Gastroesophageal reflux disease occurs in up to 50% of pregnant women. As in the non-pregnant patients, reflux occurs when there is a decrease in lower esophageal sphincter pressure or an increase in intra-abdominal pressure. The two major factors that promote gastroesophageal reflux in pregnant women are changes in hormones and the growing fetus. Changes in levels of estrogen and progesterone result in a decrease in the lower esophageal sphincter pressure thereby increasing acid reflux . Additionally, the growing fetus causes an increase in intra-abdominal pressure, resulting in an increase in the development of reflux.
What can be done to prevent or treat gastroesophageal reflux disease in pregnancy? Lifestyle modifications can prevent increases in intra-abdominal pressure and decreases in lower esophageal sphincter pressure that promote reflux. Here's a list of both ways to prevent and treat gastroesophageal reflux in pregnancy.
1. Elevation of the head of the bed. Gra...
We have almost made it through the last of outdoor allergy season. Ragweed has run its course in most of the U.S. while mold spores try to survive the declining temperatures of the Midwest and Northeast. Currently outdoor mold, weather changes and shared germs are leading factors in the escalation of cough, wheezing, runny nose and sinus congestion plaguing many of us. Although many areas of the country will soon see a dramatic decline in outdoor mold counts as the first hard frost approaches, the common cold virus is here to wreak havoc for several more months.
As a parent, I know there is nothing more frustrating than hearing your child cough all night. During the fall and winter months, the common cold virus is often the culprit responsible for upper respiratory tract infections and asthma attacks in adults and children. Stopping the cough becomes a main goal for surviving work, school and sleep time.
The Chicago Tribune published an article about the shortcomings of ...
When someone sneezes we usually say, “Bless you” but when you hear a bellowing cough your instincts are to run away. The suffering cougher goes unblessed and often feels isolated as people flee for cover hoping not to inhale any aerosolized infectious particles. Such defense mechanisms are not looked down upon in today’s era of germ avoidance, but what defense does the cougher have against the seemingly never ending cough?
The role and effectiveness of cough suppressants will be a topic to revisit on another day. More importantly, the cause of prolonged coughing should be identified. Let’s first discuss the difference between acute and chronic cough.
An acute cough generally goes away within three to four weeks for a child and within eight weeks for an adult. There are many causes of acute cough but the most common one is the common cold. Other causes include sinus infections, flu syndrome, other upper respiratory infections and ear i...
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