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show full textA heartburn, caused by the gastroesophageal reflux disease, ranks the third in terms of popularity among the diseases of the digestive organs after the ulcer and gallstone diseases. The reflux disease or reflux esophagitis is the periodically repeating episodes of reflux of the acidic stomach contents in the esophagus that results in damaging the lower sections of the esophagus.
The main cause for appearance of the heartburn (gastroesophageal reflux disease) is the excessive impact of hydrochloric acid on the walls of the esophagus. It happens due to disturbance in functioning of the lower esophageal sphincter, the function of which is to regulate the passing of food from the esophagus to stomach.
The other causes for appearance of GERD are:
The reflux is quite often developed among overweight people, smokers and alcohol abusers. The factors, which contribute to the development of the disease, also include stresses, consumption of spicy and fatty food and intake of certain medications.
The main symptoms of GERD are:
The different diagnostic examinations are performed for detecting the process of reflux of stomach content into the esophagus. The endoscopic examination makes it possible to confirm the presence of reflux and assess the degree of the mucosa. The 24 hour pH-metry of the esophagus is performed for determining the frequency, duration and degree of intensity of reflux. With suspicion of Barret esophagus, the esophagus biopsy and the histological examination are performed, as it is possible to diagnose the epithelial degeneration only through such method. The treatment of GERD can be administered by the conservative or surgical method.
The medication treatment of the heartburn consists of the intake of the following medications:
The intake of ursodeoxyfolicacid is prescribed in case of reflux of the content of the duodenum. The patients are strongly recommended giving up smoking (in case, if there is such a habit), fully stopping drinking alcohol, and in case of obesity – losing weight. It is not recommended bending forward and lying after eating. It is forbidden to wear tight clothes, leading to the increase of intraabdominal pressure, overeat and eat before going to bed. You should also exclude the fatty and spicy food, strong coffee and black tea, sparkling drinks, chocolate and citruses from your diet. The surgical methods of treatment are applied in case of presence of the pronounced narrowing of the lumen of the esophagus as well as in case of heavy bleedings.
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The treatment in the Gastroenterology Department of Oxford Medical is
Sribnokilskaya street, 20;
st. Mikhaila Grishka, 1;
department: Gastroenterology
department: Gastroenterology
department: Gastroenterology
department: Gastroenterology
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