I hate having GERD

胃食管反流病是指胃酸反复倒流至连接口腔和胃的管道（即食管）的一种状况。常常简称为 GERD。这种倒流称为胃酸反流，会刺激食管内膜。 许多人都会偶尔出现胃酸反流。但在一段时间内反复发生胃酸反流会导致 GERD。 大多数 ... La enfermedad por reflujo gastroesofágico es una afección en la que el ácido del estómago fluye con frecuencia hacia el esófago, que es un conducto que conecta la boca y el estómago. . Esta reacción se conoce como reflujo ácido y puede irritar la mucosa del esófago. Muchas personas tienen ... Causes. GERD is caused by frequent acid reflux or reflux of nonacidic content from the stomach. When you swallow, a circular band of muscle around the bottom of the esophagus, called the lower esophageal sphincter, relaxes to allow food and liquid to flow into the stomach. Heartburn that occurs frequently and interferes with your routine is considered gastroesophageal reflux disease (GERD). gastroesophageal reflux disease (GERD) treatment may require prescription medications and, occasionally, surgery or other procedures. GERD is an ongoing, called chronic, condition in which stomach acid flows back into the esophagus. This backward flow of acid irritates the lining of the esophagus and leads to heartburn and pain. Medicines and dietary supplements that can irritate the esophagus and cause heartburn pain that is like the pain of GERD include: كيفية حدوث حرقة المعدة والارتجاع المعدي المريئي (gerd) يحدث الارتجاع الحمضي عندما ترتخي عضلة المَصَرة الموجودة في الطرف السفلي من المريء في الوقت الخطأ، ما يؤدي إلى رجوع حمض المعدة إلى المريء. Sometimes acid reflux progresses to GERD, a more severe form of reflux. The most common symptom of GERD is frequent heartburn — two or more times a week. Other symptoms can include regurgitation of food or sour liquid, difficulty swallowing, coughing, wheezing, and chest pain — especially while lying down at night. Each year, Mayo Clinic doctors diagnose and treat about 50,000 adults and children who have GERD. Mayo Clinic specialists are skilled in distinguishing GERD from other conditions that may cause similar symptoms. If surgery is needed, Mayo Clinic doctors have extensive experience performing anti-reflux procedures. Efficiency GERD surgery. Surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter. The procedure is called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus. This reinforces the lower esophageal sphincter, making it less likely that acid might back up in the esophagus. Acid reflux and GERD; Belching, intestinal gas, gas pains and bloating; Breastfeeding and medications; Eosinophilic esophagitis; Heartburn; Scleroderma; Symptom Checker; Integrative approaches to treating pain; Nutrition and pain; Pain rehabilitation; Self-care approaches to treating pain; Upper endoscopy; Endoscopy; Fundoplication; Heartburn ...

2024.11.30 02:50 SickCursedCat I hate having GERD

I used to love food, and cooking and going to potlucks and restaurants. Now I can barely eat, and it’s even more frustrating with the holidays. I went to my brother’s new house for thanksgiving because he wanted to host, celebrating his 2 year full sobriety. There was so much food! It all looked and smelled so good, I wanted to try all of it! Unfortunately, I only was able to consume a few bites of corn, and the smallest piece of meat. Today my husband and I made our own thanksgiving meal, including a small turkey. I’ve been trying to eat a small turkey sandwich (small because I have to eat gluten free bread) for over an hour. I fucking hate living like this.
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2024.11.30 02:50 chicken_liver_ How to learn to actually trust God?

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2024.11.30 02:50 messoesso What do you need to wax your own skis?

My SO is an avid skier. He goes 2-3 times a week weather permitting. For Christmas I was thinking of getting him all the materials to wax his own skis at home since he takes his to a shop a handful of times a season. I’ve read it’s easy to do, and he’s mentioned wanting to get into it.
I know next to nothing about skiing so I’ve looked up various kits that all have awful reviews, and am intimidated by the thought of individually buying everything from various brands/stores and leaving important stuff out.
Would anybody be willing to drop a list of what you absolutely need to wax your own skis, and what are some “nice to haves” that make the process easier? I’d love to spoil him. Thanks!
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2024.11.30 02:50 motif-game Do you see the motif?

