Yu kin gɛt at bɔn ɛn chɛst pen bak? Lɛ wi lan bɔt asid riflɔks ɛn GERD!

Afta yu dɔn it, sɔntɛnde yu kin fil se yu chɛst de bɔn, yu trot de fil sɔl, ɔ yu bɛlɛ tayt, we tan lɛk we at bɔn? Dis na kɔmɔn sayn dɛm fɔ asid riflɔks wae bɔrku pipul kin gɛt. Pan ɔl we na nɔmal tin fɔ mek dis apin wan wan tɛm, na sɔntin fɔ wɔri bɔt if i kin apin ɔltɛm.

Wetin na Asid Riflɔks? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, asid riflɔks na we di tin dɛn we de insay wi bɛlɛ, mɔ di gastric acid , de flɔ ɔp, dat na fɔ go bak insay di trot. Nɔmal wan, di it we wi de it kin go insay di bɛlɛ ɛn afta dat i kin go dɔŋ. Bɔt insay dis kes, di kɔmɔn tin kin apin.

Tink bɔt am, dis asid we de na wi bɛlɛ rili strɔng. Dɛn mek am fɔ dayjɛst it. So we sכmtin lεk dis go insay di εsophagus – di it paip – ​​i kin pwεl di dilik tisu dεm we de insay di εsophagus εn mek i inflameshn. Bɔku pipul dɛn kin gɛt dis wan wan tɛm. sכm pipul dεn kכl am "indigestion" , כda wan dεm kכl am "hatburn" , we na fכ bכn we dεn kin fil na di midul pan di chεst, nia di stεnum.

Dis prɔblɛm we kin apin we pɔsin kin gɛt asid we kin kam bak wan wan tɛm nɔto siriɔs sik. Bɔt fɔ sɔm pipul dɛn, i kin apin ɔltɛm. Wit dis kayn asid riflɔks ɔltɛm, i nɔ kin izi fɔ liv nɔmal layf, ɛn i kin pwɛl wi ɛsophagus bak.

So wetin na GERD?

GERD na di shɔt nem fɔ Gastroesophageal Reflux Disease . Insay sɔm kɔntri dɛn, dɛn kin rayt am bak as GORD (Gastro-oesophageal Reflux Disease) . aw dεn rayt am, i de tכk bכt wan kכndyushכn we asid rεfכl na wi εsophagus de apin fכ lכng tεm (chronic acid reflux) . If asid kam lɛk dis at le tu tɛm insay di wik, fɔ sɔm wiks, den dɔktɔ dɛn kin tek am se na GERD kɔndishɔn.

Asid kin kam fɔ sɔm tɛmporari rizin dɛn. Fɔ ɛgzampul, fɔ ledɔm afta yu dɔn it bɔku tin. Bɔt GERD nɔto sɔntin we de fɔ shɔt tɛm. Na prɔblɛm we kin de sote go, we na mashin prɔblɛm . dat min se di mεkanism dεm we de mek asid nכ kam כp insay di εsophagus nכ de wok fayn.

Aw kɔmɔn tin dɛn ya kin apin?

Dɛn tu tin ya we dɛn kɔl gastroesophageal reflux disease (GERD) ɛn GERD kin rili kɔmɔn. Insay kɔntri lɛk Amɛrika, dɛn se lɛk 20% pan di big pipul dɛn ɛn lɛk 10% pan di pikin dɛn gɛt GERD. Wi kin si dis kɔndishɔn na wi kɔntri to big ɔ smɔl.

Wetin na di sayn dɛm fɔ dis? Si if yusɛf gɛt dɛn tin ya!

Bɔku sayn dɛn de we de sho se asid riflɔks ɛn GERD. Si if ɛni wan pan dɛn tin ya tan lɛk se yu sabi am:

