The 70-year-old Uncle Wu has been retired for many years and has his own unique views on

Uncle Wu believes that lying directly on the bed to rest after eating can make the stomach digest food better, which is good

One day a month ago, Uncle Wu lay down on the bed

There is a burning sensation in the heart area

In desperation, Uncle Wu went to the hospital to find a doctor

Reflux esophagitis smokes and drinks for a long time, eats too much, and lies flat immediately after eating

Uncle Wu said bitterly: "This reflux esophagitis is really worse than death

.

What is reflux esophagitis? How could Uncle Wu make an evaluation that "life is better than death"?

"Better to live than to die"

First, there is a kind of life is worse than death, called reflux esophagitis

Under normal circumstances, the food that people eat will be initially digested in the stomach and duodenum, mixed with stomach acid and then transported to the small intestine for further digestion

If the mixture of these foods and stomach acid does not go down for some reason, but re-flows into the esophagus upwards, it is easy to cause inflammatory lesions in the esophagus, which is reflux esophagitis

If the mixture of these foods and stomach acid does not go down for some reason, but re-flows into the esophagus upwards, it is easy to cause inflammatory lesions in the esophagus, which is reflux esophagitis

"Heartburn" chest pain stomach reflux

Chest pain caused by reflux esophagitis, pain is mostly a burning sensation, the location is generally behind the sternum, it will also radiate to the neck, this position is closer to the heart, often mistakenly thought to be the onset of the heart, so many people call it "heartburn"

The burning sensation radiates from the sternum to the neck and the pain is due to stomach acid flowing into the esophagus, causing irritation and forming a painful sensation

Gastric reflux refers to the food in the stomach and the upflow of stomach acid, into the throat or mouth of the patient, this symptom mostly occurs after eating a full meal, more frequent at night, affecting

Occurs frequently at night after a full meal

When inflammation is severe, it can also lead to erosion of the esophagus, triggering bleeding

Erosions of the esophagus occur, causing bleeding

If reflux esophagitis is not treated in time, the condition will continue to worsen, but the pain will be reduced
at this time.
This is because long-term stimulation will cause scar tissue in the esophagus, reduce the stimulation of the esophagus by stomach acid, and the pain will be reduced
.
However, the scar tissue formed will cause obstruction of the esophagus, making it narrow, affecting normal food delivery, there will be symptoms of difficulty swallowing, food obstruction in the esophagus will also form a painful feeling, this lesion is often permanent, will not recover
on its own.

The presence of scar tissue in the esophagus Scar tissue can cause obstruction of the esophagus and difficulty swallowing permanently

The pain caused by reflux esophagitis is often repeated and long-lasting, and in the late stage, it will cause difficulty in swallowing food, which will greatly affect the patient's normal life, which will make the patient feel that "life is better than death"
.

Reflux esophagitis affects patients so much that it is a more terrible disease
.
So, what are the causes of this disease?

Second, there are several causes of reflux esophagitis

There are many causes of reflux esophagitis, but the following are common
.

There is a sphincter in the lower segment of the esophagus, 3 to 5 cm upwards at the junction of the stomach and esophagus
.
This section of the sphincter belongs to the high pressure zone, and its main role is to prevent food in the stomach and acid reflux
.
In some cases, the normal effects of the sphincter can be affected, such as taking excessive doses of dopamine, diazepam, morphine and other drugs, as well as drinking too much coffee, smoking too much, etc.
, which may cause abnormal sphincter function and reflux esophagitis
.

High-pressure areas of dopamine, diazepam, morphine, and excessive smoking at the sphincter-stomach and esophageal junction 3 to 5 cm upwards

In addition, women's risk of developing reflux esophagitis during pregnancy and taking birth control pills is also increased
.

During pregnancy, take birth control pills

Under normal circumstances, gastric reflux may also occur, which is normal
.
This reflux is generally less abundant and can be managed by the acid clearance function of the esophagus without causing lesions
.

When there is a problem with the acid clearance function of this esophagus, it is easy to lead to reflux esophagitis
.
The acid clearance function of the esophagus, including esophageal emptying and saliva neutralization, if excessive food is consumed for a long time, it may lead to esophageal emptying dysfunction and cause reflux esophagitis
.
At night, the speed of saliva production in the human body is greatly slowed down, so the probability of acid reflux at night is greater
.

The acid clearance function of the esophagus includes both esophageal emptying and saliva neutralization

Excessive obesity also often leads to reflux esophagitis
.
When the body is too obese, it will increase the pressure in the body and form an oppression on the stomach, which can easily lead to the contents of the stomach being squeezed into the esophagus, causing reflux esophagitis
.

Excessive obesity also often leads to reflux esophagitis
.

In addition, diseases such as hiatal hernias, abnormal stomach and duodenal function can also lead to reflux esophagitis
.

Abnormal function of the hiatal hernia, stomach, and duodenum

Third, for reflux esophagitis, the common examination methods are these

The most important way to determine if you have reflux esophagitis is to have an examination
.
These are
common tests for reflux esophagitis.

The first simplest is the physical examination, first to observe whether the subject is obese, which is a high-risk group
of reflux esophagitis.
Then observe whether there is stomatitis, chronic laryngitis and other conditions, which are common complications
of reflux esophagitis.
If this is the case, the person should be suspected of reflux esophagitis
.
However, this method is only a preliminary suspicion and does not serve as evidence for the diagnosis of reflux esophagitis, and further examination
is required.

