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Acid Reflux causes and Treatment

Is GERD A Ratable Condition Under Gulf War Syndrome? Medical Expert *EXPLAINS*!

Is GERD A Ratable Condition Under Gulf War Syndrome? Medical Expert *EXPLAINS*!

– Hi everyone, this is
Tara from the med team. I thought I’d bring you
a new series of videos, something I was thinking about over the last couple of weeks or so, that might answer some questions for you. I wanna call it dig deeper. So I wanna say VACI digs
deeper and tries to get into these smaller topics
that med team Monday just doesn’t have enough time to get into each individual one. Things that are common, things that we get a lot of questions about,
things I’m seeing with clients on a daily basis or a weekly basis. And so I wanted to start
this series with GERD, gastroesophageal reflux disease. And that compared to functional dyspepsia, which in relation to Gulf War syndrome that we see a lot of. So, what we’re gonna start doing is I have an email address that
I’m going to have y’all, if you wanna send any suggestions to us, it’ll be [email protected] So [email protected] You can also leave
comments under this video. We will try to gather all of them up and try to see what’s a common pattern, what are some common questions
that a lot of you have that we can touch upon and
dig a little deeper into? So, I have, this topic came up a lot, mostly because I did
the med team Monday on the Gulf War syndrome, and
there’s just so much information, a wealth of information that we put out. And there are very common conditions that a lot of y’all have, and have a lot of questions about. And as well, clients that I’ve seen, where I’m going through
their records and their files and I see these previous denials, and they came out
claiming Gulf War syndrome for every condition that they have, when we discussed there are definitely some very specific conditions, but this is one that is very confusing, and it’s confusing even for
us providers to deal with, because there’s overlap of symptoms and there’s a little bit of confusion of exactly how to diagnose
one versus the other. So I’m gonna try to dig
a little deeper here and clarify that for you,
’cause that might give you a little bit of tools, one, to know is GERD your true diagnosis? Do you need to go back
to your doctor and say, “Hey, this doesn’t sound
like me, how about this?” And have that education and understand what we’re talking about when we can actually successfully do a Gulf War claim relating to gastrointestinal disorders, specifically the upper area. So, I just wanted to shoot you
a quick couple minute video just to describe and talk
about the differences, and see how this goes,
see if you all like it, see if you have other topics that you might want us to talk
about and bring it to you and go a little bit more
than scratching the surface that med team Monday does. So, basically let’s talk
about what is the definition of functional dyspepsia? So, functional dyspepsia,
there are signs and symptoms without structural or
chemical alterations, so when you look back at the
Gulf War video that I did, this is a big key thing
that we talked about. These need to be chronic conditions that are not diagnosed or not attributed to any other diagnosis. But really what does that mean? And that’s what we’re gonna get into here. So signs and symptoms,
that was one big thing. You don’t have a clear diagnosis, functional dyspepsia is a diagnosis but it’s really signs and symptoms. So if your doctor somehow diagnoses you with epigastric, which
is upper abdominal pain, that could be it. Chronic nausea. You can have just the symptom
as your actual diagnosis or they could actually go along with the functional dyspepsia diagnosis. So what is GERD? GERD is mostly a clinical diagnosis, which a lot of people have, and its symptoms, they are very similar to functional dyspepsia,
but they’re symptoms plus mucosal damage or chemical damage. It’s basically where acid
reflux goes from the stomach, through the sphincter,
that little tight area that sort of keeps
everything in the stomach in the stomach. When that loosens up or if
there’s a dysfunction there, acid will come up into the esophagus or into the airway, into the neck. And so that is truly
the definition of GERD, is that you have these symptoms, but you also have this functional or this structural
problem with the sphincter where the stomach contents are coming up. That is not the case with
functional dyspepsia. And so we’re gonna get into a little bit of the differences there. So, the confusing part is that there are, like I said, overlapping symptoms, and the American College
of Gastroenterology actually recognizes the
definition of functional dyspepsia as any symptom in the upper abdomen area, which could be the exact
same symptoms as GERD. So this is where we all get very confused and how clinicians can get
confused on this as well. They developed this criteria
called the Rome criteria, and they’re on their fourth evaluation of their fourth round of
updating these criteria right now for this. And so per this criteria,
for you to meet this, you need to have symptoms
at least once a week for three months, the onset
of symptoms for six months, so basically six months of symptoms, at least once a week for
the last three months, which most of you do who
have these conditions. The common symptoms with
functional dyspepsia that GERD doesn’t have is
the upper abdominal pain, fullness, bloating,
feeling like you’re full really early, but nothing else. So that’s the kind of
difference that I’m noticing. That basically when you have GERD, a lot of people were
