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Acid Reflux, Heartburn or Gastroesophageal Reflux! 4 ways to effectively control the disease

Time:2022-11-27 23:18:32 source:psychiatricethics.com author:Public activities Read:983次
Acid Reflux, Heartburn or Gastroesophageal Reflux! 4 ways to effectively control the disease

In daily life, some people feel that there is something in the stomach refluxing to the esophagus, throat or even the mouth for no reason, which may be accompanied by a burning sensation in the corresponding part, which may be the occurrence of gastroesophageal reflux. Why does this happen? Xiao Yinglian, chief physician of the Department of Gastroenterology of the First Affiliated Hospital of Sun Yat-sen University, said that at the junction of the human stomach and esophagus, there is a high-pressure belt-gastroesophageal junction. Under normal circumstances, it can be like a bottle cap to prevent stomach contents from falling into the esophagus, once this normal defense mechanism is broken, reflux occurs when the intragastric pressure increases enough to overcome the pressure at the gastroesophageal junction, and this process causes a series of symptoms (typically: heartburn, Reflux; atypical such as: chest pain, epigastric burning, epigastric pain, upper abdominal distension, cough, asthma, throat discomfort, etc.) and complications are called gastroesophageal reflux. Gastroesophageal reflux not only affects people's quality of life, but the stimulation of long-term reflux substances can also cause inflammation of the esophagus, which may even lead to esophageal stricture and esophageal cancer in severe cases. What causes gastroesophageal reflux? 1. The pressure at the gastroesophageal junction of hiatal hernia is composed of the lower esophageal sphincter and the diaphragm. Under normal circumstances, the lower esophageal sphincter and the diaphragm are in the same plane, which can generate enough pressure to prevent gastric contents from flowing back into the esophagus. However, when the lower esophageal sphincter and the diaphragm are separated, part of the gastric structure infiltrates into the esophageal cavity, which produces the abnormal structure of a hiatal hernia. A hiatal hernia will significantly reduce the pressure of the gastroesophageal junction, thereby promoting gastroesophageal reflux. production. 2. Increased intra-abdominal pressure. Women with abdominal obesity, constipation and pregnancy may experience increased intra-abdominal pressure. When intra-abdominal pressure increases, gastric contents will more easily break through the barrier of the gastroesophageal junction and enter the esophagus. 3. Bad diet, frequent smoking, drinking coffee, strong tea, eating high-fat and high-sweet foods such as chocolate, etc., will not only affect the esophageal motility, but also promote the transient relaxation of the lower esophageal sphincter, which is the reflux of gastric contents provide opportunity. How can I tell if I have gastroesophageal reflux disease? Gastroesophageal reflux disease can be divided into three types: non-erosive reflux disease, reflux esophagitis, and Barrett's esophagus (a precancerous lesion) according to their endoscopic features. Chief Physician Xiao Yinglian mentioned that there are four clinical ways to diagnose gastroesophageal reflux: 1. Symptoms and questionnaire diagnosis. Suspected patients can be initially identified with typical heartburn, reflux symptoms, and gastroesophageal reflux disease-related questionnaires. 2, antacid experimental treatment. For patients with typical symptoms of heartburn and reflux, acid-suppressing drugs can be used for experimental treatment. If the symptoms are significantly relieved, a preliminary diagnosis of gastroesophageal reflux can be made. 3. Gastroscopy. Gastroscopy is particularly important in the diagnosis of gastroesophageal reflux disease. Gastroscopy can not only help exclude tumors in the upper gastrointestinal tract, but also detect reflux esophagitis, esophageal stricture and Bartley's esophagus, and judge the severity of reflux esophagitis. Wait. Therefore, it is currently recommended that all newly diagnosed patients with reflux symptoms should undergo gastroscopy. 4, esophageal reflux monitoring. This is the current gold standard for diagnosing gastroesophageal reflux disease. Esophageal reflux monitoring can not only monitor acid and non-acid reflux, but also determine the relationship between reflux and patient symptoms. Therefore, esophageal reflux monitoring can not only make the diagnosis of gastroesophageal reflux disease, but also find the reasons for the ineffective treatment of patients. How is gastroesophageal reflux disease treated? For the treatment of gastroesophageal reflux, the main goal is to remove the cause, control symptoms, prevent recurrence and avoid complications. The treatment methods include general treatment, drug treatment, endoscopic surgery and surgical treatment. 1. The general treatment is mainly to improve the lifestyle, including weight loss, scientific diet, avoid drinking strong tea, coffee and high-fat, high-sugar foods, quit smoking and drinking, etc. In addition, properly raising the head of the bed by 15-20 cm can also effectively reduce reflux at night. 2. Drugs commonly used in drug treatment include acid-suppressing drugs, antacids, prokinetic drugs, etc. Different types of patients often require different treatment plans, and patients should seek professional doctors to develop individualized treatment plans. 3. Endoscopic surgical treatment For patients with definite diagnosis of gastroesophageal reflux disease, acid-suppressing drugs are effective but patients who are unwilling to take long-term medication or have drug-related adverse reactions and cannot tolerate it, they can seek professional doctor for evaluation , Endoscopic surgery can be considered if the degree of reflux is mild and there is no obvious esophageal motility disorder. Endoscopic anti-reflux surgery includes: endoscopic radiofrequency ablation, peroral fundoplication without incision, peroral endoscopic coarctation of the cardia, endoscopic anti-reflux mucosal resection, etc. These procedures have the advantage of being minimally invasive, safe, and have clear short-term outcomes. 4. Surgical anti-reflux surgery may be considered for patients with severe reflux or severe hiatal hernia after evaluation by a professional doctor. Surgical anti-reflux surgery is mainly fundoplication of various angles and magnetic ring sphincter augmentation. The efficacy and safety of these procedures have been fully verified. Does gastroesophageal reflux disease require regular review? The disappearance of symptoms after treatment by the above treatment methods does not mean that the patient does not need to continue to follow up and review. For patients with severe reflux esophagitis, re-examination after treatment can not only confirm the healing of the esophageal mucosa, but also rule out the occurrence of Barrett's esophagus. For patients with Barrett's esophagus, regular review is required to ensure that it does not develop into malignant lesions. Family doctor's online feature, may not be reproduced without authorization

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