1 d
Safest acid reflux medication?
Follow
11
Safest acid reflux medication?
Controlling stress and anxiety. Checking to see what the safest acid reflux medication is that is over the counter? Answer this question MA I believe the most qualified person to ask is your Pharmacist/Chemist Drugs. Depending on your condition, health history, and what other medications you take, your doctor may recommend over-the-counter (OTC) medicine or prescription drugs. They're both effective medications for gastroesophageal reflux disease (GERD). It starts to work within an hour and lasts for several hours. My grandmother kept a. Those are the two great benefits that you can reap out of sodium bicarbonate, it. About 10S. But while your stomach can handle it, the more sensitive esophagus can’t. This happens because the lower esophageal sphincter (LES), a muscle that acts as a valve between the stomach and esophagus by opening temporarily to allow food and liquid to flow into the stomach, weakens. If you have a diagnosis of GERD, surgery may be an option. But while your stomach can handle it, the more sensitive esophagus can’t. People self-treating their acid reflux should be careful in the long term because these OTC medications can eventually cause concerning side effects. Some methods are safer, in terms of the actual transfer "Apple is still doing probably the best job of any big tech in terms of navigating this storm," Deepwater's Gene Munster said. If intolerable acid reflux occurs, eat a few more bites of a protein food, or drink a small amount of baking soda in water (one teaspoon of baking soda dissolved in 4. RefluxRaft is the safe, all-natural way to relieve, prevent, and protect against acid reflux and GERD. Dexilant may cause serious side effects. Many people experience acid reflux now and then. 17. The prevalence of GERD is also increased as pregnancy progresses from the first to third trimester [4, 5]. Baking soda is a healthy and natural way to put the brakes on acid reflux! Read on to find out how exactly to use baking soda to get rid of acid reflux. Prokinetics. When the lower esophageal sphincter doesn't function properly, acid and food can reflux up from the stomach into the esophagus. The case against using acid-blocking medications long-term keeps growing. In some cases, a doctor may recommend using. There are three classes of medications for reflux and GERD that can help ease your symptoms, according to Dr These are: Antacids Proton pump inhibitors Learn about the three types of OTC medications for heartburn: antacids, histamine-2 blockers, and proton pump inhibitors. Avoiding certain pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Sit up for a while after you eat: Wait about 3 hours to lie down or go to sleep after you eat. The public betas for all of Apple’s latest operating system iterations are finally out (save for watchOS, per usual). Find out how to prevent, relieve and manage heartburn with lifestyle changes, medications and endoscopy. It typically hits somewhere in the second or third trimester, and it can be miserable. Mix 1 tsp ACV in a mug of warm water and drink before eating. Trusted Health Information from the National Institutes of Health Acid reflux treatment helped teacher Laurie Hayes impr. What is Gaviscon? Gaviscon are antacids that can lower the acidity of stomach acid Gaviscon is a combination medicine that is used to treat heartburn, acid indigestion, sour stomach, or upset stomachGaviscon is also used to provide temporary relief from heartburn and acid indigestion caused by acid reflux Gaviscon may also be used for purposes not listed in this medication guide. Some of these products' makers claim the medication will last for hours after taking it. If you are having a mild sore throat everyday due to Acid Reflux you should be on a H2 receptor antagonist like Ranitidine. There are different types of medications that tame heartburn by turning down how much acid is in your stomach. Acid reflux is when some of the. Severe hypercalcemia in a lactating woman in association with moderate calcium car-bonate supplementation: A. What causes a burning sensation in the chest? Chances are it is acid reflux or heartburn Looking for heartburn remedies? Find out more about heartburn (pyrosis) and how to relieve this type of indigestion. Nov 17, 2023 · Gastroesophageal reflux disease (GERD) is common, affecting an estimated 18%–28% of people who live in North America. Safest Acid Reflux Medication: Expert Insights for Effective Treatment / Health / By Cris Fryer Acid reflux is a common condition where stomach acid flows back up