Dallas Reflux

Dallas Reflux

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If you’ve ever suffered through a bout of severe vomiting, you also may have experienced the uncomfortable occurrence of regurgitating a bitter, greenish-yellow fluid. That fluid is bile, a substance produced by the liver and stored in the gallbladder that aids in the digestion of fats.
If you’re suffering from chronic heartburn or have been diagnosed with GERD that is not responding to treatment, bile reflux may be the source of your problem.
As discussed in a prior blog post, GERD is a digestive disorder that affects the lower esophageal sphincter (LES), the muscle that connects the esophagus with the stomach. When functioning properly, the LES opens briefly when you swallow food and quickly closes after allowing food to pass from the esophagus to the stomach. In GERD, the LES malfunctions and allows food and stomach acid to flow back (reflux) into the esophagus.
Bile reflux may occur in conjunction with GERD or may be misdiagnosed as GERD because the symptoms of the two conditions are very similar. Only a physician can tell the difference, and patients should see a gastroenterologist for proper diagnosis. Symptoms of bile reflux typically include one or more of the following:

Chronic heartburn – burning sensation in your chest that occurs more than two times per week or persists over a long period of time
Upper abdominal pain – burning or gnawing pain in the stomach that may be severe
Nausea – feeling the need to vomit
Vomiting greenish-yellow fluid (bile)
Cough or hoarseness
Unintentional weight loss


Like GERD, identifying and treating bile reflux is important. When left untreated it can result in serious, sometimes life-threatening problems, such as esophageal ulcers that bleed and Barrett’s esophagus, a condition in which the cells in the lining of the esophagus transform into tissue similar to the type that lines the stomach. It occurs when the esophagus tries to protect itself from erosion caused by chronic reflux and is a possible precursor to esophageal cancer.
When should I consider the possibility of bile reflux?
If you are undergoing treatment for GERD but are not experiencing complete relief of your symptoms, it is time to check with your physician to find out if bile reflux is the culprit.
Unlike acid reflux, bile reflux typically does not respond to such lifestyle changes as diet, weight loss, smoking cessation and reduced alcohol consumption. Nor is it resolved by medications designed to reduce acid production (Tagamet and Zantac) or proton pump inhibitors (Prevacid and Prilosec) to block acid production.
If you have both acid and bile reflux, lifestyle changes and medications will provide partial but not complete relief of your symptoms.
What causes bile reflux?
Bile reflux is common in individuals who have had surgery to remove their gallbladder or those who have undergone gastric surgery, including a total or partial removal of the stomach (gastrectomy) or gastric bypass surgery for weight loss. It also is common in patients with peptic ulcers.
How is bile reflux diagnosed?
Because the symptoms of acid reflux and bile reflux are so similar, it is impossible to make a diagnosis of bile reflux based on symptoms alone. Common tests include an endoscopy, where a thin, flexible tube with a camera is passed down your throat; a test to check for acid in the esophagus; and/or tests to determine if gas or liquids are backing up into the esophagus.
The most important thing to remember is this: If you are suffering from chronic heartburn or other symptoms listed in the post, it is time to see your physician for a proper diagnosis and treatment plan.
F***l incontinence significantly affects quality of life, but sufferers tend to stay silent because of embarrassment or the belief that nothing will change the situation. There are treatments that can help you regain control of your life, including a promising new option. The condition ranges from occasional bowel leakage while passing gas to a complete
Clostridium difficile infection, also known as C. difficile or C. diff infection, is a condition marked by medical issues ranging from severe diarrhea to life-threatening inflammation of the colon. It can be extremely difficult to treat, which is why the results of two studies about f***l transplants are so encouraging. C. diff infection is most
It may sound like something out of a science fiction movie: a drug-resistant superbug bacteria claiming the lives of patients who were infected while undergoing medical procedures at an established hospital. Unfortunately, this alarming news is all too real. News media recently reported that two patients have died and five others were infected after being
It may sound like something out of a science fiction movie: a drug-resistant superbug bacteria claiming the lives of patients who were infected while undergoing medical procedures at an established hospital. Unfortunately, this alarming news is all too real. This week, news media reported that two patients have died and five others were infected after
You may have heard about Cologuard, a stool-based colorectal screening test that received FDA approval earlier this year and now is available by prescription. The noninvasive test detects DNA from abnormal cells and hemoglobin from red blood cells that may indicate the presence of certain kinds of growths that could be cancerous, such as colon
We know that colonoscopies save lives. As mentioned in an earlier blog post, a study by the Yale Cancer Center found that widespread screening has resulted in an estimated 550,000 […]
There’s good news and bad news in America’s fight against obesity. The good news is over the past year obesity rates held steady in all but six states, while childhood […]