• Backwash/Regurgitation: Afta yu dɔn it, yu kin fil lɛk se yu bɛlɛ asid, di tin dɛn we yu kin it, ɛn wata kin kam bak ɔp na yu trot. Dɛn kɔl dis rigurgitation . Sɔntɛnde i kin kam wit sɔl teys .
• Filin fɔ bɔn: Bikɔs asid na strɔng tin, i kin mek yu fil lɛk se yu de bɔn na di εsophagus. If yu fil dis na di chɛst, dɛn kin kɔl am at bɔn . If yu fil am na di bɛlɛ, dɛn kin kɔl am asid indijɛshɔn .
• Nɔnkardiak chɛst pen: Sɔm pipul dɛn kin gɛt chɛst pen we nɔ kin fil lɛk fɔ bɔn. di nεv dεm we de fil pen na di εsophagus lεk di nεv dεm we de fil pen na di at, so sכmtεm dεn kin mistek fכ se na hat atak.
• Nɔs: Asid riflɔks kin mek yu nɔs ɛn nɔ want fɔ it. Ivin afta lɔng tɛm dɔn pas, di bɛlɛ kin stil fil ful.
• Trot we de at: If asid go insay yu trot, i kin mek yu trot at, yu kin fil se sɔntin dɔn stɔp na yu trot, ɛn i kin at fɔ swɛla. Bɔku tɛm, asid kin go insay yu trot na nɛt we yu de slip.
• Di sayn dɛm fɔ asma: GERD kin mek di asma simptom dɛn wɔs pan pipul dɛm wae gɛt asma, ɛn ivin pan pipul dɛm wae nɔr gɛt asma, i kin mek dɛn kɔf, swɛt, ɛn nɔr kin ebul fɔ blo . dis na biכs di asid patikyula dεm kin sכmtεm di aywe dεm if dεn go insay dεm.

Ustɛm dɛn kin fil dɛn sik ya mɔ?

• We yu de slip ɔ ledɔm na nɛt .
• Afta yu dɔn it bɔku it ɔ it we gɛt bɔku fat .
• We yu bɛn fɔ go bifo.
• We yu de smok ɔ drink rɔm .

Smɔl pikin dɛn kin gɛt GERD bak?

I rili kɔmɔn fɔ mek di pikin dɛn we dɛn jɔs bɔn kin pul di milk bak. smɔl asid kin kam wit di milk, bɔt i nɔ go kɔz ɛni big prɔblɛm fɔ di pikin. Bɔt, GERD na wan sik we rili siriɔs. I kin mek pɔsin nɔ fil fayn ɛn i kin gɛt prɔblɛm wit aw i de it.

di pikin dεm we dεn bכn bifo tεm כ wit mεdikal kכndyushכn we riliyt to di εsophagus kin gεt GERD. I fayn fɔ go to dɔktɔ we de mɛn pikin dɛn if yu pikin gɛt ɛni wan pan dɛn sayn ya:

• If yu de kray ɔltɛm fɔ natin .
• If yu gɛt prɔblɛm fɔ slip .
• If yu nɔ lɛk fɔ drink milk .
• If yu de vɔmit smɔl ɔltɛm .
• If yu mek sawnd we yu de blo we yu de blo ɔ if yu vɔys de ala .
• If yu gɛt bad smel we de kɔmɔt na yu mɔt .

Wetin mek dis asid kin kam ɔp? Wetin na di rizin dɛn?

fכ go insay di εsophagus, asid fכ pas tru wan valv we de dכn na di εsophagus we nכmal fכ mek tin nכ kam bak כp. Dɛn kɔl dis valv di Lɔwa Ɛsophageal Sfincter (LES) .

Dis LES na wan sɛkɔral mɔsul. I kin opin we wi swɛla it, dɔn i kin lɔk bak fɔ mek di tin dɛn we de insay di bɛlɛ kɔntinyu fɔ de na in ples. I kin opin smɔl bak we wi de burp, lɛk we wi de hiccup, fɔ mek di briz bɔbul kɔmɔt.

Asid kin kam we di LES wik ɔ tu lɔs . Sɔm tin dɛn we kin apin fɔ sɔm tɛm kin mek di LES rilaks. Fɔ ɛgzampul, fɔ ledɔm afta yu dɔn it big big it. Bɔt if yu gɛt GERD, yu LES de rilaks ɔltɛm.

Di kɔmɔn tin dɛn we kin mek LES wik na:

• Hiatal Hernia: Dis na we di כp pat pan di bεlε de push כp tru di ol na di dayafragm usay di εsophagus de go dכn. afta dat i kin stכp wit di εsophagus, we kin mek asid bכku. כlso, biכs di LES de oba di bεlε, i nכ gεt bכku mכsul sכpכt. Dis sik kin kam mɔr wit di ej ɛn i kin go ɔp smɔl smɔl.
• Bεlε: tεmporari asid rεfluks kin rili kכmכn we uman bεlε. di prεshכn we di pikin we de gro na di bכdi kin strεch εn wik di mכsul dεm we de sכpכt di LES. כlso, di כmon dεm we de kכmכt we uman bεlε, lεk rilaksin ( we de rilaks di mכsul dεm fכ mek rum fכ di pikin), εstrojen, εn projεstεron, kin rilaks di LES bak.
• Fat: If pɔsin fat, i kin mek di prɛshɔn we de insay di bɛlɛ go ɔp bak, we kin afɛkt di LES, jɔs lɛk we uman gɛt bɛlɛ. If pɔsin fat, i kin te pas we uman gɛt bɛlɛ, ɛn di mɔsul dɛn kin wik fɔ ɔltɛm. Dis na wan big tin bak we kin mek pɔsin gɛt hiatal hεnia. Bikɔs di fat tisu de pul ɛstrojen, di ɛstrojen lɛvɛl na pipul dɛn we fat kin go ɔp bak.
• Smok: Di tin dɛn we de insay tabak de rilaks di LES. Dis ifekt kin apin ilɛksɛf yu de smok ɔ yu de inhal di smok we ɔda pipul dɛn de smok (sɛkɔn-han smok). Smok kin mek yu kɔf, ɛn we yu kɔf, di LES kin opin. If yu kɔntinyu fɔ smok ɛn kɔf, i kin mek di mɔsul dɛn na di bɛlɛ wɔl wik ɛn mek yu gɛt hiatal ɛnia. Nɔto dat nɔmɔ, we pɔsin de smok, i kin mek di bɔdi slo fɔ digest ɛn i kin mek di bɛlɛ mek mɔ asid .

Ɔda tin dɛn we kin mek pɔsin gɛt GERD na:

• Sɔm prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin: Fɔ ɛgzampul, di tin dɛn we kin apin to di εsophagus lɛk di esophageal atresia .
• di sik dεm we de kכnεkt di tisu dεm: Sik dεm lεk sklεrodama kin afekt di mכsul dεm na di εsophagus.
• Bifo di ɔpreshɔn: Di ɔpreshɔn pan di chɛst ɔ di ɔp bɛlɛ kin dɔn pwɛl di εsophagus.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin kin mek di LES rilaks.
• Bɛnzodiazepin (we de mek pɔsin fil fayn) .
• Calcium channel blockers ( mɛrɛsin fɔ ay blɔd prɛshɔn) .
• Tricyclic antidepressants (mɛrɛsin fɔ pwɛl hat ɛn pen) .
• NSAID (Nonsteroidal anti-inflammatory drugs) - tin dɛn we de mek pɔsin fil pen lɛk aspirin ɛn ibuprofen
• Tiofilin (na wan mɛrɛsin we dɛn kin yuz fɔ mɛn asma) .
• Ɔmon tɛrapi (HT) fɔ mek yu nɔ gɛt bɛlɛ

Fɔ it ɛn drink kin afɛkt dis?

Fɔ it ɛn drink nɔmɔ nɔ kin mek asid tɔn bak, bɔt dɛn kin mek i wɔs. If yu it bɔku tin lɛk chɔklɛt, kɔfi, rɔm, mint, galik, ɛn anɔynt, dat kin mek di LES rilaks.

Fεt it dεm de mek di bεlε asid bכku εn i de tek lכng tεm fכ digεst. So chans de fɔ mek asid tɔn bak. If yu it ebi ebi it fɔ dina, i nɔ go digest bifo yu go slip.

Us prɔblɛm dɛn kin apin if dis kɔntinyu?

Di asid we de na wi bɛlɛ rili pawaful. Dɛn mek am fɔ digest di it we wi de it. Wi bɛlɛ gɛt tik layn insay fɔ protɛkt am frɔm dis asid. Bɔt wi ɔda ɔgan dɛn nɔ gɛt dis protɛkshɔn.

di asid rεfluks kin afekt di εsophagus mכst. Bɔt sɔm tɛm dis asid kin travul bak go ɔp insay di briz ɔ di say dɛn we di briz de blo. Ivin if smɔl asid kam ɔp, i kin mek pɔsin nɔ fil fayn, bɔt if i kam ɔp ɔltɛm, i kin pwɛl dɛn ɔgan dɛn ya.