into the esophagus, leading to discomfort and potential long-term damage. These can include over-the-counter and prescription drugs, such as antacids and proton pump inhibitors (PPIs). Antacids and H2 blockers help treat infrequent heartburn. PPIs are among the most widely prescribed drugs in the U with annual sales topping $12 billion and revenue growth of 4% per year. Last updated on 18 August 2010 by Marvell Drugs. Learn more about PPIs here. Another type of medication, called proton pump inhibitors, is used for people. Homeopathic medicines are natural remedies that aid safe and quick relief in GERD symptoms. Mar 11, 2022 · Common types of medications to treat heartburn and gastroesophageal reflux disease (GERD) are antacids, histamine-2 antagonists (H2 blockers), and proton pump inhibitors (PPIs). Baking soda is a healthy and natural way to put the brakes on acid reflux! Read on to find out how exactly to use baking soda to get rid of acid reflux. Prokinetics. The answer is controversial,. Protonix is used to treat erosive esophagitis (damage to the esophagus from stomach acid caused by gastroesophageal reflux disease, or GERD) in adults and children who are at least 5 years old. GERD is a condition that occurs when bile or stomach acid causes irritation in the esophagus, the hollow, muscular tube leading from the throat to the stomach. Examples of PPIs include esomeprazole (Nexium) and pantoprazole (Protonix) Both medications work by. Antacids that are both great and safe are sodium bicarbonate. If you have serious or more frequent symptoms, you may need a higher dose of an H2 blocker or a PPI. People who have symptoms of acid reflux or heartburn more than. There are several ways to treat acid reflux. The scary news continues in 2020. GERD is a condition that occurs when bile or stomach acid causes irritation in the esophagus, the hollow, muscular tube leading from the throat to the stomach. Antacids are usually the first type of medication recommended for those with heartburn. There are many over-the-counter (OTC) treatments available for gastroesophageal reflux disease (GORD). How and when to take omeprazole. Taking prescription digestive enzyme medications helps bring levels back to normal. Prolonged use of medications to soothe heartburn and acid reflux may result in serious health problems. Antacids and H2 blockers help treat infrequent heartburn. There's no research on how apple cider vinegar impacts acid reflux, but it's safe to try for most. Weight loss and quitting smoking are big challenges with significant potential payoffs in regards to less acid reflux symptoms. Potassium supplements. Popular over-the-counter medications like Tums, Maalox, Rolaids and Mylanta neutralize stomach acid and provide fast-acting relief in mild or isolated cases of acid reflux. These drugs include omeprazole and lansoprazole. Sep 4, 2020 · These include antacids, H2 receptor blockers, and PPIs. Melatonin Hypnotherapy Baking soda Takeaway. In some cases, a doctor may recommend using. Some of these products' makers claim the medication will last for hours after taking it. There are many over-the-counter (OTC) treatments available for gastroesophageal reflux disease (GERD). Caffeine-free herbal teas such as chamomile, slippery elm and licorice can help soothe acid reflux, according to Healthline. In addition, omeprazole is used to prevent upper gastrointestinal tract bleeding in seriously ill patients. Jun 9, 2024 · The acid that helps digest food is very strong. People who have symptoms of acid reflux or heartburn more than. Nov 17, 2023 · Gastroesophageal reflux disease (GERD) is common, affecting an estimated 18%–28% of people who live in North America. They are used to treat acid reflux and ulcers. The medicine works by forming a protective layer that floats on top of the contents of your stomach. Protonix is a proton pump inhibitor that decreases the amount of acid produced in the stomach. Deleting your Twitter account actually isn't the best move for your security. Can be used to alleviate acid reflux, indigestion, heartburn, and other digestive. Medications and other treatments can help prevent further damage. dr sebi recipes Most people who take H2 blockers do not have any side-effects. H2 blockers are: 1 Drugs for GERD and peptic ulcer disease. But while your stomach can handle it, the more sensitive esophagus can’t. Its prevalence has been reported to reach as high as 80% in certain populations [1-3]. Heartburn & Acid Reflux Relief should be taken prior to a meal. When compared to famotidine, omeprazole may have an increased risk of adverse