Is regurgitation a stomach problem? What do you know?

Gastroesophageal reflux is not a stomach disease, it is a disease of the esophagus. Gastroesophageal reflux is a condition in which stomach contents reflux into the esophagus, causing damage to the esophagus. Some patients can see that the esophageal mucosa is damaged or eroded during electronic gastroscopy, and the gastric mucosa generally has no obvious lesions, which is not a gastric disease.

Reflux is not a stomach disease, it is a disease of the esophagus. Symptoms of regurgitation include nausea, acid reflux, hoarseness, chest and back pain, and difficulty swallowing.

It should be caused by stomach problems, or because of smoking, drinking, it may cause this disease, if the patient is too obese, or eat some inappropriate drugs, it may cause this disease. My opinion is that you must protect your stomach and intestines at all times, and don't let your stomach hurt.

It is very likely that the peristalsis of the stomach and intestines is relatively slow, it may be that there is a elimination disorder in the esophagus, or the esophagus is more sensitive, it may be because of poor eating habits, it may also be due to mental stress, or it is due to taking drugs for a long time.

Because of the frequent smoking and drinking, my opinion is that you should pay attention to your diet rules, don't eat greasy food, don't drink strong tea, and you need to be the first time if you feel uncomfortable.

Traditional Chinese medicine says: the treatment of gastroesophageal reflux should be treated with the method of passage, and the stomach should be lowered by passage, and the ** that does not pass and does not descend is mostly caused by pyloric obstruction or duodenal congestion and edema.

It is a stomach problem. It is the reflux of stomach acid into the esophagus, which eventually occurs. This kind of problem is very serious, we must pay attention to it and see a doctor in time.

Gastroesophageal reflux TCM believes that there are five common syndromes: hepatogastric depression and heat syndrome, bile fever and stomach syndrome, middle deficiency and qi reversal pattern, qi depression and phlegm obstruction pattern, and blood stasis and obstruction pattern. Patients can judge by themselves what kind of reflux they belong to, and the judgment method: more than 2 main symptoms + secondary symptoms.

Hepatic and gastric depression syndrome.

Main symptoms: heartburn; Acid reflux.

Secondary symptoms: retrosternal burning pain; stomach burning; abdominal distention; belching regurgitation; upset and irritable; noisy and hungry; The tongue is red, mossy yellow, and the veins are stringy.

Treatment: soothing the liver and dissipating heat, and reducing stomach inversion;

Prescriptions: Bupleurum Shugansan (Jingyue Quanshu) Hezuo Jinwan (Danxi Xinfa).

Bile fever offender stomach syndrome.

Main symptoms: bitter mouth and dry throat; Heartburn.

Secondary symptoms: Abdominal and rib pain; chest pain, back pain; Acid reflux. belching regurgitation; upset insomnia; noisy and hungry; The tongue is red, yellow and greasy, and the pulse is smooth.

Treatment: Cleanse bile fever, reduce qi and stomach;

Prescriptions: Gentian Liver Soup ("Medical Prescription Collection") Hewen Bile Soup ("Preparation for Emergency").

Negative evidence of the middle void qi.

Main symptoms: acid reflux or spitting water; belching regurgitation;

Secondary symptoms: vague stomach pain; stomach fullness; loss of appetite; God is weary; loose stools; The tongue is light, thin, and the veins are weak.

Treatment: Relieve the liver and regulate qi, strengthen the spleen and stomach;

Prescriptions: Si Zhi San ("Treatise on Typhoid Fever") and Heliu Junzi Tang ("The True Story of Medicine").

Qi depression and phlegm obstruction.

Main symptoms: throat discomfort such as phlegm stalks; Chest discomfort.

Secondary symptoms: belching or regurgitation; dysphagia; hoarseness; choking in the middle of the night; The tongue coating is white and greasy, and the pulse is smooth.

