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gastric reflux; From cause to treatment
مقاله تخصصی

gastric reflux; From cause to treatment

3 months ago
792 بازدید
Dr. Mohammad Amani

Dr. Mohammad Amani

Tehran

Adult gastroenterology and liver specialist

Study duration 14 minutes
Gastric reflux is one of the most common digestive problems that many people face during their lives. This condition occurs when stomach acid returns to the esophagus and causes burning, sourness and discomfort in the chest area. Drug treatments...Gastric reflux happens when stomach acid returns to the esophagus and causes burning, sourness and discomfort in the chest area..Using drugs and smoking, this valve is weakened and stomach acid easily moves to the esophagus...Also, some underlying diseases such as **hiatal hernia, stomach ulcer and diabetes** can increase the risk of reflux...### The causes of gastric reflux are: - Weakness of the lower esophageal valve - Eating fatty and fried foods - Consumption of caffeine, alcohol and carbonated drinks Excessive consumption of chocolate and mint - ✅ Eating spicy and acidic foods - Overeating and eating large meals - Lying down immediately after eating - Overweight and obesity stress and anxiety - pregnancy - taking some drugs (such as anti-inflammatory drugs, painkillers, nitrates) - Digestive disorders such as hiatal hernia - Smoking - Reduced saliva production (e.g. due to lack of water or medication) To control and reduce the symptoms of gastric reflux, it is necessary to change the lifestyle and observe certain points... **Healthy nutrition**, avoiding eating stimulant foods, losing weight, quitting smoking, managing stress and not lying down immediately after eating are effective solutions to reduce reflux... In severe cases, the doctor may prescribe drugs such as **proton pump inhibitors** or **antacids** to reduce the amount of stomach acid. **Surgery** is recommended to strengthen the esophageal valve... with Noting that gastric reflux can be caused by various factors such as lifestyle, improper nutrition, stress, effective diet to know more diseases.. Weight loss, stress management and avoiding stimulants can reduce the symptoms of reflux.. Symptoms of gastric reflux One of the most common symptoms of gastric reflux is heartburn, which is a burning sensation and pain in the chest that usually worsens after eating or when lying down.. Also, many people suffer from **regurgitation** which means that stomach acid backs up into the throat and mouth, causing a bitter or sour feeling in some people.. Throat** or when swallowing reflux can cause **persistent coughing, sore throat, hoarseness and even bad breath** because stomach acid damages the throat and mouth.... In more severe cases, Reflux can cause **chest pain** which may be mistaken for heart pain....if stomach acid enters the respiratory tract, it can even cause respiratory symptoms and even<>breathing...exacerbation of asthma symptoms**...some people notice more saliva or nausea after eating....If reflux continues for a long time and is not treated, it can damage the esophagus and in rare cases cause more serious problems. So, if the symptoms of gastric reflux are persistent or severe, it is better to see a doctor for examination and treatment... The most common symptoms of gastric reflux - **Heartburn** (burning sensation and pain in the chest, especially after eating or when lying down) - **souring** (stomach acid returning to the mouth and creating a bitter or sour taste) - **Pain or feeling of food stuck in the throat** - Difficulty swallowing (dysphagia) - Chronic cough or persistent sore throat - **hardness of voice or hoarseness** - **Bad breath due to stomach acid** - ** ✅ Increased saliva secretion ** Chest pain that may resemble heart pain - **wheezing, shortness of breath and worsening of asthma** - ✅ Nausea or feeling too full - **Wound or inflammation in the esophagus in severe and long-term cases** Diagnosis of gastric reflux To diagnose gastric reflux, the doctor first starts by examining the patient's history and clinical symptoms. If the person continuously has symptoms such as heartburn, heartburn, chest pain, chronic cough, or difficulty swallowing, the doctor will ask them about the severity and time of these symptoms. A narrow tube equipped with a camera is placed inside the esophagus and stomach to check for inflammation or possible ulcers. It measures every hour to determine how reflux occurs. Esophageal manometry is also used to check the function of the esophageal valve and esophageal movements.. The presence of harmful bacteria in the stomach... If the diagnosis of reflux is confirmed, the doctor will suggest the appropriate treatment based on its severity. The treatment of gastric reflux usually includes **lifestyle change, appropriate diet and if necessary, medication**... In severe cases, surgical treatments may also be needed.... The main goal of treatment is to reduce the amount of stomach acid, prevent the acid from returning to the esophagus and protect the esophageal tissue from possible damage... ### 1... Lifestyle and diet change: - **eating lighter and more meals** instead of heavy and bulky meals - ** Avoiding fatty, fried, spicy foods, chocolate, coffee, carbonated drinks and alcohol** **Not eating before sleeping** (don't eat at least 2 to 3 hours before going to bed) - **Keeping the