Hagus, and cause a burning sensation. yahoo answers buy viagra online Some doctors believe a hiatus hernia - when the upper part of the stomach moves up into the chest through a small opening in the diaphragm - may weaken the valve and cause reflux. buy viagra without prescription Coughing, vomiting, straining or sudden physical exertion can cause increased pressure in the abdomen and lead to a hiatus hernia. natural female viagra pills Obesity and pregnancy also contribute to gord, which can affect people of any age. Overeating, especially of fatty foods, can also cause acid reflux as it stretches the stomach and oesophageal sphincter. Chocolate, coffee, alcohol and rich and spicy foods can stop the oesophageal sphincter from working properly, as does tobacco. viagra online without prescription Once a diagnosis of gord is made, drugs may be used to treat the heartburn. viagra without prescription For less severe cases, over-thecounter products may be suggested. In moderate cases, proton pump inhibitors - drugs that stop stomach cells producing acid - may be prescribed. where to buy viagra in japan Keyhole surgery can strengthen the oesophageal sphincter in serious cases. viagra women herbally To diagnose gord and recommend proper treatment, doctors look at the patient's oesophagus and aim to record ph levels there, using a transnasal catheter, where a narrow tube is inserted through the nose and into the oesophagus and left in place for up to 24 hours. buy generic viagra 'monitoring acid levels over a day or two is the best method of diagnosing the severity of gord, but traditional tests using nasal catheters have been complicated and uncomfortable for the patient,' says dr joel richter of the cleveland clinic in cleveland, ohio, who has carried out a series of clinical studies on the new device. 'it is associated with discomfort, inconvenience and interference with normal activity and eating. viagra cost ' if the catheter prevents patients from continuing to eat normally and to do their day-today activities, monitoring will not provide as accurate a picture of what is causing the reflux and when it occurs. Such problems lead many patients to opt against using a catheter method, meaning they never get an accurate diagnosis an. buy viagra