According to studies conducted in various countries, including in Russia the number of people suffering from heartburn ranges from 30 to 60% of the population. Heartburn is celebrated equally often both in men and in women.
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What is heartburn
Heartburn — An unpleasant feeling of burning with localization is predominantly
sternum. Yes, too, the problem will tell me many
From you, I had heartburn, fell 5 minutes after «Delicious» Hamburger
and pasted. In fact, many people of heartburn rarely appear and only
after receiving poor-quality foods or after a significant overeating (and
Soon holidays). But there are quite a large number of people
suffering from heartburn constantly and experiencing significant torments from
of this. So what is the cause of heartburn. Heartburn is observed with different
diseases of the gastrointestinal tract, including esophagite, reflux-esophagitis, ulcerative ulcer of the stomach and duodenum, chronic gastritis with an increased secretory function, chronic cholecystitis, gall-eyed illness, is still found heartburn during pregnancy, in the operated patients with the superimpose-esophageal Anastomoz.
Reason for the development of heartburn
Most cases of imaging are associated with the effects of gastric juice on the mucous membrane. Such an impact becomes possible when casting gastric
contents in the esophagus (gastrooforous reflux), and this
the queue becomes possible due to insufficiency of cardiac
esophageal sphincter (sphincter in the venue of the transition of the esophagus in the stomach),
which is normal hampered by esophageal and gastric reflux. Expressed
Reflux leads to the emergence of disease reflux-esophagitis.
Diseases in which heartburn is possible
Hernia esophageal hole diaphragm and reflux esophages. The fact is that most often they are encountered together. More often, the hernia of the esophageal opening is developing
Diaphragm. The hernia of the esophageal hole of the diaphragm is the result
displacements through the esophageal hole of the diaphragm in the chest cavity
any abdominal organ, more often than stomach. Almost u is found
50% of older persons accompanies the course of ulcerative disease,
chronic cholecystitis.
To the formation of the hernia of the esophageal hole
leads atrophy muscular part of the diaphragm. In addition to weakness
The diaphragm muscles, to the appearance of the hernia of the esophageal hole leads
frequent increase in pressure in the abdominal cavity due to severe
exercise, coughing, constipation, overeating.
Due to the development of hernia, the diaphragm ecoming hole occurs
The insufficiency of the esophageal-gastric sphincter (cardiac) and
Gastric contents freely falls into the esophagus and causes
Development of Reflux Ezophagita.
Symptoms of reflux-esophagitis typical. Basic signs
Chronic reflux-esophagitis are disorders of food
esophagus, heartburn, burning and sadness, occasionally — Pains for chest. Heartburn
Most often occurs when horizontal position and tilt of the body
forward, that is, in a position that facilitates the reflux, and passes with
return to vertical position.
With a long long-term course of chronic reflux-esophagitis in
A number of cases of heartburn becomes much weaker or passes at all,
By changing the tribe, a sense of delay of dry or poorly written food.
Such a symptom is an unfavorable diagnostic sign,
accompanying the development of peptic esophageal stricture.
Gastric ulcer and duodenal ulcer. Heartburn with ulcer
develops for several reasons. First – Very often in patients with
the increased acidity of the gastric juice is observed with ulcerative disease, and
Even short episodes of reflux in the esophagus (are the norm in healthy
people) cause a significant damaging effect on the mucous
esophagus, and therefore cause heartburn. Second – With lesion
The ulcer of the walls of the stomach or DPK decreases their contractile function, time
Passage on the stomach and duodenum increases in
repeatedly. As a result, the number of episodes of casting increases
gastric content in esophagus. Third – With complicated flow
ulcerative disease, with the development of duodenal stenosis,
Stagnation of food in the stomach. Simply saying food can not
Leave the stomach. Such patients develop an extermination eaten
Canow food, and in the launched cases of vomiting. Together with food masses in
The lumen of the esophagus falls a large amount of gastric juice.
Disease of the operated stomach. This disease develops after resection or complete removal
Stomach. Heartburn appears due to throwing pancreatic juice or
bile.
In addition to the above pathology, heartburn may be
symptom of any other diseases if they in any way
affect the gastrointestinal tract. Often heartburn is noted when
systemic diseases of the connective tissue, for example during red
Volchanka, systemic sclerodermia. It arises against the background of the decline
Appetite, weight loss, weakness, fever.
In some cases, heartburn marks patients with Achilia and Ahlorhydria
(reduced acidity). In this case, the mechanism of heartburn
associated with casting in the esophagus of organic acids (dairy,
Oil), which are the final stage of gastric fermentation processes
Content.
Heartburn in healthy people. IN
A number of cases of heartburn may arise in persons who do not suffer from diseases
gastrointestinal tract. For example, it often appears when taking
inside certain drugs. First of all it
A group of non-steroidal anti-inflammatory funds (for example, all
famous aspirin).
Heartburn in pregnant women. Practically
always heartburn worries pregnant women. Causes of heartburn
pregnancy are toxicosis with frequent vomiting and therefore
irritation of the esophagus by vomit masses, as well as temporary
Functional insufficiency of the cardiac stomach department in the second
Half pregnancy. Growing uterus leads to an increase
intra-abdominal pressure. As a result, the cardiac sphincter is closed
not sufficiently tight and the contents of the stomach is thrown back into
esophagus.
In the absence of toxicosis of the first half of pregnancy
heartburn begins to bother pregnant about 20—22nd week, however
It occurs periodically and can be a manifestation of elevated
The sensitivity of the body of the future mother to various food
Substances. Since the 30th week, about 1/3 of all complains of frequent heartburn
pregnant women, and by the 38th week their number increases to 99%.
In a significant number of people heartburn arises after admission
Refined Carbohydrate Food (Flour, Sweet, Fresh Baking,
Kisseli). After the restoration of the food balance and normalization of the regime
Food heartburn stops disturbing these faces.
For a complete victory over heartburn, it is necessary to engage in the diagnosis and treatment of the underlying disease. First aid for heartburn –
For the purpose of symptomatic therapy, enveloping (phospholyugel,
Maaloks) and antacid drugs. The first as clear from their name
envelop the mucosa of the esophagus, thereby protecting it from
damaging action of gastric juice, and the second neutralize
Gastric juice by reducing its acidity. When heartburn is necessary
take the package of Maoloks, or phosphhalugel, or almagel (with
constant use of the latter constipation). As effective
are those drugs like hacking and rhenium. Before
Application Explore the instructions. Very popular in the people
Soda solution can only be applied in isolated urgent cases.
With constant admission of soda, severe disorders of the water-salt
Equilibrium organism. Also should not apply without appointing a doctor
Preparations that reduce the production of gastric juice (Ranotidine, omens,
omeprazole and other.). With improper use, these drugs may have
Reverse effect and cause an increase in the acidity of gastric juice.
Heartburn in patients undergoing subtotal or total resection
The stomach associated with casting the contents of the duodenum in
Overview of the gastrointestinal tract departments, in some cases
It is possible to stop the reception of weak solutions of organic acids (lemon, acetic) or a small amount of strongly diluted hydrochloric acid.
