First, overeating
Because of overeating, food can easily flow back to the esophagus through the sphincter of cardia.
Second, strenuous activities after meals.
Bending down, lying down or doing strenuous exercise after a meal can easily make food flow back to the esophagus.
Third, the underwear belt is too tight.
Wearing tight clothes and pants and pressing them on your stomach may cause food reflux.
Fourth, disease.
Such as gastric ulcer, gallbladder disease or gastrointestinal diseases may cause problems similar to heartburn. [1] 2 methods to relieve heartburn Edit heartburn refers to the burning sensation caused by the inability to close the sphincter and the backflow of food and gastric acid into the esophagus or mouth. Is your heartburn caused by running, doing aerobic exercise or other exercise?
If the answer is yes, then you don't need to give up your favorite sports in order to avoid this discomfort. Dean Xu Jianwen, the chief expert of Hefei Sunshine Digestive Disease Hospital, teaches you to try the following methods.
Solve problems related to diet
Do you go running immediately after eating? What kind of food did you eat? -Stop eating foods that make you uncomfortable, and keep enough time between meals and exercise.
Eat light food before exercise.
Some people will eat food that produces stomach acid before exercise, and they will have severe heartburn during exercise. What foods should we start with? It can be bananas, yogurt, small bowls of cereal or toast.
Start exercising after meals, with an interval of 2 to 3 hours.
How long should there be between eating snacks and exercising? Half an hour? An hour? Two hours? See which time is best for you. You may start exercising after eating some snacks for half an hour, and everything is normal without finding any problems; It may also take 2 to 3 hours to empty the stomach.
Reflect on your exercise style.
For some people, some specific sports are more likely to cause heartburn than others. Experiment and compare to see which kind of exercise will aggravate your heartburn and which will reduce it. You can also take aerobics classes or cross-country hiking to see if high-intensity aerobic exercise or running will cause this discomfort. Some postures in handstand or yoga make the center of gravity of the stomach inverted, which may also cause and aggravate heartburn. In this case, you can ask your coach how to modify these handstands.
Try vinegar therapy.
Dean Xu said: "Although it is a matter of success or failure for individuals, it may not hurt to try some symptomatic treatments." Try vinegar therapy, which is safe, natural and cheap. The operation is very simple, that is, drinking a little vinegar can eliminate and balance the pH environment needed for heartburn.
Try some over-the-counter drugs
Calcium can neutralize stomach acid. Dean Xu said: "Chewing calcium tablets (mainly calcium carbonate) or calcium-containing antacids is very safe. This is also a good way to try. " Although it is not a specific medicine or a medicine to eliminate symptoms, it is a good choice as a preventive method before exercise. [1] 3 Differential diagnosis of heartburn (1) gastric and duodenal ulcer Editor: Upper abdominal pain has certain seasonality, rhythm and periodicity. Pain is usually related to eating. The pain of gastric ulcer mostly occurs half an hour after meals, and gradually relieves after 1 ~ 2 hours. Duodenal ulcer is the most common cause of relieving pain when hungry and after eating. Often accompanied by gastric acid reflux, belching and other dyspeptic symptoms.
(2) Gastric cancer: Abdominal pain is irregular, which can continue with the development of the disease and is difficult to relieve. At the same time, patients may have symptoms such as loss of appetite, emaciation, anemia, vomiting, melena, upper abdominal mass, and even cachexia. The onset age is mostly over 40 years old.
(3) Pancreatic diseases: Chronic pancreatitis may have dull or dull pain in the upper abdomen, sometimes radiating to the back, and may also present acute pain. With the progress of the course of the disease, abdominal pain may gradually worsen; In addition, chronic pancreatitis may have dyspepsia, steatorrhea, diabetes and other manifestations of impaired internal and external secretion. Abdominal pain of pancreatic cancer is paroxysmal or persistent progressive colic or dull pain in the upper abdomen, periumbilical region or right upper abdomen, which mostly radiates to the back, and the pain is relieved when lying down or leaning forward. Jaundice is common in pancreatic head cancer, but also emaciation, ascites, thrombophlebitis and so on. B-ultrasound, retrograde cholangiopancreatography and CT can make a definite diagnosis.
