Treatments for Reflux
Treatments for Reflux
The list of treatments mentioned in various sources
for Reflux
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Reflux: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Reflux may include:
Hidden causes of Reflux may be incorrectly diagnosed:
Reflux: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Reflux:
Curable Types of Reflux
Possibly curable types of Reflux may include:
Reflux: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Reflux:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Reflux include:
- Alu-Tab
- Andrews Tums
- Degas Extra
- DeWitt's Antacid
- Dexsal
- Eno
- Gastrogel Tablets
- Gelusil
- Mylanta Original
- Mylanta Double Strength
- Sigma Liquid Antacid
- Gaviscon
- Meracote
- Gaviscon Double Strength
- Infant Gaviscon
- Mucaine
- Mucaine 2 in 1
- Mylanta Heartburn Relief
- Mylanta Rolltabsa
- Rennie
- Salvital
- Sodibic
- Titralac
- Titralac SIL
Hospitals & Medical Clinics: Reflux
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Reflux:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Reflux,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Reflux:
The following medical news items
are relevant to treatment of Reflux:
Buy Products Related to Treatments for Reflux
Book Excerpts: Treatment of Reflux
Treatments of Reflux: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Reflux.
Gastroesophageal reflux:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Effective management begins by teaching the patient to avoid factors that decrease LES pressure or cause esophageal irritation. The patient should eat a low-fat, high-fiber diet and avoid caffeine, tobacco, and carbonated beverages. He shouldn’t eat 2 hours before going to bed and should avoid tight clothing, elevate the head of the bed 6" to 8" (15 to 20 cm) and maintain a normal body weight. Promotility agents help increase LES sphincter tone and stimulate upper GI motility. Proton pump inhibitors and histamine-2 (H2) receptor antagonists help reduce gastric acidity. If possible, NG intubation shouldn’t be continued for more than 5 days because the tube interferes with sphincter integrity and allows reflux, especially when the patient lies flat.
Positional therapy is especially useful in infants and children who experience GERD without complications.
Surgery may be necessary to control severe and refractory symptoms, such as pulmonary aspiration, hemorrhage, obstruction, severe pain, perforation, an incompetent LES, or associated hiatal hernia. Surgical procedures that create an artificial closure at the gastroesophageal junction may be needed in some patients. These include a procedure that invaginates the esophagus into the stomach and procedures that create a gastric wraparound with or without fixation. The fundoplication procedure can be performed endoscopically. Also, vagotomy or pyloroplasty may be combined with an antireflux regimen to modify gastric contents.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Vesicoureteral reflux:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goal of treatment in a patient with vesicoureteral reflux is to prevent pyelonephritis and renal dysfunction with antibiotic therapy and, when necessary, vesicoureteral reimplantation. Appropriate surgical procedures create a normal valve effect at the junction by reimplanting the ureter into the bladder wall at a more oblique angle.
Antimicrobial therapy is usually effective for reflux that’s secondary to infection, reflux related to neurogenic bladder and, in children, reflux related to a short intravesical ureter (which abates spontaneously with growth). Reflux related to infection generally subsides after the infection is cured. However, 80% of females with vesicoureteral reflux will have recurrent UTIs within a year. Recurrent infection requires long-term prophylactic antibiotic therapy and careful patient follow-up (cystoscopy and excretory urography every 4 to 6 months) to track the degree of reflux.
UTI that recurs despite adequate prophylactic antibiotic therapy necessitates vesicoureteral reimplantation or reconstructive repair. Bladder outlet obstruction in neurogenic bladder requires surgery only if renal dysfunction is present. After surgery, as after antibiotic therapy, close medical follow-up is necessary (excretory urography every 2 to 3 years and urinalysis once per month for 1 year), even if symptoms haven’t recurred.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Dyspepsia:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Advise the patient to eat frequent small meals and to avoid foods known to cause symptoms as well as coffee, tea, chocolate, alcohol, and tobacco.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Gastroesophageal reflux:
Treatment
(Handbook of Diseases)
Effective management relieves symptoms by reducing intra-abdominal pressure and reflux through gravity, neutralizing gastric contents, strengthening the LES with drug therapy and, in severe cases, performing surgery.
Positional therapy
To reduce intra-abdominal pressure and reflux, the patient should sleep in a reverse Trendelenburg position (with the head of the bed elevated) and should avoid lying down after meals and late-night snacks. In uncomplicated cases, positional therapy is especially useful in infants and children. The patient is also encouraged to reduce his weight to help reduce symptoms.
Drug therapy
In mild cases, over-the-counter antisecretory agents are helpful. In moderate cases, histamine-2 receptor blocking agents (cimetidine, ranitidine, famotidine, nizatidine) for 6 to 12 weeks provide symptom relief. Erosive esophagitis is better treated with proton pump inhibitors (omeprazole, lansoprazole, pantoprazole, or rabeprazole) and heals up to 90% of patients.
Surgery
Surgical intervention may be necessary to control severe and refractory symptoms, such as pulmonary aspiration, hemorrhage, obstruction, severe pain, perforation, incompetent LES, and associated hiatal hernia.
Surgical procedures include antireflux surgery, in which the fundus is wrapped around the esophagus (fundoplication). Also, vagotomy or pyloroplasty may be combined with an antireflux regimen to modify gastric contents.
UNDER STUDY: Endoluminal gastric plication (Endocinch) and radiofrequency energy delivery (Stretta system) are two modalities approved for outpatient treatment of gastroesophageal reflux. Endoluminal gastric plication involves ligating and tightening the lax area within the lesser curve of the stomach, thereby strengthening and increasing the LES pressure. Radiofrequency energy delivered to the target tissue results in the same effect. Both have shown promising short-term results.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Dyspepsia:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Advise patients to eat frequent, small meals. Also, tell them to avoid foods known to cause symptoms as well as coffee, tea, chocolate, alcohol, and tobacco. Explain all diagnostic tests and procedures. Discuss other ways to deal with stress, such as deep breathing and guided imagery. Provide the patient with a calm environment to reduce stress, and make sure the patient gets plenty of rest. In addition, prepare the patient for endoscopy to evaluate the cause of dyspepsia.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Dyspepsia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Give an antacid 30 minutes before or 1 hour after a meal.
▪ Provide food to relieve dyspepsia.
▪ Because various drugs can cause dyspepsia, give these after meals or with food, if possible.
▪ Provide a calm environment to reduce stress, and make sure that the patient gets plenty of rest.
▪ Prepare the patient for endoscopy to evaluate the cause of dyspepsia.
Patient teaching
▪ Discuss stress reduction techniques, such as deep breathing and guided imagery.
▪ Discuss the importance of small, frequent meals.
▪ Explain to the patient his diagnosis and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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