Internal Medicine


What is Acid Reflux Disease

Gastroesophageal reflux disease WHAT?
        Stomach contents (acid) from the esophagus to the stomach, pathological form (the esophagus) are right back escape gastroesophageal reflux. Patients burning sensation of the chest (heartburn) may present with complaints. Sometimes food to burn as well as the back of the mouth and esophagus may also brackish water. Esophageal reflux often occurs after meals.
        Gastroesophageal reflux disease are common in our country as well as all over the world. Gastroesophageal reflux in 20% of the population was found in a study of the disease in our country.
       
REASONS FOR WHAT?
        Symptoms of gastroesophageal reflux disease (data of) a long time of origin of the esophagus, stomach, large amounts of acidic or contact with the content. Prolonged contact with the acidic contents of the stomach into the esophagus leads to damage to the esophagus, which causes burning sensation. Normally, the lower esophageal sphincter at the lower end of said esophagus, muscle flap was formed, and a structure like. Preventing the escape of acid reflux into the esophagus This structure keeps the inside of the stomach. In this sphincter relaxes reflux disease frequently and acidic stomach contents back into the esophagus escapes.
       
TANITA TESTS WHICH USED?
        Your doctor (your gastroenteroloğu) in the diagnosis of reflux symptoms that arise when being really originating from reflux, you may need to run some tests to understand the complications improves.
        1. Barium X-ray of the esophagus stomach duodenum: the patient's drinking barium fluoroscopy radiologist is a test that viewed travel barium down the esophagus and the stomach.
        2- Gasroskop of: a flexible tüptür.b of the mouth and esophagus into the stomach, esophagus, while advancing the endoscope tube with the light at the end can be examined. Patients sedated by this process is performed
        3. Esophageal manometry and pH meter: Nose sent from very thin flexible tube into the stomach from the esophagus where the pressure and measured the amount of acid that comes up.
       
What are KOPMLİKASYON?
        If reflux is not treated may present with severe complications. For example, in the esophagus stricture, bleeding and precancerous mucosa (pre-cancerous) changes to a team (Barrett's esophagus) causing symptoms should alert your doctor olabilir.siz and are as follows:
        1- swallowing difficulties (dysphagia)
        2. bleeding
        3- choking sensation, cough, hoarseness
        4- Weight loss
       
WHAT IS THE PURPOSE OF TREATMENT?
        1. To remove the obvious symptoms
        2- inflammation of the esophagus (esophagitis) to treat.
        3- To prevent the development of esophagitis recurrence or complications.
        Many patients with chronic gastroesophageal reflux disease is intended to reduce the amount of acid from the stomach to the esophagus with the repetitive hastalıktır.tedav.
       
GASROÖZEFAGEAL REFLUX HOW TREATED?
        The acid coming up from many patients, can be controlled with lifestyle changes and medication.
       
LIFESTYLE CHANGES WHAT?
        1 Smoking should be left. Damage the protective mechanisms that stabilize the tobacco acid. Stimulating acid production and leads to the relaxation of the muscles from the stomach into the esophagus leading to acid reflux.
        2- Gas and acidic drinks should be avoided.
        3. Alcohol, chocolate, caffeine, coffee, tea, oil, increasing the acid foods should be avoided like spicy food and tomato. Weight are recommended. Food should be terminated at least 3 hours before bedtime. The removal of the head end of the bed will prevent acid reflux overnight. Tight belts and clothing should be avoided.
       
WHAT MEDICAL DRUG TREATMENT with?
        Has an organic cause of gastroesophageal reflux disease. In general, only medical treatment with lifestyle changes is a very important place in the irrepressible gastroesophageal reflux disease. Preserving the esophagus located antacid group of drugs in medical treatment and help by pressing the treatment of gastric acidity. Taken with the recommendations of your doctor. That suppress stomach acid, called H2 blockers and proton pump inhibitors should be used in doses of medications that your doctor predicted. Symptoms of gastroesophageal reflux disease in most patients, the medical treatment can be prevented. These drugs facilitate passage down the esophagus as well as gastric acid prokinetic drugs may also take place in therapy.
       Surgery may be a treatment option?
        If you do not pass the complaints of patients with medical treatment or bleeding, Barrett, surgical techniques can be utilized if you have complications such as stricture. Surgical techniques are correct natural barrier between the esophagus that prevents acid reflux and stomach.

 

REFLUX DISEASE

Reflux What does it mean: Gastric acid is coming to an abnormal way and throat Taking up the esophagus. Normally, the muscles located between the esophagus and the stomach does not allow to escape up of acid secretion. However, in some diseases that can escape. If this acid comes up into the esophagus, gastroesophageal reflux leakage (GER), if it comes up to the throat laryngopharyngeal reflux (LPR) is called. Reflux is a very common condition. This is sometimes due to the doctor, sometimes a lot of patients to stay on the forefront of thinking about this disease.

Causes of Acid Reflux: Acid Reflux There are some factors that facilitate the formation. These can be considered as follows:

Between the esophagus and in-mediated relaxation of the muscles of his cap
Hernia in -Mia
-Şişmanlık
Your stomach acid secretion over
Slowing the passage of food from your stomach into the intestine
The cigarette and alcohol use
-More Ingestion of fatty foods
Your stomach is sent at a time of extreme food
-Sırt To lie

What kind Complaints are to: In patients with reflux, sometimes not at all a complaint. However, according to the severity of reflux can irritate the patient too much. If only escape into the esophagus, burning in the chest, digestive disorders, hiccups, and sometimes make false complaints such as heart pain. If acid secretion is rising up to the throat tickling in the throat, foreign body sensation, chronic cough, hoarse voice makes such complaints. Constant throat clearing reflexes may occur in patients due to the tickling. Straits when the complaints related to the esophagus and stomach does not necessarily have to be with their complaints. Reflux can only manifest itself with complaints about the BBB. Because it is more sensitive than the pharynx and esophagus, larynx acid secretion.

What is seen in the examination: a very typical findings in the examination of patients with laryngopharyngeal reflux is not visible. At the rear of the most striking findings are redness and irritation of the vocal cords. Other than that, the findings may not be visible.

How Diagnostic Plot: In the diagnosis of reflux disease patients, they tell us the most important factor. The patient is thought to be reflux according to the complaint. Especially the rear redness and irritation of the vocal cords examination that strengthens the diagnosis of reflux. Some tests done to prove Reflux:

-The Pipe to the 24 Hours of acid (pH) Determination of the acid in the esophagus is a tube inserted through the nose determination is made.
-Endoskopik Examination: oral entering the esophagus and stomach damage caused by excess acid is investigated by making the examination
-İlaçl Film Set: Patients withdrawn drug swallowing movies and structural abnormalities in the esophagus or stomach (such as a stomach hernia) is determined.
Usually contented with the patient's complaints and physical examination for diagnosis. Can not always be applied to laboratory

How is it treated: There are 3 options in the treatment of GERD: what to pay attention to the patient, medication and surgery. Should pay attention to patients with reflux disease include:

-Sırt Or head to bed later than usual so as to be above or
To eat to fill your stomach so much
-To Bed without tea contains the previous three hours, coffee, alcohol, to get nutrients such as cola drinks and chocolate
Leave -Sigara
-The Right to eat and to sleep
To the excess weight
To take drugs that increase the acid-mediated (especially aspirin and some pain medications)
-DR To wear pants or skirts
When -Boğaz to work in despicable felt constantly cleaning, drinking water or swallowing of troubleshooting

To prevent damage to the decrease in acid secretion or acid reflux disease drugs. The most commonly used drugs are drugs called proton pump inhibitors. At least 6 weeks, these drugs sometimes used for months. Your doctor will adjust the dose of these drugs and the time for you.

Sometimes surgery is done for reflux. This applies to most stomach hernia. Sometimes the results can not be received at the time of surgery with medication applied to strengthen the muscles between the esophagus and stomach.