describing I have acid reflux, I feel coming up, I get nausea, I do have some of this
abdominal pain and burning, but definitely with functional dyspepsia, sometimes you’re just
getting that fullness, you’re just getting that
uncomfortable sensation, you’re just getting that
wow, I ate like three bites and I’m completely full. But it’s difficult because the American College of Gastroenterology recognizes all symptoms as possibilities. So that’s where the confusion comes. But the official criteria
say it’s pretty much that upper abdomen sensation. As well as no evidence of any
other testing that’s positive, so what that means is that you would be seeing a gastroenterologist, you would be getting
a scope, an endoscopy, EGD, that’s what they’re called, where they go ahead and
take a look in the stomach and they don’t see anything wrong, completely normal. That is a criteria for
functional dyspepsia. It also could be that you
have something called NERD, or non-esophageal reflux disease, where there’s not erosiveness, but the symptoms are where we can clearly distinguish between the two. So we’re looking at a normal scope, as well as PH testing,
that’s the gold standard, PH testing. So when you have acid refluxing
up into the esophagus, that’s gonna change the PH, ’cause the PH is gonna be more acidic, and so if they’re doing
you justice with this they’re gonna check the PH as well. So they’re gonna get the scope, they’re gonna get the PH to make sure that you don’t have acid refluxing up, you’re gonna test negative
for something called H Pylori, which is a bacteria that can
cause some of these symptoms, and you’re gonna have the symptoms mostly of just that fullness. That’s more a functional dyspepsia. So I’m hoping that that
clears things up a little bit, but yet, with the
overlap of some symptoms, ’cause people can experience nausea, can experience some of the
same burning and sensations of reflux, but it’s really
you have to be seen by, according to this Rome criteria, by gastroenterologists and
have that procedure done, as well as PH testing, in
order to really get someone who’s going to diagnose you
with that functional dyspepsia. Now I’m not saying your
primary isn’t gonna do that at some point,
but I would say that they would be hesitant to diagnose you with functional dyspepsia, unless you have clear symptoms of I just
have the abdominal fullness and you don’t have acid
reflux and you don’t have the typical other symptoms. So you can ask them about
it, but there’s really not, there’s really not a lot
that they’re going to be able to do outside of getting that gastroenterology evaluation
in order for you to say, “Ah, I meet this Rome criteria, “can you please change my diagnosis? “That this is more of a functional problem “not a structural problem. “It doesn’t meet criteria for GERD, “and this is what I’m doing.” And so sometimes talking to your doctors and explaining your rationale on this, especially if you’re
close from leaving service and you’re trying to get this
through a Gulf War syndrome, that would be my best recommendation, is trying to figure out
do you have functional or do you have structural
issues with your stomach? So, I’m hoping this clears
things up a little bit or at least gives you a little bit more information as to what we’re looking for and why we keep saying we cannot do GERD secondary to Gulf War syndrome. It’s because it’s structural, because that anatomy is the problem. That sphincter is letting acid through. Whereas the functional,
it’s just some symptoms, and we don’t know why
you have the symptoms and there’s been a lot of research, but the American College
of Gastroenterology, they also don’t know
why this is happening. They don’t know why you
would have those symptoms, but there’s a lot of studies on it, and it’s just a matter of getting you the right diagnosis and getting
you the right claim going. Now, with all that said,
do I think you need to, if you’ve served in Gulf War, do you need to jump
through all those hoops? No. We have plenty of ways to connect GERD. We have plenty of ways connect
your upper abdominal pain and all those symptoms to your service through NSAID use, through
other mechanisms as well. So it may not necessarily be something you need to chase down,
I just really wanted you to know the difference between the two, that what does functional really mean? What does structural mean? And the fact that they don’t even have a clear understanding of
it through the specialists and through what they put
out as a standard of practice through the American
College of Gastroenterology. So it can be confusing,
but if you’re heading down that path or you’re dead set on that path of Gulf War Syndrome, that’s
what you need to have, you need to meet that Rome IV criteria, have that negative scope,
have minimal symptoms, have no evidence of PH change, in order for the VA to grant that for you. Short of that, we would
better off going the route of GERD secondary to something else that you’ve got going on in your case. So that’ll be it for today. I will be back again
soon with another topic. Again, if you have any suggestions, please don’t hesitate to
shoot us a quick email at [email protected] Or you can leave some comments down at the bottom of this video and we’ll try to gather up some information on some interesting topics that
you’d like us to talk about. I’m open to just about anything. If there’s something that
you’re confused about, something that you’d like
more information about or anything that you’d like
the med team to sort of dig a little deeper into, hit us up. All right, y’all have a great afternoon. Thanks for watching.

