Beiping said | always throat discomfort, unexpectedly it is the scourge of it

Author:Guangdong Provincial Hospital Time:2022.06.14

"Beiping Word" opens the bar

The spleen and stomach are the basis of the day after tomorrow. The spleen and stomach plays an important role in maintaining physical health.

Zhang Beiping, chief physician of the Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine, and the Integrated Traditional Chinese and Western Medicine Prevention Team of the Gastrointestinal Cancer will regularly push the knowledge of health care and Chinese and Western medicine to escort your digestive health through this column to escort your digestive and health! Welcome to follow.

Xiaochen, 28, is a programmer. He has a long -term and night -time encoding program. It is irregularly ate. Sometimes it is late to work overtime. Recently, he always felt that his throat seemed to be blocked, and he couldn't get out. If he was too full, he would flow to his throat when he was full. He usually took some medicine to treat pharyngitis.

So when I came to the Department of Spleen and Stomach Diseases of the Traditional Chinese Medicine Hospital in Guangdong Province, the doctor learned that Xiao Chen's situation was recommended. As a result It's right.

The doctor told Xiao Chen that throat discomfort, while combining symptoms of acid reflux, suffering from gastroesophageal reflux disease, no regular diet, and the habit of being hungry will also aggravate the condition. After a period of time, the combination of traditional Chinese and western medicine and completely changed the bad lifestyle, Xiao Chen felt that his throat discomfort had basically disappeared, and his physical condition was greatly improved.

【Beiping Say】

First, what is gastric esophageal reflux disease?

Gastric esophageal reflux disease (GerD) is an upper digestive tract dynamic dynamic disease. It is a disease caused by the reflux of the gastric and duodenum intestinal content.

The cause of the disease is complicated. Among them, the functional disorders of the sub -esophageal sphincter (LES) play an important role in the onset of the onset. It is manifested as the frequent relaxation or low pressure of the sub -esophageal sphincter.

It is mainly divided into three clinical types: non -erosive reflux, anti -fluid esophagitis and Barrett esophageal. The disease can be divided into gastrointestinal symptoms and extraordinary symptoms of the esophagus.

(1) Symptoms of digestive tract: Typical symptoms include heartburne and reflux. They often appear 1H after meals, and some patients can happen when they fall asleep at night. Chest pain, upper abdomen discomfort, and qi are common symptoms.

(2) Extraordinary symptoms: The reflux disease of the gastrointestinal esophageal can also cause tissue damage near the esophagus such as the throat and airway, and the symptoms of extraordinarily the esophagus occur. Such as chronic cough, asthma, sore throat, pharyngeal foreign body sensation, etc., severe cases are manifested as inhaled pneumonia, and even lung fibrosis occurs.

2. How to judge whether you have gastroesophageal reflux disease?

▶ 管 Self -measuring table (GerD Q) is to facilitate patients to self -evaluate whether patients with gastroesophageal reflux disease are currently most recognized and widely used gastroesophageal reflux diagnosis tables. In addition to self -evaluation, this scale can also evaluate the quality of life and monitor the treatment effect.

★ Note: If the total score is scored 8 or more, it is recommended to go to the hospital's gastroesophageal reflux specialty or digestive department to do a corresponding examination to further diagnose whether the gastric canal reflux disease has been suffered. GERD Q can be used as a preliminary screening method for gastroesophageal reflux, but cannot replace clinical examinations.

▶ 上 Clinically, PPI tests, gastroscopy, upper gastrointestinal angiography, CT examination, high-resolution of esophageal pressure, 24H impedance-PH monitoring and other methods to further diagnose gastric and esophageal reflux disease. Among them, 24H impedance-PH monitoring is the gold standard for diagnosis of gastroesophageal reflux; gastroscopy is not only the first choice to determine the Barrett esophageal and diagnose gastroesophageal reflux complications. Need to check the method.

Third, what healthy lifestyles should gastroesophageal reflux disease be developed?

The gastroesophageal reflux disease is a chronic recurrence disease, which is closely related to the poor lifestyle, forming a healthy lifestyle, to avoid all factors that induce and aggravate reflux, which is the basic means to treat the disease.

Factors to reduce abdominal pressure

Wearing loose, avoid tight body pants, cough or defecation, screen gas, and heavy objects can cause too much abdominal pressure, resulting in excessive reflux, should be avoided;

Sleeping and choosing the left side position

The height of the bedside is 15-20cm, which can effectively slow down the reflux of the night gastric juice. Be careful not to raise the pillow, because the pillow is invalid to prevent reflux, and it may compress the stomach to aggravate the reflux, and it may cause cervical spondylosis;

Develop good eating habits

Avoid foods, eating and eating before bedtime, and eating foods that can induce reflux symptoms, such as coffee, chocolate, thick tea, spicy or acidic food, etc.;

Quit smoking

The main ingredients contained in tobacco and alcohol can stimulate gastric acid secretion, and can also relax the sphincter of the esophagus, causing the gastroesophageal reflux;

Pay attention to the meal

There must be 30 minutes of activity time after meals, such as washing dishes or walking. Do not do bending down after meals, otherwise it will cause the stomach to cause reflux. Don't lie down within 3 hours after meals. Gravity can help prevent gastric juice from flowing to the esophagus;

Keep your mood comfortable

Psychological stress also has a certain relationship with gastroesophageal reflux disease. Those who have been in a state of high tension, depression, anxiety and other states for a long time, are susceptible to gastroesophageal reflux disease. Therefore, patients should regulate psychological balance to avoid excessive pressure.

