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The Impact of Anxiety and Depression on Gastroesophageal Reflux Disease (GERD) Treatment

The disease of every sixth person turned out to be untreatable in fearful and sad people

If you want to be healed, don’t be afraid, scientists said.

It is no coincidence that anxiety and depression are common in patients with gastroesophageal reflux disease (GERD).

A large-scale analysis by scientists published in the American Journal of Gastroenterology found evidence of a cause-and-effect relationship between GERD and psychiatric conditions.

GERD is a chronic disease in which the contents of the stomach or duodenum regularly reflux into the esophagus. The disease affects approximately 15% of the general population worldwide and has a negative impact on quality of life.

Researchers found that symptoms of anxiety and depression were more than twice as common in patients with GERD than in people without heartburn.

Clinically, this study is useful because “if you have a patient with reflux, you should ask them about anxiety and especially depression, because this may affect how well patients respond to therapy,” the scientists told gastroenterologists. .

“We don’t really know what causes reflux disease. Obviously it’s a brain disease, but sometimes, for all we know, it can come from the gut, and there’s certainly evidence for that. And if we can effectively communicate to patients the relationship between the brain and the gut and this entire cyclical process, we can achieve patient understanding and engagement in healing,” the scientists write.

A key aspect of treatment, they say, is referring patients to a psychologist and engaging them in “simple things like relaxation and diaphragmatic breathing.” By eliminating anxiety and depression, the doctor and the patient will be able to defeat gastroesophageal reflux disease.

“There is no doubt that GERD symptoms increase during times of stress,” added Philip O. Katz, MD, director of the motility laboratory, division of gastroenterology, Weill Cornell Medicine in New York.

2023-09-23 13:08:27

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