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2024.11.30 02:50 TheNerdChaplain Just beat Arkane Studios' Prey, from 2017 - My thoughts with some spoilers. TL;DR - it's like Dishonored meets Bioshock.

I was a big fan of Dishonored 1 and 2, and I'd put a few hours in back when Prey came out, but got sidetracked until a friend reminded me of it a few weeks ago and I decided to make a serious attempt.
Playing it was very enjoyable, probably mainly because I played on Easy mode. (Constantly dying or being near death isn't super fun to me.) I'm a sucker for Arkane's alternate routes, maintenance hatches, walking on ceiling lights, and sneaking around, and that definitely carried over from Dishonored. They made neuromods so easy to find or manufacture that I had two of the top three skill trees totally filled out by the end, and I was the biggest baddest thing on that station.
The story was interesting and engaging, although sometimes I had a hard time tracking who everyone was, especially people I only saw through emails, notes, and corpses. But getting a glimpse of the lives and doings of the people on the station was really neat, and added a lot of depth to the story. I thought the game was visually gorgeous, as it was a mix of art deco and retrofuturism with Soviet elements. In this alt-history, Kennedy was never assassinated, and went on to form a scientific partnership with the USSR in space.
The first time you see some of the aliens, especially the mimics, the Weaver, and the Nightmares is very chilling and impactful. It could be annoying backtracking sometimes - especially for the treasure hunt and smuggling quests - but definitely worth it. However, as I fled the station at the end having saved everyone I could, it was a little bit, "That was it?"
Alex turned out to be a more interesting and empathetic character than I expected, and I wish I'd gotten more time with him, or heard more from him. There was supposedly a dilemma between blowing up the station and deploying the nullwave transmitter, but I only heard a little bit of chatter near the end about it. I wish they'd spent more time on that. (Also I forgot to actually craft the nullwave transmitter, so maybe I missed out on some stuff there.) So as the credits rolled, I was left just a little underwhelmed, I thought they would have put more weight on my choices. There had also been a few scenes of mental flashes, but nothing that really led anywhere.
Then the post-credits scene played. Getting an achievement called "I and Thou" as Alex, Mikhaila, Danielle, and Igwe talked about the choices I did make hit MUCH harder than I expected. As usual, I'd played as morally good as I could. Honestly for most RPGs I think killing is a bad gameplay choice, because it cuts off any content that character might provide in the future, and that strategy really paid off here.
I'm going back now to New Game+ to see how the Typhon powers are - so far so good. However, being able to fully explore the lobby and hack nearly everything right away is pretty awesome. In games, I tend to prioritize abilities that a) generate more XP and b) let me access more areas, so being able to be almost fully powered (minus some suit and scope chipsets) is pretty great.
I don't know if I'll do another full "evil" playthrough, though I think I can get through it faster now than I did before, having done every single side mission - but I'll get through as much as I want before going on to Mooncrash.
Your mileage may vary, but I think $30 is a fair price to pay for this game, and anything less is a good deal. I spent 47 hours on my first run through alone.
submitted by TheNerdChaplain to xbox [link] [comments]

2024.11.30 02:50 georgewalterackerman Has it been alleged that there wounds inflicted postmortem as part of a cover up attempt?

If that were true it would be truly disturbing
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2024.11.30 02:50 4runner01 Is the Smithville lights free?

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2024.11.30 02:50 Dense_Local_3835 PLEASE HELP American exchange student being kicked out of Japan

