You Have A Vitamin B3 Deficiency
Niacin, or B3, is a vitamin that plays a role in 400 enzymatic reactions in the body. Deficiency, called pellagra, can cause your tongue to turn bright red, along with GI symptoms like vomiting or diarrhea, as well as excessive salivation.
Deficiency is rare, but it is possible to have suboptimal levels of the vitamin, according to the National Institutes of Health. Taking a supplement will restore healthy levels, but make sure to talk to your doctor before you seek one out.
What Are The Symptoms Of Acid Reflux And Dyspepsia Of Pregnancy
Symptoms can vary from mild to severe. They can include one or more of the following:
- Heartburn. This is a burning feeling which rises from the upper tummy or lower chest up towards the neck.
- Waterbrash. This is a sudden flow of sour-tasting saliva in your mouth.
- Upper abdominal pain or discomfort.
- Pain in the centre of the chest behind the breastbone .
- Feeling sick and being sick .
- Quickly feeling âfullâ after eating.
Symptoms tend to occur in bouts which come and go, rather than being present all the time. They may begin at any time during pregnancy but are usually more frequent or severe in the last third of pregnancy. As soon as the baby is born, dyspepsia due to pregnancy quickly goes.
Note: various other problems, both associated with pregnancy and unrelated to pregnancy, are sometimes confused with dyspepsia. For example, pain in the right or left of the upper abdomen is not usually due to dyspepsia. Excessive vomiting is not usually due to dyspepsia. If symptoms change, or are not typical, or become severe, or are repeated , you should see your doctor.
Mystery Solved: Acid Reflux And The Oral Cavity
September 20, 2016
I am a retired dentist who has a passion for preventative dentistry and preventive medicine. I recently became painfully aware of the ramifications of acid reflux and GERD on the oral cavity.
I developed severe GERD late last year. Unfortunately, complete understanding of the difficulties experienced by patients comes best through direct experience. I look back at many of the patients I worked with throughout my 23 years practicing dentistry and think that I wish I had known then what I understand now.
I have put together this article to help dentists and their patients understand how GERD is creating many dental problems and also the best way to fix them. I hope you will take a few minutes to read this article because I believe the information can help you change patients lives and also reduce the frustration of treating patients whose oral health seems to be deteriorating in spite of excellent dental care.
Acid reflux or GERD affects over 50% of adults and 37% of young people. 1It occurs when the contents of the stomach end up in the esophagus and oral cavity as a resultof inadequate closure of the esophageal sphincters. The pain of heartburn is a symptom in only 10% of cases while others may experience:
Post-nasal drip Chest painAnd many other symptoms.
Diet and lifestyle changes are the best way to reverse the course of this disease.
Oral symptoms of GERD may include any of the following:
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Avoid Smoking Tobacco And/or Other Recreational Drugs
Long-term smoking dries out the mouth and decreases salivary flow, which as I mentioned before, is crucial for acid reflux defense.
Long-term smoking can also lead to dental and oral disorders such as gingivitis, loose teeth, calculus, and bad breath.
Hyposalivation or dry mouth is common in elderly people as the ability to produce adequate levels of saliva diminishes with age.
Certain drugs like PPIs can also cause hyposalivation in some people. Emotional stress too, can reduce salivary flow.
Whos Most At Risk Of Gord
The following factors may increase your risk of developing GORD:
- being overweight or obese this can place increased pressure on your stomach and weaken the muscles at the bottom of the oesophagus
- eating large amounts of fatty foods the stomach takes longer to get rid of stomach acid after digesting a fatty meal and the resulting excess acid may leak up into the oesophagus
- smoking, alcohol, coffee or chocolate these may relax the muscles at the bottom of the oesophagus
- pregnancy temporary changes in hormone levels and increased pressure on your stomach during pregnancy can cause GORD
- hiatus hernia when part of your stomach pushes up through your diaphragm
- gastroparesis when the stomach takes longer to get rid of stomach acid, which means excess acid can leak up into the oesophagus
- certain medicines some medicines can cause GORD or make the symptoms worse, including calcium-channel blockers , nitrates and non-steroidal anti-inflammatory drugs
GORD can sometimes affect several members of the same family and itâs been suggested that the genes you inherit from your parents may also affect your chances of developing the condition.
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How To Take Omeprazole
Omeprazole is taken before eating at least one hour before a meal. Try to take this drug at the same time each day to avoid missing any doses.
The dose will be different depending on the patient. Consult your doctor for more information about your dosage level, as well as the number of doses you take each day, time allowed between doses and the length of time you take it for.
Make sure that you use the medicine for the full prescribed length of time, and call your doctor if your symptoms dont improve or worsen.
Is There Surgery To Treat Gerd
GERD is usually controlled with medications and lifestyle changes . If these dont work, or if you cant take medications for an extended period, surgery may be a solution.
