First, let's clarify that a healthyHuman stomach contents thrown again rarely the esophagus. Exceptional cases - is overeating or abrupt slopes just after lunch. Normally, the food should not do in the previous parts of the digestive tract. If a person was disintegrating mechanism or weakened function of the lower esophageal sphincter, the enzymes, as well as periodically produced by glands in the stomach hydrochloric acid into the esophagus cavity. She is an active participant in the digestive process. So there is inflammation of the walls of the esophagus and heartburn, Which can be called a major symptom of the disease before us.
Reflux and called chyme direction in the opposite direction
There are two forms of this disease:
- NERD (non-erosive reflux disease - is installed in approximately 70% of patients;
- ER (reflux oesophagitis) - states 30% of all those suffering from GERD.
our site will list the factors that contribute to the development of gastroesophageal reflux disease:
- decreased tone of the lower esophageal sphincter;
- decrease in the ability of the esophageal wall self-cleaning;
- violation of indicators of gastric acidity;
- pregnancy (uterine enlargement occurs, which can squeeze the stomach and other parts of the digestive system);
- frequent overeating;
- rush while eating;
- frequent consumption of fatty, spicy foods, coffee and alcohol;
- permanent presence in the diet of foods that require a lot of time to digest and detained for several hours in the stomach;
- increased intra-abdominal pressure (as a result of the work that is associated with the incline, Exercise, wearing tight, slimming garments);
- the presence of an esophageal aperture diaphragm hernia.
What are the symptoms of GERD?
In the diagnosis of GERD, gastroenterologists may apply such methods:
- Endoscopy of the esophagus - can detect inflammation, erosions, ulcers in the esophagus wall.
- Daily monitoring of pH directly in the lower part of the esophagus, thus determining the amount and duration of reflux for 24 hours.
- Gauge study esophageal sphincter tone.
- Test appointment within 14 days of the proton pump inhibitor in the standard dosage - if therapy is effective, it indicates a confirmation of the disease.
- X-ray of the esophagus - can show the presence of hiatal hernia, ulcer and erosive changes.
- esophageal scintigraphy (radioactive materials) - to evaluate esophageal clearance.
- Biopsy - held, if the specialist suspects Barrett's esophagus (in other words - a precancerous condition).
- Ultrasonography of the abdomen - to identify the associated diseases.
GERD Treatment complex, its success depends not only on the actions of the doctor and medicines, but also on the patient:
- First, you need to change your lifestyle. We'll have to give up cigarettes, alcohol, coffee, excluded from the diet sodas. When overweight need to resort to a special diet and exercise. Establish your diet is necessary for all who have identified GERD. Thus people should eat at least five times a day, while portions should be small to prevent overeating. The daily menu should be as little as possible products that can enhance flatulence (it sprouts, beans, radishes, radish, fresh rye bread, buns, garlic, onions). Harmful for these patients, according to nutritionists, strong tea and coffee, soda, spicy and spicy food, citrus fruits, chocolate, acidic juices.
- Drug therapy is prescribed for the purpose of relief (elimination) of symptoms, prevention of complications. Patients are discharged:
- Omez, Nexium (proton pump inhibitors);
- Famotidine, ranitidine, cimetidine (inhibitors, H2-histamine receptors;
- Ursofalk (when bile reflux);
- Fosfalyugel, Maalox, Gastal, Rennie, Gaviscon (antacids to get rid of heartburn);
- Trimedat, Motilium (to regulate gastrointestinal motility motor intensity).
Admission medicine relieves patients, butstable effect, doctors say only 30% of cases. And the main cause of the disease while taking drugs persists. Radical help solve the problem in the power operation - fundoplication. In this part of the stomach, called the bottom, forming a special crease area around the lower esophagus, thus created, as it were an artificial valve. Now there are sparing surgery using laparoscopy. The surgeon makes four to five small punctures (5-10 mm in diameter, they make up), and then proceeds to the appropriate manipulation. During the next month, should refrain from roughage, and then allowed to eat all that healthy people eat. The effectiveness of the operation is high - about 80% of men who underwent it do not make any complaints about the reflux. The rest (about 20%), some GERD symptoms still persist.
A few more tips
If an operation is not you dare, or have a contraindication to its implementation, use these simple tips:
- Do not overeat, eat small meals, but often (5 times a day), then the excess food gruel and gastric juice will not be emptied from the stomach into the esophagus stuffed.
- Eat calmly, slowly, carefully razzhёvyvaya food, then it will improve the process of digestion.
- Instead of having to lie down after a meal on your favorite couch, perform a 30-minute walk, which stimulates digestion.
- Dine within 19 hours.
- In the first hour after a meal, avoid leaning forward.
- The headboard is desirable to raise by 15 cm, so that during sleep your upper torso was higher.
- Do not wear tight clothing that will increase pressure on the stomach.
What else can help you, and make you feel better?
- Teaspoonful of cedar oil taken in the morning (fasting).
- Collection of these plants:
- St. John's wort (herb) - 4 pieces;
- calendula (flowers) - 2 parts;
- plantain (leaves) - 2 pieces;
- Air marsh (rhizome) - 2 pieces;
- licorice (roots) - 2 parts;
- Peppermint (leaf) - 1 piece;
- Tansy (flowers) - 1 piece.
- Receiving three times a day teaspoon of sea buckthorn (or Dog rose) oil. Course - 30 days.
- Admission infusion of immortelle flowers. Tablespoon chopped yellow flowers filled with boiling water (250 ml). Insisting lasts 40-45 minutes, it is better in a thermos. You can also use a cup with a lid, but it is necessary to wrap a towel. Strain composition. Take it with warm twice a day for 100 ml, 30 minutes before breakfast and before bedtime. Duration of the course - 14 to 21 days.
- The recipe for getting rid of heartburn with cornflour. Every evening in the big glass put a tablespoon of corn flour (with gorochkoy) and fill it with 200 ml of hot water (not boiling!). All the mix, cover with a cloth and put it on the table beside the bed. In the morning, after waking up, you must all drink-settled vodichku and always lie still for 20-30 minutes. And to do that every morning for 1.5-2 months. Many patients this recipe to help get rid of heartburn, although it bothered them for years.
- From heartburn another recipe. In the morning pour boiling water over a handful of peas. Let swell for two hours. Then drain the water, and peas, send in the refrigerator. And if the day begins heartburn, take some peas into his mouth and chew them thoroughly.
All components are mixed and stored in a closedbank. To prepare take a tablespoon of the collection spoon, pour into a thermos, pour boiling water (250 ml). After the 45-minute infusion of strain composition. Take it three times a day, 30 minutes before eating a third cup (about 70 ml), preferably in preheated form.
Heartburn - it is a warning about the problems inbody. If it appears you have two or even three times a week, you have to sign to a gastroenterologist. Then the doctor will be able to quickly identify the gastroesophageal reflux disease, or other diseases of the digestive system.