Myasthenia Gravis Support Group
Myasthenia gravis (MG) is a neuromuscular disease leading to fluctuating muscle weakness and fatiguability. The hallmark of myasthenia gravis is muscle weakness that increases during periods of activity and improves after periods of rest. Although myasthenia gravis may affect any voluntary muscle, muscles that control eye and eyelid movement, facial expression, and...
Factors that can contribute to GERD:
Hiatal hernia, which increases the likelihood of GERD due to mechanical and motility factors.
Obesity: increasing body mass index is associated with more severe GERD. In a large series of 2000 patients with symptomatic reflux disease, it has been shown that 13 % of changes in esophageal acid exposure is attributable to changes in body mass index.
Zollinger-Ellison syndrome, which can be present with increased gastric acidity due to gastrin production.
Hypercalcemia, which can increase gastrin production, leading to increased acidity.
Scleroderma and systemic sclerosis, which can feature esophageal dysmotility.
The use of medicines such as prednisolone
GERD is largely preventable through changes in lifestyle, which are also used as treatment (see below).
"Sleep on the left side, or with your upper body raised.
Relief is often found by raising the head of the bed, raising the upper body with pillows, or sleeping sitting up.[20] The upper body must be raised, not just the head; pillows that only raise the head do little for heartburn and put strain on the neck. Sleeping on the left side also keeps gravity working for you, keeping your stomach below your esophagus.[21]
Eat smaller meals.
Eating a big meal causes excess stomach acid production, so attacks can be minimized by eating smaller meals. It is also important to avoid eating shortly before bedtime.[12]
Lose weight.
Gaining even a few pounds increases your risk of heartburn.[20] Exactly why isn't clear, but the leading theory is that more body fat puts more pressure on the stomach, which can cause highly acidic stomach contents to reflux to the lower esophageal sphincter. For the same reason, tight clothing around the abdomen can also increase the risk of heartburn.
Avoid acidic and rich foods.
Though less well supported by evidence,[20] a sufferer may benefit from avoiding foods that trigger their symptoms. These commonly include acidic fruit or juices, fatty foods, coffee, tea, onions, peppermint, chocolate, especially shortly before bedtime."
http://en.wikipedia.org/wiki/Gastroesophageal_reflux_disease