4. Recommended by gastroesophageal reflux disease therapy

Cuttlefish ribs soup

Material:

Bone -bone ink fish is 100g, 400g of ribs, ginger, tempeh, rice wine, and salt. practice:

Prepare the food and wash it. After the high heat is boiled, turn to low heat and simmer for 1 hour. Add rice wine to the fishy smell and season.

Ink fish is rich in high protein and low fat content. Traditional Chinese medicine believes that cuttlefish is salty and flat, and has the effects of nourishing blood and nourishing yin, nourishing qi and ventilation, removing stasis and relieving pain. The cuttlefish bone, also known as the sea tadpoles, is a contribution of acid, its taste is salty, astringent, the temperature, and the liver and kidney meridians.

Demon pork ribs soup has an analgesic and has high nutritional value. It is very suitable for friends who are acidic and heartburn. At the same time, it can also promote the repair of gastric ulcer and duodenal gut ulcer.

Rose Chenpi Tea

Material:

10g of roses, 10g of tangerine peel, right amount of rock sugar.

practice:

Wash the roses and tangerine peels and put them in a teapot; add boiling water and soak for 5 minutes to drink.

Roses are slightly bitter and bitter, warm, have qi, relieve depression, promote blood circulation and stasis, and regulate menstrual analgesic effects; Chenpi, spicy, bitter, warmth, has the effects of qi and spleen, dampness and phlegm, which is to regulate the spleen and stomach gas machine. Good medicine. Roses Chenpi Tea, which match the two, has the effect of relieving liver and qi, reconciled the spleen and stomach, especially suitable for friends who reflect acid and heart, full of abdomen, and poor emotions.

If you fail to effectively alleviate the symptoms through lifestyle changes and diet therapy, you need to go to the gastroesophageal reflux disease clinic clinic in Guangdong Province to receive further standardized treatment.

【Expert Introduction】

Zhang Beiping, a doctor of medicine, chief physician, doctoral tutor. Guangdong Provincial Hospital of Traditional Chinese Medicine (the Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine) Deputy Director of the Department of Spleen and Stomach Diseases. The target of colleges and universities, the first batch of outstanding young medical talents in Guangdong Province, the second batch of outstanding Chinese medicine talents in Guangdong Province, was selected as the 8th batch of Lingnan famous medical records, and the first batch of Hu Run Ping An China good doctors in 2017.

Chairman of the Commission for Early Early Cancer Committee of the Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Chinese and Western Medicine;

Chairman of the Professional Committee of Gastrointestinal Tumor Prevention and Control of the Guangdong Academy of Traditional Chinese Medicine;

Chairman of the Guangdong Health Society of Health and Health Association;

Good at: gastrointestinal, esophageal tumors and anterior cancer lesions, endoscopic diagnosis of endoscopic diseases with bile pancreas; combination of traditional Chinese and western medicine; endoscopic treatment of various digestive tract obstruction; inflammatory bowel disease (ulcerative colitis and Crole Grace) The combination of traditional Chinese and western medicine.

An introduction

The Department of Spleen and Stomach Diseases of Guangdong Provincial Hospital of Traditional Chinese Medicine is a key specialist at the 11th Fifth Chinese Medicine of the State Administration of Traditional Chinese Medicine, a key specialty of the Guangdong Provincial Administration of Traditional Chinese Medicine, the National Colorectal Patthrion Management Project Sub -Center, the National Capsule Endoscopy Research Center Guangzhou Sub -Center, Guangzhou Sub -Center. Lead the establishment of the Society of Chinese and Western Medicine Society of Chinese and Western Medicine Institute of Digestion of Endoscopy, Early Early Cancer Expert Committee, the Guangdong Provincial Society of Traditional Chinese Medicine Society, the Guangdong Provincial Chinese and Western Medicine Society Gastroscopy Professionals Professional committees, Lingnan Traditional Chinese Medicine Digestive Endoscopy Medical Alliance and Lingnan (South China) Chinese and Western Medicine Integrated Cynefront Clear Screw -related Stomach Diseases Academic Alliance

Under the guidance of the three professors of the academic leader Yu Shaoyuan, Luo Yunjian and Huang Suiping, under the leadership of the subject leader, the director of the spleen and stomach disease and digestive endoscopic center, Zhang Haiyan, Director of the Department of Spleen and Stomach Diseases of Dade Road General Hospital Wang Jing, director of the Department of Spleen and Stomach Diseases, and Chen Yan, Director of the Department of Spleen and Stomach Diseases of Fangcun Hospital, and Liu Tianwen, Director of the Department of Spleen and Stomach Diseases of the University City Hospital, led the team. Traditional Chinese and Western medicine combined methods to prevent early cancer of digestive tract and inflammatory cancer, such as chronic atrophic gastritis, colorectal adenomas, inflammatory bowel diseases, bilerstroba diseases, etc., especially at 3E technology (ESD, ERCP, EUS) under digestive endoscopy (ESD, ERCP, EUS). Waiting for various surgical treatment and postoperative Chinese medicine to promote rehabilitation and achieve good clinical effects, they are welcomed by patients.

Supply: Ye Huizhen Liu Jiabin, Department of Spleen and Stomach Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine