2. There is obstruction, pause and pain behind the sternum when eating, and it is light and heavy, which often suggests that patients may have esophagitis, esophageal diverticulum or early esophageal cancer.
3. Postprandial pantothenic acid, heartburn, belching, and retrosternal pain (more obvious when lying down or leaning forward or abdominal pressure increases) should be considered.
4. Abdominal pain after meals, or nausea, vomiting, food retention, symptoms last for many years, often attack in autumn, pain can be rhythmic, such as catching cold, getting angry, or eating irritating food, which may be gastric ulcer.
5. I often have a stomachache 2 hours after a meal, or wake up in the middle of the night, which can be relieved after a meal, often accompanied by gastric acid reflux, and may have duodenal ulcer or inflammation.
6. After eating greasy food, people with swelling pain in the right upper abdomen and radiating to the right shoulder may suffer from cholecystitis or gallstones, especially those who like greasy food, are obese and don't eat breakfast.
So how to prevent gastrointestinal diseases and gastroesophageal reflux?
1. Three meals rule. Many young people like to finish without breakfast, or cope with two bites. In fact, this is the most harmful behavior Be sure to have breakfast on time! Have a good meal. For example, with rice porridge, porridge, milk and other digestible foods, it can effectively promote gastrointestinal digestion. It's important to chew slowly. Some people are used to wolfing down their meals, and they solve the problem of happy paradise meals in less than 5 minutes, which actually increases the burden on the stomach. At the same time, often eating supper, eating barbecue, drinking beer and other ways of self-satisfaction are the most harmful to the stomach! It's important to stop drinking, be less greasy and less spicy!
2. Keep exercising. Many people like to play mobile phones and watch TV after eating, which is very harmful to the stomach. It is recommended to sit quietly for two minutes after meals, and then choose slow exercise methods such as walking to promote gastrointestinal peristalsis. At the same time, it can increase the body's resistance!
If you find gastrointestinal discomfort, you must seek medical advice in time. Don't think that taking a painkiller is enough, but there is some truth in the saying that a minor illness is incurable and a serious illness comes to your door! At the same time, some people feel that their stomachs are uncomfortable, so they pick up the stomach medicine at home and take two pills casually, which is very wrong. Omeprazole is suitable for diseases such as gastric ulcer and reflux esophagitis, and Mosapride citrate tablets are suitable for diseases such as functional dyspepsia and gastroesophageal reflux. Don't take medicine indiscriminately, follow the doctor's advice and prescribe the right medicine.
Whether it's gastrointestinal diseases or gastroesophageal reflux, I suggest you go to the hospital for a professional routine examination this morning.
As the saying goes, "the disease enters from the mouth", whether it is gastrointestinal diseases or gastroesophageal diseases, most of them are caused by irregular diet, unhealthy diet and environmental factors. Therefore, there will be some digestive juice secretion disorder, which will lead to the destruction of the protective barrier of gastrointestinal tract and gastroesophageal mucosa, so some digestive juice or harmful substances will directly destroy the gastrointestinal mucosa or cause inflammatory reaction of esophageal mucosa.
First of all, the symptoms of gastrointestinal diseases are obvious. Gastropathy is mainly due to various factors leading to the imbalance of gastric gland secretion, which leads to the direct stimulation and destruction of gastric mucosa by some digestive juices such as gastric acid, causing symptoms such as gastric acid reflux, dull pain and discomfort in the stomach, loss of appetite, nausea and vomiting. Intestinal diseases are also caused by various factors, which lead to intestinal peristalsis and impaired digestion and absorption functions, and easily lead to constipation or diarrhea, abdominal pain and mucus purulent stool.
In addition to eating some irritating food, most of esophageal diseases directly destroy esophageal mucosa, and there will be dysfunction caused by esophageal dysplasia, symptoms such as gastric contents and gastric acid reflux to the esophagus caused by relaxation of sphincter at the lower end of esophagus, and excessive digestive juice in the stomach will also enter the esophagus, so the typical symptoms of esophageal diseases are acid reflux, heartburn behind the sternum, loss of appetite and so on.
Therefore, for gastrointestinal diseases or gastroesophageal diseases, once these similar symptoms appear, they should be treated in time to avoid further development of the disease.
People will always encounter reflux symptoms in their life, but this does not mean that they all suffer from gastroesophageal reflux disease. In clinic, patients' self-symptoms are often far from the actual severity of the disease.
For example, we often have nausea after a buffet. This is because people often eat and drink too much in the buffet, and the food in the stomach is overloaded, so they need more stomach acid to digest the food, so the stomach can't bear it, and the food and stomach acid push each other and rush out. However, this short experience cannot be the evidence of gastroesophageal reflux disease.
1. Gastroesophageal reflux
After eating, especially at night or in bed rest, acidic liquid or bitter water or food flows back from the stomach and esophagus to the pharynx or mouth, and even enters the nasal cavity, causing tingling. A few patients are accompanied by pain behind the sternum or at the heart socket, and sometimes the pain can radiate to the back and chest.