Di prɔblɛm dɛn we kin apin:

• εsophagitis: Dis na inflameshn na di layn na di εsophagus. di εsophagitis we de tek lכng tεm kin mek yu fil pen εn כlsa na di εsophagus. As tɛm de go, i kin mek pɔsin gɛt skata ɔ intestinal metaplasia, we na wan prɛkansa sik we kin mek pɔsin gɛt kansa.
• Barrett in εsophagus: Dis na di nem we dεn gi wan kכndyushכn we dεn kכl intestinal mεtaplasia na di εsophagus. dis na we di layn na di εsophagus de chenj εn i de lεk di layn na di intestines. Dis kin kam bikɔs i de pan asid fɔ lɔng tɛm ɛn i kin gɛt inflamɛns. Dis na tin we kin mek pɔsin gɛt kansa na di εsophageal .
• di εsophageal stricture: Ska tisu kin fכm na di εsophagus fכ protεkt am frכm inflameshn fכ lכng tεm εn damej. dis ska tisu kin mek di εsophagus sכmtεm sכmtεm. Dɛn kɔl dis strikt . Dis kin mek i nɔ izi fɔ swɛla ɛn it.
• asid riflɔks insay di trot ɛn larynx (Laryngopharyngeal reflux - LPR):Sɔm pipul dɛn we gɛt GERD kin gɛt LPR bak, we na we asid kin kam ɔp na dɛn trot. Asid kin slip insay yu trot we yu de slip. Dis kin mek yu trot swel, yu vɔys kin ala, ɛn yu vɔys kɔd kin gro. Yu kin aspiret di asid patikyula dεm bak insay yu aywe dεm.
• Asma: If yu inhal asid, i kin mek asma wɔs pan pipul dɛm wae dɔn ɔlrɛdi gɛt asma, ɛn ivin pan pipul dɛm wae nɔr gɛt wan sik we dɛn bin dɔn gɛt bifo tɛm fɔ blo, sɔm kayn sayn dɛm we tan lɛk asma kin kam. di sכm sכm asid pat dεm kin infεkt di brכnkial tyub dεm, we kin mek dεn sכmtεm sכmtεm, we kin mek i kכf εn i kin at fכ brith.

Aw yu go no fɔ tru if yu gɛt GERD? Wetin na di tɛst dɛn we dɛn kin du fɔ mɛn pipul dɛn?

Wan gastroenterologist go egzamin yu esophagus fɔ no if yu gɛt GERD. Bɔku tɛst dɛn de we dɛn kin du fɔ no dis:

• Esophagram: Dis na X-ray tɛst. dεn de egzamin di εsophagus bay we dεn de yuz εks-ray (fluoroscopy) we de muv we yu de sכlow. Dɛn gi yu wan chalky liquid we dɛn kɔl barium fɔ drink.
• Ɔpa ɛndoskopi: Dis min se yu fɔ put wan tint tiub wit kamɛra tru yu mɔt fɔ chɛk di insay pat pan yu εsophagus. Dɛn go gi yu layt sɛdeshɔn ɛn put yu na slip.
• εsophageal pH test: dis de mכsu di amoun כf asid na di εsophagus. We dɛn de du ɛndoskopi, di dɔktɔ kin put wan smɔl wayales sɛns (wayles risiva) na di εsophagus.
• εsophageal manometry: Dis de mכsu di wok we di mכsul dεm na di εsophagus de du. dis dεn kin du am bay we dεn de yuz prεshכn sεns dεm we dεn put insay wan nasogastric tכb. dis kin sho if di LES כ כda mכsul dεm de wok fayn fayn wan.

Wetin na di mɛrɛsin dɛn we dɛn kin gi fɔ dis?

Sɔm pipul dɛn kin ridyus di asid we dɛn kin gɛt bay we dɛn chenj dɛn layf, lɛk fɔ chenj di we aw dɛn de it, fɔ lɛf fɔ drink rɔm ɛn smok, ɛn fɔ lɛf fɔ it bɔku bɔku it. Dɔktɔ dɛn kin ɛnkɔrej pipul dɛn bak fɔ fala dɛn we ya.

Bɔt if yu gɛt kronik asid riflɔks ɔ GERD, dɔktɔ dɛn kin gi yu mɛrɛsin dɛn we de ridyus di asid na yu bɛlɛ. Dɔn, ilɛksɛf di asid kam ɔp, i nɔ go ambɔg am tumɔs. Dɛn mɛrɛsin ya izi fɔ gɛt ɛn dɛn kin rili wok fɔ GERD.

