Treatment of GERB

GERB General Information

To begin with, it is worth explaining that a healthy person has the contents of the stomach very rarely emitted again to the esophagus. Exceptional cases are overeating or sharp slopes immediately after lunch. Normally, food should not come to the previous department of the digestive tract. If a person is located a mechanism or weakens the function of the lower esophageal sphincter, then the enzymes, as well as periodically generated by the glands of the stomach hydrochloric acid energized into the cavity of the esophagus. And 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 the main symptom of the disease under consideration.

Reflux and call the direction of food casket in the opposite direction

There are two forms of this pathology:

• NERB (non-erosive reflux disease - is set to approximately 70% of patients;
• RE (reflux-esophagitis) - stated in 30% of the number of all HARB suffering.

Our site will list factors contributing to the development of gastroesophageal reflux disease:

• Reducing the tone of the lower sphincter of the esophagus;
• lowering the ability of the esophageal walls to self-clean;
• violation of the acidity of gastric juice;
• Pregnancy (an increase in the uterus, which can compress the stomach and other parts of the digestive system);
• overweight;
• smoking;
• frequent overeating;
• Hurry while eating;
• frequent use of oily, sharp dishes, coffee, alcohol;
• The constant presence in the diet of such products that require a lot of time to digest and is delayed for several hours in the stomach;
• an increase in intra-abdominal pressure (as a result of work, which is associated with frequent slopes, sports exercises, wearing fitting, driving clothes);
• Availability in the esophageal hole of the hernia diaphragm.

As the GERB manifests itself?

When diagnosing GERD, gastroenterologists can apply such methods:

1. Endoscopy of the esophagus - helps to discover inflammation, erosion, ulcers on the walls of the esophagus.
2. Daily acidity monitoring directly at the bottom of the esophagus, while determining the number and duration of refluxs within 24 hours.
3. Manometric examination of the tone of esophageal sphincters.
4. Test with the appointment for 14 days of the proton pump inhibitor in the standard dosage - if the therapy is effective, this indicates confirmation of the disease.
5. Esophageal radiography - may show the presence of hernia of the esophageal hole of the diaphragm, ulcerative and erosive changes.
6. Esophageal scintigraphy (with radioactive substances) - allows you to estimate esophageal clearance.
7. Biopsy - is held if a specialist suspects Barreta's esophagus (in other words - the prejudice state).
8. Uzi abdominal organs - to identify concomitant diseases.

Recommendations for treatment

The treatment of GERD complex, its success depends not only on the actions of the doctor and medicines, but also from the patient himself:

1. First you need to change your lifestyle. Will have to abandon cigarettes, alcohol, coffee, eliminate carbonated drinks from diet. Under the excess mass of the body, you need to resort to the diet and special exercises. To establish your food is necessary for everyone who has been detected by GERB. So people should eat at least five times a day, the portions should be small to exclude overeating. The everyday menu should be as few products that can enhance gas formation in the intestines (it is cabbage, legumes, radishes, radish, fresh rye bread, bump, garlic, bow). Patients are harmful to diet, strong tea and coffee, soda, spicy and sharp dishes, citrus, chocolate, acidic juices.
2. Drug therapy is assigned to relieve (eliminate) symptoms of the disease, preventing complications. Patients write out:
• Ome and nonxium (proton pump inhibitors);
• Famotidine, Ranitidine, Cimetidine (H2-histamine receptor inhibitors;
• URSOFALK (with a bile reflux);
• Phosphalugel, Maaloks, Gastal, Renni, Gavisson (antacids to get rid of heartburn);
• Trimedat, Motilium (to regulate the intensity of motor motorcycle gastrointestinal tract).

Reception of drugs facilitates the condition of patients, but the stable effect of physicians is noted only in 30% of the ill. Yes, and the main cause of the disease in the reception of drugs is not eliminated. Radically help solve the problem in the power of the operation - Fundoplikation. At the same time, from the part of the stomach, called the bottom, form a special fold around the lower zone of the esophagus, thereby creating an artificial valve. Now there is a gentle surgery using laparoscopy. The surgeon makes from four to five small punctures (in diameter they make up 5-10 mm), and then proceeds to the corresponding manipulations. Next, within a month, it is necessary to refrain from coarse food, and then it is allowed to eat everything that healthy people eat. The effectiveness of the operation is high - about 80% of the people who have undergone its people do not make any complaints regarding reflux. In the rest (about 20%), some HARB symptoms still persist.

Some more tips

If you do not decide on the operation, or there is contraindications to its conduct, then use such simple tips:

1. Do not overeat, eat small portions, but more often (5 times a day), then excess food casher and gastric juice will not be blown out of the stomach in the esophagus.
2. Eat calmly, not in a hurry, thoroughly rushing food, then the process of digestion will improve.
3. Instead of lie down after eating on a favorite sofa, carry out a 30-minute walk that stimulates digestion.
4. Dinner no later than 19 hours.
5. In the first hour after eating, avoid tilts forward.
6. The headboard is preferably lifted to 15 cm so that during sleep your upper body has been higher.
7. Do not wear close clothes that will enhance the pressure on the stomach area.

What else can help you and improve well-being?

1. Cedar oil tea spoon adopted in the morning (empty stomach).
2. Collecting from such plants:
3. St. John's wort (grass) - 4 parts;
4. Calendula (flowers) - 2 parts;
5. Plant Big (leaves) - 2 parts;
6. AIR marsh (rhizome) - 2 parts;
7. licorice (roots) - 2 parts;
8. pepper mint (leaves) - 1 part;
9. Pijma (flowers) - 1 part.

All components mix and store in a closed jar. For the preparation of infusion, take a tablespoon of collection, pour into the thermos, pour boiling water (250 ml). After 45-minute insistence, the composition resolve. Take it three times a day, 30 minutes before meals for a third of a glass (it is about 70 ml), preferably in heated form.

10. Reception three times a day on a teaspoon of sea buckthorn (or riding) oils. Course - 30 days.
11. Reception of infusion from the Flowers of the immortals. The tablespoon of yellow chopped flowers is poured with boiling water (250 ml). Incipment lasts 40-45 minutes, better in thermos. You can use a mug with a lid, only it must be caulated with a towel. Perfoliate the composition. Take it warm twice a day for 100 ml 30 minutes before breakfast and before bedtime. Course duration - from 14 to 21 days.
12. Recipe for getting rid of heartburn with corn flour. Every evening in a large glass, put a tablespoon of corn flour (with a flood) and pour it 200 ml of hot water (not boiling!). Mix everything, cover the napkin and put on the table next to the bed. In the morning, after awakening, it is necessary to drink all the sparkling water and be sure to lie down for another 20-30 minutes. And so do every morning for 1.5-2 months. To many patients, this recipe helped to completely get rid of heartburn, although she was disturbed by their many years.
13. From heartburn another recipe. In the morning pour the handful of pea boiling water. Let him swell two hours. Then drain the water, and send peas to the refrigerator. And if the day starts heartburn, then take a few peas in your mouth and make them well.

Heartburn is a warning about malfunctions in the body. If it appears with you two or even three times a week, then you need to sign up for a gastroenterologist. Then the doctor will be able to timely identify the gastroesophageal reflux disease or other pathologies of the digestive system.