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Gerd MГјller 2020

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Show references Kahrilas PJ. Clinical manifestations and diagnosis of gastroesophageal reflux in adults. Accessed Jan.

Feldman M, et al. Gastroesophageal reflux disease. Philadelphia, Pa. Gastroesophageal reflux disease GERD adult.

Rochester, Minn. Schwaitzberg SD. Surgical management of gastroesophageal reflux in adults. Townsend CM Jr, et al. Gastroesophageal reflux disease and hiatal hernia.

Kahrilas PJ. Complications of gastroesophageal reflux in adults. Medical management of gastroesophageal reflux in adults. Vakil NB.

Antiulcer medications: Mechanism of action, pharmacology, and side effects. Zak Y, et al. The use of LINX for gastroesophageal reflux.

Advances in Surgery. Though many people swear by it, the scientific evidence is scarce; but it may work for you. With so many alternatives to try, you may be able to find something which provides relief without the undesired side effects that antacids, histamine blockers, and PPIs can cause.

Remember to address the lifestyle issues that can contribute to heartburn for a comprehensive approach.

For a deeper read about heartburn and acid reflux, how these supplements work, and the risk factors that contribute to heartburn and acid reflux, visit here.

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Do You Plan to Un-Retire? Following this second interruption, in an attempt to put a diplomatic pressure on Ethiopia, Egypt wrote another letter to the UN Security Council on June 19, In addition, the PMs of Ethiopia and the Sudan have also participated up on the invitation of the Bureau.

This is why, at least from an Ethiopian perspective, the outstanding issues regarding legal matters should be approached cautiously. One of the outstanding legal matters which in my view require a lot of caution is the issue of dispute settlement.

According to the report, while Egypt and Sudan prefer binding international arbitration as a dispute settlement modality for any GERD deal, Ethiopia prefers diplomatic means such as negotiation.

The Crisis Group report called for a compromise by asking both parties to modify their position suggesting an AU-led arbitration process as a solution.

Now that the three countries agreed to an AU-led process to resolve the outstanding issues, one may think the above ICG proposal could easily solve the controversy on dispute settlement.

However, in this piece, I argue that since such proposals do not fully take into account why Ethiopia needs to avoid arbitration or any other form of binding dispute settlement mechanism, the Ethiopian negotiating team should approach them with a lot of caution.

Contemporary international law imposes on States a basic obligation to seek a peaceful settlement of disputes.

The peaceful settlement of disputes is very much at the heart of the purposes and principles of the United Nations Charter.

Though the principle of peaceful dispute settlement is clearly enshrined in the UN Charter, the Charter does not impose any specific method of dispute resolution as the most preferred modality.

Rather, Article 33 of the Charter simply provides a menu of options for dispute settlement. The provision reads:. The parties to any dispute, the continuance of which is likely to endanger the maintenance of international peace and security, shall, first of all, seek a solution by negotiation, inquiry, mediation, conciliation, arbitration, judicial settlement, resort to regional agencies or arrangements, or other peaceful means of their own choice.

The list of methods in the above article covers a spectrum of techniques ranging from those that give control of the outcome primarily to the parties themselves to those such as arbitration and judicial settlement that give control of the outcome primarily to a third party.

Parties to a certain international dispute are therefore entitled to choose any one of the above or other means or a combination of them to solve the problem.

A question might arise as to what should happen if the parties disagree on which particular method they should use in order to solve their dispute.

The answer is clear. They should keep negotiating to reach an agreement. No one party can impose its preferred modality of dispute settlement on the other party.

Even when states are in agreement on the content of a certain negotiated norm, the modalities of dispute settlement will have to be further negotiated, and, in choosing from the various modalities, the states should be on an equal footing.

But the question remains whether Ethiopia is justified to do so. I will now turn to that question.

Ethiopia has sufficient reasons to reject arbitration as a means of dispute settlement. The reasons have to do with both the nature of arbitration as a means of dispute settlement, the nature of the broader controversy regarding the Nile and the content of a possible GERD deal.

Arbitration is an important dispute resolution mechanism that help disputants solve their problem with a binding decision in a process where they will have more control on the choice of the decision makers.

However, just like judicial settlement, though it settles the dispute with a binding decision, it creates a win-lose situation.

A party which may feel that there is an erroneous arbitration decision will have no real opportunity to correct it. As such, arbitration is not a good dispute settlement mechanism when the issue is politically sensitive and highly controversial.

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This backwash acid reflux can irritate the lining of your esophagus. Many people experience acid reflux from time to time.

GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week.

Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD may need stronger medications or surgery to ease symptoms.

Seek immediate medical care if you have chest pain, especially if you also have shortness of breath, or jaw or arm pain.

These may be signs and symptoms of a heart attack. When you swallow, a circular band of muscle around the bottom of your esophagus lower esophageal sphincter relaxes to allow food and liquid to flow into your stomach.

Then the sphincter closes again. If the sphincter relaxes abnormally or weakens, stomach acid can flow back up into your esophagus.

This constant backwash of acid irritates the lining of your esophagus, often causing it to become inflamed. Conditions that can increase your risk of GERD include:.

Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.

This content does not have an Arabic version. How heartburn and GERD occur Acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Kahrilas PJ. Clinical manifestations and diagnosis of gastroesophageal reflux in adults.

Accessed Jan. Feldman M, et al. Gastroesophageal reflux disease. Philadelphia, Pa. Gastroesophageal reflux disease GERD adult.

Rochester, Minn. Schwaitzberg SD. Surgical management of gastroesophageal reflux in adults. Townsend CM Jr, et al.

Gastroesophageal reflux disease and hiatal hernia. Doch angeführt wurden diese jungen Wilden damals von Werner Olk. Su nombre, Franz Beckenbauer.

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