2. Burning sensation or pain behind the sternum
The burning sensation behind the sternum, called heartburn, is a typical symptom of gastroesophageal reflux disease, which is mostly located behind the sternum and under the xiphoid process (the highest point in the middle of the abdomen), especially after a full meal. Symptoms mostly occur after eating 1 hour, which can be induced by semi-lying position, body flexion, bending or strenuous exercise. It can disappear after taking antacids, but the food that is overheated and sour can be aggravated.
3. heartburn and pantothenic acid
It appears about 1 hour after meals, and it is more likely to appear when lying down or strenuous exercise after meals. Symptoms are relieved or disappeared when taking stomach medicines such as antacids, and the symptoms are obviously aggravated when eating overheated or acidic foods.
4. Swallowing pain and dysphagia
When you have severe esophagitis or esophageal ulcer, you can have swallowing pain, and you often have short-term pain when swallowing food. Sometimes reflux stimulation causes esophageal spasm, which can cause severe stabbing pain behind the sternum and radiate to the back, waist, shoulders and neck, similar to angina pectoris.
In the early stage, due to esophageal spasm or dysfunction, some patients may have intermittent dysphagia. When eating, they have a choking feeling behind the sternum and feel unable to swallow completely. The frequency of dysphagia caused by further development increased significantly, but the symptoms decreased. Later, when esophageal stenosis occurred, dysphagia continued to worsen and became permanent dysphagia.
By comparing the above four criteria, you can roughly judge whether you have gastroesophageal reflux disease. Of course, if you need to confirm the severity of the disease, you need to go to the hospital's gastroesophageal reflux specialist to do the corresponding examination and be responsible for your own health.
Gastroesophageal reflux is a gastrointestinal disease, and the symptoms of gastroesophageal reflux and gastrointestinal diseases are very different. Gastrointestinal diseases include many diseases, and the symptoms are often more complicated.
1. Abdominal pain
Abdominal pain is a typical symptom of gastrointestinal diseases. Inflammatory diseases that usually cause pain due to gastrointestinal diseases include peptic ulcer, appendicitis, inflammatory bowel disease and infectious enteritis. The most common causes of abdominal pain are irritable bowel syndrome and functional dyspepsia.
2. Burning sensation in the stomach
In 40% of the population, heartburn and burning sensation behind the sternum appear at least intermittently. Traditionally, heartburn is caused by gastroesophageal acid reflux. But it is also partly caused by the hypersensitivity of esophageal mucosal nerves.
3. Nausea and vomiting
Nausea and vomiting can be caused by gastrointestinal diseases, drugs, toxins, acute and chronic infections, endocrine abnormalities, vestibular and central nervous system diseases, and are most common in patients with irritable bowel syndrome and functional diseases of the upper digestive tract.
4. Changes in defecation habits
The change of defecation habit is a common complaint of patients with digestive tract diseases. Diarrhea, constipation, strenuous defecation, endless defecation, bloody stool, mucus stool, etc. The causes of constipation include obstruction, colonic motility disorder, drugs and so on. The causes of diarrhea include infection, inflammatory etiology, malabsorption and drug factors. Irritable bowel syndrome can be manifested as constipation, diarrhea or constipation-diarrhea alternation.
5. Gastrointestinal bleeding
The most common causes of upper gastrointestinal bleeding are ulcer, duodenitis and esophagitis. The most common causes of lower gastrointestinal bleeding include hemorrhoids, anal fissure and ischemic colitis. Other causes include tumor, inflammatory bowel disease, infectious colitis, drug-related colitis and other vascular diseases.
6. Other symptoms
Dysphagia, dysphagia and unexplained chest pain suggest esophageal diseases. Weight loss, anorexia and fatigue are nonspecific symptoms of tumor, inflammation, motility, pancreatic and small intestinal mucosa and mental diseases. Inflammatory diseases can cause fever, but malignant tumors can also have fever reactions. Gastrointestinal diseases can be accompanied by parenteral manifestations. Inflammatory bowel disease is related to liver and gallbladder dysfunction, skin and eye diseases, arthritis and so on.
Other systemic diseases can also affect the gastrointestinal tract. For example, some diseases can cause gastrointestinal ischemia, persistent abdominal pain or bleeding.
Compared with gastrointestinal diseases, gastroesophageal reflux disease is single and its symptoms are relatively simple.
Gastroesophageal reflux is caused by the relaxation of myocardium at the junction of esophagus and stomach, which leads to the reflux of stomach contents to esophagus and even oral cavity. Gastroesophageal reflux disease can be divided into three types: non-erosive reflux disease, reflux esophagitis and Barrett esophagus.
The symptoms of gastroesophageal reflux disease are mainly symptoms, which are divided into symptoms of esophagus itself and symptoms outside esophagus. The symptoms of esophagus itself are often heartburn, reflux, chest pain and so on. Symptoms outside the esophagus often cause symptoms of respiratory tract, nose, eyes and other parts, such as cough, asthma or recurrent pharyngitis.
