Every diagnosis starts with the take of the individual patient history. Within the relaxed and private atmosphere of our office the physician sits down with you to listen and learn about your complaints to learn which symptoms and signs impair your life quality, productivity and well being. Symptoms of Gastroesophageal reflux disease ( GERD ) include Heartburn , acid regurgitation, coughing, wheezing, asthma and swallowing difficulty. Most importantly the conversation aims to assess a risk profile, which is the basis for later disease (cancer) prevention.
Following the diagnostic tests (see below) the physician explains the results and outlines the tailoring of YOUR individual therapy, which ranges from life style measures, nutrition and eating behavior education to medical and surgical treatment of YOUR Gastroesophageal reflux disease ( GERD ). Finally YOU will be informed on the presence or absence of any relevant cancer risk and if cancer preventive strategies will be recommended. Feel free to contact us if you are interested to learn about your GERD , cancer risk and therapeutic options.
Cause of Reflux : repeated gastric over-distensions (A) dilate and weaken the infra-diaphragmatic portion of the Anti reflux mechanism (B); over time the weakening also affects the supra-diaphragmatic portion of the Anti reflux mechanism (lower esophageal sphincter) (C). The lower end of the esophagus permanently dilates, this is the dilated distal esophagus (trumpet), which develops at the cost of the functioning lower esophageal sphincter (C). The dilated esophagus increases the hole in the diaphragm, this is the Hiatal hernia .