Why do I Throw Up with GERD?

Gastroesophageal reflux disease (GERD), characterized by frequent heartburn and acid reflux, can lead to nausea and vomiting in some individuals. Here's why:

  • Reduced esophageal motility: GERD weakens the esophageal muscles, impairing their ability to move food down the digestive tract. This can cause food to linger in the esophagus, leading to reflux and vomiting.
  • Increased esophageal pressure: Acid reflux irritates the esophageal lining, causing inflammation and swelling. This increased pressure can lead to vomiting as the body tries to expel the excess pressure.
  • Nausea trigger: The acid in the refluxed stomach contents can trigger nausea centers in the brain, leading to feelings of nausea and vomiting.
  • Vagal nerve stimulation: The vagus nerve connects the digestive system to the brain. When the esophagus is irritated by GERD, it stimulates the vagus nerve, which can trigger nausea and vomiting.
  • Hypersensitivity: Chronic GERD can make the esophagus more sensitive to even small amounts of reflux, leading to frequent vomiting.
  • What are the symptoms of GERD? Heartburn, acid reflux, nausea, vomiting, and chronic cough.
  • What causes GERD? Weakness in the esophageal sphincter, hiatal hernia, and increased stomach acid production.
  • How is GERD diagnosed? Upper endoscopy, barium swallow, and esophageal manometry.
  • What are the treatment options for GERD? Medications, lifestyle changes, and surgery.
  • Is GERD curable? No, but it can be managed with treatment.
  • Nexium (Proton pump inhibitor)
  • Prilosec (Proton pump inhibitor)
  • Pepcid (H2 receptor antagonist)
  • Zantac (H2 receptor antagonist)
  • Bravo! pH Monitoring System (Esophageal pH monitoring)

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