Mɛrɛsin

Ova-di-kɔnta (OTC) mɛrɛsin dɛn we yu kin gɛt na famasi dɛn we nɔ gɛt prɛskrishɔn:

• Antasid: Antasid, lεk Tums® εn Rolaids®, de mek di bεlε asid nכtralayz. dis min se ivin if di asid kam op, i nכ go mek di εsophagus damej tumɔs. Dɛn tin ya fayn fɔ mek asid riflɔks wan wan tɛm, bɔt dɛn kin mek yu gɛt sayd ɛfɛkt if yu tek am ɔltɛm, so dɛn nɔto gud sɔlv fɔ lɔng tɛm.
• Alginates:Alginate na natura l shuga we dɛn kin pul frɔm si-sid. i de fכt pan tap di asid, we de mek wan fכshal barεri bitwin di asid εn di εsophagus. Mεdikeshכn dεm de we gεt alginate nכmכ, εn mεdikeshכn dεm we de miks alginate wit antacids.

Di mɛrɛsin dɛn we dɛn kin gi:

• di histamin rεsεpכta antagonist dεm (H2 blכk dεm): H2 blכk dεm de ridyus di prodakshכn fכ di bεlε asid. dis na biכs dεn de blכk di kεmikכl (histamine) we de tεl di bכdi fכ mek asid. Dɛn kin tek dɛn tin ya bɔku tɛm pas antisid, bɔt nɔr kin woke fɔ lɔng tɛm ɔltɛm. Di bɔdi kin yus to dɛn.
• Proton pump inhibitors (PPI): PPI na wan kayn mεdikeshכn we de blכk asid mכr ifektiv εn protεkt tisu hεl. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya fɔs if yu GERD rili bad ɔ if yu gɛt sayn dɛn fɔ se di tisu dɛn we de na yu ɛsophagus dɔn pwɛl. dεn de 90% ifektiv fכ ridyus asid rεfluks.
• Baclofen: Baclofen na tin we de mek yu mɔsul dɛn rilaks. Bɔku tɛm dɛn kin gi am fɔ ridyus di mɔsul dɛn we de spam. i kin ridyus di nכmba כf tεm dεm we di LES de rilaks, we kin rεdכks di כmכnt כf asid we de kam כp. I nɔto fɔs layn mɛrɛsin fɔ asid riflɔks, bɔt i kin bi pat pan yu tritmɛnt plan.

No we nɔ de fɔ stɔp ɔ mɛn di asid riflɔks ɔltogɛda?

Pan ɔl we mɛrɛsin kin ridyus di sayn dɛn ɛn di tin dɛn we kin apin to pɔsin we gɛt GERD, dɛn nɔ kin ebul fɔ stɔp am kpatakpata. Ivin if pɔrsin wae gɛt siriɔs GERD de tek mɛrɛsin, yu kin stil gɛt prɔblɛm, ivin if yu nɔr no.

Insay dɛn kayn tin ya, dɛn nid fɔ gɛt sɔlv we go de sote go fɔ mek di asid nɔ kam ɔp. Dis kin min ɔpreshɔn fɔ tayt di LES . Bɔku tɛm, dɛn ɔpreshɔn ya nɔto big ɔpreshɔn, na ɔutpatient ɔpreshɔn, ɛn dɛn kin rili wok fayn.

Ɔpreshɔn

Ɔpreshɔn fɔ GERD:

• Nissen fundoplication: Dis na di ɔpreshɔn we dɛn kin du mɔ fɔ GERD. If i pɔsibul, dɛn kin du am wit laparoskopik . Dis min se dɛn kin du am tru smɔl smɔl say dɛn we dɛn kɔt am, we min se di tɛm fɔ wɛl kin shɔt. Di dɔktɔ we de du di ɔpreshɔn kin tek di ɔp pat na di bɛlɛ, rap am rawnd di ɔda pat we de dɔŋ di εsophagus, ɛn stich am togɛda. Dɛn kin du dis ɔpreshɔn bak fɔ pipul dɛn we gɛt hiatal hεnia.
• LINX device: Dis na nyu prosidur. Dɛn kin ɔpreshɔn wan tin we dɛn kɔl LINX insay. Di LINX divays na wan smɔl ring we gɛt magnet. I de ɛp fɔ kip di kɔnekshɔn bitwin di bɛlɛ ɛn di εsophagus lɔk.

Wetin yu kin du fɔ kɔntrol di asid we de kam bak na os?

