Monday, April 9, 2012

GERD


Heartburn or a burning sensation in the chest is the main symptom of the return (reflux) of stomach acid, a condition that occurs because of recurrent episodes of return is called acid reflux disease or GERD for short. The disease is usually due to muscle weakness, lower esophageal sphincter (DES). DES in the form of a ring surrounding the lower esophagus, food pipe that leads into the stomach. If swallowed, DES is opened, allowing the entry of food into the stomach. Otherwise, DES must be closed to acid from the stomach would not be splashed - returned it - in the esophagus. When the acid back into the esophagus, burning feeling.

Causes of Disease
Many things can relax DES: certain medications, certain foods, emotional stress, smoking, eating quickly, inadequate chewing or lying down after meals. Even when the DES solid, heartburn can occur as a result of pressure on the muscle from excessive eating, tight clothing, pregnancy or obesity.

Who gets?
People often take NSAIDs (eg aspirin), or any other medicines, pregnant women, young children (physiologically to 10 months).

Symptoms
If you enjoy the food - but not in what happens next. Odrijemali to lie down, and then you wake up with painful burning sensation in the chest. Sometimes the pain is so strong that people are afraid they have suffered a heart attack (sometimes people with myocardial think they have heartburn). Both conditions cause pain in the chest. It usually develops within one hour after meals.

When I go to the doctor?
If you have frequent episodes of heartburn and prevent the progress of your daily activities or heartburn feel chronic and prolonged, you should contact your doctor.

Treatment: self + GP
Antacids are medicines that neutralize stomach acid, relieve pain and burning in the chest, which are the main symptoms of the return acid from the stomach. Antacids usually work within 15 minutes, and the action they take one or two hours - if they work. Drugs that can affect the occurrence of heartburn are: non-steroidal anti-inflammatory drugs (eg aspirin), estrogen, narcotics, some antidepressants, some medications, tranquilizers and drugs for asthma. If you are taking any of the drugs from these groups and often feel heartburn, ask your pharmacist about effective substitutes. Do not smoke or drink alcoholic beverages. Both DES relaxes and increases gastric acid secretion.

Appropriate antacid
In the pharmacy there is a wide selection of antacids, so you can choose the one that suits you best. Gastal is one of them, especially suitable for pregnant women.

Treatment - specialist
If you have two or more episodes of heartburn a week or her feel chronic and long-lasting and prevents you from doing everyday activities, you should contact your doctor. Even taking antacids in some cases does not help.Your doctor may instruct you to review a probe that is retracted through the mouth into the stomach (esophagogastroscopy) to determine the degree of damage to the lining of the esophagus due to acid recovery.You may have pepsin or bile reflux. After long-term esophageal acid etching may occur inflamed esophagus (esophagitis), and the doctor will prescribe medications that block acid secretion in order to calm the inflammation and relieve symptoms.

Forecast
If you are pregnant, the symptoms are likely to pull themselves after birth. Taking antacids also helps. If heartburn is caused due to excessive weight, to lose weight. Drinking alcohol and smoking promote heartburn, so you should consider termination.

Prevention
The best way to combat heartburn is to try to prevent. While you eat, and relax. Stress increases the production of stomach acid. Sit. Eat slowly. Good food chew. Listen to relaxing music. Eat slowly and not large quantities of food. Eating big meals prepunjavaju stomach acid and can banish even the powerful DES. Try eating four or five small meals rather than three large ones. Avoid spicy foods. Some foods increases the secretion of gastric acid: citrus fruits, garlic, carbonated beverages, spicy foods and tomato based foods. Some foods cause the release of hormone-like compounds that relax DES: fatty foods, chocolate, tea, coffee and alcohol. Do not eat before going to bed. Do not lie down immediately after eating. If you are suffering heartburn at night, do not eat several hours before bedtime. Lose weight. Excessive weight increases the pressure on the stomach acid and may be expelled into the esophagus. Because heartburn is so common in pregnant women. Loosen the belt. Tight clothing increases the pressure on the stomach. Chew gum. They reinforce the creation of saliva, which helps relieve burning in the esophagus and acid washes back into the stomach.

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