Heartburn or GERD – How can you tell? When acidic stomach contents flow backward (reflux) from th

Over 15 million Americans suffer the discomfort of heartburn every day. When these symptoms become chronic, heartburn is referred to as gastroesophageal reflux disease or GERD. Traditional treatment for GERD includes changes in your diet and lifestyle along with a lifetime of medication use to decrease symptoms and prevent GERD causing damage to your esophagus, throat, mouth, and even lungs. For t

Operating as usual

Colonoscopies and car shopping: What do they have in common? 08/17/2015

Colonoscopies and car shopping: What do they have in common?

Colonoscopies and car shopping: What do they have in common? Before buying a new car, many people spend lots of time reading professional reviews, visiting dealerships and talking to friends and family members with the same car to see how they like it. They want to be sure their money is going into a top-quality vehicle.

Reflux – Acid or Bile? Know the difference 04/21/2015

Reflux – Acid or Bile? Know the difference

If you’ve ever suffered through a bout of severe vomiting, you also may have experienced the uncomfortable occurrence of regurgitating a bitter, greenish-yellow fluid. That fluid is bile, a substance produced by the liver and stored in the gallbladder that aids in the digestion of fats.
If you’re suffering from chronic heartburn or have been diagnosed with GERD that is not responding to treatment, bile reflux may be the source of your problem.
As discussed in a prior blog post, GERD is a digestive disorder that affects the lower esophageal sphincter (LES), the muscle that connects the esophagus with the stomach. When functioning properly, the LES opens briefly when you swallow food and quickly closes after allowing food to pass from the esophagus to the stomach. In GERD, the LES malfunctions and allows food and stomach acid to flow back (reflux) into the esophagus.
Bile reflux may occur in conjunction with GERD or may be misdiagnosed as GERD because the symptoms of the two conditions are very similar. Only a physician can tell the difference, and patients should see a gastroenterologist for proper diagnosis. Symptoms of bile reflux typically include one or more of the following:

Chronic heartburn – burning sensation in your chest that occurs more than two times per week or persists over a long period of time
Upper abdominal pain – burning or gnawing pain in the stomach that may be severe
Nausea – feeling the need to vomit
Vomiting greenish-yellow fluid (bile)
Cough or hoarseness
Unintentional weight loss


Like GERD, identifying and treating bile reflux is important. When left untreated it can result in serious, sometimes life-threatening problems, such as esophageal ulcers that bleed and Barrett’s esophagus, a condition in which the cells in the lining of the esophagus transform into tissue similar to the type that lines the stomach. It occurs when the esophagus tries to protect itself from erosion caused by chronic reflux and is a possible precursor to esophageal cancer.
When should I consider the possibility of bile reflux?
If you are undergoing treatment for GERD but are not experiencing complete relief of your symptoms, it is time to check with your physician to find out if bile reflux is the culprit.
Unlike acid reflux, bile reflux typically does not respond to such lifestyle changes as diet, weight loss, smoking cessation and reduced alcohol consumption. Nor is it resolved by medications designed to reduce acid production (Tagamet and Zantac) or proton pump inhibitors (Prevacid and Prilosec) to block acid production.
If you have both acid and bile reflux, lifestyle changes and medications will provide partial but not complete relief of your symptoms.
What causes bile reflux?
Bile reflux is common in individuals who have had surgery to remove their gallbladder or those who have undergone gastric surgery, including a total or partial removal of the stomach (gastrectomy) or gastric bypass surgery for weight loss. It also is common in patients with peptic ulcers.
How is bile reflux diagnosed?
Because the symptoms of acid reflux and bile reflux are so similar, it is impossible to make a diagnosis of bile reflux based on symptoms alone. Common tests include an endoscopy, where a thin, flexible tube with a camera is passed down your throat; a test to check for acid in the esophagus; and/or tests to determine if gas or liquids are backing up into the esophagus.
The most important thing to remember is this: If you are suffering from chronic heartburn or other symptoms listed in the post, it is time to see your physician for a proper diagnosis and treatment plan.