This is my first time using Reddit. I’m so desperate and out of options I don’t know what to do with myself. Basically, I attend a program apart of a 10 month exchange student experience and my initial return date back to America was January 12, actually the 18th since my real family was planning on traveling around Japan with me before we returned home so I could show them around and experience new things. I was so excited to show them my language skills. In the past during my stay, I had received a couple “warning letters” and ”guidance letters” regarding certain mistakes I made like sleeping in and accidentally being late for school at the start of when I first came. When I first came, there was a lot of struggle and difficulty I had when adjusting. However, since then I improved drastically.
Ever since I moved in with my second host family (predetermined from the start, I didn’t choose to move), the new host mom has been very judgemental and sort of cold. All the times I received guidance warning letters had been under her roof, and not the first host family. When I first came, things were so nice with them but they slowly started to fall apart. The main problem I had was that anytime there was a slight issue, my host mom would report it to my exchange student program instead of telling the issue directly to me. This resulted in a warning letter issued by the program, combined with my oversleeping issue. The reason I am being sent home early after a streak of being good, is because I foolishly cut and hemmed my rental skirt provided by the school. the reason I did so was because when I was first receiving my uniform at the beginning of the year, I was told my the senpais and a English speaking teacher that maybe I could get my skirt tailored when I mentioned that I was unhappy about the length of the long skirt. I thought that this meant it would be okay to have it tailored since I was also having issues with the proper waist fitting.
Unfortunately, I was feeling risque on my birthday day and rolled up my already hemmed skirt by a little bit which my teacher noticed and reported to my host mom whose always out to get me and snitch. My host mom then talked to the school who talked to my organization. Then a meeting was organized on 11/25 where they discussed the issue with me and I tried to explain my side of the story since no one had mentioned it to them before. I thought this was just another one of those times I was getting in trouble again and once the meeting was over I thought that problem was over and done with. On Wednesday during class my parents messaged me and told me that the american program was informed by the Japanese program they were thinking of exterminating my program early. My stomach dropped and I felt so sick and couldn’t believe it. yesterday, it was official when they handed me the paper and I tried everything to stay and pleaded my case and apologized the best I could. However, their decision was final even though my official location coordinator couldn’t even attend the meeting since she had matters elsewhere.
I offered to pay for the skirt so many times yet they said this was considered a terrible rule broken because we’re not allowed to have short skirts and I should’ve known better than to cut it even though I was TOLD I could. Even though, my summer skirt PROVIDED by the school was even shorter than the length I cut my winter skirt to. I don’t know what to do and the fact they’re sending me home early when I only have a month left of my program and almost that entire month is break from school. I’m so unbelievably sad and in disbelief. I had finally made friends after struggling and being alone for almost more than half of my stay here. I don’t want to return to my family and let down everyone after telling all my friends and family I would be back januapry 18.
I feel like I didn’t do enough with my time and I would do literally anything to stay. Dude, I even thought about breaking my leg or arm or some so I could “heal” here or something. is there anyway I can find a way to stay even though they already gave the final decision? I’m so ashamed and just want to disappear.
submitted by Dense_Local_3835 to exchangestudents [link] [comments]

2024.11.30 02:50 Blossomjay231 Help me find the title of this book please

Okay so I've been trying to figure out the name of this book. I hope someone can help me. I think it's a historical romance. The heroine is the daughter of a abusive king. The entire kingdom treats women poorly. The heroine wouldn't look people in the eye. Now I think the mother tries to escape with her 2 daughters and comes across a army that I believe is their enemy. The leader eyes the 2 girls and barks our orders and they started seperating the oldest daughter from her mother and sister. The oldest daughter pledges herself to the leader thinking he was gonna try to take her little sister. He took the oldest daughter and for some reason he pretended he couldn't understand her language. He of course ends of falling in love with the heroine and I believe he kills her father at the end. Oh and I think the main character's entire kingdom was blonde. Oh and the main character has a brother too who takes the sister of the leader of that army. I know it's all over the place That's everyrhing I remember about the book. Hopefully you guys can help! Thanks!
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2024.11.30 02:50 maderredam88 Pakistan 2030 5th-generation fighter jet project can f22 beat this masterpiece 🔥😲😲😲

Pakistan 2030 5th-generation fighter jet project can f22 beat this masterpiece 🔥😲😲😲 submitted by maderredam88 to indianaviation [link] [comments]

2024.11.30 02:50 oanannya He builds a snowman for her.

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2024.11.30 02:50 hawkeyedude1989 1080p stream, where’s the bottleneck?

