What should I do if I always feel acid and heartburn?
Author:Guangdong Sanitary Online Time:2022.09.08
Do you always feel acid and heartburn in daily life. Will it be upper digestive tumors?
Professor Wang Lingyun, director of the Department of Gastroenterology, Sun Yixian Memorial Hospital of Sun Yat -sen University, said that in addition to the above -mentioned symptoms, the above symptoms should also be considered whether it should be a gastroesophageal reflux. "Gastric esophageal reflux disease is a common clinical disease, including erosive esophagitis and non -eroded reflux disease. With the changes in my country's lifestyle and the aging of the population, the prevalence of the prevalence is increasing year by year. "
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Reflux can cause tissue damage of the mouth, throat and other tissues
The gastroesophageal reflux disease is manifested in the gastrointestinal duodenum content and the reflux into the esophagus, causing symptoms such as acid and heartburn.
骨 Burning heart refers to the burning sensation of the back of the sternum or under the sword, often extended from the lower section of the sternum.
物 Revitalization refers to the feeling of gastric content poured into the pharynx or oral cavity without nausea and unsuccessful. It is called acid reflux when it contains acidic or only acid water. Anti -current can also cause tissue damage near the esophagus of the mouth, throat, airway, and other esophagus, and external performance of the esophagus, such as asthma, chronic cough, unique pulmonary fibrosis, sounds, laryngitis, and tooth etch.
Elderly men "favored" gastroesophageal reflux disease
Studies have found that the onset of gastroesophageal reflux disease and age, gender, obesity, lifestyle and other factors.
Generally speaking, the incidence of the elderly is higher than the young people, and the proportion of male patients is higher than that of women. Obesity, high -fat diet, smoking, drinking, drinking strong tea, coffee and other factors are positively correlated with the occurrence of gastroesophageal reflux disease, while physical exercise and high -fiber diet may be protected factors.
Anti -current symptoms
Gastroscopy should be performed early
The "Consensus on the Expert of Chinese Gastroexylonaidal Anti -flow Diseases in 2020" recommends that all patients with anti -fluid symptoms are first diagnosed with gastroscopy examination. Early gastroscopy tests are conducive to screening tumors and assessing the state of the disease.
Wang Lingyun pointed out that no gastroscopy examination was found to be damaged and Barrett esophagus, and the gastric esophageal reflux disease cannot be excluded. It may be non -erosive reflux. "If the patient has black, vomiting, vomiting, dyspnea, weight loss, anemia, abdominal block, etc. during the clinic, you need to review the gastroscopy in time to exclude the upper gastrointestinal tumor."
If the gastroesophageal reflux disease is not standardized, it is easy to relapse
Many patients with gastroesophageal reflux disease After taking drugs such as proton pump inhibitors (PPI) or potassium ion competitive acid stasis (P-CAB), the symptoms of heartburn and reflux can be significantly improved quickly. Many patients can be significantly improved. Many patients At this time, I thought that the disease had been cured and stopped the medicine by itself, but often recurred after stopping the medicine.
In this regard, Wang Lingyun reminded that the treatment of gastroesophageal reflux disease is generally 4-8 weeks. After the symptoms are relieved, medication should be continued to consolidate the efficacy. If the patient is recurred after treatment after treatment, it is necessary to perform maintenance under the guidance of a doctor.
Decrease weight, avoid sedentary
Both can improve anti -current symptoms
Experts said that adjusting lifestyle is the basic treatment of gastroesophageal reflux disease, which should be through the entire treatment process--
(1) For patients with obesity, we should try to reduce weight as much as possible and control the BMI within 25kg/m2; avoid sedentary and proper physical exercise is conducive to improving the symptoms of reflux.
(2) Sleeping at night can raise the bedside 15º-20º, and no longer eat 3 hours before bedtime. After eating or eating, rest flat after eating, which can easily cause food reflux.
(3) Quit smoking and drinking. Both smoking and drinking can aggravate the symptoms of reflux.
(4) Avoid strong tea, coffee, carbonated beverages and chocolates, etc. These foods can reduce the pressure of the sphincter of the esophagus and cause reflux.
(5) Avoid constipation, wear tight clothes and bend over for a long time.
Reporter | Zhou Yanmei
Edit | Editor of Wu Qiuqiu | Zhang Xiuli
Correspondent | Lin Weiyin Liu Wenqin
Produced by Guangdong Health Online All -Media Team
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