If you are unfortunate enough to have gastroesophageal reflux,

What should I pay attention to at ordinary times?

The author summarizes the following three points for everyone:

First, pay attention to the "four haves" in diet

1. Quality:

Less fat, more protein.

Adopting a low-fat and medium-sugar diet is one of the key measures to prevent GERD diet. Because fat can stimulate the secretion of cholecystokinin, it can reduce the tension of sphincter at the lower end of esophagus, promote the occurrence of gastroesophageal reflux, and reverse the pressure difference between stomach and duodenum, resulting in the reverse flow of duodenal contents into the stomach. Eating too much fat will delay the emptying of the stomach, increase the discomfort of the upper abdomen and make the stomach swell. It is suggested that the daily dietary fat should be controlled at about 60 grams, and the proportion of plant fat should be greater than that of animal fat. Usually, we should pay attention to eating less fat, cream and cooking oil, eating less and not eating fried food. Cooking methods should be mainly boiling, stewing, stewing and steaming.

Supplementing foods rich in protein ingredients, protein can stimulate the secretion of gastrin, increase the tension of lower esophageal sphincter and inhibit gastroesophageal reflux. Therefore, protein ingredients such as lean meat, milk, bean products, egg white, fish and shrimp can be appropriately added to the diet, which has a positive effect on preventing gastroesophageal reflux disease.

2. Quantity:

Eat less, eat more, chew slowly.

Eating less and eating more, chewing slowly and not overeating can reduce the frequency of reflux symptoms after meals. The diet of patients with gastroesophageal reflux disease should be seven or eight percent full. Overeating will increase the burden on the stomach, cause digestive dysfunction of the stomach, and slow down gastric emptying. When food stays in the stomach, the pressure in the stomach increases, and food is more likely to flow back to the esophagus, causing heartburn, acid reflux, burping, abdominal distension and other discomfort.

3. Sometimes:

Fasting before going to bed

It is not appropriate to lie down immediately after a meal, take an upright position or take a walk after a meal, promote food emptying by gravity, and fall asleep after 20-30 minutes of activity; At the same time, avoid strenuous exercise, so as not to increase abdominal pressure and aggravate reflux; Stop eating 3 hours before going to bed at night to reduce the stimulation of gastric acid secretion by food at night, reduce the exposure time of esophageal acid in the distance, and thus reduce the frequency of reflux.

4. Do you have any food?

Avoid spicy food

Avoid eating cold, overheated, sweet and sour, spicy and other irritating foods, and eat less or no food that can reduce the tension of sphincter at the lower end of esophagus; Drinks, such as strong tea, coffee, cocoa, chocolate, spirits, fresh lemon juice, fresh orange juice, mint, whole milk, etc. Fruits and vegetables, such as onions, garlic, tomato juice, oranges, pineapples, grapes, grapefruit, tomatoes, etc. Irritating spices, such as curry, pepper, mint, pepper, etc.

Chewing more chewing gum at ordinary times can increase the quality and quantity of saliva secretion, improve the clearing ability of esophagus, protect esophageal mucosa and prevent inflammation; Drinking more warm water can increase esophageal clearance, dilute gastric acid, help relieve symptoms and protect esophageal mucosa.

Second, pay attention to the adverse interaction between Chinese and western medicine.

GERD is a chronic and refractory disease, which has a long course and is easy to repeat, seriously affecting daily life and work. For typical symptoms such as acid reflux and heartburn, timely, standardized and selective use of acid inhibitors and drugs to protect gastric mucosa and gastrointestinal motility in the early stage can achieve satisfactory short-term curative effects. In order to prevent the recurrence of symptoms, it is suggested that patients take traditional Chinese medicine decoction or Chinese patent medicine for a long time to consolidate treatment, and improve their physique and immunity by adjusting the balance of yin and yang, thus reducing the recurrence of diseases.

In the process of taking Chinese and western medicines at the same time, the incompatibility should not be ignored, so as to better improve the curative effect of drugs and reduce the occurrence of adverse reactions. For example, Chinese medicines rich in tannins, such as rhubarb, dogwood, terminalia chebula, gallnut, Sanguisorba officinalis, pomegranate peel, persimmon, giant knotweed, arborvitae and so on. When used in combination with enzyme preparations such as amylase, protease, pancreatin, multienzyme tablets, etc. It combines with amide bond or peptide bond of enzyme to form strong hydrogen bond association, which reduces the titer of enzyme and affects drug metabolism. Sodium bicarbonate, aluminum hydroxide, bismuth carbonate, etc. It is not suitable to be mixed with hawthorn, Schisandra chinensis, dark plum, Lycium barbarum, Ziziphus jujuba seed and other traditional Chinese medicines, which will reduce the curative effect due to acid-base neutralization.

Third, pay attention to clinical contraindications.

1. Use with caution.

Medicine for reduce pressure of lower esophageal sphincter

Clinically, such drugs are commonly used: anticholinergic drugs (or foods with anticholinergic side effects), β -adrenergic drugs (isoproterenol), theophylline, calcium channel antagonists (verapamil and nimodipine), prostaglandin E 1, prostaglandin E2, prostaglandin I2, 5- hydroxytryptamine, morphine, pethidine and morphine. They can reduce the sphincter pressure at the lower end of the esophagus, thus producing reflux.

2. Use it carefully and avoid using it.

Medicine for weaken barrier function of esophageal mucosa

These drugs are mainly NSAIDs, such as aspirin, phenylbutazone, voltarin, indomethacin and so on. And tetracycline, prednisone and other drugs can destroy the esophageal mucosal barrier and induce and aggravate gastroesophageal reflux.

Use with caution

acid inhibitor

According to their medical knowledge, most patients suffering from acid reflux and heartburn for a long time know that acid inhibitors should be used to control symptoms. In addition, at present, most of the acid inhibitors are over-the-counter drugs, and some patients buy them in pharmacies themselves, but they may not achieve the expected therapeutic effect. There are many reasons. First of all, according to the condition of different clinical types of patients, the dosage and course of treatment of acid inhibitors are not exactly the same. Secondly, there are individual differences in the efficacy of acid inhibitors. Moreover, if a large number of acid inhibitors are taken for a long time, not only will there be adverse reactions such as headache, dizziness, bloating, anorexia, constipation or diarrhea, but also some gastric acid secretion receptors will be inhibited for a long time, which will easily lead to gastric mucosal atrophy, gastric acid reduction, gastrointestinal flora disorder and nitrite increase, which may lead to digestive tract cancer. Therefore, experts suggest that acid inhibitors must be taken under the guidance of experts.

This article is selected from Health Guidance for Chronic Diseases (II) published by People's Health Publishing House. The authors are Lu Chuanjian and Ding. Editing and finishing of traditional Chinese medicine for human health.