After enjoying delicious cakes and strong coffee, will you feel burning discomfort in your stomach?

It's easy to burp after a meal, and then a sour liquid will rush into your mouth?

Drinking wine at the party will make you sour all day.

When you sleep, your chest is like a fire, and occasionally you have chest pain and chest tightness? 、

I had a heart examination, and the results showed that it was nothing serious.

......

1. What is acid reflux and heartburn?

There is a lower esophageal sphincter at the junction of esophagus and stomach, like a elastic belt. It will open when eating, close when food enters the stomach, and tighten the entrance of the stomach when not eating to prevent the contents of the stomach from flowing back to the esophagus.

Due to the influence of age, illness and long-term bad living habits, the elastic band will gradually loosen and cannot be closed normally, and the contents in the stomach will slide to the esophagus, throat, nasal cavity, trachea, mouth and other parts from time to time. The strong acid characteristics of gastric acid itself mean that it will be corroded wherever it goes and the corresponding organs will be damaged. Gastric acid reflux and heartburn symptoms caused by gastric acid reflux are probably caused by gastroesophageal reflux disease.

2. Gastroesophageal reflux disease is easy to be misdiagnosed.

Gastroesophageal reflux disease (GERD) is a disease that is often neglected, because it not only causes symptoms of gastric acid reflux and heartburn, but also transforms in different people, so that the misdiagnosis rate is as high as 40%.

Some people show chronic cough and asthma for a long time, so they go to the respiratory department for treatment. If the throat and nose are uncomfortable, go to the otolaryngology department for treatment; Chest pain, chest tightness, often choose to go to cardiovascular department.

I have been to the hospital many times and spent a lot of money, but I still can't see it. Taking asthma, pharyngitis and cough as common diseases, of course, can't solve the problem from the root.

Therefore, chronic cough, pharyngitis, rhinitis, asthma, pneumonia and so on. If long-term treatment is not relieved, it should be considered as gastroesophageal reflux disease, and you can go to the Department of Gastroenterology for relevant examination.

3. Does gastroesophageal reflux disease need treatment?

It is normal to have physiological gastroesophageal reflux once or twice occasionally, but it will bring trouble to life if reflux occurs frequently. If you always endure such symptoms, or buy medicines in pharmacies, and the condition is not properly controlled for a long time, it is likely to cause esophageal stenosis, inflammation, esophageal mucosal erosion, ulcers, and even esophageal adenocarcinoma, which requires active intervention and treatment.

4. How to treat gastroesophageal reflux disease?

Gastroesophageal reflux disease, including reflux esophagitis and non-erosive esophagitis, should be treated with systematic drugs once diagnosed. Commonly used drugs are: antacids, gastric acid inhibitors, prokinetic drugs and gastric mucosal protective agents. Among them, proton pump inhibitors are very good drugs for treating and controlling diseases, and most people can achieve good results by using them.

If the effect is weakened after long-term medication, or if lifelong medication is needed, endoscopic minimally invasive surgery can be considered. At present, there are: endoscopic injection therapy, endoscopic radiofrequency ablation, endoscopic gastric cavity suture or folding therapy, and cardiac contraction. Among them, endoscopic radiofrequency ablation technology is mature, simple to operate and quick to recover after operation.

Surgical treatment can also be considered for those who are ineffective in drug or endoscopic treatment. At present, laparoscopic fundoplication is recognized as the gold standard for the treatment of gastroesophageal reflux disease, which has the advantages of less trauma, rapid recovery and mature technology.

Of course, with the help of doctors, the symptoms of acid regurgitation and heartburn can be quickly alleviated or completely disappeared. However, because the functions of the stomach and esophagus have not returned to normal and are influenced by many inducing factors in life, it may not be long before you will face a new problem like others: the disease is difficult to cure again and again, the symptoms will be relieved after taking the medicine, and it will recur after stopping taking the medicine, which cannot be done once and for all!

Therefore, while cooperating with doctors' treatment, it is also necessary to carry out targeted management according to the causes, get rid of some cognitive misunderstandings, and supplement some changes in lifestyle and eating habits, which will also help to treat and control diseases. Only by doing this well can gastric acid stay in the stomach honestly.

If you can master the medical knowledge of the treatment and management of gastroesophageal reflux disease, even if you have gastroesophageal reflux disease, you can have a better quality of life, and you will no longer be troubled by these small problems!

The BTV Health Hall column "Gastric acid reflux heartburn and gastroesophageal reflux course" produced by Director Meng of Beijing Friendship Hospital affiliated to Capital Medical University has been launched. Listening to Meng talk to you like an old friend for an hour and a half, you can understand the diagnosis, treatment, maintenance and monitoring of gastroesophageal reflux disease in eight classes.