Acid reflux

Introduction Hyperacidity can be caused by the following reasons: long-term alcoholism, eating spicy food, irregular life, irregular meals, nervousness, excessive drinking soda, heavy smoking, taking certain drugs that are harmful to the stomach, such as non-steroids. Anti-inflammatory drugs (aspirin, indomethacin, etc.), surgery, severe burns or bacterial infections, heredity, etc.

Cause

1, accidentally occurred in smokers, drinkers, after eating coffee, greasy food, chocolate, or women's menstrual period, pregnancy, may be physiological acid reflux.

2, whether after taking certain drugs, caused by acid reflux symptoms, such as anticholinergic drugs (or drugs with anticholinergic side effects), receptor agonists (isoproterenol, etc.), theophylline, stability Classes, calcium antagonists (either verapamil, nifludipine), opiates, and the like.

3, more serious heartburn, acid reflux, chest pain, difficulty swallowing, chronic cough, laryngitis, asthma and other symptoms. Should go to the hospital for treatment, may be gastric-esophageal reflux disease (GERD).

4, long-term heartburn acid history, history of gastroesophageal reflux disease, misuse or suicide service corrosive substances history, there are heartburn, sternal pain, nausea and vomiting, dysphagia, swallowing pain and other symptoms should go to the hospital for treatment, may be esophagus inflammation.

5, early manifestations of symptoms when entering a hard food (small mouth into a hard food when there is a slight sputum sensation, pain in the esophagus when swallowing; swallowing squeezing pain after discomfort after swallowing, foreign body sensation after swallowing), mid-term Progressive dysphagia and vomiting (mucus and food without stomach acidity and bile bitterness) Chest and back pain when swallowing should go to the hospital for a diagnosis, and the alert may be esophageal cancer.

6, early satiety, postprandial fullness of the abdomen, nausea, anorexia retching or vomiting, weight loss, etc., no obvious upper digestive tract, hepatobiliary pancreas and other organ diseases, no clear infection, stress Factors such as metabolic disorders, taking drugs, etc. should go to the hospital for treatment, may be gastroparesis syndrome (gastroparesissyndrome), referred to as gastroparesis.

7, repeated episodes or persistent pain or discomfort in the upper abdomen or stomach, often accompanied by flatulence, early satiety, bloating, acid reflux, nausea and vomiting, etc., the course of more than 1 month may be functional dyspepsia.

8, with a chronic course, periodic episodes (alternating between attack and remission) rhythmic pain, upper abdominal pain (dull pain, burning pain, pain or severe pain, can be relieved by antacids or eating), There are symptoms such as upper abdominal fullness, hernia and acid reflux. The episode may be accompanied by a localized fixed tenderness point in the upper abdomen. The tenderness is mild, and the abdominal wall should be soft to the hospital for treatment. It may be peptic ulcer.

9, esophageal cancer, cardiac cancer surgery (gastric resection of esophagogastric anastomosis), after eating, acid reflux, heartburn and other symptoms may be esophagogastric anastomosis after surgery, taking semi-recumbent sleep after eating is effective in preventing reflux method.

10. When the function of certain hormones in the duodenal mucosa is reduced, it can also lead to increased secretion of gastric acid and gastrin.

an examination

Related inspection

Acid reflux test Immunological detection of Helicobacter pylori Helicobacter pylori serological test fiber endoscopy starch hydrolysis test

1 heartburn: often occurs after eating, bending, lying down, especially after eating greasy food, chocolate, coffee, alcohol, behind the sternum, or from the upper abdomen to the throat, even to the back, burning heart in drinking water, Relieve after eating and taking acid-killing agents.

2 esophageal pain: sternal compaction, knife cut pain, often can be radiated to the abdomen, back and neck and arms.

3 Swallowing pain: I feel painful burning after the sternum when swallowing hot food, wine or lemon drinks.

4 dysphagia: long-term acid reflux can have sternal hindrance when eating.

5 respiratory symptoms: acid reflux injury in the throat or inhalation of the lungs, intermittent sonar, sore throat, chronic cough, asthma, infant aspiration pneumonia.

6 upper abdominal pain: intermittent episodes of rhythmic pain, burning pain, pain or severe pain, can be relieved by antacids or eating; abdominal fullness, belching and acid reflux.

Differential diagnosis

The difference between acid reflux and vomiting is that the former has no accompanying symptoms of nausea and retching. The difference between acid reflux and ruminant is that the latter involuntarily returns the ingested solid food to the mouth and then chews it or swallows it again (usually within half an hour after a meal, in a healthy person who rushes to eat a lot of food) Or a serious mental illness patient).

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