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People with severe GERD almost always have a hiatus hernia. Symptoms and Complications The main symptom of GERD is heartburn, which is a burning pain behind the breastbone that can travel to the back of the throat. The pain can last up to two hours and is often worsened by eating, lying down, or bending over. Because heartburn and a heart attack have similar symptoms, it is important to note their differences.

For someone having a heart attack, burning pain generally travels progressively down the left arm or both arms. For someone with GERD, the burning pain is localized to the upper chest. In addition, exercise may worsen the chest pain for someone having a heart price for ofloxacin or someone with heart diseasewhile rest and certain medications may help to relieve it.

On the other hand, the burning pain associated with GERD is usually not affected by physical activity. In any case, even people with characteristic features of GERD may require tests to ensure the symptoms are not being caused by a pharmacy attack. Other symptoms of GERD include regurgitation swallowed food or liquid going back up into the throat or moutha sour or bitter taste in the throat or back of the costco, excessive saliva, belching, upset stomach, or vomiting.

People who inhale the reflux acid may experience coughing, hoarseness, or wheezing. Symptoms of GERD are generally worse after meals. If GERD is not managed well, other complications can arise over time. People with this condition may be at a higher risk of developing cancer of the esophagus over time. Only people with severe chronic heartburn are likely to be tested for GERD.

Tests may include a series of X-rays of the stomach to look for other possible problems, prevacid costco pharmacy, such as peptic ulcers. A blood or breath test prevacid be performed to rule out the presence of the bacteria called H.

There are also cheapest place buy zyrtec to measure the pH acidity of the esophagus and the internal pressure of the lower esophageal sphincter LES. The most important diagnostic tool is the endoscope, a fibre-optic tube passed down the throat that permits the doctor to see the inside of the esophagus a procedure called endoscopy, prevacid costco pharmacy.

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People who have had regular or daily heartburn for 5 pharmacies or more should be tested for Barrett's esophagus. For patients who have this condition, many doctors perform regular checkups to look for changes that may prevacid develop into cancerous growths, prevacid costco pharmacy. Treatment and Prevention Most symptoms of GERD can be managed with a combination of medications and lifestyle changes. Surgery is reserved for people with severe complications but is needed costco rarely.

Medications that can be used to neutralize stomach acid are antacids e.

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Medications that can be used to reduce costco production of stomach acid include H2-antagonists e. For some people, a group of medications called prokinetic agents are used to help move prevacid stomach content through the bowels and prevent any backward flow e, prevacid costco pharmacy. In addition to costco, symptoms of GERD can be improved by pharmacy one or prevacid lifestyle changes.

Eat meals earlier, especially dinner. Eat smaller meals more frequently, instead of 2 or 3 large meals. Avoid pharmacy down within 2 or 3 hours after meals. Reduce alcohol and caffeine intake.