A combination of ablution of gastro-esophagus: diagnosis, treatment and care. Their diagnosis, treatment and care are detailed below.
I. Diagnosis
Symptoms assessment: Cardiac and converse are the most common typical symptoms of GERD. A heart is defined as a feeling of burning behind the chest or from the sword, often extending upwards from the lower part of the chest. Inverted flow means the feeling of a stomach content pouring into the stomach or mouth without nausea or force, which is known as anti-acid when it smells acid or is merely acid water. In addition, some patients may be associated with unusual symptoms such as chest pain, difficulty in swallowing, pain swallowing, gas, upper abdominal pain, saturation, etc. When these symptoms occur, especially when they are recurrent or persistent, vigilance should be exercised about the possibility of GERD.
Stomach lenses: The gastric lenses are one of the important means of diagnosing GERD. It is able to observe directly the mucous membranes of the oesophagus, stomachs and troughs, and to determine whether there are any complications such as edible inflammation, edible ulcers, narrow edibles and Barrett edibles. Other upper digestive diseases, such as oesophagus cancer and stomach ulcer, are also excluded. In the case of patients with typical symptoms such as larvae, retrend, a gastroscope helps to clearly diagnose and assess the severity of the condition. PH monitoring: This check provides a continuous record of changes in pH values in the cuisine for 24 hours by inserting pH electrodes from the nasal cavity and placing them at 5 cm above the circa under the cuisine, so as to understand the alkalinity of the cuisine environment, the discharge of the cuisine, and the relationship of the reverse flow to symptoms. For patients with no oesophagus but with typical or atypical symptoms, oesophagus 24 hours pH surveillance helps to determine the existence of acid retroft and is of significant value for diagnosis.
4. Esophagus pressure determination: mainly used to determine the pressure in the oesophagus (LES) and oesophagus. When the LES pressure is reduced and the oesophagus wrinkles are reduced, the oesophagus is prone to retour. This examination is useful for assessing oesophagus and for determining the existence of anatomical structural anomalies such as edible cavity diagnosis GERD and for directing the development of treatment programmes.
Treatment
1. Lifestyle change: this is the basis for treatment of GERD and applies to all patients. These include raising the head of the bed by 15 – 20 cm, which can be used to reduce backsliding at night with gravity; reducing stomach acidity and internal stress by not eating for three hours before sleeping; avoiding foods such as high fats, chocolate, coffee, strong tea, which can reduce LES pressure and promote backsliding; curbing alcohol, as nicotine and alcohol in tobacco can stimulate edible mucous membranes and exacerbate invertebrate symptoms; reducing body weight and obesity, which can contribute to an increase in intra-breath pressure and to a reversal of the stomach-eating tube.
2. Drug treatment – acidics: The main drug for the treatment of GERD, commonly used proton pump inhibitors (PPI) such as Omera, Lansola, Rebella, etc., and H2 receptor stressants (H2RA) such as Simididid, Renedidedin, etc. PPI has a strong acidic effect, which is rapid to abate symptoms, promotes cuisine inflammation, and applies to patients with more severe symptoms and more visible oestic inflammation, with a general course of treatment of 4 – 8 weeks. H2RA acidism is relatively weak and applies to patients with mild symptoms or who maintain treatment. – Gastrointestinal boosters: Dopanone, Moshapuri, etc., can reduce back-flows by increasing the steroid pressure under the oesophagus, improving the oscillation function of the oesophagus, and promoting gastrogen emptiness. It is often used in combination with acidics, especially for patients with gastric emptiness delays. – Monument protection agents, such as magnesium aluminum carbonate, sulfur sugar, which are capable of condensing stomach acids, adsorbing cholesterol, forming a protective membrane on the facade surface of the oesophagus, and mitigating the damage to the mucous membranes of the stomach acid and cholesterol, which can be used for assistive treatment.
3. Surgical treatment: Surgical treatment may be considered for patients who are ineffective in the treatment of drugs, have serious complications (e.g. a narrow diet, a severe heterogeneity or cancer in the Barrett duct) or are unwilling to undergo long-term medication. The usual method of surgery is a stomach bottom folding of the abdominal lens, which is used to enhance the duct-to-breeding function by sewing the bottom part of the stomach to the lower part of the duct and to prevent backsliding. There is, however, a certain risk and recurrence of the operation, which requires strict control of the proof of the procedure.
III. NOTES
1. Cognitive and psychological control of diseases: Patients should be properly informed about the reaction of the stomach oesophagus, the mechanism for its occurrence, treatment and prognosis, and avoid excessive anxiety and stress. Psychopsychiatric factors can induce or exacerbate retrogressive symptoms, and good mentalities can help in disease control.
2. Dietary management: In addition to avoiding the food incubation mentioned above, attention should be paid to diet patterns, regular feeding and the prevention of heavy consumption. The choice of fresh, digestible foods, such as rice congee, noodles, vegetables, fruit, etc., is as far as possible. At the same time, food should be chewed slowly and the air swallowed less.
3. Attention to drug use: In the treatment of drugs, the medication should be taken on time and in strict accordance with medical instructions, and there should be no self-reducing or withdrawal. Especially for PPI-type drugs, sudden stoppages can cause backsliding. The long-term use of PPI may have a number of adverse effects, such as osteoporosis, low magnesis, etc., which require regular monitoring of relevant indicators.
Symptoms monitoring and follow-up: Patients should closely follow their own symptoms during the treatment process, and should seek medical treatment in a timely manner if the symptoms are persistent, aggravated or new. In the case of diagnosed GERD patients, especially those with complications such as Barrett canteens, regular gastroscope reviews are required in order to detect early signs of progress and to adjust treatment programmes in a timely manner.
In short, retrofitting of the stomach cane is a preventable disease. Through accurate diagnosis, reasonable treatment and good self-management, most patients are able to effectively control symptoms, prevent complications and improve their quality of life. At the same time, as medical research continues, it is expected that more breakthroughs will be made in the future in the treatment of GERD, with better treatment for patients.