Streaming my golf simulator to my garage, all wired cat 5e cable. All cables were checked and functioning.
Host:
Intel 12400
Rtx 3060ti
32gb RAM
Client: Beelink mini pc with n95 chip, 16 ram, onboard gpu
Moonlight: 1400x1050, 60fps, 25bitrate, vsync ON, frame pacing ON
I figured I should be able to stream 1400x1050p ultra no problem but gets a little laggy at times. Is it the host GPU or client?
submitted by hawkeyedude1989 to cloudygamer [link] [comments]

2024.11.30 02:50 Humble-Wrongdoer2378 invideo ai 1080 Các bước đơn giản để tạo video YouTube t 2024 11 30

invideo ai 1080 Các bước đơn giản để tạo video YouTube t 2024 11 30 submitted by Humble-Wrongdoer2378 to vincent1949 [link] [comments]

2024.11.30 02:50 sianyaka 비상금대출거절 되신 분 주목! 당일 300만원 쉽게 승인받는법!

비상금대출거절 되신 분 주목! 당일 300만원 쉽게 승인받는법! submitted by sianyaka to bestbanks [link] [comments]

2024.11.30 02:50 PnwENMhubs Foggy valley

Foggy valley submitted by PnwENMhubs to FoggyPics [link] [comments]

2024.11.30 02:50 Capable_Tea3037 Calisite 2024-20

A new update to the website based on same data but this one just provides all the sites the data is pulled from. If you query on status = online you will see all the sites that were available during the last data pull. Let me know if this is helpful or not. If not I will take down. Obviously, books are the same its just you are getting a good list of open calibre servers. There were 327 total servers with 138 online servers.
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2024.11.30 02:50 CommercialAd4408 Ubisoft has got to fix the matchmaking

Ubisoft has got to fix the matchmaking i've been trying to rank up recently by solo queuing while my buddies that i usually play with are on vacation. well, 3 games in I'm wondering why my teammates are so horrible, and i look at the ranks. WHAT TF? Entirely newly copper teammates in a silver lobby? the other team had entirely silver (peaked) players and one even peaked gold, yet im stuck with brainless horrible coppers? fix the fucking matchmaking. P.S: The coppers all peaked copper (you can look em up on siege tracker)
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2024.11.30 02:50 New-Narwhal-6149 Was Dir en Grey originally under Yoshikis wing?

I'm an older vk fan and this was something fairly extended and assumed as true, now looking back I'm not sure anymore. Does anyone know anything about it?
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2024.11.30 02:50 SaintJynr Is warrior a good main tank?

I was thinking about how warrior's gimmick is having a lot of self sustain, but in a raid setting, does that make that much of a difference? Healers are likely gonna top you up after tank busters, so I'm wondering if the other tanks' extra mitigations work better
(I'm not sure if I made my point clear enough, but I'm not sure how to word it better)
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2024.11.30 02:50 LivingResult5051 Sasha's response to Jenn

Sasha's response to Jenn Don't you also love how she moves her hips just how you taught her? 🤭
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2024.11.30 02:50 Ok-South-9567 For the boys

Stop fumbling the bag bro
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2024.11.30 02:50 Middle_Change7883 JoyaBuy-Qc our legacy jeans

Simple pair of jeans that also screams loud , nice for club, or for restaurant I rock with the style.
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2024.11.30 02:50 Substantial_Track210 Mega Altaria on Me! 2745 4199 9795 adding first 5-10

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2024.11.30 02:50 margalaz monitor shuts off

depending on settings (mainly refreshrate) my monitor will shut down piordicly, with it happening more often at higher refreshrates, also if the temps in my room get to high it will cycle even at 60hz.
I'm not sure if my monitor has active cooling, but on the off-chance, it doesn't what would be causing these temp issues? bad thermal paste? or is it just a faulty monitor
its an Acer XF273U W2
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2024.11.30 02:50 LadyDabber I'm looking to purchase a second hand bedroom set, where should I look for it?

I want to buy a bed/nightstands/dresser set preferably real solid wood, second hand. I'm thinking my best two options are that string of consignment stores in Indian trail along side 74, antebellum marketplace etc, and Gibson mill. Any other ideas?
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https://google.com/