Gastroesophageal Reflux Disease abbreviated as GAD, is a chronic condition characterized by the backward flow of stomach acid into the esophagus, leading to various symptoms and potential complications. Symptoms include Heartburn, which is a burning sensation behind the breastbone, especially after meals or when lying down. Regurgitation which is the Involuntary return of stomach contents, causing a sour taste and fluid sensation moving up the chest. Difficulty swallowing due to esophageal inflammation and narrowing. Chest pain similar to a heart attack; prompt evaluation is needed.
Persistent cough triggered by stomach acid irritating the airways. Inflammation of vocal cords leading to hoarseness or chronic laryngitis. Worsening respiratory symptoms in individuals with asthma due to acid entering the airways. Nighttime symptoms like coughing or difficulty breathing that disrupt sleep. Several factors contribute to the development of GAD including Lower Esophageal Sphincter Dysfunction.
The Lower Esophageal Sphincter, a muscular ring separating the esophagus and stomach, may weaken, allowing acid reflux. Hiatal Hernia which is Stomach protrusion into the chest through the diaphragm can compromise the LOWER ESOPHAGEAL SPHINCTER, causing acid reflux. Gastroparesis, or slowing stomach emptying, increases stomach pressure and promotes acid reflux. Excess body weight, especially around the abdomen, can press on the stomach, causing acid reflux. Hormonal changes and uterus growth during pregnancy can induce Lower Esophageal Sphincter relaxation, leading to acid reflux.
Smoking can relax the Lower Esophageal Sphincter worsening GAD. Certain foods such as citrus, tomatoes, chocolate and beverages like caffeine, and spicy, fatty foods can trigger or worsen GAD symptoms. Reclining after meals increases the risk of stomach acid flowing back into the esophagus. Connective Tissue Disorders like scleroderma can impact lower esophageal Lower Esophageal Sphincter muscles, increasing the risk of acid reflux. Some medications, including antihypertensives and sedatives, may relax the LOWER ESOPHAGEAL SPHINCTER or irritate the esophagus, contributing to GAD.
Diagnosis of Gastroesophageal Reflux Disease Diagnosing GAD involves a combination of patient history, symptom evaluation, and medical tests. Initial step involves gathering detailed information about symptoms, lifestyle, diet, and medications. Crucial assessment of frequency and duration of hallmark symptoms like heartburn and regurgitation. Physical Examination to Assess overall health, focusing on signs or symptoms that may indicate GAD complications. Empirical Trial of Acid-Suppressive Therapy which is a Short-term use of acid-suppressive medications to gauge symptom response.
Endoscopy that Involves inserting a flexible tube with a camera to directly visualize the esophagus for inflammation, erosions, or complications. Esophageal pH Monitoring to Measure acidity levels over 24 to 48 hours, aiding in identifying acid exposure frequency. Esophageal Manometry to assess lower esophageal sphincter and esophageal motility to identify abnormalities. Barium Swallow Radiography that involves Ingesting contrast material followed by X-rays to reveal structural abnormalities like hiatal hernias. Impedance Monitoring to Measures esophageal movement of liquids and gases to identify non-acid reflux episodes.
Blood tests to rule out other conditions, assessing markers for inflammation or esophageal damage. Managing GAD involves a combination of lifestyle modifications, medications, and, in some cases, surgical interventions. Lifestyle Modifications include Dietary Changes. Avoid trigger foods like citrus, tomatoes, chocolate, caffeine, and fatty foods. opt for smaller, more frequent meals to prevent stomach distension.
Lose excess weight through a balanced diet and regular exercise to reduce abdominal pressure. Antacids to Provide quick relief by neutralizing stomach acid, but are short-acting. H2 Blockers to Reduce acid production for longer relief like ranitidine and famotidine. Proton Pump Inhibitors to Block stomach proton pump for decreased acid production like omeprazole and esomeprazole. Prokinetic Agents to Enhance digestive tract motility and promote stomach emptying like metoclopramide.
Combine antacids with alginate to form a protective stomach barrier, reducing reflux symptoms. Surgical Interventions like Fundoplication.
This is done to Wrap the top of the stomach around the esophagus to prevent acid reflux. LINX Device that involves Implanting a ring of magnetic beads around the esophagus to prevent acid flow. Endoscopic Treatments including Stretta and Transoral incisionless fundoplication.
This Tightens the lower esophageal sphincter through minimally invasive endoscopic procedures. Complications of Gastroesophageal Reflux Disease Untreated GAD can lead to serious complications including Esophagitis which is an Inflammation of the esophagus due to chronic exposure to stomach acid, causing pain and potential ulcer formation. Barrett’s Esophagus which results from Long-term inflammation that leads to changes in the lower esophageal lining, increasing the risk of esophageal adenocarcinoma. Chronic inflammation causes scar tissue, narrowing the esophagus and resulting in swallowing difficulties. GAD contributes to respiratory issues like asthma exacerbations, chronic cough, and pneumonia due to stomach content aspiration.
Regurgitation of stomach acid can lead to dental issues, including enamel erosion, cavities, and gum disease. Barrett’s esophagus elevates the risk of esophageal adenocarcinoma, emphasizing the need for regular monitoring. Several strategies can help prevent or manage GAD. Maintain a Healthy Weight. Obesity is a significant risk factor for GAD.
Dietary Changes. Identify and avoid trigger foods, such as citrus, tomatoes, and spicy foods. Quit Smoking.
Tobacco weakens the LOWER ESOPHAGEAL SPHINCTER and exacerbates reflux. Limit Alcohol Intake.
Excessive alcohol consumption can relax the LOWER ESOPHAGEAL SPHINCTER. Eat Small, Frequent Meals. Reduce pressure on the LOWER ESOPHAGEAL SPHINCTER by avoiding large meals. In conclusion, GAD is a chronic condition that requires a multi-faceted approach for management, including lifestyle changes, medications, and, in some cases, surgical intervention. If you found this video helpful, don’t forget to give it a thumbs up, share it with others, and subscribe for more informative content on health and wellness.



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A liability is the opposite of an asset. While an asset is something a company owns, a liability is something it owes. Liabilities are financial and legal obligations to pay a debtor, which is why they’re typically tallied as negatives. Like assets, liabilities are categorized as current or non-current. Current liabilities are due to a debtor within one year, including payroll expenses, rent and utility payments, and accounts payable.
No matter how long you hold the stock or how much its price changes, you won’t be taxed on gains as long as you don’t close the position and gains remain unrealized. Note that other types of income from stocks, like dividends, may still be subject to taxes, but these may not be considered capital gains. Now, back to our example. Let’s say you decide to sell the stock at $60. That is considered a realized capital gain and is a taxable event.
A social media calendar makes it easy to plan posts, track tasks and assignments, and collaborate with team members so everyone’s working towards the same goals. To give you a headstart, we created a really simple TeamGantt template you can use to get your social media plan off the ground. A social media schedule is simply a documented plan for when and where you’re going to post content across various social media channels. This helps make sure social media posts don’t get bumped by other marketing priorities or lost in the mix of daily to-dos. With a social media calendar in place, you can push strategies forward, keep up with each day’s posting schedule, and loop your team in on your plan more easily.
Now, that we’ve talked about how to create and maintain your social media schedule, let’s look at two examples we built in Team Gantt. In this example, social media posts are broken down by day of the week and channel. We use Team Gantt’s checklist feature to capture the details of what’s being promoted when for each social media post on the schedule. Here’s an example of how you might organize social media posts by time of day and content type. In this example, we use checklists to keep up with social media channels for each post.



