Esophageal reflux symptoms

Introduction Gastroesophageal reflux is a manifestation of digestive tract disease. Due to the stimulation of acid in the gastric juice, it can cause diseases such as esophagitis and upper respiratory tract inflammation. When the gastric juice is inhaled into the airway, it can cause an asthma attack. The incidence of gastroesophageal reflux symptoms is 45% to 60%; asthma patients have nausea, pantothenic acid, and upper abdominal burning pain. Animal test results show that even inhalation of a small amount of gastric juice can stimulate the airway receptors and induce asthma. In asthma patients, the incidence of gastroesophageal reflux symptoms is 45% to 60%; the symptoms of stomach burning sensation are about 77%, and those with acid reflux are about 55%. Any factor that can cause a decrease in the lower sphincter tension of the esophagus can aggravate reflux. However, about 23% of patients are asymptomatic, also known as "silent reflux."

Cause

Inhalation of the gastric tract can cause asthma attacks. The incidence of gastroesophageal reflux symptoms is 45% to 60%; the symptoms of stomach burning sensation are about 77%, and those with acid reflux are about 55%.

Any factor that can cause a decrease in the lower sphincter tension of the esophagus can aggravate reflux.

1. Asthmatic patients have nausea, pantothenic acid, and burning pain in the upper abdomen.

2. Gastroesophageal reflux can be accompanied by acute aspiration pneumonia, lung abscess, etc., when the inhalation is large, the pH can be lowered, and the alveolar surfactant and normal lung tissue are seriously damaged.

3. Chemical stimulation causes increased capillary permeability of the lungs, which can lead to the occurrence of ARDS in severe cases.

an examination

Related inspection

Esophagography esophageal barium meal perspective

Cough, wheezing, chest tightness, wheezing at night, the author is accompanied by nausea, acid reflux, burning pain in the upper abdomen, especially when the body position changes, or the symptoms are aggravated after the application of theophylline, the initial diagnosis is asthma. Gastroesophageal reflux, need to exclude a few obese people due to increased abdominal fat, abdominal distension, increased intragastric pressure caused by reflux. For patients suspected of inhaling gastric juice, it is feasible to measure the pH of the esophagus and stomach for two hours to determine the diagnosis.

Laboratory examination: Determination of pH, the pH can be reduced when the gastroesophageal reflux is large.

Other ancillary examinations: In the challenge test, if the acidic liquid flows into the airway, the bronchospasm will increase by more than 2 times.

Differential diagnosis

Diagnosis should be differentiated from cardiogenic asthma, increased COPD nighttime wheezing, and recurrent small pulmonary embolism.

Can be complicated by acute aspiration pneumonia, lung abscess.

Acute aspiration pneumonia: Chemical pneumonia caused by inhalation of acidic substances, animal fats such as food, stomach contents, and other irritating liquids and functional hydrocarbons. In severe cases, respiratory failure or respiratory distress syndrome can occur. Patients often have a history of inhalation, rapid onset, more than 1 to 3 hours after the onset of symptoms, clinical manifestations and induced causes, such as aspiration pneumonia caused by tracheal-esophageal fistula, every time after eating, have a cough, shortness of breath . In the case of unconsciousness, there are often no obvious symptoms when inhaled, but after 1 to 2 hours, sudden difficulty in breathing can occur, and purpura and hypotension can occur rapidly, often coughing with a serous foamy sputum, which can carry blood. Both lungs smell wet rales, which can be accompanied by snoring sounds. In severe cases, respiratory distress syndrome can occur.

Lung abscess: a purulent lesion of the lung tissue caused by multiple causes. Early stage is suppurative inflammation, followed by necrosis to form an abscess. The clinical features are high fever, coughing and coughing. It happens mostly in the prime of life, more men than women. Since the widespread use of antibiotics, the incidence of lung abscess has been greatly reduced.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.