DR TAPAS MISHRA

Tag: Acid Reflux

  • Gallstone Induced Problems Vs Acid Reflux – How to Know the Difference ?

    Gallstone Induced Problems Vs Acid Reflux – How to Know the Difference ?

    By Dr. Tapas Mishra | Senior Consultant – Advanced Laparoscopic GI & Bariatric Surgery

    If you’ve experienced a burning sensation in your chest or a sharp pain in your upper abdomen, you might wonder: Is this Acid Reflux or something more serious, like a Gallbladder infection

    Though both affect the digestive system, they are very different in cause, symptoms, and treatment. Recognizing the signs early can help you take the right steps for relief.

    What is a Gallbladder infection or cholecystitis

    A Gallbladder infection occurs when gallstones block the normal passage of gall bladder to common bile duct , causing a buildup of pressure and inflammation. It often occurs spontaneously or after a heavy or fatty meal and can last for several hours.

    Common Symptoms:

    • Sudden pain in the upper right abdomen
    • Pain that may radiate to the right shoulder or back
    • Nausea and vomiting
    • Pain lasting 30 minutes to several hours
    • No relief from over-the-counter antacids

    The pain tends to come on quickly,   is colicky and doesn’t improve with rest or changes in posture. In some cases, fever or chills may also develop, signaling a more serious issue.

    What is Acid Reflux?

    Acid reflux, or Gastro Esophageal Reflux Disease (GERD), occurs when stomach acid flows back into the Esophagus. This backward flow causes irritation, often after eating or when lying down.

    Typical Symptoms:

    • Burning sensation in the chest (heartburn)
    • A sour or bitter taste in the mouth
    • Burping, bloating, and gas
    • Discomfort that worsens when bending over or lying flat
    • Relief with antacids or acid blockers

    Unlike an attack of cholecystitis, acid reflux is usually chronic and recurrent  and can occur daily or weekly, depending on diet and lifestyle.

    Key Differences at a Glance:

    IssueGallbladder infectionAcid Reflux
    Pain AreaUpper right abdomenChest/upper abdomen
    TriggerFatty/heavy mealsSpicy food, lying down
    Duration30 mins to hoursShort episodes, recurring
    Antacids Help?NoOften yes

     

    What You Can Do ?

    If you’re unsure which condition you’re experiencing, pay attention to the type, location, and timing of your symptoms. While acid reflux can often be managed with lifestyle changes and medications, gallbladder issues may require medical imaging or surgical intervention.

    Persistent or intense symptoms should never be ignored. If pain worsens or is accompanied by fever, seek prompt surgeon attention to avoid complications.

  • Acid Reflux: A Modern Life Style Disease – Causes, Symptoms & the Importance of Surgical Intervention

    Acid Reflux: A Modern Life Style Disease – Causes, Symptoms & the Importance of Surgical Intervention

    Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common digestive disorder that occurs when stomach acid flows back into the esophagus. While occasional acid reflux is normal, frequent and severe refluxes can lead to chronic GERD, causing discomfort and complications. If left untreated, GERD can lead to serious health issues, including esophagitis, chronic cough, dysphagia, Barrett’s esophagus, and even esophageal cancer. While medications and lifestyle changes can help manage symptoms, surgical intervention becomes necessary in severe cases to provide long-term relief.

     

    Understanding Acid Reflux and Its Causes

    Acid reflux occurs due to a weak or dysfunctional lower esophageal sphincter (LES)—the muscle that acts as a valve between the esophagus and stomach. When this valve fails to close properly, stomach acid and digestive juices flow back into the esophagus, causing symptoms.

     

    Common Causes of Acid Reflux

    1. Hiatal Hernia – A condition where part of the stomach pushes through normal diaphragmatic opening, weakening the LES.
    2. Obesity – Excess weight puts pressure on the abdomen, increasing the likelihood of reflux.
    3. Dietary Habits – Spicy, fatty, or acidic foods, caffeine, alcohol, and carbonated drinks can trigger reflux.
    4. Smoking and Alcohol – These substances weaken the LES and increase acid production.
    5. Lying Down After Eating – Eating large meals and lying down immediately can worsen reflux.
    6. Pregnancy – Hormonal changes and increased abdominal pressure contribute to reflux.
    7. Certain Medications – Painkillers (NSAIDs), muscle relaxants, and certain blood pressure medications can aggravate reflux.

     

    Symptoms of Acid Reflux

     

    The most common symptom of acid reflux is heartburn, a burning sensation in the chest. Other symptoms include:

    • Regurgitation – Sour or bitter liquid rising in the throat and occasionally teeth.
    • Chronic Cough – Due to acid irritating the throat and airways.
    • Hoarseness or Sore Throat – Caused by acid exposure.
    • Difficulty Swallowing (Dysphagia) – Due to narrowing of the esophagus.
    • Chest Pain – Can mimic heart-related pain.
    • Excessive Burping and Bloating – Resulting from trapped gas.
    • Bad Breath – Due to acid and undigested food in the esophagus.

    If these symptoms persist despite lifestyle changes and medications, it may indicate severe GERD requiring advanced treatment or surgery.

     

    When Is Surgical Intervention Necessary?

     

    Following are the scenarios for Surgical Intervention:

    • Failure of medical management – If proton pump inhibitors (PPIs) or antacids do not provide relief.
    • Complications Develop – Such as esophageal strictures, Barrett’s esophagus, or chronic esophagitis.
    • Quality of Life Is Affected – When daily activities are restricted due to severe symptoms.
    • Hiatal Hernia Is Present – Large hernias often require surgical correction.

    Acid Reflux - Best GI Surgeon in Bhubaneswar - Dr. Tapas Mishra

    Benefits of Surgical Intervention

    • Long-Term Relief from acid reflux symptoms.
    • Reduced Dependence on Medications, especially PPIs, which may have long-term side effects.
    • Prevention of Complications, such as Barrett’s esophagus or esophageal cancer.
    • Improved Quality of Life, allowing patients to eat and sleep comfortably.