Is it acid reflux or bile reflux? Q: I had been experiencing a lot of heartburn but that seems to have decreased with Nexium . I still however, get a lot of regurgitation of liquid into my throat. Is this acid reflux? A: As your heartburn has improved, while the regurgitation can still be related to acid, you may also be refluxing bile. While this is more common in patients that have had prior surgery of the upper gastrointestinal tract, it can also occur after gallbladder surgery, ulcer disease and previous damage to the pylorus (of the stomach). Bile reflux is frequently associated with acid reflux, and can cause damage to both the stomach ( gastritis ) and the esophagus ( esophagitis ). Causes and Treatment The treatment of bile reflux typically involves medication that either results in an increased flow of bile through the digestive tract ( such as Urso ), or that binds the bile ( Carafate ). You should check with your doctor about the possibility of you having ...
The debate on whether the calories that
people with or without diabetes drink help to make us feel full isn't
over. But the evidence that they don't is mounting. My preliminary article, " Drinking Calories," appeared here last September. At that time I reported on the finding of obesity researcher Barbara Rolls.
“Calorie intake increased significantly when people drank a beverage
containing 150 calories with lunch, compared to when they had a
calorie-free beverage.” Now
researchers are learning even more about how the calories that we drink
don't promote satiety. Even the country's top nutrition expert, Walter
C. Willett, M.D., of the Harvard School of Public Health, is on board.
MEDLINE credits him for more than 1,000 professional articles. But his
work that really impressed me was his non-technical book, Eat, Drink, and Be Healthy (Simon & Schuster, 2001). "There does seem
to be something about drinking calories in the form of sodas that just
doesn't generate the st...
Todd D. Eisner, M.D. is Board Certified in Internal Medicine and Gastroenterology. Dr. Eisner received his undergraduate degree from Brandeis University in Waltham, Massachusetts. He received his Medical Degree from Stony Brook University School of Medicine in Stony Brook, New York. Dr. Eisner completed his Internal Medicine Residency at North Shore University Hospital in Manhasset, New York and Memorial Sloan-Kettering Cancer Center in New York, New York, and served as Chief Resident in Internal Medicine at the same institution. Dr. Eisner completed his fellowship at North Shore University Hospital in Manhasset, New York. He has publications in the Journal of the American College of Gastroenterology on Crohn's Disease, Pancreatitis and Colon Cancer. He has been in practice since 1995 in Boca Raton and Delray Beach, Florida. Dr. Eisner has served as the Chief of the Department of Endoscopy at Delray Medical Center since 2000. Dr. Eisner has distinguished himself in the community b...
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