This term is called a disease in which contents are thrown from the duodenum or stomach into the lower esophagus. It can be hydrochloric acid, bile, pepsin and pancreatic juice components. Otherwise, the pathology is simply called reflux disease. The mass that is thrown back is called the reflux. It can have different degrees of avodart pills depending on where the cast comes from. GERD in frequency of occurrence is compared with ulcerative and biliarymy disease. Causes of reflux.
If this mechanism of opening / closing of the sphincters is violated, gastric juice and other contents are thrown back. This is called reflux. As a result, the mucous membrane is damaged, erosion and ulcers can form on it, and sometimes even internal bleeding. The causes of GERD are as follows.
In addition to the specific reasons why gastroesophageal reflux disease of the stomach develops, aggressive factors are distinguished that increase the risk of its occurrence. Contribute to the appearance of this disease. Gastroreflux disease symptoms. Symptoms of reflux disease are divided into two large groups - esophageal and extraesophageal. In the first case, the symptoms are associated with the work of the gastrointestinal tract. Characteristic signs from the digestive system are divided into two more subgroups. Clinical (esophageal) symptoms resemble an upper gastrointestinal motility disorder.
Esophageal manifestations of reflux disease include the development of syndromes of dutasteride to the structure of the esophagus. Their list includes the following. Extraesophageal, or extraesophageal, manifestations are the result of the entry and irritating effect of the contents of the stomach into the respiratory tract, activation of the esophagocardial and echophagobronchial reflexes. In this case, gastroesophageal reflux disease is manifested by the following symptoms.
Otolaryngopharyngeal syndrome - the development of laryngitis, otitis, pharyngitis, reflex apnea, rhinitis. Pulmonary manifestations. They are a pulmonary syndrome with cough and shortness of breath that occurs when in a horizontal position. This also includes coronary pain. Feel behind the sternum, similar to symptoms during angina attacks, with coronary heart disease (CHD) and myocardial infarction. Against this background, there is an increase in heart rate, arrhythmia.
Reflux disease and GERD with esophagitis have a similar mechanism of development, but in the first disease, the contents of the stomach are simply thrown into the esophagus, and in the second, the mucous membrane of the latter becomes additionally inflamed because of this. Reflux causes a number of reactions in his area. Esophagitis is detected already after reflux disease, when the thrown contents cause damage to the esophageal mucosa. The resulting inflammatory processes are manifested by the following symptoms.
Gastroesophageal reflux in children. The development of gastroesophageal reflux disease in infants is considered normal. Anatomical and physiological features predispose to regurgitation, which are the main manifestation of pathology. The reason is not fully developed esophagus, small volume of the stomach and low acidity of gastric juice. The symptom of regurgitation disappears by the end of the first year of the baby's life. Other signs of the disease in infants.
The general classification of gastroesophageal reflux disease divides it into types depending on the presence or absence of signs of inflammation of the esophagus. Based on it, three forms of this pathology are described. Nonerosive reflux disease. It is noted more often than others, in about 70% of cases of gastroesophageal reflux. Pathology proceeds without manifestation of esophagitis.
Erosive and ulcerative. It is a gastroesophageal reflux disease complicated by stricture and ulcers. Barrett's esophagus. The disease is metaplasia of stratified squamous epithelium. The cause is esophagitis. Reflux disease of the esophagus can be of varying degrees. If inflammation of the mucosa has already occurred, then in terms of the volume of affected tissues, it can be.
In this case, there are separate areas of inflammation of the esophagus. The lesion does not affect more than two folds of the distal mucosa. Drain. The pathological process continues to spread, already covers a large surface due to the combination of several foci into continuous inflamed areas. Circular. Inflammation covers almost the surface of the esophagus from the inside, approximately 75%. Stenosing. It is characterized by a complete lesion of the mucosal surface, which is already accompanied by the development of peptic ulcers, bleeding and stricture.
To make a correct diagnosis, you need to visit a gastroenterologist. Additionally, the patient may need to consult other narrow specialists, such as an otolaryngologist, cardiologist, pulmonologist and surgeon. An appointment with the last doctor is necessary in case of ineffectiveness of medical treatment, diaphragmatic hernia and other complications. Methods for the differential diagnosis of gastroesophageal reflux disease include.
Treatment is aimed at the rapid elimination of the symptoms of the disease, the exclusion of its relapses and complications. According to the generally accepted scheme, therapy is carried out with antisecretory drugs, which include proton pump inhibitors and H2-histamine receptor blockers. Treatment involves the use of other drugs.