Gastroesophageal reflux

Gastroesophageal reflux's disease overview

Gastroesophageal reflux disease (Gastroesophage Reflux Disease) occurs when the acid fluid in the stomach often flows back into the pipe between the mouth and the stomach called the esophagus. This acid solution can irritate the patient's esophageal mucosa.

There are many people with symptoms of gastroesophageal reflux with different degrees. From mildly occurring once a week, or medium to severe acid reflux at least 2 or more in a week.

Most patients can control the discomfort of gastroesophageal reflux by changing lifestyle and using non -prescribing drugs. But some people with gastroesophageal reflux may need stronger medication/prescription or surgery to reduce symptoms.

What is

What is What is gastric esophageal reflux disease ? How is the symptoms, causes and how to prevent the disease?

Causes of Gastroesophageal reflux's disease

When swallowing food, normally the lower esophageal sphincter (the bottom muscles of the esophagus) will open and allow food and drinks to go from the esophagus to the stomach. Then this muscle closed. However, as the lower esophageal sphincter or abnormal opening will lead to gastroesophageal reflux. The acid solution from the stomach will damage the mucosa of the esophagus, leading to inflammation. In addition, there are other causes such as gastric hernia, pressure on the stomach like pregnancy or overweight.

Symptoms of Gastroesophageal reflux's disease

Signs and common symptoms of gastroesophageal reflux include:

  • The burning sensation in the chest (heartburn), usually after eating, this condition may be worse at night
  • Chest pain
  • Difficult to swallow
  • Food in the stomach is sour
  • The feeling of a tumor blocking in the throat

    • If you have acid reflux at night, patients may also experience some other conditions such as:

  • chronic cough
  • laryngitis

    • Asthma

  • Sleep is interrupted

    • If chest pain, especially with shortness of breath, or jaw or arm pain. This may be a symptom of a heart attack, so the patient needs a medical facility immediately.

    Go see a doctor if the symptoms of gastroesophageal reflux even more serious or more often.

    Transmission route of Gastroesophageal reflux's diseaseGastroesophageal reflux

    Gastroesophageal reflux disease is not transmitted from patients to healthy people.

    People at risk for Gastroesophageal reflux's disease

    Some factors that increase the risk of gastroesophageal reflux:

  • Obesity
  • Presses the upper part of the stomach on the wall of the diaphragm

    • Pregnancy

  • connective tissue disorders, such as sclerosis
  • often hungry

    • Factors that can worsen gastroesophageal reflux including:

  • Smoking
  • Eat too much or eat late at night
  • Eat some foods such as high -fat foods or fried, greasy fried
  • Drink some drinks like alcohol or coffee
  • Using some drugs such as aspirin

    • Prevention of Gastroesophageal reflux's disease

  • Maintain a reasonable weight. Obesity puts pressure on the abdomen, pushing the stomach high and is the cause of acid reflux into the esophagus.
  • quit smoking. Smoking reduces the active ability of esophageal sphincter.
  • Advanced bedside. If the patient often has heartburn while trying to sleep, put the blocks of wood or cement at the foot of the bed so that the head is raised from 15cm to 23cm. If you cannot lift the bed, the patient can put more pillows to lift your body from the waist.
  • Do not lie down right after eating. Wait at least three hours after eating before lying or going to bed.
  • Eat food slowly and chew carefully. Place the fork/chopstick/spoon after each picking and chewing food, after chewing all the pieces to continue picking up more food.
  • Avoid food and drinks that cause reflux. Common agents include greasy or fried food, tomato sauce, wine, chocolate, mint, garlic, onions and caffeine.
  • Avoid tight clothes. Clothes are too tight to put pressure on the abdomen and esophageal sphincter.

    • Diagnostic measures for Gastroesophageal reflux's disease

    In addition to asking and physical examination, the doctor may appoint some of the following tests to diagnose gastroesophageal reflux:

  • gastroscopy. The doctor used a thin tube equipped with a lamp and camera from the mouth to the patient's throat, to check the inside of the esophagus and the stomach. The time of implementation may not be abnormal in reflux but endoscopy can detect esophagitis or other complications due to damage to stomach acid. During the endoscopy, the doctor can also take the tissue sample to biopsy to find other complications such as esophagus Barrett.  
  • Ambulatory acid test (pH): By using a monitoring device placed in the esophagus to explore and determine when and how long, stomach acid is reflux on the esophagus. During the device, the tube is located in place and connects to a small computer around the waist or with a shoulder strap. Or the acid screen may be a clip placed in the esophagus during endoscopy. Signal transmission to a small computer around the waist for about two days.

    • Esophage management: This test measures the contractions in your esophagus when the patient is swallowed.

  • X-rays of the above digestive system. X-rays are done after the patient drinks a powder liquid covering and filling the mucosa inside the digestive tract. The coating allows the doctor to see the silhouette of the esophagus, stomach and upper intestine.

    • Gastroesophageal reflux's disease treatments

    Doctors may advise patients to try to adjust the lifestyle and use non -prescribing drugs in advance. If the patient does not see symptoms for a few weeks, the doctor may prescribe prescription or surgery.

    Not prescribed drugs include:

  • Medications neutralizing stomach acid such as Mylanta, Rolaids and Tums, which can help relieve pain quickly. But only using acid neutralizing drugs will not heal the esophagus caused by stomach acid. The abuse of some antacids can cause side effects, such as diarrhea or sometimes kidney problems.
  • Medications reduces acid production such as H-2 receptor blockers. H-2 receptor blockers do not work as fast as acid neutralization, but they help reduce pain longer and can reduce acid production from the stomach to 12 hours.
  • Medications that prevent acid production and healing of esophageal. These drugs - called proton pump inhibitors - is a stronger acid inhibitor than H -2 receptor inhibitors and facilitates the damaged esophagus tissue. >

    • prescription drugs include:

  • H-2 receptor inhibitors are prescribed. These groups of drugs are often well tolerated but long-term use may be associated with increased risk of vitamin B-12 and fractures.
  • PreCRIPTION-RESTRENG PROTON PUMP INTONPHITORS). Although good tolerated, this group of drugs can cause diarrhea, headache, nausea and vitamin B-12 deficiency. Long -term use may increase the risk of hip fractures.
  • Lower esophageal sphincter enhancement drugs. BACLOFEN can reduce GERD by reducing the frequency of relaxation of the lower esophageal sphincter. Side effects may include fatigue or nausea.
  • Lower esophageal muscle spasms.

    • Gastroesophageal reflux can often be controlled by drugs. But if the drug is not effective or the patient wants to avoid the side effects of the drug when used for a long time, the doctor may recommend:

  • Surgery to strengthen the lower esophageal sphincter (fundoplication), the surgery will tighten the lower esophageal sphincter to prevent reflux by laparoscopic surgery.
  • Linx system (Linx Device) is a small magnetic beads wrapped around the esophagus sphincter (les). The effect of magnet particles is designed to provide additional force to keep the weak esophageal sphincter always closed. While swallowing, the force between particles is overcome by the higher pressure of the swallow force and the tool to relax to swallow food or liquid as usual. When the food goes through the esophageal sphincter, the device will return to normal state. This device is implanted by minimally Invasive Surgery

    • See also:

  • dangerous from gastroesophageal reflux
  • Gastroesophageal reflux: What should I eat and what to abstain from? Strong>
  • Gastroesophageal reflux: How to treat?

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