Reflux – Acid or Bile? Know the difference Responsive Medical Health WordPress Theme

F***l Incontinence: Don’t Suffer in Silence 03/20/2015

F***l Incontinence: Don’t Suffer in Silence

F***l incontinence significantly affects quality of life, but sufferers tend to stay silent because of embarrassment or the belief that nothing will change the situation. There are treatments that can help you regain control of your life, including a promising new option. The condition ranges from occasional bowel leakage while passing gas to a complete

F***l Incontinence: Don’t Suffer in Silence Responsive Medical Health WordPress Theme

F***l transplants show promise in treating C. difficile infection 03/18/2015

F***l transplants show promise in treating C. difficile infection

Clostridium difficile infection, also known as C. difficile or C. diff infection, is a condition marked by medical issues ranging from severe diarrhea to life-threatening inflammation of the colon. It can be extremely difficult to treat, which is why the results of two studies about f***l transplants are so encouraging. C. diff infection is most

F***l transplants show promise in treating C. difficile infection Responsive Medical Health WordPress Theme

Superbug concerns, questions spread nationwide 03/02/2015

Superbug concerns, questions spread nationwide

It may sound like something out of a science fiction movie: a drug-resistant superbug bacteria claiming the lives of patients who were infected while undergoing medical procedures at an established hospital. Unfortunately, this alarming news is all too real. News media recently reported that two patients have died and five others were infected after being

Superbug concerns, questions spread nationwide Responsive Medical Health WordPress Theme

Superbug takes lives of two UCLA Medical Center patients 02/20/2015

Superbug takes lives of two UCLA Medical Center patients

It may sound like something out of a science fiction movie: a drug-resistant superbug bacteria claiming the lives of patients who were infected while undergoing medical procedures at an established hospital. Unfortunately, this alarming news is all too real. This week, news media reported that two patients have died and five others were infected after

Superbug takes lives of two UCLA Medical Center patients Responsive Medical Health WordPress Theme

New cancer screening test now available 02/04/2015

New cancer screening test now available

You may have heard about Cologuard, a stool-based colorectal screening test that received FDA approval earlier this year and now is available by prescription. The noninvasive test detects DNA from abnormal cells and hemoglobin from red blood cells that may indicate the presence of certain kinds of growths that could be cancerous, such as colon

New cancer screening test now available Responsive Medical Health WordPress Theme

Colonoscopies: Too much of a good thing? 12/12/2014

Colonoscopies: Too much of a good thing?

We know that colonoscopies save lives. As mentioned in an earlier blog post, a study by the Yale Cancer Center found that widespread screening has resulted in an estimated 550,000 […]

Colonoscopies: Too much of a good thing? We know that colonoscopies save lives. As mentioned in an earlier blog post, a study by the Yale Cancer Center found that widespread screening has resulted in an estimated 550,000 fewer cases of colorectal cancer over the past three decades.

We’re losing the battle of the bulge 11/11/2014

We’re losing the battle of the bulge

There’s good news and bad news in America’s fight against obesity. The good news is over the past year obesity rates held steady in all but six states, while childhood […]

We’re losing the battle of the bulge The good news is over the past year obesity rates held steady in all but six states, while childhood obesity rates stabilized nationwide. The bad news is, the good news pretty much ends there. Even worse news for Tennessee, ours was one of the six states with an increased obesity rate.

Prediabetes and type 2 diabetes create national health crisis « Gastrointestinal Associates 10/22/2014

Prediabetes and type 2 diabetes create national health crisis « Gastrointestinal Associates

Prediabetes and type 2 diabetes create national health crisis « Gastrointestinal Associates Put down the greasy hamburger and put on your walking shoes. If I told you that losing weight by eating healthy and being more active could cut in half your risk of developing type 2 diabetes, would you listen? What if I told you that in America diabetes is the leading cause of kidney failure, blind…

ENDO Trial explores investigational treatment option for type 2 diabetes « Gastrointestinal... 10/22/2014

ENDO Trial explores investigational treatment option for type 2 diabetes « Gastrointestinal...

ENDO Trial explores investigational treatment option for type 2 diabetes « Gastrointestinal... Gastrointestinal Associates, along with Endocrinology Consultants of East Tennessee, is proud to be participating in a national clinical trial to explore the effectiveness and safety of an investigational treatment for type 2 diabetes that centers on the use of a thin, flexible tubular sleeve (liner…

Celiac Disease: Say ‘Yes’ to the Test « Gastrointestinal Associates 10/22/2014

Celiac Disease: Say ‘Yes’ to the Test « Gastrointestinal Associates

Celiac Disease: Say ‘Yes’ to the Test « Gastrointestinal Associates With much information – and, unfortunately, misinformation – about gluten currently available, people are self-diagnosing themselves as gluten-sensitive and trying to eliminate the protein from their diet. Is that a good idea? Absolutely not.

