What is Gastroesophageal Reflux? Diagnosis and Treatment

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Gastroesophageal reflux disease (GERD); It occurs when stomach acid or stomach contents back up into the esophagus.

Gastroesophageal Reflux Disease

Gastroözofageal ReflüGERD Gastroesophageal Reflux Symptoms:

  • Burning sensation in chest
  • Chest pain
  • Difficulty swallowing
  • Dry cough
  • Sore throat or hoarseness
  • Feeling of having a mass in your throat
  • Food or sour liquid coming into the mouth

What Are The Causes Of Gastroesophageal Reflux Disease?

Loss of function of the muscle mass at the lower end of the esophagus, which prevents food from escaping from the stomach to the esophagus.

Gastroesophageal Reflux Disease Risk Factors

  • Obesity
  • Pregnancy
  • Cigaret
  • Dry mouth
  • Diaphragm of the stomach into your muscle
  • Correct herniation asthma disease
  • Diabetes
  • Delayed emptying of the stomach into the intestine
  • Connective tissue diseases (scleroderma)

 

What Are The Complications Of Gastroesophageal Reflux Disease?

  • Narrowing of the esophagus
  • Esophageal ulcer
  • Cancer in the esophagus
  • Precursor changes (Barrett’s esophagus)

DIAGNOSTIC METHODS:

Ph meter: It measures the amount of acid that has escaped into the esophagus for 24 hours.
gastroscopy
Manometry: used to measure the movements of the esophagus.

How Is Gastroesophageal Reflux Disease Treated?

  • Antacids: Neutralize stomach acid. ( Gaviscon, Rennie, Antepsin…)
  • H2 receptor blockers: They reduce acid production. ( famotidine, ranitidine…)
  • Proton pump inhibitors: Stops acid production and allows the esophagus to heal. (lansoprazole, omeprazole, pantaprazole, rabeprazole, esomeprazole)
  • Nissen fundoplication surgery: The muscle mass at the lower end of the esophagus is tightened with surgery, preventing the escape of stomach contents into the esophagus.
    The Links ring is attached to the junction of the esophagus and the stomach, making the muscle mass firmer.

 

Recommended Lifestyle Changes

  • Lose weight
  • Avoiding dressing tight
  • Avoiding trigger foods and drinks; fatty and fried foods, tomatoes, alcohol, chocolate, mint, garlic, onions and caffeine.
  • Avoiding foods that the person knows to trigger their own reflux.
  • Do not eat too much at one meal, eat little during the day.
  • Lying down or sleeping for at least 3 hours after eating.
  • Raise the head of the bed.
  • Not smoking

 

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