Symptoms of GERD and how to diagnose it

Heartburn, regurgitation, retrosternal pain, can also cause cough, and gastroscopy can help diagnose it.

You can give Dr. Liu Jianguo of the Gastroesophageal Department of the Second Artillery Hospital **consultation**small window.

The symptom of gastroesophageal reflux is what we commonly call acid reflux, that is, the acid water in the stomach will come up through the esophagus and return to the mouth! If this goes on for a long time, the esophagus and trachea will also become inflamed! Gastroesophageal reflux is more common in people with irregular diet, and some obese people can easily cause gastroesophageal reflux when they fall asleep after eating!

The trachea, bronchi and lungs should be checked for coughing! It doesn't have much to do with gastroesophageal reflux! Hope it helps!

He is a relatively large hospital in the local area, and the medical equipment is relatively complete.

The main symptoms of GERD are that it is easy to regurgitate and drool after eating, and in severe cases, nausea and vomiting.

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Gastroesophageal reflux disease (GERD) refers to excessive stomach and duodenal contents flowing into the esophagus, causing symptoms such as heartburn, and can lead to esophagitis and damage to tissues other than the esophagus, such as the pharynx, larynx, and airway. Gastroesophageal reflux disease is very common in Western countries, about 7 15 people have gastroesophageal reflux symptoms, the incidence increases with age, 40-60 years old is the peak age of onset, there is no difference in the incidence of men and women, but there are more men than women with reflux esophagitis (2:1 to 3:

1）。Compared with Western countries, the incidence of gastroesophageal reflux disease in China is lower and the disease is milder. About half of patients with gastroesophageal reflux disease have inflammatory lesions such as esophageal mucosal erosion and ulcer under endoscopy, which is called reflux esophagitis; However, a significant proportion of patients with gastroesophageal reflux disease may have no manifestations of reflux esophagitis under the endoscope, and this type of gastroesophageal irritation reflux disease is called endoscopy-negative gastroesophageal reflux disease.

Clinical manifestations: 1. Vomiting;

2. Reflux esophagitis: burning sensation; Pain in the swallow.

Gastroesophageal reflux can be caused by long-term consumption of spicy foods, relaxation of the esophageal sphincter, smoking, and alcohol consumption, and symptoms such as odynophagia, difficulty swallowing, hoarseness, and throat discomfort may occur. Spicy food, smoking, and alcohol are prohibited. In general, gastroesophageal reflux disease has symptoms such as acid reflux, reflux, and retrosternal pain.

There are many reasons, such as esophageal sphincter relaxation, bed rest after a long meal, which is also easy to cause reflux, and taking some drugs is also easy to cause reflux. It is recommended not to take bed rest immediately after eating, and not to eat foods such as coffee, strong tea, chocolate, etc. Don't eat before going to bed.

Patients with severe symptoms can be placed 10 to 15 cm above the head of the bed at night.

Structural and functional abnormalities of the anti-reflux barrier. The anti-reflux barrier refers to the anatomical structure at the junction of the esophagus and the stomach, including the lower esophageal sphincter, diaphragm, diaphragmatic esophageal ligament, acute angle between the esophagus and the fundus, etc., and there is a high-pressure area about 3 5 cm wide at the junction of the esophagus and stomach, called the lower esophageal sphincter. It forms a pressure barrier at rest that prevents the physiological effects of gastric contents flowing back into the esophagus.

If the pressure here is lowered, it can lead to gastroesophageal reflux. If the esophagus is temporarily relaxed and swallowing is not performed, the lower esophageal sphincter will temporarily relax, leading to gastroesophageal reflux. Diaphragmatic function is reduced, and structures such as the junction between the stomach and the esophagus, the diaphragm, the diaphragm and the esophageal ligament, and the angle between the fundus and the esophagus are the basic structures of anti-reflux.

If the structure is damaged here, it can affect anti-reflux function, leading to gastroesophageal reflux. Other causes, such as postoperative achalasia, hiatal hernia, and increased intra-abdominal pressure (obesity, pregnancy), can lead to destruction of the lower esophageal sphincter.

Esophageal clearance is reduced, which is related to propulsion, saliva neutralization, and food gravity. Conditions such as Sjögren's syndrome and hiatal hernia can induce esophageal peristalsis. Some hiatal hernias can also occupy the chest cavity, which will reduce the ability of the esophagus to clear.

Gastroesophageal reflux disease is an inflammatory response at the end of the esophagus caused by the reflux of acid, bile and food in the stomach. The causes are: obesity, smoking, drinking, hiatal hernia, long-term intra-abdominal hypertension, etc.

The primary cause is duodenal blockage. The upper duodenum is the place where choline and gastric acid neutralize the reaction, the middle part surrounds the pancreatic head horizontally, and the lower part is elevated to connect with the small intestine without peristalsis, which is the most likely to be blocked and is the area with a high incidence of inflammation. As soon as it is blocked here, the regurgitation happens.