Managing GERD: Symptoms and Safe Exercises - Gastroenterology and Hepatology

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Managing gastroesophageal reflux disease (GERD) can be quite challenging, especially when it comes to understanding the symptoms and determining safe exercises. GERD is a chronic condition where stomach acid flows back into the esophagus, leading to various symptoms, including heartburn, regurgitation, and atypical symptoms like the sensation of a lump in the throat (globus sensation).
In your case, you mentioned that you have been taking Ranitidine for over a month and that the typical symptoms of acid reflux, such as heartburn, have subsided. However, you are still experiencing a sensation of something stuck in your throat after eating. This sensation can indeed be related to GERD, as the reflux of acid can irritate the esophagus and throat, leading to inflammation and discomfort. While you may not feel the classic burning sensation or chest pain, it is still possible for GERD to cause atypical symptoms. Continuing your medication as prescribed is essential, but if the sensation persists, it would be wise to follow up with your healthcare provider for further evaluation. They may consider adjusting your treatment or exploring other causes for your symptoms.

Regarding exercise, it is crucial to choose activities that do not exacerbate your GERD symptoms. While running can sometimes trigger reflux due to the jarring motion and increased abdominal pressure, there are several other forms of exercise that are generally considered safe for individuals with GERD:
1. Walking: This is a low-impact exercise that can help with weight management and digestion without putting too much strain on your body.

2. Cycling: Stationary cycling or leisurely biking can be a great way to get your heart rate up without the risk of reflux that comes with high-impact activities.

3. Swimming: Swimming is an excellent full-body workout that is gentle on the joints and can help alleviate GERD symptoms. Just be cautious of swimming immediately after eating, as this can sometimes trigger reflux.

4. Yoga: Certain yoga poses can help improve digestion and reduce stress, which is beneficial for managing GERD. However, avoid poses that involve lying flat or bending over too much, as these can increase abdominal pressure.

5. Strength Training: Light to moderate strength training can be beneficial, but it's essential to avoid exercises that require you to lie flat or put pressure on your abdomen.

When exercising, it's also important to consider the timing of your workouts. Aim to wait at least two to three hours after eating before engaging in physical activity to minimize the risk of reflux. Additionally, wearing loose-fitting clothing during exercise can help reduce pressure on your abdomen.

In summary, while your atypical symptoms may take some time to resolve, continuing your medication and consulting with your healthcare provider is crucial. Opt for low-impact exercises like walking, cycling, swimming, and yoga, and be mindful of your body's responses to different activities. With the right approach, you can manage your GERD effectively while maintaining an active lifestyle.