux, and GERD – What’s the Difference?

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Actually, each term has a distinct meaning. Here is how they are different:

Heartburn

Heartburn is not a medical condition, but a symptom. It describes the mild to severe burning pain felt in the chest or throat when acid from the stomach seeps up into the esophagus. Heartburn pain can feel dull, sharp or tight, and it often moves up to the throat. Some people describe the pain as a feeling that something is lodged behind the breastbone.

Heartburn has nothing to do with your heart, but it can be mistaken for a heart attack because of the location of the pain. Over 60 million Americans experience heartburn at least monthly, and it usually occurs after a meal.

Acid Reflux

Acid reflux occurs when stomach acid flows back into the esophagus due to a weakening of the lower esophageal sphincter (LES). When functioning properly, the LES tightens to close the passage between the stomach and esophagus. If the muscle is weak or fails to tighten properly, gastric acid and digested food can back up into the esophagus.

Common symptoms of acid reflux may include cough, sore throat, sour taste in the mouth, and burning in the chest and throat.

Gastroesophageal Reflux Disease (GERD)

GERD is an acronym for gastroesophageal reflux disease. When acid reflux occurs more than twice per week, it can be diagnosed as GERD. Prolonged exposure to gastric acid creates inflammation and increases risk for esophageal tissue damage which can lead to cancer.

Symptoms of GERD can include heartburn, regurgitation, bad breath, damage to tooth enamel, dry cough, and difficulty swallowing.

If you are experiencing acid reflux on a regular basis, it is time to see a gastroenterologist (a physician with specialized training in diseases of the digestive tract). Antacids and H-2 blockers might offer temporary relief, and proton-pump inhibitors (PPIs) can reduce levels of stomach acid, but they should only be used for a 14-day treatment (source: AARP).

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Causes of Red, Itchy Eyes: Eye Allergies, Conjunctivitis and More

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One of the easiest ways to identify pollen as a cause of eye irritation is to try an antihistamine. If that burning, stinging redness subsides, you may be on the right track. If it does not help at all, you will need to do some further investigation.

Possible causes of red, itchy eyes:

On the days your eyes are irritated, do some journaling. Take notes on the weather and your activities that day, paying attention to when you began feeling eye pain. If you can look back on the day’s events and compare your notes to other days that week, it may help you isolate the perpetrator.

Sometimes, in spite of your best efforts, you have to hang up your detective hat and call an expert. In that case, make an appointment with a board-certified ophthalmologist for a full eye exam and consultation. An eye doctor can evaluate your vision, diagnose the source of your eye irritation and help you find relief.  

Got GERD?

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Occasionally, everyone experiences acid reflux, or gastroesophageal reflux (GER). When you experience reflux more than twice per week, you might actually have gastroesophageal reflux disease (GERD).

The Anatomy of GERD

GERD is a condition in which gastric acid persistently and regularly backflows into the esophagus due to a malfunctioning valve. When you swallow, a muscle called the lower esophageal sphincter (LES) relaxes to allow food and liquid to flow down into your stomach, and then it closes again. Sometimes, this muscle relaxes or weakens and allows stomach acid and digested food to move upwards.

Acid in the esophagus can cause symptoms including:

Dangers of Untreated GERD

Chronic, untreated GERD can result in damage of the esophageal lining and lead to conditions like:

  • Reflux esophagitis – Exposure to stomach acid initiates inflammation that damages the lining of the esophagus. This often causes chest pain and difficulty swallowing.  
  • Silent reflux – Stomach acid can back up into the throat, larynx or even nasal passage and cause inflammation.
  • Barrett’s esophagus – As the esophagus tries to heal, the cells may change in order to adapt and protect the esophagus. These changes can increase the risk of developing esophageal cancer.

Talk to a Gastroenterologist

If you have come to accept heartburn as a way of life, it is time to reconsider. Make an appointment with a gastroenterologist – a physician who specializes in treating and managing digestive conditions – and begin your journey toward digestive health today.

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Leading Ophthalmologist Dr. Richard M. Evans is to be Recognized as a 2017 Top Doctor in San Antonio

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Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care.

Dr. Richard M. Evans is a highly experienced ophthalmologist, having been in practice for over four decades. His long and successful medical career began in 1971, when he graduated from the University of Texas Medical Branch at Galveston. After an internship at the Malcolm Grow Medical Center and a residency at the University of Texas, Dr. Evans completed a fellowship at the Armed Forces Institute of Pathology.
Dr. Evans is certified by the American Board of Ophthalmology, and he diagnoses and treats a wide range of conditions relating to the eye. Conditions treated by him include corneal diseases, glaucoma, diseases of the retina, keratitis, eye cancer, and strabismus. He is especially noted as an expert in refractive ophthalmology and the treatment of cataracts.

With his wealth of experience to call upon, Dr. Evans is an ophthalmologist in high demand. He is renowned for his patient centric focus, and says that being a good listener is the most crucial part of his job as it helps him to precisely diagnose and then treat their conditions. His dedication and commitment makes Dr. Richard M. Evans a very worthy winner of a 2017 Top Doctor Award.

About Top Doctor Awards

Top Doctor Awards specializes in recognizing and commemorating the achievements of today’s most influential and respected doctors in medicine. Our selection process considers education, research contributions, patient reviews, and other quality measures to identify top doctors (Source: PR NewsChannel)