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 ...
Heartburn, also known as gastric reflux or indigestion, happens after you eat and food is in your stomach. In the stomach, food is broken down by acids. Usually these acids stay in your stomach because a valve blocks the acids from going up the esophagus. Sometimes this valve doesn't work properly because the muscle weakens. When this happens, gastric acids can travel up the esophagus and cause a burning sensation -- this is heartburn. When these acids travel up into the mouth and then down into the lungs, they can cause gastroesophageal reflux disease (GERD).
Symptoms of heartburn and GERD include:
irritating burning sensation in the chest or throat
middle back pain
bitter, acidic taste in the mouth
an increase in the burning sensation while lying down
Breast cancer treatments that can cause heartburn and GERD are:
Tykerb (chemical name: lapatinib), a targeted therapy
Bisphosphonates, medicines that are used to protect bones during breast cancer treat...
Back pain - nonspecific
Low back pain
Pain in any part of the back
Pain may radiate to the buttocks or upper leg(s)
Signs and tests
A physical examination focused on the back, the abdomen, and the extremities may confirm back pain or muscle spasm , but the examination does not reveal a specific cause (such as a herniated disk) or any neurological problem (such as weakness or change in sensation).
X-rays of the spine are usually normal. Further work-up may include a CT scan or MRI of the spine .
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