What does esophageal reflux mean and what are the diseases of gastroesophageal reflux?

There is no esophageal reflux, are you talking about reflux esophagitis? Or esophageal reflux. If so, there is a problem between the esophagus and the stomach. This causes gastric juice to reflux from the stomach into the esophagus, which slowly causes inflammation of the esophagus.

Gastroesophageal reflux disease refers to symptoms and tissue damage caused by the reflux of gastric and duodenal contents (gastric acid, pepsin, bile, pancreatic juice) into the esophagus, mainly manifested as heartburn, acid reflux, retrosternal burning sensation and pain, and gastroesophageal reflux symptoms such as coughing and wheezing outside digestion and pharyngeal foreign body sensation. The diagnosis can be confirmed by symptoms, gastroscopy, 24-hour pH measurement of the esophagus, esophageal manometry, upper gastrointestinal angiography and other examinations.

Clinical manifestations of gastroesophageal reflux disease: Typical and common symptoms of reflux are heartburn (referring to a burning sensation behind the sternum) and reflux (referring to the sensation of gastric contents flowing in the direction of the pharynx or mouth), and the related symptoms include one or more of the following, such as epigastric pain, chest pain, belching, bloating, epigastric discomfort, pharyngeal foreign body sensation, dysphagia, dysphagia, etc., in addition to extraesophageal symptoms, such as chronic cough, pharyngitis, asthma, etc.

**：1.Lifestyle changes: elevate the head of the bed -cm, stop eating 3 hours before bedtime, avoid high-fat foods, quit smoking, stop drinking, **, etc

2.Drugs**.

Acid-suppressing drugs**: Inhibition of gastric acid secretion is currently the basic method of gerd. Drugs that inhibit stomach acid include H2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs).

Initial** cimetidine, ranitidine, famotidine, and nizatidine: only for initial ** and short-term relief of mild to moderate GERD.

PPI: The duration of treatment should be greater than 4 weeks.

Maintenance of GERD is a chronic disease that needs to be maintained from the perspective of symptom control and complications. With the standard dose of PPI**, more than 80% of patients can still maintain normal after six months of follow-up.

On-demand is a type of intermittent medication that is taken only when symptoms occur and continued until symptoms resolve.

Prokinetics**: In GERD**, prokinetics may be used as adjuncts to antacids**.

3.Surgery**: Anti-reflux surgery is as effective as medication** in relieving symptoms and healing esophagitis.

Surgical morbidity and mortality are closely related to the experience and skill level of the surgeon. Common postoperative complications include abdominal distension (12%), dysphagia (6%), and a significant proportion of patients (11%, 60%) who still require regular medication after surgery. Studies have shown that anti-reflux surgery does not reduce the risk of esophageal adenocarcinoma.

Therefore, the decision on whether to undergo anti-reflux surgery** should be made after considering the patient's personal wishes and the opinions of surgical experts. In principle, patients with confirmed cancerous BE should undergo surgery**.

4.Endoscopy**.

In summary, most patients with GERD have symptoms and esophageal mucosal damage that can be controlled with medications**. When the drug** is ineffective, the correct diagnosis should be reconsidered. Appropriate adjustment of medication and dosage is one of the important measures to improve the efficacy of **GERD.

Surgery and endoscopy** should be considered before making a careful decision.

Gastroesophageal reflux disease refers to the symptoms and tissue damage caused by the reflux of gastric and duodenal contents into the esophagus, which is mainly manifested as heartburn, acid reflux, retrosternal burning sensation and pain, and gastroesophageal reflux symptoms such as coughing and wheezing outside digestion and pharyngeal foreign body sensation.

The clinical manifestations are mainly as follows: the typical and common symptoms of reflux are heartburn, which refers to a burning sensation and regurgitation behind the sternum, which refers to the sensation of gastric contents flowing in the direction of the pharynx and mouth.

Associated symptoms include one or more of the following, such as epigastric pain, chest pain, belching, bloating, epigastric discomfort, pharyngeal foreign body sensation, odynophagia, dysphagia, etc., in addition, extraesophageal symptoms such as chronic cough, pharyngitis, asthma, etc.

Gastroesophageal reflux and its complications are multifactorial. Including defects in the esophageal anti-reflux mechanism, such as lower esophageal sphincter dysfunction, esophageal motility, etc.; There are also many mechanical factors outside the esophagus that are dysfunctional. Lifestyle changes should be taken as a basic measure.

Elevating the bed by 15-20 cm is a simple and effective way to use gravity to enhance acidic clearance during sleep and reduce nocturnal regurgitation. Foods such as fat, chocolate, tea, coffee, etc., can reduce pressure on the esophageal sphincter and should be appropriately limited. Patients with gastroesophageal reflux should quit smoking and drinking.

Avoiding a full meal 3 hours before bedtime can also reduce nighttime nausea. Twenty-five percent of patients experienced improvement in their symptoms after changing these habits.

Esophageal reflux can cause non-stop belching, appetite to the throat, and discomfort in the esophagus. The sternum rests. Some of the symptoms include heartburn, acid reflux, a burning sensation in the retrosternum or in the fossa.