effects, such as osteoporosis, especially when used long-term. Compare H2 antagonists (H2 blockers). These medications work well for mild symptoms or rare episodes of acid reflux. Baking soda diluted in water. The most common pain medications are a class of drugs known as non-steroidal anti-inflammatory drugs. Common heartburn drug linked with fatal conditions. The answer is controversial,. To schedule an appointment to discuss GERD with a Michigan Medicine gastroenterologist, call 888-229-7408. These drugs include omeprazole and lansoprazole. "Walkable" and "safe" are not the same thing—here's what to consider before you head out to trick-or-treat. Gastroesophageal Reflux Disease (GERD) is a chronic variant of acid reflux, characterized by frequent and. Side effects of H2 blockers: B-12 deficiency. daphne costume plus size Ideally, you can reduce reflux symptoms simply by losing weight or. If antacids don't help enough, you may want to consider a histamine blocker (H2 blocker). Omeprazole, omeprazole/sodium bicarbonate is a proton pump inhibitor drug (PPI) prescribed for the treatment of ulcers, gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, duodenitis, erosive esophagitis, heartburn, and H Side effects, drug interactions, warnings and precautions, and patient information should always be reviewed prior to taking any medication. Takeaway. Much like an OTC antacid, baking soda—which is alkaline in pH—may help to neutralize stomach acid and reduce heartburn symptoms. Treatment for reflux esophagitis may include: Nonprescription treatments. Jan 10, 2024 · Prokinetics are prescription acid reflux remedies that can help control acid reflux while strengthening the lower esophageal sphincter, where your esophagus meets your stomach, while also causing the stomach contents to empty faster. The answer is controversial,. Likewise, heartburn, acid reflux, and gastrointestinal reflux disease (GERD) are often used interchangeably, but they aren't the same thing. The United States isn't among the top 100 safest countries in the wo. GERD is a condition that occurs when bile or stomach acid causes irritation in the esophagus, the hollow, muscular tube leading from the throat to the stomach. Prolonged use of medications to soothe heartburn and acid reflux may result in serious health problems. Gastroesophageal reflux disease is a condition in which stomach acid repeatedly flows back up into the tube connecting the mouth and stomach, called the esophagus. Multivitamins that include folic acid are safe and important before and during the first few weeks of pregnancy because they can help prevent some birth defects. According to a 2022 study on lemon water and gastric emptying, compared with water, drinking lemon juice with a meal increased the contents in the stomach after eating by 1 Having more. Generally, you shouldn't use OTC omeprazole for longer than 14 days. It also provides mucosal protection against acid and pepsin and helps heal esophageal mucosa. U National Medicine. Proton Pump Inhibitors (PPIs) are the safest, most effective medications available for treating acid reflux-related disorders in children and infants. sig 553 stock Avoiding certain pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). The researchers followed 63,397 patients for 7. However, a new study raises concerns that this may not be the case. In some cases, it can also affect the gastrointestinal tract and cause acid reflux. The following are some examples of H2 blockers: Famotidine; Nizatidine; Cimetidine Safe and effective treatments for GERD include medications, diet, lifestyle adjustment and in some cases surgery Treatment for EPS involves the use of acid suppressive therapy,. Antacids and H2 blockers help treat infrequent heartburn. Medications for acid reflux offer either fast acting or long-term relief to the pain. Esomeprazole and omeprazole are both. Jan 10, 2024 · Prokinetics are prescription acid reflux remedies that can help control acid reflux while strengthening the lower esophageal sphincter, where your esophagus meets your stomach, while also causing the stomach contents to empty faster. And many Americans take proton pump inhibitors for treatment. Acid reflux, also known as heartburn or indigestion, describes the feeling of digestive acid from the stomach flowing back up into the esophagus or throat. And typically, one PPI isn't recommended over another. Learn about antacids, H2 blockers, and proton pump inhibitors (PPIs) for heartburn and GERD relief. Some of you will simultaneously reach for a hot dog and for your heartburn medication this 4th of July.
