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Subject: Acid Reflux (Gastroesophageal Reflux Disease) Discharge Instructions, Adult
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This is an image of a man and the esophagus and stomach. The stomach and esophagus are reddened from irritation.
This is an image of the stomach, diaphragm and esophagus. There is stomach acid in the stomach. It is bubbling up into the lower esophagus through the lower esophagus sphincter and this causes the esophagus to become reddened.
Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
Maintain a healthy weight.
Avoid belts and clothes that are too tight.
Eat small meals more often. Do not skip meals. Do not eat large meals to make up for missed meals.
Avoid eating 2 to 3 hours before bedtime.
Do not to lie down for at least 2 hours after eating.
Raise the head of your bed 6 to 8 inches (15 to 20 cm). Use wooden blocks under the head of the bed. Just sleeping with your head raised on pillows is not enough. It can cause discomfort and make your signs worse.
Do not drink beer, wine, and mixed drinks (alcohol).
Do not smoke.
Lessen acid production
Heal the esophageal lining
Limit caffeine intake.
Avoid eating oranges, berries, tomatoes, and other foods high in acid.
Eat only small amounts of spicy, fatty, and fried foods, or avoid them altogether.
Keep track of the foods that cause your signs to become worse. Avoid or limit these food items.
Precancerous changes in the food pipe
Higher risk of cancer of the food pipe. This is esophageal cancer.
Narrowing of the food pipe. This is a stricture.
Open sore in the food pipe. This is an ulcer.
Pain or a feeling of food getting stuck in your throat
Frequent throwing up or throwing up fluid that looks like blood or coffee grounds
Pain in the chest or upper part of the belly
Very bad heartburn that lasts for a long time
Cough, hoarseness of voice, or bad breath
Wheezing, shortness of breath or other problems breathing
Unintended weight loss or not wanting to eat
You are not feeling better in 2 to 3 days or you are feeling worse
I can tell you about my condition.
I can tell you what changes I need to make with my eating habits to ease the reflux.
I can tell you what I will do if I am throwing up fluid that looks like blood or coffee grounds.