gastro ./ hepato gastroenterology
New Information On Gastroesophageal Reflux Disease Or Acid Reflux
By Groshan Fabiola
Gastroesophageal reflux also known as acid reflux or heartburn is a condition in which the contents of the stomach flow back into esophagus causing the lower part of the esophagus to become inflamed and painful and the condition in which this occures is known as reflux esophagitis.
Those who are usually affected by gastroesophageal reflux are those that are obese or have a hiatal hernia or scleroderma and in pregnancy.
The exact cause is the disfunction of the the lower esophageal sphincter, the lower esophageal sphincter opens and let the stomach acid contents to reflux. If you are eating very large meals, lying down within two to three hours of eating, and taking certain drugs including diazepam, meperidine, theophylline, morphine, prostaglandins, calcium channel blockers, nitrate heart medications, and anticholinergic and adrenergic drugs you are susceptible of developing gastroesophageal reflux. Alcohol, nicotine and caffeine aggravate the acid reflux.
Symptoms
One of the symptoms in acid reflux is heartburn, others are: painful swallowing, cramping, excessive salivation, coughing, shortness of breath, sore throat. Those symptoms are relieved when you adopt a n orthostatic position. You may also have a bitter taste in your mouth and can lead to reflux esophagitis, esophageal ulcer and Barrett’s syndrome which can further develop esophageal cancer.
Diagnostic
A gastroenterologist will perform some tests x-rays and barium examination, esophagoscopy, biopsy examination, manometry of the esophagus, the Bernstein test which deals with the level of acidity in the esophagus. Esophagus has an important role in moving the food down in the stomach with the aid of muscle contractions, at the lower end there is a specialized
There's an ?E? there, not an ?O?
A few days ago Dan Lyke linked to a few posts of mine.
And then today,
I found Lobster's comment linking to a post of mine.
In both cases,
they gave my full name as ?Sean Connor.?
I know that ?Connor? is a popular spelling
for example: Chuck Connors or Connor Huff)
only my last name isn't ?Connor? but ?ConnEr?,
you know, like Sean Connery.
To help mitigate this misspelling in the future,
I made my name a bit more prominent on the blog.
Or at least I hope it's a bit more promiment.
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Notes on blocking requests based on the HTTP protocol used
I'm still clearing out some links from last month,
just so you know.
?Selectively Disabling HTTP/1.0 and HTTP/1.1?
(via Lobsters)
describes an experiment with disabling (or redirecting) requests made via HTTP/1.1,
as most of the traffic the author saw via HTTP/1.1 they classified as ?bad.?
I decided to check that against my own server?in fact,
I'm checking it against my blog specifically,
since it's the only dynamic site I'm serving up
(the rest are all static sites).
So,
how do requests to my blog stack up?
Requests per HTTP protocol
| protocol | count |
|---|
| HTTP/1.0 | 396 |
| HTTP/1.1 | 377647 |
| HTTP/2.0 | 180093 |
| Total | 558136 |
HTTP/1.0 is negligable,
and a breakdown of response codes show that these requests aren't even bad:
HTTP/1.0 request statuses
| response | count |
|---|
SUCCESS.OKAY | 371 |
REDIRECT.MOVEPERM | 13 |
REDIRECT.NOTMODIFIED | 8 |
CLIENT.UNAUTHORIZED | 4 |
The majority of requests are to my RSS feed.
There are a vanishingly small number of agents using HTTP/1.0,
at least from where I can see.
Around ? of my traffic is still HTTP/1.1:
HTTP/1.1 request statuses
| response | count |
|---|
SUCCESS.OKAY | 289181 |
SUCCESS.ACCEPTED | 2 |
SUCCESS.PARTIALCONTENT | 7 |
REDIRECT.MOVEPERM | 886 |
REDIRECT.NOTMODIFIED | 69299 |
CLIENT.BADREQ | 3 |
CLIENT.UNAUTHORIZED | 441 |
CLIENT.FORBIDDEN | 5 |
CLIENT.NOTFOUND | 13249 |
CLIENT.METHODNOTALLOWED | 19 |
CLIENT.GONE | 82 |
CLIENT.TOOMANYREQUESTS | 4211 |
SERVER.INTERNALERR | 261 |
SERVER.NOSERVICE | 1 |
And the results for HTTP/2.0:
HTTP/2.0 request statutes
| response | count |
|---|
SUCCESS.OKAY | 103472 |
SUCCESS.PARTIALCONTENT | 1496 |
REDIRECT.MOVEPERM | 5089 |
REDIRECT.NOTMODIFIED | 68966 |
CLIENT.BADREQ | 3 |
CLIENT.UNAUTHORIZED | 47 |
CLIENT.NOTFOUND | 902 |
CLIENT.METHODNOTALLOWED | 6 |
CLIENT.GONE | 36 |
CLIENT.TOOMANYREQUESTS | 25 |
SERVER.INTERNALERR | 51 |
About 4% of the HTTP/1.1 traffic is ?bad? in the ?client made an error? bad,
where as HTTP/2.0 only has ½% of such ?bad? traffic.
Feed readers are pretty much split 50/50 as per protocol,
and the rest?
I would have to do a deeper dive into it,
but I do note that there are significally more bad clients making too many requests (CLIENT.TOOMANYREQUESTS) with HTTP/1.1 than with HTTP/2.0.
The article concludes that blocking solely on HTTP/1.x is probably not worth it,
as there are other ways to block bad traffic.
In that light,
and with the results I have,
I don't think blocking HTTP/1.1 will work for me.
In contrast,
there's ?HTTP/1.1 must die: the desync endgame,?
an article that explitely calls for the immediate removal of HTTP/1.1,
but unstated in that article is that the desync problem is more a problem of Enterprise based websites,
with lots of middleware boxes mucking with the request chain on a web-based application.
Based on that article,
I would think that if you are running an application-centric website,
then yes,
maybe blocking HTTP/1.x is a thing to do,
but if you are running a more document-centric website
(you know, the ?old, fun and funky web? from before 2005 or so)
then maybe blocking HTTP/2.0 is in order.
In fact,
I think that might be a decent idea?leave HTTP/1.x for those who want the old web
(or the ?smolweb?),
and HTTP/2.0 for the application web.
If you want to only browse the docweb and you get an 426 HTTP_UPGRADE,
then you know you can close the website and avoid downloading 50MB of Javascript to just read a few hundred words in text.
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muscle called the lower esophageal sphincter that is tight until the food is above it, then it relaxes to let pass the food and fluids.
This way acids, enzymes and other substances from the stomach do not come up in the esophagus to damage the tissue. It is important to drink milk until the esophagus has healed and you have no more acid reflux. There are some easy to make recipes that may be used during the period of recovery. Proton inhibitors drugs only mask the symptoms, so what I truly recommend are natural and healthy recipes. Acid reflux can be healed with herbs, meditation, exercise and diet, health store items.
Not chewing food properly and eating wrong foods determine the condition known as: esophageal reflux disease. In this condition the esophagus is damaged and the lower esophageal sphincter is weakened, the first thing to do in the healing of the esophageal reflux disease is to cure the esophagus.
The best solution is to continue treatment even if the symptoms are relieved, so as the condition will not return. Article Source: http://www.articlemap.com For more resources about acid reflux or especially about acid reflux diet please click this link www.acid-reflux-info-guide.com/acid-reflux-diet.htm
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