Celebrating National Cancer Survivors Day « Gastrointestinal Associates 10/22/2014

Celebrating National Cancer Survivors Day « Gastrointestinal Associates

Celebrating National Cancer Survivors Day « Gastrointestinal Associates June 1 marks the 27th annual National Cancer Survivors Day, a day set aside for all people living with a history of cancer – including America’s nearly 14 million cancer survivors – to connect, celebrate milestones and recognize those who have supported them along the way.

Yale Study: Colorectal Cancer Screening Saves Lives « Gastrointestinal Associates 10/22/2014

Yale Study: Colorectal Cancer Screening Saves Lives « Gastrointestinal Associates

Yale Study: Colorectal Cancer Screening Saves Lives « Gastrointestinal Associates The evidence continues to mount: Colorectal cancer screening saves lives. According to a recently released study by the Yale Cancer Center, widespread screening has resulted in an estimated 550,000 fewer cases of colorectal cancer over the past three decades. That’s more than a half-million people w…

F***l incontinence follow-up: New report indicates severity of problem « Gastrointestinal Associates 10/21/2014

F***l incontinence follow-up: New report indicates severity of problem « Gastrointestinal Associates

F***l incontinence follow-up: New report indicates severity of problem « Gastrointestinal Associates On the heels of our blog post about f***l incontinence, the National Center for Health Statistics has issued a report documenting the severity of incontinence in the United States. If you’re tempted to dismiss the topic as one that isn’t far reaching, take note that it is much more prevalent than yo…

F***l Incontinence: Don’t Suffer in Silence « Gastrointestinal Associates 10/21/2014

F***l Incontinence: Don’t Suffer in Silence « Gastrointestinal Associates

F***l Incontinence: Don’t Suffer in Silence « Gastrointestinal Associates F***l incontinence significantly affects quality of life, but sufferers tend to stay silent because of embarrassment or the belief that nothing will change the situation. There are treatments that can help you regain control of your life, including a promising new option.

Heartburn-Easing Foods That Fight GERD 10/20/2014

Heartburn-Easing Foods That Fight GERD

Okay, so here's the good news. There are some foods that are okay to eat...

Heartburn-Easing Foods That Fight GERD You know certain foods can trigger heartburn if you have GERD, but what should you eat instead?

Timeline photos 10/18/2014

If you're constantly saying hello to heartburn, say goodbye to soda.

Timeline photos 10/15/2014

Spicy foods may be good, but they can have bad side effects!

Top 10 Heartburn Food Triggers: Coffee, Grapefruit, Garlic, Tomato, and More 10/13/2014

Top 10 Heartburn Food Triggers: Coffee, Grapefruit, Garlic, Tomato, and More

What are you eating? Check out this list of top 10 heartburn triggering foods from WebMD

Top 10 Heartburn Food Triggers: Coffee, Grapefruit, Garlic, Tomato, and More WebMD examines the 10 most common foods that cause heartburn. From coffee and alcohol to tomatoes and grapefruit, here are helpful tips for avoiding foods -- no matter how enticing -- that may trigger heartburn.

Timeline photos 10/09/2014

If you have frequent heartburn, sad to say it but, caffeine is not your friend.

Plan Heartburn-Friendly Meals to Prevent Symptoms: 11 Tips 10/07/2014

Plan Heartburn-Friendly Meals to Prevent Symptoms: 11 Tips

Eat good food and prevent the bad indigestion later. Check out this helpful article from WebMD.

Plan Heartburn-Friendly Meals to Prevent Symptoms: 11 Tips Need heartburn relief? Find out which foods can cause heartburn -- and why.

Timeline photos 10/03/2014

We know you wanna splurge on food sometimes, but some things are just begging for heartburn.

06/04/2014

Living the Healthy Life: Dallas Reflux

Living and free!

Living the Healthy Life: Dallas Reflux The DFW Metroplex is examined for the widespread number of medical breakthroughs, operations and technologies it has to offer citizens.

02/11/2014

While we may not be able to control all that happens to us, we can control what happens inside us. - Benjamin Franklin

02/10/2014

In order to change we must be sick and tired of being sick and tired. – Fannie Lou Hamer

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Grand Prairie, TX
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