GERDS AND GI BLEEDING

First I would like to know when GERDS was first used? What was it Medically called before?
Most Important, I have had many give different answers to this question?

Can Ulcers be connected to GERDS and I would like a detailed answer if they are in anyway.
If you had GI Bleeding (Scarring now), Could you now just have GERDS?
Thanks!
This seems to be even a set of questions doctors don't agree on.
This is for a Veteran I'm helping.

[Ratnakar Kini, MD]

Hi,
Ulcer disease is due to H.pylori infection and NSAIDs.
GERD can occur due to acid or bile reflux.
If H.pylori affects the body of stomach, it suppresses acid production and thus may protect against the development of GERD. On the other hand the infection further down the stomach may increase acid output and may increase the risk of acid reflux.

Not all those with increased acid production devlop GERD. The lower esophageal sphincter (LES) protects aginst GERD.People who are obese, who consume alcohol who smoke, who have hiatal hernia ( and anything that increases the abdominal pressure) may have abnormal relaxation of LES. If there is increased production of acid in these patients, it may result in GERD.

GERD can cause erosion of the lower esophagus which may also cause bleeding.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.