Food reflux into the esophagus is a phenomenon of vomiting caused by excessive secretion of stomach acid in the stomach in the body. This symptom can be improved with medication or diet.

Because the stomach is full, the food flows into the esophagus, which is the food that has been swallowed through the esophagus and poured food from the stomach into the esophagus.

Gastroesophageal reflux is a common disease in gastroenterology, which mainly refers to gastroesophageal reflux and esophageal mucosal damage caused by excessive gastroesophageal contact with gastric juice. Today, I will tell you about the symptoms of gastroesophageal reflux when it "comes to the door".

Gastroesophageal reflux disease (GERD) is defined as the uncomfortable symptoms and/or complications caused by the reflux of gastric contents into the esophagus, which in some cases can reach the throat and mouth, causing extraesophageal symptoms.

Under normal circumstances, the lower esophageal sphincter, diaphragm and nearby muscle bundles and ligaments at the esophagogastric junction work together to form a high-pressure band at the gastroesophageal junction to form an anti-reflux barrier, and this "barrier" is destroyed to lead to gastroesophageal reflux disease.

Epidemiology. Gastroesophageal reflux disease is a common clinical condition. Studies have shown that in recent years, the incidence of gastroesophageal reflux disease in Western countries is about 10% to 20%; Australia's approximately; In Asian countries, the incidence is about 5%. In recent years, the incidence of gastroesophageal reflux disease has been increasing year by year, and the incidence of gastroesophageal reflux disease in Western countries has increased by about 5 times, and the incidence rate in China is also increasing.

The incidence of gastroesophageal reflux disease increases with age.

Type of disease. Depending on whether it causes esophageal mucosal erosion, ulceration, and columnar epithelial metaplasia, it is classified into nonerosive reflux disease, reflux esophagitis, and Barrett's esophagus.

Nonerosive reflux disease.

This type can be diagnosed if there are typical symptoms of heartburn and reflux, no mucosal damage on gastroscopy, abnormal esophageal acid exposure on other ancillary tests, and other causes of heartburn reflux symptoms are excluded.

Reflux esophagitis.

Gastroscopy may show longitudinal mucosal breaks in the lower esophagus.

Barrett's esophagus.

Endoscopy of the lower esophagus may show regular or irregular upward displacement of the dentate line, or island-like changes; Pathological biopsy showed that the squamous epithelium was replaced by columnar epithelium.

Esophageal reflux is when the food you eat does not go down to the stomach, but refluxes out through the esophagus. It may be esophageal reflux, esophagitis.

In layman's terms, it's the food we eat. It passes through the esophagus into the stomach, where the stomach contents then enter the intestines. The problem lies in the reverse flow of stomach contents into the esophagus, which can cause burning and damage to the esophagus due to the high acidity of the stomach.

Older people have sphincter relaxation due to age. Figuratively speaking, it is the entrance of the stomach, the door is not closed tightly, and sometimes bending over, or eating a little more can not be digested, which will cause reflux. This is just one of the reasons, and there are many other factors that can cause esophageal reflux.

I think it's the food in the stomach or stomach acid that refluxes from the stomach into the esophagus, causing the burning sensation in the esophagus. People with biliary tract disease can develop esophageal reflux.

It's just that after eating, I don't go to my stomach, and I turn it up again.

For chronic gastritis, gastroesophageal reflux disease, gastric distension and acid heartburn is the most common symptom, Western medicine generally uses omeprazole and other proton pump inhibitors**, which have a relatively good effect on inhibiting gastric acid, but if you take such drugs for a long time, it will increase the possibility of atrophic gastritis, so it is generally not necessary, and it is not recommended to take such drugs often.

Traditional Chinese medicine**, generally from the method of soothing the liver and regulating qi, harmonizing the spleen and stomach**, as long as the medication is symptomatic, the effect is quite obvious, the occurrence of stomach disease is related to the influence of eating habits, emotions and other aspects, so from the liver and stomach and stomach, harmonizing the spleen and stomach and so on, most of them have a relatively good curative effect, such as Bupleurum Guizhi dry ginger soup, warm gall soup, Banxia Magnolia soup and other recipes, as the main method of addition and subtraction, all have good efficacy.

Gastroesophageal reflux disease is a condition in which stomach contents reflux into the esophagus, throat or lungs, causing a range of clinical symptoms. Reflux is mainly gastric acid and pepsin, but also bile and pancreatic juice. The clinical manifestations of gastroesophageal reflux disease are related to the location of reflux, such as reflux into the esophagus, manifested by chest pain and heartburn; If reflux into the oral cavity, it manifests as acid reflux; If it refluxes into the throat, it is manifested as sore throat and pharyngeal foreign body sensation; If it refluxes into the lungs, it manifests as a chronic cough.

Clinical gastroesophageal reflux disease and damage to the esophageal mucosa caused by excessive contact (or exposure) of gastric juices in the esophageal lumen is called gastroesophageal reflux. The occurrence of gastroesophageal reflux and its complications is multifactorial. These include defects in the anti-reflux mechanism of the esophagus itself, such as lower esophageal sphincter dysfunction and esophageal body movement abnormalities; There are also dysfunctions of many mechanical factors outside the esophagus.