In short, no matter what kind of disease, you should seek medical advice in time if you feel unwell.
I hope it helps you.
Dr. Ji, I have been suffering from low back pain, saying that it is gastroesophageal reflux, but the gastroscope I made last year only had a small piece of erosion, and there was no problem with my esophagus. My back has been uncomfortable, and it is even worse to talk too much. My stomach sometimes feels uncomfortable. After eating several boxes of Zhongxin, I still feel uncomfortable after drinking Chinese medicine for a while.
Gastroesophageal reflux disease (GERD) refers to the abnormal function of cardiac sphincter caused by many factors, which causes bile, pancreatic juice, gastric acid, pepsin and other digestive juices in gastroduodenal to flow back to esophagus, resulting in local and extraesophageal lesions. Such as reflux esophagitis, pharyngolaryngitis, bronchitis and asthma, and complications such as upper gastrointestinal bleeding and esophageal stenosis Barrett's esophagus. One of the most common is reflux esophagitis.
The diagnosis of reflux esophagitis mainly depends on typical symptoms and gastroscopy. For patients with typical symptoms of reflux and heartburn, they can be diagnosed as gastroesophageal reflux disease, and given proton pump inhibitors (such as omeprazole 20mg each time, twice a day, 7~ 14 days), the symptoms are obviously relieved, and the first diagnosis is gastroesophageal reflux disease.
Because gastroesophageal reflux disease is divided into reflux esophagitis and non-erosive reflux disease, the diagnosis methods are different. Diagnostic basis of reflux esophagitis: ① Reflux and/or heartburn symptoms; ② Reflux esophagitis can be seen under gastroscope. Diagnostic basis of non-erosive reflux disease: ① Reflux and/or heartburn symptoms; ② No esophageal lesions were found by gastroscopy; ③ 24-hour monitoring of esophageal pH showed that there was excessive acid-base reflux in esophagus; ④ Proton pump inhibitors are effective.
Gastroesophageal reflux disease needs to be differentiated from other esophageal diseases (such as infectious esophagitis, eosinophilic esophagitis, drug esophagitis, achalasia of cardia, esophageal cancer, etc.). ), peptic ulcer and biliary tract diseases. Symptoms of chest pain caused by gastroesophageal reflux disease should be differentiated from cardiogenic chest pain and non-cardiogenic chest pain caused by other reasons. Gastroesophageal reflux disease should also be distinguished from functional diseases such as functional heartburn and functional dyspepsia.
Generally speaking, when you usually have symptoms of "acid reflux and heartburn", accompanied by symptoms of retrosternal discomfort, or symptoms such as sore throat and intractable cough, you should be alert to the possibility of gastroesophageal reflux disease. The diagnosis can be made by experimental treatment with acid inhibitors or gastroscopy.
Thanks for reading!
1, gastroesophageal reflux disease after meals, especially at night or in bed rest, acidic liquid or bitter water or gastroesophageal reflux disease after meals, especially at night or in bed rest, acidic liquid or bitter water or food reflux from gastroesophagus into pharynx or mouth, even into nasal cavity, causing tingling. A few patients are accompanied by pain behind the sternum or at the heart socket, and sometimes the pain can radiate to the back and chest.
2, gastroesophageal reflux disease behind the sternum will be called "heartburn", which is a typical symptom of gastroesophageal reflux disease, mostly located behind the sternum, under the xiphoid process (the highest point in the middle of the abdomen), especially after meals, especially after a full meal. Symptoms generally appear around 1 hour after eating, and can disappear after taking acid inhibitors, while overheated and sour food will aggravate symptoms.
3. Swallowing pain may occur when gastroesophageal reflux disease occurs, and transient pain often occurs when swallowing food. Sometimes reflux stimulation causes esophageal spasm, which can cause severe stabbing pain behind the sternum and radiate to the back, waist, shoulders and neck, similar to angina pectoris.
Comparing the above three criteria, patients can roughly judge whether they have gastroesophageal reflux disease.
Look, listen, ask and look at your tongue.
I have gastrointestinal diseases and gastroesophageal reflux disease. At the beginning of the year, gastric ulcer, gastrointestinal polyp, esophagitis and other diseases were diagnosed. I just finished the operation in August, but I actually had symptoms before that, but I didn't know it was gastrointestinal disease. I have seen the doctor many times, but there is no one. The symptoms of this disease must be gastrointestinal discomfort, but the stomach is not particularly painful and the ribs on both sides are a little uncomfortable. I always like to take medicine and have loose bowels. The most important thing is that the back is sour and uncomfortable. The back is sealed against the middle shoulder blade. It's the size of a dollar coin, and it's always hemp and brittle. It's actually esophagitis. Esophagitis has been cured! This symptom has disappeared! This disease can easily mislead yourself and doctors. Have you seen orthopedics, chest X-ray, etc? Before? Nothing was found. There is also the position of the back lungs, and there is always a feeling of numbness. In fact, it is the disease of gastric ulcer and gastrointestinal polyps. After taking medicine, these symptoms are gone!