The Many Faces of GERD

Facts about gastroesophageal reflux disease.

doctors gastroenterologists are well aware of what lies under this combination of letters.GERD - gastroesophageal reflyusknaya this disease.The main symptoms of this disease is heartburn or acid regurgitation, which often occur after eating or at night.However, the disease is often hidden behind the masks of other diseases, so a correct diagnosis is sometimes not easy.
According to foreign authors more than 50% of the adult population suffers from GERD.Why there is this disease and how to fight it?
humanity is paying for technological progress in many diseases.It is no secret that the growth rate of life, increasing stress, natural disasters, pollution, deterioration of the quality of food - all this adversely affects human health.Against this background, there is a noticeable increase in gastrointestinal diseases, including GERD has a leading position, in both frequency and in the number of complications.
Gastoroezofagalnaya reflux disease - a seri

ous chronic disease, which is associated with the reflux of gastric or duodenal contents into the lower esophagus, which leads to his defeat.
main causes of grabs are: reducing the tone of the lower esophageal sphincter, damaging properties of the contents of the stomach or the duodenum, the inability of the esophagus to the cleansing, delay gastric emptying, increased intra-abdominal pressure, esophageal hernia.
By provoking factors include stress, obesity, smoking, eating fatty foods, alcohol, carbonated drinks, acidic juices, coffee, chocolate, taking certain medicines (nitrates, calcium antagonists, beta-blockers).

clinical picture

clinical picture of the disease varied.In addition to the core symptoms - heartburn and acid regurgitation, there may be pain behind the breastbone, which gives to the left side of the chest and between the shoulder blades.For pulmonary symptoms include stubborn dry cough and shortness of breath.Gastric symptoms - bloating, nausea and vomiting, white patches on the tongue.Quite often there are hoarseness, difficulty swallowing (lump in the throat), tonsillitis, sinusitis, pharyngitis.
Gastroesophageal reflux disease dangerous its complications.These include esophageal stricture, bleeding from esophageal ulcers, Barrett's esophagus (a precancerous condition).
As a diagnostic method using endoscopy, which allows you to identify the signs of reflux - esophagitis (hyperemia and mucosal friability, presence of erosions, ulcers, exudate).X-ray method may determine a hernia and esophageal stricture.Manometry is used to investigate the motor function of the esophagus.The pH-metric method can be performed in a hospital or on an outpatient basis.It is essential for the diagnosis of GERD.With this method it is possible to determine the amount of reflux and day length.The specialized institutions are used bilimetriyu allowing to determine alkaline (bile) reflux and scintigraphy for the detection of esophageal motility disorders.
Identification of disease in the early stages of development and the prevention of complications are the key to successful treatment.

Treatment and

prevention in the treatment of GERD therapy importance is given to lifestyle changes.This refers to a balanced diet, normalization of body weight, not smoking, drinking alcohol.Nutrition should be a fraction (5-6 times a day).Avoid overeating.The last meal should be 3-4 hours before bedtime.the head end of the bed is recommended to raise to 15-30 cm, to avoid leaning forward immediately after a meal, do not lift weights, do not wear tight belts and constricting clothing.
Drug treatment should be comprehensive and include the following groups of drugs:
1. prokinetic increase esophageal peristalsis, increase the tone of the esophageal sphincter (Motilium).
2. Antacids protect the gastric mucosa (Almagel, Maalox).
3. Alginates form a thick foam, to protect the gastric mucosa.
4. Proton pump inhibitors reduce the level of acid secretion (Pariet).
Surgical treatment is indicated in case of complications (esophageal stricture, bleeding, Barrett's esophagus with high-grade dysplasia).


Any disease is easier to prevent than to cure.Of course, of great importance heredity, other factors.The most important thing - it does not run the disease, time to seek professional help, which can make the correct diagnosis and prescribe the necessary treatment.Take care of yourself and stay healthy!

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