Treatment: open depression and dissolve phlegm, reduce qi and stomach;

Prescription: Xuan Fu Dai Ochre Tang ("Treatise on Typhoid Fever") and Banxia Magnolia Tang ("Jin Kui Yaolu").

Blood stasis obstruction pattern.

Main symptom: Retrosternal burning or stabbing pain.

Secondary symptoms: back pain; vomiting blood or melena; heartburn acid reflux; belching regurgitation; vague pain in the stomach; The tongue is purple and dark or has ecchymosis, and the pulse is astringent.

Treatment: Promote blood circulation and eliminate blood stasis, relieve pain;

Prescription: Xuefu Zhuyu Tang ("Medical Forest Corrects Mistakes").

Note that the prescription is only the bottom formula, not the final medicine, and needs to be added or subtracted according to the specific symptoms.

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 reflux symptoms 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 oral cavity), and the related symptoms include one or more of the following, such as epigastric pain, chest pain, belching, abdominal distention, epigastric discomfort, pharyngeal foreign body sensation, odynophagia, 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: for initial** and short-term relief of mild to moderate GERD only.

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

Sustain**. GERD is a chronic disease that needs to be maintained in terms 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 drugs 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.

Many people may sometimes have symptoms of indigestion, such as sometimes after eating, they will feel uncomfortable in the esophagus, and some people may think that there is something wrong with their heart, because sometimes the symptoms of the esophagus are very similar to the feeling of panic, so some patients are also more panicked, in fact, many times it is anti-epidemic esophagitis. So, what are the symptoms of gastroesophageal reflux disease in general?

1. Gastroesophageal reflux disease

Gastroesophageal reflux disease (GERD) is an extremely common disease, with an incidence of 10% to 20% in adults in Western countries. A growing body of research has demonstrated a direct link between increased body mass index and worsening acid reflux symptoms. Gastroesophageal reflux may affect more and more people.

2. Typical symptoms

Typical symptoms of GERD include heartburn, acid reflux, difficulty swallowing, retrosternal pain, pharyngeal foreign body sensation, cough, hoarseness, and even direct regurgitation of food. These symptoms are often triggered by eating or lying down, especially by poor eating habits or ingestion of foods that trigger reflux. These easily avoided diets include overeating or eating within 3 hours of bedtime.

3. Related foods

Foods associated with reflux include citrus, tomatoes, garlic, onions, mint, chocolate, and greasy, spicy foods. Alcohol, caffeine intake, and smoking (even second-hand) also have a lot to do with it.

4. Drugs**

Many patients may be treated with over-the-counter medications** such as calcium carbonate, ranitidine, omeprazole, or esometsis. It is not advisable to do regular or long-term ** without the guidance of a doctor. Persistent reflux may indicate a more serious problem, and long-term use of antacids can affect the intestinal absorption of important vitamins and minerals, increasing the risk of problems such as osteoporosis, vitamin deficiencies, and electrolyte abnormalities.

5. Precursors of symptoms

Alert signs, including dysphagia, vomiting, involuntary weight loss, anemia, overt bleeding, or melena, should prompt medical attention. Non-pharmacological interventions such as dietary modification, or even raising the head of the bed at night can be very effective in preventing or reducing reflux episodes. Endoscopy is generally not recommended unless it is ineffective or presents or alerts symptoms.

6. Tips

As obesity becomes more severe, GERD may become more prevalent. Although there are many over-the-counter gastroesophageal reflux disease symptoms, persistent or warning symptoms should always be consulted promptly.

7. Prevention

1.Eating less fatty foods can help you control your weight and avoid reflux due to increased abdominal pressure in obesity.

2.Eat small, frequent meals, don't overeat dinner, and don't eat within 4 hours of bedtime.

3.Reduce or avoid movements and postures that increase abdominal pressure for a long time, including excessive bending, wearing hail-sourced tights, and tightening the belt.

4.Elevating the head of the bed by 10 to 20 cm can help the patient use gravity to clear the contents of the esophagus while sleeping, which is important to reduce reflux when lying flat at night.