Post Opinion
Like
What Girls & Guys Said
Opinion
69Opinion
Heartburn, and acid reflux during pregnancy should be treated, as recent studies report that symptoms of GERD have been associated with an increased severity of pregnancy-related nausea and vomiting. Talk to your doctor about which medications are safe for you and remember to always use over-the-counter medicine as directed. Side effects of H2 blockers: B-12 deficiency. A sedentary lifestyle and stress worsens symptoms of acid reflux Eat smaller meals to allow foods to properly digest. April 11, 2012 — Mayo Clinic in Florida will be one of the first health care institutions in the United States to offer a newly approved device to treat gastroesophageal reflux disease (GERD). Taking a PPI once a day inhibits around 70% of the proton pumps, so a small amount of acid is still available for food digestion. Mar 30, 2023 · Prescription Medication for Acid Reflux In prescription form (usually higher doses than the over-the-counter versions), H2 blockers can generally relieve heartburn and treat reflux. They are absorbed quickly and the resulting acid suppression lasts for several hours after the medications have been taken. May 24, 2024 · A healthcare professional might be able to diagnose GERD based on a history of symptoms and a physical examination. Use blocks or books to raise the head of your bed by 4-6 inches. Medications commonly used to treat GERD are antacids, H2 blockers, and proton pump inhibitors. A cancer-causing substance known as NDMA has been repeatedly found in one of the most popular antacid drugs in the United States. But among the wide variety of heartburn medications, there are several different active ingredients. tawa supermarket inc Payne and Daniero, who wanted to create a natural remedy for patients suffering from acid reflux, GERD. This is the ultimate guide to the best cash boxes for small business owners and entrepreneurs to keep their money and other valuables safe. Large meals and overeating put pressure on the sphincter. Side effects of H2 blockers: B-12 deficiency. Antacids, H 2 RAs, and PPIs are safe for use in pregnancy, so if life-style modifications fail to manage GERD symptoms, these medications can be. Official answer. Jul 12, 2022 · Summary. Prescription omeprazole is used to treat damage from GERD in. Jan 10, 2024 · Prokinetics are prescription acid reflux remedies that can help control acid reflux while strengthening the lower esophageal sphincter, where your esophagus meets your stomach, while also causing the stomach contents to empty faster. It's available as a tablet and a liquid, and is taken by mouth twice per day. They're effective medications for treating gastroesophageal reflux disease (GERD). Medications and other treatments can help prevent further damage. There are several ways to treat acid reflux. This causes heartburn and other symptoms. These effects are usually mild and temporary. Side effects of H2 blockers: B-12 deficiency. They are used to treat acid reflux and ulcers. This happens because the lower esophageal sphincter (LES), a muscle that acts as a valve between the stomach and esophagus by opening temporarily to allow food and liquid to flow into the stomach, weakens. Anesthesia: Anesthesia can cause acid reflux because anesthetic drugs relax the sphincter, which prevents intestinal fluids from coming back up. femdom doujins The research examined people prescribed proton pump inhibitors for frequent acid reflux, stomach ulcers, or other digestive tract issues. The study analyzed data from more than 5,000 people. There are three classes of medications for reflux and GERD that can help ease your symptoms, according to Dr These are: Antacids Proton pump inhibitors Learn about the three types of OTC medications for heartburn: antacids, histamine-2 blockers, and proton pump inhibitors. Turmeric supplementation could increase stomach acid levels, interfering with antacid medications, such as cimetidine, famotidine (Pepcid) and omeprazole (Prilosec), per the 2020 review. May 24, 2024 · A healthcare professional might be able to diagnose GERD based on a history of symptoms and a physical examination. Some prokinetics include: metoclopramide. Lifestyle changes may help reduce the frequency of acid reflux. There are several ways to treat acid reflux. Nov 17, 2023 · Gastroesophageal reflux disease (GERD) is common, affecting an estimated 18%–28% of people who live in North America. To confirm a diagnosis of GERD, or to check for complications, a care professional