- Laparoscopic antireflux surgery is the standard surgical treatment. Its a minimally invasive procedure that fixes your acid reflux by creating a new valve mechanism at the bottom of your esophagus. The surgeon wraps the upper part of the stomach around the lower portion of the esophagus. This reinforces the lower esophageal sphincter so food wont reflux back into the esophagus.
- LINX deviceimplantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach and esophagus closed to refluxing acid but weak enough to allow food to pass through.
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Could Exercise Be Making My Gerd Symptoms Worse
Im trying to lose some weight in an effort to get my GERD under control. I started walking but noticed that my symptoms seem to get worse when I exercise. Help! How am I supposed to lose weight if I cant exercise?
Thanks for your question and its great to hear that youre committed to getting your GERD under control! The first thing that came to mind when I read your question was whether your symptoms while exercising could be related to heart disease. Remember, heartburn is a symptom and its not uncommon for people to confuse the symptoms of GERD and the symptoms of heart disease. While vigorous exercise like running or jumping can make GERD symptoms worse, its unusual that a low impact activity like walking would cause problems. I highly recommend you see your physician as soon as possible to rule out any cardiac problems before continuing with your new exercise program.
Once your doctor gives you the OK, its important to pick the right kinds of activities. Try moderate exercise like walking or riding a stationary bike and minimize more vigorous activities like running. If you notice exercise seems to make your symptoms worse, try waiting at least two hours after eating before exercising. Staying active is an important part of maintaining a healthy weight, which can minimize your GERD symptoms. Good luck!
What Causes Excess Saliva During Pregnancy
It’s normal to have excess saliva during pregnancy. Excessive salivation is called ptyalism, or sialorrhea in pregnant women, it’s called ptyalism gravidarum and the condition won’t affect your baby.
Under normal circumstances, your salivary glands produce about 1 1/2 quarts of saliva a day, but you generally don’t notice it because you swallow continually and unconsciously. If you suddenly seem to have a lot more saliva in your mouth now that you’re pregnant, you actually may be producing more or swallowing less or a combination of the two.
Some women feel as though they salivate more than usual when they’re nauseated. A few pregnant women have so much saliva they need to spit some out.
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How Are Food Impactions Treated
A doctor in an emergency room will first determine the likely cause of the food impaction and attempt removal by relaxing the esophagus muscle with a medication via an I.V. called Glucagon. If this does not work to cause resolution of the food impaction a gastroenterologist will perform an upper endoscopy and remove the food bolus by pushing it through gently or pulling it out with forceps.
Excess Saliva After Eating
As mentioned above, slightly increased saliva production after eating is perfectly normal, thats how the body works. Especially after hot, spicy foods, we tend to produce more saliva.
However, drooling, the difficulty of swallowing is not normal.
If excess saliva production is related to eating, and it is accompanied by a sour taste in the mouth , chest pain, heartburn, regurgitation, it is not normal.
Acid reflux or GERD affects about 20% of people in the US. If your excess saliva production only happens after eating, especially if you also experience the above-mentioned symptoms, chances are acid reflux is the cause.
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Sleep Bruxism And Gerd
Bruxism is defined as contact of teeth for reasons other than eating and is a common cause of tooth wear in humans. It can occur both during the awake state as tooth clenching, and during sleep as tooth grinding or clenching. Sleep bruxism sounds or noises are often reported by partners or parents, although bruxism may also occur in silence. Some researchers have described bruxism as a sleep-related stereotyped movement disorder, and a âdevastatingâ parafunctional habit, because of its association with undesirable dental restorative treatment failures and, possibly, temporomandibular pain and dysfunction. However, leading experts now describe sleep bruxism as an asymptomatic occurrence in the majority of healthy individuals rather than a pathological condition, raising doubt over its generic classification as a sleep disorder.
You Have Trouble Swallowing
Struggling to swallow can be a scary experience, and acid reflux may be the cause. “Over time, the continuous cycle of damage and healing after acid reflux causes scarring,” noted Gardner. “This, in turn, causes swelling in the lower-esophagus tissue, resulting in a narrowing of the esophagus and difficulty swallowing.” Not good!
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Your Breath Is Kickin’
If you brush and floss on the regular, but still suffer from stinky breath, it may be worth a visit to your dentist. Dentists can often tell if acid reflux is to blame by checking out the state of your teeth. According to Regina Boyle Wheeler on EverydayHealth.com, “… people with GERD often experience acid erosion of their teeth and an inflamed red throat, especially around the tonsil area.” Once you know, treating the reflux will hopefully help your breath.