Tray dɛn tin ya fɔ kɔntrol di asid riflɔks na os:

• It smɔl smɔl it dɛn:Big big it dɛn kin ful-ɔp di bɛlɛ ɛn put prɛshɔn pan di LES. Smɔl it dɛn kin digest kwik kwik wan ɛn dɛn nɔ kin mek bɔku asid na di bɛlɛ.
• It dina kwik: I bɛtɛ fɔ it sɔm awa bifo yu ledɔm ɛn go slip na nɛt, bikɔs graviti de ɛp fɔ mek asid nɔ bɔku.
• Slip na yu lɛft say: We yu de slip dis we, yu LES de sidɔm ɔp di tin dɛn we de insay yu bɛlɛ, lɛk ɛya pɔkit. If yu slip na yu sayd ɔ rayt say, dat kin mek di valv fɔdɔm.
• Ridyus prɛshɔn pan yu bɛlɛ: Wear klos we nɔ tay. If yu fat pasmak, tray fɔ lɛf fɔ it bɔku bɔku it dɛn. Dis go ɛp fɔ shɔt tɛm ɛn bak fɔ lɔng tɛm.
• Stɔp fɔ smok ɛn drink rɔm: Tabak ɛn rɔm ɔl tu de mek di LES wik. Dɛn kin mek di bɛlɛ asid bak, we kin mek di tɛm fɔ digest bɔku.
• Mɛrɛsin dɛn we yu nɔ kin bay: Kip mɛrɛsin dɛn lɛk antasid ɛn alginate na yu an . Yuz dɛn tin ya mɔ if yu no se yu go it ebi ebi it we gɛt asid.

Wetin yu kin du if asid kam ɔp wantɛm wantɛm?

Tray fɔ du dɛn tin ya da tɛm de:

• Stand op: graviti de na yu sayd.
• Drink wan ɔ tu sip wata: Nɔ drink bɔku, bɔt sɔm smɔl smɔl wata kin ɛp fɔ pul di asid kɔmɔt.
• Luz di wɛstband: Una pul di bɛlt, ɔ chenj pant if yu ebul.
• Tek wan antisid: If yu nɔ gɛt wan nia yu, sɔntin lɛk Pepto Bismol® kin ɛp.

Ustɛm a fɔ go to dɔktɔ bɔt dis?

If yu at kin bɔn bɔku tɛm, yu go mɔs go to dɔktɔ . E fayn fɔ ɔndastand aw e de afɛkt yu bɔdi. GERD nɔr kin jɔs nɔr kin fil fayn - e kin rili bad. Ɛn, gud tritmɛnt dɛn de fɔ am.

Bɔrku pipul dɛn kin gɛt at pwɛl wan wan tɛm. At bɔn, bɛlɛ we de at, ɛn asid we de kam bak kin mek i nɔ izi fɔ mek yu ebul fɔ pas di de. Sɔm tin dɛn de we yu kin du fɔ mek dɛn nɔ gɛt dɛn sik ya ɔltɛm.

Bɔt if yu gɛt at bɔn ɔltɛm ɛn i de afɛkt yu layf, yu kin gɛt GERD. I fayn fɔ tɔk to dɔktɔ bɔt yu sik dɛn. Dɛn kin ɛp yu fɔ disayd if tritmɛnt go ɛp yu.

Mɛmba di tin we impɔtant pas ɔl (Take-Home Message) .

Asid riflɔks ɛn GERD na tin dɛn we kin afɛkt bɔku pipul dɛn. Pan ɔl we i nɔmal fɔ gɛt dɛn wan wan tɛm, i impɔtant fɔ no bɔt dɛn if dɛn na prɔblɛm ɔltɛm.

• No di sayn dɛn we yu gɛt. Wach fɔ tin dɛm lɛk sɔl teys na yu trot, chɛst pen, ɛn i nɔ izi fɔ swɛla.
• Simpul chenj na layf kin mek big difrɛns. Tink bɔt wetin yu de it, ustɛm yu de it, ɛn aw yu de slip.
• Stay away frɔm smok ɛn rɔm.Dɛn tin ya de rili mek dis prɔblɛm wɔs.
• If yu nɔ ebul fɔ kɔntrol am wit mɛrɛsin na os, mek shɔ se yu go to dɔktɔ . GERD na wan sik we dɛn kin trit. Bɔt if dɛn nɔ trit am, i kin mek i gɛt prɔblɛm dɛn.
• Nɔ wɔri. Dɛn kin mɛn dis sik fayn fayn wan wit di rayt advays ɛn tritmɛnt. Tɔk opin wan wit yu dɔktɔ.

A op se yu si dis infɔmeshɔn yusful. Stay wit wɛlbɔdi!

` Asid riflɔks, GERD, at bɔn, bɛlɛ inflamɛns, indijɛshɔn, ɛsophagitis, mɛdikal tritmɛnt