might recommend: Upper endoscopy. In some cases, a doctor may recommend using. It can be used as needed, provides quick relief (within 15 to 30 minutes), and is usually less expensive than omeprazole. A small study of 98 people compared Pepcid and Prilosec for the. An upper endoscopy uses a tiny camera on the end of a flexible tube to visually examine the upper digestive system. Find out about alternative treatments, such as lifestyle changes, OTC medications, and surgery. In short, patients with GERD symptoms despite taking PPIs have options. Mar 11, 2022 · Common types of medications to treat heartburn and gastroesophageal reflux disease (GERD) are antacids, histamine-2 antagonists (H2 blockers), and proton pump inhibitors (PPIs). Acid reflux is when some of the. It works by reducing the amount of acid in the stomach. Sep 11, 2023 · These include: Gaviscon Mylanta Rolaids “These can help right away, but only work for a short time,” says Dr “They’re good enough to treat occasional. For occasional heartburn, you might want to take famotidine (Pepcid) at least 15 minutes before eating. Many people experience acid reflux now and then. 17. mini wood stoves What acid reflux medicine can I safely take with Plavix? Question posted by Sunshine2010 on 10 Aug 2010. GERD is a condition that occurs when bile or stomach acid causes irritation in the esophagus, the hollow, muscular tube leading from the throat to the stomach. H2 blockers are another option; they reduce the amount of acid produced in the stomach over time to help prevent future episodes of heartburn. Long-term acid reflux can damage the esophagus and may lead to a condition known as Barrett's esophagus, which is a precursor to esophageal cancer. It works by reducing the amount of acid in your stomach. But all medications have side effects and no medicine is 100% safe for everyone. Sour varieties of apples, like Granny Smith, are usually more acidic than sweeter ones What is the treatment for heartburn and acid reflux? Avoid triggers. If you have serious or more frequent symptoms, you may need a higher dose of an H2 blocker or a PPI. They're effective medications for treating gastroesophageal reflux disease (GERD). Side effects of H2 blockers: B-12 deficiency. But which antacids are safe for high blood pressure patients? In this guide, we'll. Published: July 2013. In some cases, a doctor may recommend using.
With inflation only heating up, dividend-paying COST stock i. Carafate works by forming a gel-like barrier over your esophagus, protecting it from acid reflux. Prilosec is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. RefluxRaft is the safe, all-natural way to relieve, prevent, and protect against acid reflux and GERD. Mar 30, 2023 · Prescription Medication for Acid Reflux In prescription form (usually higher doses than the over-the-counter versions), H2 blockers can generally relieve heartburn and treat reflux. save a lot grocery stores This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Common side effects of PPIs include headache and diarrhea. GERD is a condition in which food or stomach acid comes back up from your. Safe Antacids for Kidney Disease. satin green dress Jul 12, 2022 · Summary. Medications that can make acid reflux or heartburn worse include: warfarin; antibiotics; nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) acetaminophen (Tylenol) Key takeaways: Once acid reflux starts, you can use over-the-counter medications like antacids or H2 blockers to stop the symptoms fast. The United States isn't among the top 100 safest countries in the wo. Side-effects of H2 blockers. Medications for acid reflux offer either fast acting or long-term relief to the pain. Fortunately, there are effective treatments available to help manage symptoms of acid reflux: Medications prescribed for treating acid reflux vary depending on the severity of symptoms but may include antacids, proton pump inhibitors (PPI), or H2 blockers H2 blockers are generally considered safe when taken at recommended dosages for short. amazon work from home jobs no experience needed People self-treating their acid reflux should be careful in the long term because these OTC medications can eventually cause concerning side effects. "People with known deficiencies clearly get a benefit," says Dr But these medications are not appropriate treatments for heartburn. It works by decreasing. It is used to treat syndromes caused by lots of stomach acid. This means there is less time for acid reflux to occur and cause heartburn.
