What Is Acid Reflux?
The highly acidic stomach contents upwards fled from the region of the junction between the esophagus and stomach to the esophagus and the throat is coming back. Normally, the twitch of the muscle between the stomach and the esophagus do not allow to close the passage of the contents of the stomach up. However, some patients can escape it. If this acid is coming up leaks of the esophagus gastro-osefajial reflux (Ger), if it comes to pass laryngo-pharyngeal reflux (LFR) is called.
Reflux in the community is approximately 20%, such as it is a fairly common condition, although doctors sometimes to stay on the forefront of a lot of patients diagnosed with this disease is sometimes thought to be due in.
The Causes Of Gastroesophageal Reflux?
There are some factors that facilitate the formation of reflux. These factors are:
- The muscle between the stomach and esophagus stomach in the direction of a one-way valve that serves as a relaxation of the muscles in the region
- Stomach hernia
- Obesity, conditions that increase abdominal pressure such as pregnancy
- Excessive acid secretion in the stomach
- The slowing of the passage of food from the stomach into the intestine
- Smoking and alcohol use
- Eating foods with more fat
- Excessive nutrients in the stomach sending at a time
- Lie on your back
Complaints Are Caused By Reflux
Sometimes reflux do not cause any symptoms but in some patients, depending on the severity it can cause a lot of leakage. If only if you have esophageal reflux, heartburn, hiccups, and sometimes, false heart pain complaints such as is seen. If acid secretion rises up to a tickling sensation in the throat if throat, the sensation of a foreign body or mass, chronic cough, hoarseness. Due to the feeling of tickling, patients continuously cleaning the throat and the cough reflex may occur. The throat when there was complaining about the stomach and the esophagus does not have to be together to make a complaint about. Only a complaint with the BBB with reflux may show itself. Because the pharynx and the esophagus is more sensitive to the acid secretions of the larynx.
General Information
GERD is a common disorder. Typical complaints from time to time, the mouth is sour and bitter and burning in the esophagus to stomach contents. In patients with a gastroenterologist is.
The disease lasts for a lifetime and will usually occur from time to time. Usually can be controlled with simple lifestyle changes and medication. Long-term endoscopic examination for diseases of the esophagus damage and acid in the lower part, as it is recommended to follow. Since it is a lifelong disease, the patient should be in contact with the doctor. That followed discussed with the doctor, drug therapy should not be discontinued, the dose should not be modified or any other drug must be crossed.
If you have a complaint or a change in the character of complaints as the current difficulty in swallowing and weight loss were to occur, it must be evaluated by a gastroenterologist immediately if.
Although it is not typically a malignant disease, very rarely, may predispose to cancer of the esophagus.
Examination findings: laryngo-pharyngeal reflux in the examination of patients with typical findings are not observed. The most remarkable finding is redness and irritation of the vocal cords at the back. Don't be rude and no other signs except for on your vocal cords edema may not be visible.
Diagnosis: the most important finding in the diagnosis of acid reflux disease is the information given to the patient. According to the patient's complaints, it is believed that it could be reflux. In the examination, the vocal cords at the back of redness and irritation, strengthens the diagnosis of reflux.
Some Tests Can Be Done To Prove The Diagnosis Of Reflux
- 24 hours of acid in the esophagus (PH) determination: a device that is placed through the nose into the esophagus with acid determination is made at the upper end of the esophagus and lower.
- Endoscopic examination with an endoscope inserted through the mouth and the esophagus and stomach acid are investigated in more damages.
- Medicated movie: the drug is ingested by the patient, or structural abnormalities in the stomach and esophagus to my movie (hernia) and the escape of stomach contents back can be detected. (Ozofagograf)is
- Esophageal pressure measurements can also be performed.( Esophageal manometry)
Diseases that may be present with GERD
- GERD is usually mild and easily controlled. However, it is a lifelong disorder. Complaints disappear from time to time, though, it may occur again. This is a small proportion of patients in the acid formed in the lower part of the esophagus caused by damage, even a very low probability of the development of cancer and endoscopic changes that can be seen as characteristic of it consists of.
- Difficulty swallowing, weight loss is not typical for GERD complaints. Complaints of this type in the presence of a tumor originating from the esophagus endoscopically whether you should be demonstrated.
- Long-term and untreated GERD in the appropriate manner, resulting in narrowing of the lower part of the esophagus damage. In this case, be extended with this part may require surgery or endoscopic treatment methods.
- Laryngo-pharyngeal reflux is the most common cause of ear, nose and throat symptoms are changes that occur in the voice. In the study of patients admitted with the complaint of hoarseness of recurrent vocal cord inflammation attacks.
- Depending on who developed the brawn behind the excessive use of sounds wrong and I collected under the name of a group of functional voice disorders disfoni 70% of patients with reflux larengofarengeal is revealed.
- Patients with larynx cancer in 84% of larengofarengeal reflux is encountered.
Acid Reflux Treatment
There are three steps in the treatment of reflux: Reflux precautions, drug therapy and surgery. Patients with reflux should receive measures include:
- Not sleeping on your back or stomach, headaches or sleep up than
- Eat enough to fill the stomach too
- Within 3 hours of bedtime, especially coffee, tea, alcohol, Cola drinks, and avoid foods such as chocolate
- Quit smoking
- * Lying down immediately after meals is not
- Lose weight more
- Not to take medications that increase stomach acid (especially aspirin and some pain killers)
- Not wearing squeezing his waist tight pants or skirts
- The tickle in the throat that is felt not trying to clean drinking water or try to resolve by swallowing
- Known for lowering the pressure of the valve in the lower esophagus, coffee, cola drinks, cocoa, mint, dill, parsley, reduce the use of alcohol and cigarettes
The Degree Of Importance In The Treatment Of Reflux
Acid reflux disease acid secretion in damage that will prevent or reduce medications are used. The most widely used drugs are proton pump inhibitors. They are used for these drugs for at least 6 weeks and sometimes months. The dosage and duration of these medications, your doctor will set you. Endoscopy process, the end imaging system, and a flexible tube-shaped instrument is viewing the parts of the body with invisible from the outside. It has various applications in medicine. GERD patients for endoscopy of the upper digestive system is used. With this process, the esophagus, stomach, and can be seen in the initial part of the small intestine and tissue samples may be taken if necessary. With this method, almost always in the upper digestive system abnormalities that can be seen with the naked eye can be captured.
Endoscopy
If a young GERD in patients with typical symptoms habit changes and low-dose complaints can be controlled with drugs if treatment is not done and the patient can be monitored with an endoscopy. However, in more advanced age, patients who present for many years and complaints endoscopy, esophageal, and the level of damage in the detection of pre-cancerous Barrett's disease is very important in understanding whether that may be. In each case, the decision is made after endoscopy overall evaluation of the patient by a specialist physician.
Other Treatments
Endoscopic interventions and surgeries are also performed for reflux. Drug treatment as the valve between the esophagus and stomach in patients who do not respond to endoscopic underneath the surface pressure applied to the zone valve with filler injections can be increased. Reflux in patients with hiatus hernia surgery usually have been applied, although surgeries are also performed to support the muscle between the stomach and the esophagus.