head up while sleeping** to prevent acid reflux - **Weight loss if overweight**, because abdominal fat puts more pressure on the stomach - **reducing stress and anxiety**, because stress can aggravate reflux - Quitting smoking and avoiding alcohol consumption, because these factors weaken the esophageal sphincter... ### 2... drugs used in the treatment of gastric reflux - **Antacids:** such as **antacid syrups** (such as aluminum hydroxide and magnesium hydroxide) that neutralize stomach acid, but have a temporary effect... - **H2 receptor blockers:** such as **ranitidine and famotidine** that reduce the production of stomach acid. Domperidone** which accelerates the movement of stomach contents to prevent the return of acid... ### 3. **Surgery (in severe and resistant cases)** If gastric reflux is not controlled by lifestyle changes and medication and causes serious damage to the esophagus, the doctor may suggest **surgery to strengthen the esophageal valve** (such as **fundoplication** or the use of a lynx ring). Home remedies for gastric reflux include diet modification, lifestyle changes, and the use of natural ingredients that can help reduce symptoms. In many cases, following these tips can reduce or even eliminate the need for medication... ### 1... Changing your diet to reduce reflux - **Eat small and frequent meals**: Overeating and eating large meals puts a lot of pressure on the stomach and increases the possibility of acid reflux... - **Avoid stimulating foods**: Fatty, fried, spicy foods, chocolate, carbonated drinks, coffee, alcohol, citrus fruits and heavy sauces can aggravate it... *** 3 hours before going to sleep** Avoid eating so that the stomach has enough time to digest. be.... - **drink fluids between meals, not with them**: consuming a lot of fluids with meals will fill the stomach faster and increase reflux.... - **increase fiber intake**: fiber-rich foods such as vegetables, non-acidic fruits can help improve digestion and whole grains... reduce the symptoms of reflux.... you can drink ginger tea or use some of it in your food.... ### 2... **Lifestyle change to reduce reflux** - **keep your head slightly elevated while sleeping**: using a high pillow or elevating the head of the bed can prevent acid from returning to the esophagus... - **don't wear tight clothes**: tight clothes, especially in the stomach area, can put more pressure on the stomach and worsen reflux. increase.... Yoga, meditation and breathing exercises help reduce stress.... - **Quit smoking**: Nicotine weakens the esophageal valve and aggravates reflux... ### 3... Natural and home remedies for gastric reflux 🍏 **diluted apple cider vinegar**: Dissolve a teaspoon of apple cider vinegar in a glass of water and drink it before meals to restore stomach acid balance.... 🥛 **Almond milk**: Due to its alkaline properties, almond milk can reduce stomach acid and improve reflux symptoms. Stomach acid is neutralized (of course, its frequent consumption is not recommended... If **severe stomach reflux symptoms are severe, persistent and accompanied by weight loss, problems in Swallowing, frequent vomiting or chest pain**, you must see a doctor.... In severe cases, your doctor may recommend stronger medications or surgery.... By following these home tips, many people will have controlled symptoms and reduced need for gastroesophageal reflux. You should see a doctor for a more detailed examination... Prevention of acid reflux Prevention of gastric acid reflux is possible by changing lifestyle and following nutritional tips. For example, **eating small and frequent meals**, **avoiding fatty, spicy foods, chocolate, coffee and carbonated drinks, as well as not eating close to bedtime**, can reduce the likelihood of re-digesting acid reflux. Stomach... In addition to nutritional tips, other lifestyle changes also play an important role in preventing reflux... Losing weight if overweight, quitting smoking, avoiding wearing tight clothes, and managing stress are among the measures that can reduce the pressure on the stomach. Also, keeping the head up while sleeping by using appropriate pillows or raising the head of the bed prevents the quality of folic acid from returning to the body.. Does gastric reflux cause shortness of breath? **Yes**, gastric reflux can cause shortness of breath. When stomach acid backs up into the esophagus, it can enter the airways and cause irritation and inflammation in the throat, larynx, and even the lungs. This can cause symptoms such as chest tightness, wheezing, and in some cases, chronic flux such as a chronic cough. Problems.. In addition, stimulation of the vagus nerve (which is involved in the functioning of the digestive system and breathing) can cause reactions that lead to shortness of breath. Gastric reflux is a common digestive problem caused by stomach acid backing up into the esophagus, causing symptoms such as heartburn, heartburn, chronic cough, and shortness of breath. Involved in its occurrence. It is recommended to modify the diet, change the lifestyle and, if necessary, take antacid drugs. Also, avoiding stimulating foods, losing weight, and keeping the head elevated while sleeping helps **prevent and reduce reflux symptoms**... In severe cases, **consult with a doctor and perform specialized tests** to prevent possible damage to the vein...
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