Acid Reflux Esophagus
Q: I have the kind of of Reflux that only affects the Upper Esophagus
(bad taste in mouth, sinus reactioj). Will putting the head of my bed up
6" help or does this only help for other kinds of reflux. I only ask
because it actually seems my reflux goes away when lying down.
A:Actually, there is no such thing as acid reflux that affects only the upper
esophagus, since the refluxate has to go by the lower esophagus to get to
the upper esophagus. What you probably mean is that your most severe
symptoms are in the upper esophagus.
The problem is that the refluxate may be causing damage to the lower
esophagus even though you are not having symptoms located there. That damage
may include stricture, or pre-cancerous Barrett's esophagus. To make matters
even worse, successfully treating the symptoms by suppressing the acid
reflux with drugs such as Nexium or Tagamet may not affect the risk of
esophageal cancer since those drugs will still allow alkaline reflux, which
may very well continue the pre-cancerous damage to the lower esophagus.
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