What is Heartburn or GERD?

What are the Symptoms of Heartburn or GERD?

What causes heartburn?

It is caused by the reflux of the acid contents of the stomach back up the oesophagus (gullet) and sometimes into the throat. It may be caused by a ring of muscle at the junction of the oesophagus and stomach does not close fully, and may be associated with a hiatus hernia.

Factors that bring it on are:

·       Particular foods (e.g. cabbage, onions, cucumber, curries, pastries – especially pies and pasties, fruit cake)

·       Certain drinks (e.g. wine- especially red wine, beer carbonated drinks, coffee)

·       Eating too fast

·       Rich or big meals

·       Chewing gum long and hard

·       Stress and anxiety

·       Pregnancy

·       Old age

·       Certain drugs (e.g. antirheumatism drugs, aspirin)

·       Obesity (a common factor)

What tests are done?

Tests may not be necessary, but if it persists or your doctor is concerned about an ulcer, X-rays may be taken or a tube called a gastroscope may be passed down into the stomach to inspect it.

How can it be prevented?

Don’ts

·       Bolt your food down

·       Eat standing up

·       Smoke

·       Eat fatty foods (e.g. pastries)

·       Eat spicy foods

·       Eat large or rich meals

·       Bend over for work

·       Strain at toilet

·       Drink wine with meals

·       Eat foods that ‘ burn’

·       Drink coffee or alcohol late at night

Dos - Heartburn Remedies (The GERD Diet)

·       Eat in a slow and relaxed manner

·       Eat sitting down

·       Avoid foods that ‘burn’

·       Eat small or moderate meals

·       Squat rather than bend

·       Keep your bowels regular

·       Avoid stress : relax!

·       Reduce your alcohol intake

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Gastrointestinal Tract Absorption of Nutrients

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What is the Treatment for GERD?

·       Attending to the above preventive advice can bring heartburn relief

·       Learn what brings on your heartburn and deal with it

·       Take antacids when you feel your heartburn coming on and before bed at night.

·       Make sure that you get to your ideal weight, should you be overweight

·       Your doctor may prescribe other medicine to help

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

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Diarrhea Treatment, Learn what is Gastroenteritis, Management of Irritable Bowel Syndrome & Heartburn or GERD

Gastro-oesophageal Reflux or heartburn can also occur in children, causing abdominal pain.

How a Gluten-free Diet can Improve your Chronic Illnesses

Healthy Diets for Optimal Health

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Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

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Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

• Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2021/22) and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  
• Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
• Continue your medications and do not change your treatment plan without talking to your doctor.
• Make sure that you have at least a two-week supply of your chronic disease medications.
• Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.

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Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

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By all the means you can,
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At all the times you can,
To all the people you can,
As long as ever you can.”
― John Wesley

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Risk Factors of COVID-19 Complications

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COVID-19 Singapore Public places visited by cases in the community

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COVID-19 : Country cases, Deaths, Recovered & Vaccinated

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For Medical Professionals

Learn from the China Experience on COVID-19 Prevention and Treatment

9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

- Doctor of Chiropractic

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

Medical Conditions Treatable with Chiropractic:  

• Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
• Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
• Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
• Elbow – Tennis Elbow/ Golf Elbow
• Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
• Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
• Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
• Ligament – Sprains/ ACL Laxity/ Ankle Sprain
• Muscle – Strains/ ITB Tightness/ Hamstring Tear
• Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
• Sports Injuries
• Obesity – Exercise & Meal Planning 
• Post Operation/ Hospitalization
• Fibromyalgia

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

MD International Medical Centre

Medical Services

• General Practice Family Medicine
• Minor Surgical Procedures / Laser Treatments
• Management of Chronic Diseases (Diabetes / Hypertension / Heart Disease / High Cholesterol Management)
• Chiropractic Pain Management (Joint pains, Knee Pain, Back Pain, Migraine, Sports Injuries)
• Chiropractic Shockwave Treatment / Deep Muscle Stimulator DMS Therapy
• Dermatology Treatments - Skin Problems (Eczema, Acne, Rash & Hives, Boils, Dermatitis, Pigmented or Dry Skin, Moles, Skin Tags, Corns & Calluses, Wart, Treatment of Insect Bites & Stings)
• Dermoscopy - Non-invasive Detection of Skin Cancer
• Allergies Test & Management / Treatment of Allergic Rhinitis / Asthma Management
• Vaccinations / Immunization (National Adult Immunisation Schedule / National Child Immunisation Schedule / Influenza)
• Infectious diseases & Virology (COVID-19, Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
• Eye Health / Ophthalmology (Conjunctivitis, Foreign body in the Eye)
  
• Ear Nose Throat / ENT Rhinoscopy (Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Removal of Ear Wax)
• Audiogram – Hearing test
• Personal Health (Stomach ache, Irritable Bowel Syndrome, Heartburn, Treatment of Gout)
• Elderly / Senior Health (Arthritis)
• Men's Health
• Women's Health (Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors)
• Child Health & Nutrition / Paediatrics
• Travel Health (Vaccinations / Travellers' Diarrhoea)
• Health Assessment, Screening & Management / Blood tests
• Pre-Employment check-up / Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Obesity / Weight control
• Neurological Disorders / Dementia Screening
• Depression / Anxiety Management
  
• Insomnia & Stress Management

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud