What Causes It?
With a normal, healthy person, after swallowing, a valve between the esophagus and the stomach opens to allow food to pass, then it closes to prevent stomach fluids from backwashing, or "refluxing," back up into the esophagus.
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Fully functional valve closes to prevent reflux of stomach acid into the esophagus. |
For people with GERD, this valve has become dysfunctional and cannot close, allowing stomach fluids, both acid and non-acid, to backwash up into the esophagus. Non-acid reflux can be as harmful to the esophagus as acid reflux and can cause similar symptoms.
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Dysfunctional valve is unable to close to prevent stomach |
What Causes the Valve to Become Dysfunctional?
- Congenital. Though pediatric GERD is not uncommon, most children either outgrow it or are treated effectively for it as infants.
- Injury to Upper Chest. Typically the result of a sports-related injury (e.g., high school football injury) or a traumatic accident (e.g., seat-belt injury resulting from car accident). The injury causes the valve to "stretch" out of shape.
- Obesity/Diet. Weight can be a significant contributing factor.
- Age. As people age, their musculature can loose its integrity.
