What kind of disease is gastroesophageal reflux?
In the normal case, the promotion of gastric contents through the mouth is in esophageal tube, thence to the stomach, and then in the direction of the intestine. Reflux indicate otherwise promotion of stomach contents through the lower esophageal sphincter into the esophagus. This case is not always required to be taken for the disease, it can also occur physiologically. But with frequent these cases one person before the complaint (more than 2 times a week), in which case we need to talk about gastroesophageal reflux disease.
Do you have reflux disease?
- When burning feeling rising from the stomach along the chest, or
- If you have a bitter-acidic water in the mouth, or
- Settling voice, fahrenheit, larengite or
- Coughing - if there is a problem of asthma that does not meet the treatment
In this case, there is a high probability of having a reflux disorder.
What causes this disease?
GERD manifests itself primarily heartburn, acid regurgitation, which often occur after meals, when the body is tilted forward or at night. The second most common manifestation of this disease is chest pain that may radiate to the interscapular region, neck, jaw, left side of the chest.
There are two forms of GERD:
Endoscopy-negative reflux disease, or non-erosive reflux disease (NERD)
Treatment of gastroesophageal reflux disease
The mainstay of treatment is lifestyle change - the normalization of body weight, with the exception of smoking, reducing alcohol consumption, fatty foods, coffee, chocolate, carbonated beverages, food should be small meals regularly, dinner at least 2-3 hours before bedtime, you must eliminate the stress associated with increased intra-abdominal pressure, as well as wearing tight belts, etc. Sleep is recommended with a raised position (15-20 cm) of the head end of the bed. For more information, see the recommendations in GERD.
Main directions of treatment of GERD includes recommendations for changing lifestyles and diets, drug treatment (antisecretory drugs, prokinetics, alginates, antacids), the ineffectiveness of which have resorted to surgery (laparoscopic fundoplication, etc.). As an alternative strategy addresses two of pharmacotherapy. The first of them, "gradually increasing", provides the initial phase of treatment, lifestyle changes, the use of antacids or alginates.
In the second strategy, "gradually declining", appointed by the API, and only after the clinical and endoscopic effect gradually transferred to patients receiving maintenance doses of PPI therapy or at the request, including the reception of alginates or antacids.
The most important option in the treatment of reflux disease is surgery. Of course, it is desirable to the operation laparoscopically, that is closed.