It has been axiomatic among primary care physicians, and even gastroenterologists, that elevation of the head of the bed for sleeping is a prudent approach to reducing GE reflux. Recent studies have shown this to be a much more complicated issue. For example, it appears that elevating the head of the bed may not actually reduce episodes of GE reflux, but indeed may facilitate acid clearance. Other studies have shown that the subpopulations of GERD patients

Lifestyle Measures for the Treatment of Gastroesophageal Reflux Disease / 61

with bipositional reflux and esophagitis benefit with regard to efficacy of elevating the head of the bed. Those with upright reflux without esophagitis did not benefit (Shay and Johnson, 1994). In view of these data, it would seem that a routine recommendation of elevating the head of the bed should be reconsidered, and perhaps should be implemented only in the subpopulation of patients with esophagitis (Meining and Classen, 2000).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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