Hello! Doctor, I want to ask, I made a barium meal and said I had mild reflux and reflux esophagitis. Now I have taken omeprazole, mosapride and Daxi for 20 days. Why do I still feel sick? What happened?

Ann:

Patient's private information

Doctor, gastroscopy showed bile reflux, and it didn't get better after taking the medicine. Is bile reflux difficult to cure?

Patient's private information

Hello, doctor, I am chronic non-atrophic gastritis with erosion. I had a gastroscope in May last year, and I have been nourishing my stomach and taking medicine for almost three or four months. The symptoms disappeared, and then I slowly ate some dishes with peppers. I usually have an uncomfortable reaction, but I just need to take some stomach medicine. But since the week before, my stomach has started to feel uncomfortable again. At first it was just nausea and vomiting. Especially after eating, the reaction of nausea and vomiting is stronger, and it will be better in the future. After a day or two, the reaction of nausea and vomiting was to eat omeprazole and drink famotidine tablets, but it didn't work. I still feel nauseous and nauseous, and the back of my mouth begins to feel bitter and dizzy. I especially want to eat something to relieve myself. Immediately after eating it, it became the same as before, and my mouth was bitter and dizzy. Until yesterday, I felt my throat was a little blocked and my stomach was bloated.

Chronic gastritis depends on what causes it. For example, chronic gastritis caused by helicobacter pylori must be killed. Killing helicobacter pylori is omeprazole combined with clarithromycin and amoxicillin antibiotics. Generally, triple therapy, quadruple therapy and combined therapy are used. The main entrance can cure gastritis by killing Helicobacter pylori, but there are too many causes of gastritis. Helicobacter pylori is only a small species, most of which are caused by gastrointestinal dysfunction. Therefore, it is necessary to correct gastrointestinal dysfunction for chronic gastritis.

What is gastrointestinal dysfunction? What are the symptoms?

Gastrointestinal dysfunction is also called gastrointestinal neurosis. On the premise of excluding organic diseases, mental factors are the main causes of this disease, such as emotional tension, anxiety, difficulties in life and work, troubles and accidents. , can affect the normal activities of gastrointestinal function, and then cause gastrointestinal dysfunction.

The onset of gastrointestinal dysfunction is slow, and the clinical manifestations are mainly gastrointestinal symptoms. Most patients with gastric neurosis show acid regurgitation, belching, anorexia, nausea, vomiting, burning sensation under xiphoid process, fullness after eating, discomfort or pain in upper abdomen, and the symptoms get worse every time.

Intestinal neurosis, also known as irritable bowel syndrome, is the most common functional disease in gastrointestinal tract. Intestinal symptoms are the main symptoms. Patients often have abdominal pain, abdominal distension, bowel sounds, diarrhea and constipation, and cord-like tumors can be palpated when the left lower abdomen is painful. Abdominal pain is often aggravated by eating or cold drinks, and it is relieved after defecation, exhaust and enema. Abdominal pain is often accompanied by abdominal distension, poor defecation or increased defecation times, and feces can be thin and dry. It used to be called colon dysfunction, colon spasm, colon allergy, spastic colitis, mucinous colitis, emotional diarrhea and so on. # Health Arithmetic Competition #

The onset of the disease is mostly slow, and the course of the disease often lasts for several years, which is persistent or recurrent. Clinical manifestations are mainly gastrointestinal symptoms, which can be limited to pharynx, esophagus or stomach, but intestinal symptoms are the most common, and may also be accompanied by other common symptoms of neurosis. # Gastroenteritis #

Life guide for gastroesophageal reflux disease

1. Keep a good attitude.

Many people have had this disease, so it is not terrible. Have a happy outlook.

Step 2 pay attention to your diet

Eat less and eat more, chew slowly;

Eat digestible food, light diet and eat more vegetables;

Eat less high-protein, high-fat and fried foods;

Avoid leeks, taro, sweet potatoes, etc. ;

Drink less milk, especially on an empty stomach, and eat less soy products;

Don't eat fruit on an empty stomach, and eat less acidic and cool fruits, such as oranges, oranges, grapes and watermelons.

Cherry, etc.

Do not eat sour, sweet, cold, overheated and irritating foods, and do not eat foods that are uncomfortable after eating.

People who don't have bloating can drink more soda water.

3. Avoid lying flat or sitting immediately after meals, avoiding sitting on a low stool and resting on a lounge chair.

Sleep on a high pillow at night and don't eat for three hours before going to bed.

5. Exercise moderately for half an hour after meals, but avoid heavy load and strenuous exercise.

6. Quit smoking and drinking, and avoid eating chocolate, coffee and tea.

If you think what I said is valuable, please forward it to your family and friends. Thank you!

Self-rated gastroesophageal reflux disease scale

If you meet the following symptoms, please tick the corresponding symptoms.

1. Typical symptom: acid reflux () heartburn ().

2. Atypical symptoms of digestive tract:

Nausea, abdominal distension, belching, bitter taste, epigastric pain and dysphagia. ( )

Ann:

3. Systemic symptoms:

Headache and dizziness ()

Cough, expectoration, wheezing, chest tightness, breath holding and shortness of breath ()

(d) Dry throat, itchy throat, sore throat, foreign body sensation, hoarseness and snoring ()

(e) Symptoms of oral discomfort ()

(f) Dry eyes, itching, swelling, tears and blurred vision ()

Tinnitus, itching, earache, hearing loss and recurrent otitis media.

(h) Chest pain, neck and shoulder pain, back pain, palpitation, arrhythmia (sinus bradycardia, sinus tachycardia, premature beats, conduction block,

Atrial fibrillation and so on. ) ()

(1) Neuroreflex symptoms: hypertension, weakness of limbs, and sometimes a sense of impending death, even syncope and numbness of limbs.

Wood, abnormal sensation, etc. ( )

Those with typical symptoms can be diagnosed if they appear at least once a week.

Patients with atypical symptoms have more than two items of A, B, C, D, E, F, G, H and I, so gastroesophageal reflux disease should be highly suspected.

# Southern Health Super Group # # Health and Health Care # # Breeze Plan #