The Essential Roles Of Saliva
Earlier studies of persons with and without GERD reported an absence of significant differences in stimulated salivary flow rates,, , buffering capacities and pH values., However, more recent studies have found a significant association between GERD, hyposalivation and the subjective sensation of âdry mouthâ , which is frequently associated with an oral burning sensation.,
Though mixed saliva secretions consist of more than 99% water, numerous other variable and complex interacting components also are responsible for the normal functioning and protection of the oropharynx and esophagus. Saliva coats all of the relevant internal anatomical surfaces with mucin-rich secretions, providing a protective diffusion barrier or pellicle against mechanical, thermal, chemical and microbial damage. Saliva also lubricates these surfaces to allow efficient mastication, swallowing and speech. In response to various stimuli, a rapid increase in parotid gland serous secretions containing a high concentration of bicarbonate ions in particular dilutes, neutralizes and clears harmful oral material and acidic esophageal contents by either spitting, or swallowing to induce esophageal peristalsis.
When dental pellicle is removed by sustained endogenous acid attacks, demineralized tooth products are lost into the oral environment. HA, hydroxyapatite.
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How Do I Protect My Teeth When I Suffer From Acid Reflux
If you are one of the millions of Americans who suffer from acid reflux, it is very important that you know these risks and take steps to prevent the oral health problems that acid reflux causes.
Because of the increased risk of cavities caused by acid reflux, it is important for you to take great care of your teeth at home. Removing dental plaque with consistent oral hygiene is essential to preventing cavities because it lowers the amount of those acid-loving bacteria.
In your oral hygiene routine, you should avoid using teeth whitening toothpastes. These are purposefully abrasive, and they may damage already weakened teeth in an acidic mouth. Protect your enamel by using a non-whitening, fluoride toothpaste.
Professional teeth cleanings are essential to removing plaque and tartar buildup that you miss with your home care. Your dentist and dental hygienist will also monitor the health of your mouth closely and spot any signs of damage from acid reflux. Following up on any recommended preventive dental care, like professional fluoride treatments, can lower your risk even further!
In order to be safe and keep your mouth at a neutral pH, drink still water. Better yet, you can purchase alkaline water like Essentia bottled water.
What Is Water Brash
People with gastroesophageal reflux disease may experience a symptom called water brash. Water brash occurs when a person produces an excessive amount of saliva that mixes with stomach acids that have risen to the throat.
A person experiencing water brash can get a bad taste in their mouth and feel heartburn. Doctors sometimes refer to water brash as pyrosis idiopathica, acid brash, or hypersalivation.
Water brash is different than regurgitation in which a mixture of stomach acids and, sometimes, undigested food comes up into the oesophagus due to the excessive salivation that it involves.
Keep reading to learn more about water brash, including the associated symptoms, possible causes, and treatment options.
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What Is A Food Impaction
Food impactions occur when solid foods get stuck in the esophagus and cannot be passed down into the stomach. Food impactions are the most common cause of acute dysphagia. A tell-tale sign is the inability to swallow ones own secretions . This is a medical emergency and patients should immediately seek medical attention at a local emergency room.
Identifying Symptoms Of Gerd In Children
It can be hard to pick up on the symptoms of GERD in a young child as the symptoms can differ from those experienced by adults.
If you have a baby or toddler who cant yet speak enough to describe symptoms to you, here are some of the visual indicators to keep an eye out for:
- Regurgitation and vomiting these are amongst the most common symptoms in babies
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Water Brash: Know How To Deal With This Gerd Symptom
Have you ever felt a bout of stomach acid spurting into your throat making you salivate more? Then you are suffering from water brash or acid brash, a symptom of Gastroesophageal Reflux Disease that leaves a sour taste on your tongue making you feel extremely uncomfortable.
In severe cases, water brash can cause heartburn. If you are facing frequent acid or water brash, see a doctor immediately as it can damage the lining of your esophagus.
However, there are also a few easy home remedies that can provide respite from water brash.
Chew on couple of cloves to reduce water brash as they instantly regulate the functioning of salivary glands. Cloves are also a powerhouse of beneficial compounds that help in improving liver function and reduce the production of digestive acids.
Two tablespoons of pure aloe vera juice help in reducing the symptoms of water brash. It not only alleviates acid reflux but also reduces heart burn. Take pure aloe vera juice on empty stomach daily to prevent water brash.
Keep sipping on water at regular intervals to reduce the effects of water brash. Water dilutes the harshness of acid and prevents it from striking it into the throat. It also keeps your breath fresh after a sudden water brash.
Oral Manifestations Attributed To Gerd
The principal difficulty with investigating the links between GERD and its possible oral manifestations in humans has been the need to subject them to unacceptable invasive investigative procedures and to withhold any required treatments during long-term prospective studies. Therefore, the principal evidence for such links has been from studies of patients with confirmed GERD who are then found to have tooth erosion, and vice versa.
Because of the large number of persons with undiagnosed GERD are âsilent refluxers,â, dentists may be the first to suspect the presence of this potentially serious condition from their observations of otherwise unexplained dental erosion. Apart from tooth erosion, the surfaces of glass-ionomer and ceramic dental restorative materials that contain a matrix of glass particles also may be damaged by acids to varying extents. In addition, persons with GERD may complain of a sour or acidic taste, impaired taste , an oral burning sensation and water brash . However, oral mucosal changes that may be associated with GERD are described far less frequently.,
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