Physical examination of stomatitis and chronic laryngitis is not evidence of a diagnosis of reflux esophagitis

Upper gastrointestinal barium meal x-ray examination is common
in the diagnosis of reflux esophagitis.
The so-called upper gastrointestinal barium meal X-ray examination, the examination method is to first drink the contrast agent that will not be absorbed by the stomach - barium meal, and then directly show the internal situation
of the upper gastrointestinal tract through the X-ray.
This test can visually identify the presence or absence of reflux, esophageal stenosis, or hiatal hernia, and is very helpful
in the diagnosis of reflux esophagitis.

Upper gastrointestinal barium meal x-ray check barium meal x-ray

Common regurgitation esophagitis tests include endoscopy and tissue biopsy
.
Endoscopy is to introduce a special hose into the patient's stomach, through the head of the miniature camera to observe, you can more intuitively understand the specific situation
in the stomach of the subject.
Endoscopy can also perform "minor surgery" to remove part of the tissue at the site of the lesion and perform a tissue biopsy, which can distinguish reflux esophagitis and stomach cancer
.

Endoscopic and tissue biopsy Tissue biopsy

There is also a esophageal drip acid test, which can also diagnose reflux esophagitis
.
The examination requires the subject to take a sitting position, and then insert a special gastric tube from the nasal cavity to the stomach, and first use the gastric tube to drop normal saline at a rate of 100 to 120 drops per minute, and the infusion time is generally 15 to 30 minutes
.
If there is no feeling of discomfort, and then the concentration of 0.
1 mol/L of hydrochloric acid is dripped at the same speed and time, if the subject has a burning sensation in the poststernal bone, it can be diagnosed as reflux esophagitis
.

Esophageal drop acid test

In the process of diagnosing reflux esophagitis, an electrocardiogram is sometimes required, mainly to distinguish it from
angina.

Electrocardiogram angina

If reflux esophagitis is diagnosed, the next step is to treat
it as soon as possible.
For reflux esophagitis, three types of drugs give it "cure" obediently
.

Fourth, three types of drugs to regurgitate esophagitis "treatment" to obey

The main way to treat reflux esophagitis is to reduce the damage to the esophagus and promote the recovery
of inflammation.
The most important treatment method is drug treatment, there are three types of drugs, you can "cure" reflux esophagitis obediently
.

1.
Promote esophageal and gastric emptying

Promoting the emptying of the esophagus and stomach can reduce the pressure on the esophagus and stomach, reduce the chance of reflux of contents, and promote normal digestive activities
in the human body.

To promote the emptying of the esophagus and stomach, it is necessary to strengthen the gastrointestinal motility, accelerate the speed of digestion, and let food quickly move to the
intestine.
Common gastrointestinal motility drugs include morphine, gastric reassurance, cisapride and so on
.

Promote gastrointestinal motility drug morpholine stomach complex Ancisabili

2.
Reduce stomach acid

Lowering stomach acid can reduce the chance of acid reflux to the esophagus, and when reflux occurs, it can also reduce the amount of acid reflux to avoid or reduce irritation
to the esophagus.

If you want to reduce gastric acid, the most commonly used drugs are drugs that inhibit gastric acid secretion, which can also be divided into histamine H2 receptor blockers, proton pump inhibitors, M choline receptor blockers and so on
.
Histamine H2 receptor blockers are common cimetidine, ranitidine, etc.
; Proton pump inhibitors are common in omeprazole, rabeprazole, etc.
; Common M choline receptor blockers are atropine, telenzepine, and piperacidine
.

Drugs that inhibit gastric acid secretion histamine H2 receptor blockers, proton pump inhibitors, M choline receptor blockers cimetidine, ranitidine omeprazole, rabeprazole atropine, telonzepine, piperacipine

3.
Protect the mucous membrane

Protecting the mucous membrane can strengthen the resistance of the mucosa to gastric acid, and can also reduce the harmfulness of gastric acid to the mucous membrane and reduce the possibility
of inflammation.
After the appearance of reflux gastritis, it can also speed up the healing of the mucous membranes, which is conducive to the improvement
of the condition.

The medicine that protects the gastric mucosa is the gastric mucosal
protector.
Gastric mucosal protectors can also be divided into three types, colloidal bismuth agents, prostaglandins and their derivatives and other drugs
that do not belong to the first two.
Common colloidal bismuth agents are citrate, carbonate, nitrate, etc.
; Common prostaglandins and their derivatives include misoprostol; Other common types are sucralfate, gefamate and so on
.

Gastric mucosal protective agent colloidal bismuth agent prostaglandins and their derivatives Other citrate, carbonate, nitrate misoprostol sucralfate, gifa ester

In addition to drug therapy, some basic treatments are also beneficial for the improvement
of reflux esophagitis.
For example, quit smoking and alcohol, raising the head of the bed by 15cm, etc.
, these lifestyle habits can reduce the possibility of
stomach reflux.
In addition, weight loss can reduce the pressure on the stomach, reduce gastric reflux, and also have a great effect
on the treatment of reflux esophagitis.

Quit smoking and alcohol to raise the head of the bed by 15cm to lose weight

Fifth, write at the end

Reflux esophagitis is more common in life, which has a lot to do with people's living habits
.
Now many people in society have the habit of eating supper, and after eating supper, they go to sleep directly, which has a great risk of regurgitating esophagitis, which will cause harm
to the human body.

People should pay attention to their own situation, have good diet and living habits, and go to the hospital for examination and treatment as soon as possible when they are uncomfortable, so as to stay away from reflux esophagitis and ensure good health
.

Have good diet and living habits and go to the hospital for examination and treatment as soon as possible