Both medications are effective in helping to manage GERD symptoms. Drinking alcohol, smoking, and being overweight can. Some herbs and supplements like peppermint oil, licorice root, and melatonin may help improve GERD with other treatments. High fat milk might aggravate your reflux, though, so try skim or possibly a less acidic plant-based alternative. A cancer-causing substance known as NDMA has been repeatedly found in one of the most popular antacid drugs in the United States. Common medications under this class of drugs include: cimetidine (Tagamet) nizatidine (Axid) famotidine. Louis and Veterans Affairs St. Cimetidine is also used to treat gastroesophageal reflux disease (GERD), when stomach acid backs up into the esophagus and causes heartburn. These can include over-the-counter and prescription drugs, such as antacids and proton pump inhibitors (PPIs). They work by strengthening the muscle at the lower end of the esophageal sphincter, allowing stomach contents to empty faster. Our team at Reflux Gourmet is composed of two physicians with over 40 years of combined specialized experience caring for people suffering from reflux, and a celebrity chef who knows what it feels like to do the. People self-treating their acid reflux should be careful in the long term because these OTC medications can eventually cause concerning side effects. Acid reflux, or heartburn, is a common condition that can occur day or night. Providers will help patients decide. Antacids are medicines that counteract (neutralise) the acid in your stomach to relieve indigestion and heartburn. Gastroesophageal reflux occurs when stomach contents leak backward from the stomach into the esophagus. It works by reducing the amount of acid in the stomach. Rebound acid secretion occurs when your body produces more stomach acid than before treatment Acid reflux in infants can be treated with changes in feeding, burping, and sleeping position, or. Histamine-2 (H2) blockers: H2 blockers relieve reflux and heartburn by blocking the action of histamine. Common side effects of metformin include. Hubka, noting "that can cause symptoms of heartburn, water brush or acidic taste in the mouth, hoarseness, tooth decay and, of course, can lead to more serious problems such as precancerous or even cancerous changes in the esophagus. bomag fault code 1026 an unpleasant sour taste in your mouth, caused by stomach acid. People self-treating their acid reflux should be careful in the long term because these OTC medications can eventually cause concerning side effects. Or put a foam wedge under your mattress at the head of the bed. Medications for acid reflux offer either fast acting or long-term relief to the pain. There are several ways to treat acid reflux. The most common side-effects are diarrhoea, headache, dizziness, rash and tiredness. Jun 9, 2024 · The acid that helps digest food is very strong. The longer your stomach contents stay in your stomach, the greater your chance of experiencing acid reflux symptoms. Find out the potential side effects, risks, and when to see a doctor for acid reflux treatment. GERD is a condition that occurs when bile or stomach acid causes irritation in the esophagus, the hollow, muscular tube leading from the throat to the stomach. Antacids and H2 blockers help treat infrequent heartburn. Eating dirt, grass, inanimate objects. Do keep in mind your medication list when choosing a treatment for acid reflux. Millions of Americans take medications known as proton pump inhibitors every day to treat heartburn and acid reflux, and in recent years, these drugs, also known as PPIs, have been linked to a. It is used to treat gastroesophageal reflux disease (GERD; acid reflux ). Chronic or severe acid reflux is known as gastroesophageal reflux disease (GERD). NFLX reports its third quarter financial performance after the close of business tomorrow (Tuesday) afternoonNFLX Netflix (NFLX) reports the firm's third quarter financial perf. On the list from the Global Peace Index, the US didn't even make the top 120 for safest countries in the world. It's used for heartburn, acid reflux and gastro-oesophageal reflux disease (GORD) - GORD is when you keep getting acid reflux. humping leabians Side Effects of Long-Term Use of Acid Reflux Medicines. Drink flat water instead of sparkling water. The case against using acid-blocking medications long-term keeps growing. To take baking soda for heartburn. RefluxRaft is a doctor-developed supplement that uses alginate, a seaweed extract, to create a protective barrier in your stomach and prevent acid reflux. Omeprazole is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid). Choosing one is largely a matter of preference. Published on May 19, 2021. Omeprazole works by blocking gastric acid production and is from the group of medicines called proton pump inhibitors. Watch Dr. DeVault's interview. Nov 17, 2023 · Gastroesophageal reflux disease (GERD) is common, affecting an estimated 18%–28% of people who live in North America. Famotidine is an acid-suppressing agent that may be used to treat a wide range of gastric-acid-related disorders including gastric ulcers, heartburn, and GERD. Every year, unfounded urban legends and mythical hype get caregivers all. They are the treatment of choice for several gastrointestinal disorders, such as peptic ulcer disease, esophagitis, gastroesophageal reflux disease, and H Some medications are available over the counter for heartburn and other acid reflux symptoms; these include antacids that neutralize stomach acids, such as Gaviscon or Tums, H-2-receptor blockers. This research was funded, in part, by the Skaggs School of Pharmacy and Pharmaceutical Sciences at UC San Diego. Acid Reflux Treatment. PPIs are better at treating GERD symptoms than H2 blockers, and they can heal the esophageal lining in most people with GERD. Elevate the head of your bed. Researchers from Washington University School of Medicine in St. Dexilant (dexlansoprazole) is a prescription drug that's used to treat gastroesophageal reflux disease (GERD).