19 Replies to “Is GERD A Ratable Condition Under Gulf War Syndrome? Medical Expert *EXPLAINS*!”

  • The gerd I have is what seemed to be athsma like conditions that while breathing under normal situations it seems to get hard to breathe I go into a coughing fit that makes me blackout. They put me on omeprazole and now I can breathe


  • Hopefully you can make a video to secondary issues to GERD…thanks for the info and helping our veterans get what they deserve…

  • I curious to know about frequent urination and it's relationship to low back pain and diabetes. I noticed after having back surgery, my urge to urinate has increased more and more. My VA PCP is treating me with Tamuloson.

  • I had a "normal" endoscopy but an abnormal 24 hour pH study. My DeMeestor score is 74.6 (normal is 14.7 or below). I have to wait until February for my GI follow-up. 😞

  • Hi – Old vet but a newbie Elite member I'm up early reviewing U-tubes. I've got Really bad hearing so, I also play the CC when I watch videos. Like this video of Lara? talking about GERD (one of my conditions). So, it took me awhile to read her lips and figure out that she is saying "Dig deeper" That's because the captions on the screen don't match the video .. Maybe it s just me but I'm watching a GERD video and reading captions from the neck pain video..? what's up with that?

  • @Brian Reese Ive signed up and the links that are being sent gives me anxiety because all those sites look like AD sites that could cause harm to my computer and to my identity. Am I the only one who feels this way? Like every click on these sites or every time im scrolling my eyes on them they are giving me red flags in my head. Could you tell me how does it all work/look after I sign up please. I'm literally at the rock bottom and I dont think I could take another hit in a negative way.

  • Does your rank effect your overall benefits such as how much you're compensated?? I only ask because I am active duty and a friend of mine is in the process of getting med boarded due to a back injury and he is telling me that there is a jump in benefits from E4 to E5 in the army in regards to how much compensation he is receiving.

  • I'm tired of the VA I'm 70% rated took took 6 months but they turned me down for 6 things and approved 1 ..and 2 of the other things they turned me down were things i in my military medical records example I had ear infections in my right ear 2x now i have conductive hearing loss in my right ear ..but was turned down for hearing loss for loud noise and ignore that I had ear infections which causes conductive hearing loss ……same for my right knee i hurt in in the military and many years later I had arthroscopic meniscus surgery and said I was not service connected for knee arthritis when my torn meniscus is the reason I have knee arthritis and loss of range of motion and pain all the time..and they turn down for sleep apnea which is caused by my obesity which is because of my depression for my eating disorder …but they never connect the dots ..I just got my ratting a week ago but looks like I need help..don't tell me to go to your web site and pay money ..I need to talk to someone in person and understand see what its going to cost me i'm not signing up and sign some agreement..with fine print and then Owe you for something I have no clue for and if I don;t hear from you I know why

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