(4) Liver disease: Hepatitis abdominal pain can be dull pain, tingling and swelling in the right upper abdomen or right hypochondrium, mostly intermittent. Pain has no obvious relationship with eating, and it is easy to appear after fatigue. Abdominal palpation showed hepatomegaly and tenderness. The pain of liver cancer often increases gradually, starting with intermittence and then turning to persistence. Often fixed in a certain part, sometimes the swollen and hard liver or lump can be palpated locally. Liver abscess often shows persistent swelling and pain, which can be confined to a certain part, with obvious tenderness points, and may be accompanied by fever, leukocytosis and other systemic symptoms. B-ultrasound and liver puncture can make a definite diagnosis.
(5) Biliary diseases: Patients with cholecystitis and cholelithiasis often show chronic dull pain or distending pain in the right upper abdomen, belching, etc. , fat meal induced more or worse. Some patients have localized tenderness in the gallbladder area, or can touch the swollen gallbladder, or accompanied by jaundice. B-ultrasound and cholangiography are helpful for diagnosis.
(6) Others: Upper abdominal pain may appear in the early stage of acute appendicitis, and it will turn to right lower abdominal pain after several hours. Atypical angina pectoris and myocardial infarction in the elderly sometimes cause upper abdominal pain, which is easy to be misdiagnosed. [1] 4 Treatment and prevention of heartburn Editor1. drug therapy
Long-term severe heartburn can be relieved by drugs. Doctors often prescribe two kinds of drugs: one is an antihistamine that reduces gastric acid secretion; The other is drugs that form a barrier between esophagus and stomach and protect the stomach wall. At present, the commonly used drugs are: Livzon Dele oral. Adults take 1 capsule once, four times a day, half an hour before the first three meals and two hours after the fourth meal; Or take 2 capsules twice a day in the morning and evening. Take Kaichuang Shunqi Capsule orally, 3 capsules each time, twice a day. The ingredients are Areca catechu, Petunia (parched), Pericarpium Citri Tangerinae, Radix Aucklandiae, Cortex Magnolia Officinalis (processed with ginger), Rhizoma Sparganii (processed with vinegar), Rhizoma Curcumae (processed with vinegar) and Fructus Gleditsiae Abnormalis. Omeprazole should be swallowed 20mg every morning (duodenal ulcer should be taken before going to bed to reduce the symptoms of fasting duodenal pain). When the food in the stomach is too full, it can reduce absorption, so it should be taken orally before meals or on an empty stomach.
2. Prevention in peacetime
There are many ways to prevent heartburn, such as: eat more small meals, chew slowly, and eat less irritating and special foods; Try not to drink soup or water when eating to reduce the chance of food reflux; Try to wear loose clothes and pants; Don't do strenuous exercise or sleep after meals. [1] Five basic principles to prevent heartburn Edit heartburn focuses on maintenance, so how should our stomach be maintained? Observe the following points carefully, it is no longer difficult to stay away from heartburn!
In terms of diet, in addition to not being too heavy, you should chew slowly.
Stay upright. If you have to lie down, please raise your head.
Take antacids.
Don't drink milk or mint to avoid stimulating gastric acid secretion or reflux.
Reduce coffee consumption.
Stop eating chocolate.
Quit smoking and refuse to smoke secondhand smoke.
Avoid drinking beverages containing foam.
Don't eat greasy food, such as meat and dairy products with high fat content, so as not to stimulate stomach acid.
Avoid excessive fat accumulation at the waist.
Relax your belt.
Pay attention to some drugs that may aggravate heartburn.
Pay attention to spicy food.
Eat less acidic fruits such as oranges and lemons.
Avoid eating and drinking two hours before going to bed.
Eliminate the pressure of life.
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