Reflux Treatment

What Causes Reflux?

Today, reflux is generally treated with medication. In a small proportion of patients, medication does not work and the patient is required to undergo surgery. If reflux disease is not medically treated or surgically treated, then there is a possibility for the patient to develop the Barrett's disease in the esophagus in the long-term, as well as the esophagus cancer.

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The medication usually act through the secretion of the stomach acid. In addition, a drug that strengthens the clamping effect between the stomach and the esophagus can be added to the prescription.

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A six week treatment is often enough at the beginning. However, it should be known that reflux can repeat even after getting healed. It is often wrong to comment on the success of treatment for reflux disease unless the treatment is applied for six weeks.

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The basic principle of the reflux diet is to start with low-fat foods. Another important precaution is not to consume much tomatoes. It should also be known that chocolate, foods that contain acid, dark coffee and carbonated yeast pastries will increase reflux.

Stopping or reducing the use of any kind of tobacco products is crucial. Nicotine weakens the lower esophagus muscle. Avoid chewing gum and sugar as well. Because they result in a flow of acid towards the esophagus and they increase the amount of air ingested.

It is a treatment method developed for patients who neither want to use medication nor undergo surgery. As it is the case in endoscopy, the mouth is accessed and the area between the stomach and the esophagus, where the reflux is located, is narrowed down. The procedure lasts about an hour and the patient is then kept under observation at the hospital for about 1 day.

Patients, whose reflux could not be treat by other means undergo surgery. In the surgical treatment, the upper part of the stomach is completely or partially wrapped around the esophagus. The name of this operation is fundoplication surgery.

What Causes Reflux?

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The reflux is caused by the flow of the stomach acid or the gastric acid in the reverse direction towards the esophagus, which connects the throat and the stomach. As the sphinder that opens at a time, when it should be closed, the stomach acid climbs up causing a lot of problems and the complaints associated with it, such as stomach ache, stomach and heartburn, flow of sore and bitter water to the mouth, which are accompanied by a burning sensation in the chest.

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Indications and Diagnosis of Reflux

You should consider the possibility that you have reflux if you are coughing or if you wake up feeling strangled or if you feel burning and an unsteady pain in your chest, which feels like stabbed with a knife, after a tight oily meal that you have at lunch.

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Heartburn is a familiar symptom for the most of us, but we may need to describe the reflux in more detail.

Chest pain, the feeling that what you eat gets accumulated in your chest, feeling of the need to clean your throat, coming of what you eat back into your mouth, congestion, chokes, sore throat, hiccups, coughing and difficulty in swallowing are all among the symptoms of reflux.

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Factors Leading to Reflux

  • Genetic factors can cause reflux.

  • There is a loose lid between the esophagus and the stomach, which allows the food to move downwards only. The deterioration of this valve mechanism is a factor.

  • Some of the stomach along with the valve of the esophagus shift into the chest cavity in people those have stomach hernia problem. In this case, the valve mechanism is distorted and with the effect of the pressure in the chest cavity, gastric acid escapes from the esophagus in the upward direction. Thus, another factor is the stomach hernia.

  • Life style and environmental factors cause reflux. Using alcohol and cigarettes, consuming gaseous and caffeinated beverages with much sodium, eating too much at meals, using medication randomly, being overweight are among other factors of reflux.

 

Reflux Treatment

Reflux Treatment

Gastroesophageal reflux is the pathologic recurrence of stomach contents (asidein) from the stomach to the esophagus (the food tube). Patients may present with a heartburn complaint behind the rib cage. The reflux is sometimes accompanied by the food behind the food pipe, as well as the food of the mouth and the bitter water. Reflux often happens after meals. Gastroesophageal reflux disease is a common disease in our country as it is all over the world. In a study conducted in our country, reflux disease was found in 20% of the population.

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What İs Reflux İndication?

The meal from the stomach to the throat that occurs after spreading and burning, the most common symptom of reflux. Of gastric contents in the mouth, difficulty in swallowing, other acid reflux symptoms that can be seen are considered important. Painful swallowing, belching, hiccups, nausea and vomiting, occur more rarely. Reflux, the esophagus, the stomach and intestinal system can cause symptoms outside of the system. Reflux cough, hoarse voice, sore tooth decay and can cause to bees.

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How İs Reflux Treatment?

The most important point in reflux treatment is to make changes in lifestyle. Many people are able to control reflux by modifying their lifestyle or by medication, while some patients require surgery. The first stage of reflux treatment is usually with drugs that suppress gastric acid and changes in lifestyle. Obesity increases intra-abdominal pressure and exacerbates reflux with pressure. So the patient; You should get rid of the excess weight, leave the cigarette, do not wear narrow clothes, eat fatty foods or fries, tomato slices, alcohol, chocolates, nana, onion and garlic. The importance of reflux tests in reflux treatment is also very important. Your doctor (gastroenterololoundun) may need a series of tests to determine if the symptoms are actually caused by reflux and whether the complications are developing when you are diagnosed with reflux.

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Today, reflux surgery is widely performed effectively. In those cases where the use of reflux medicines does not work; Reflux surgery may be preferred in the presence of advanced stomach cancers with reflux. The most commonly performed reflux surgery is nissen fundoplication, in which the lid system is strengthened where the food borrows meet. In the meantime, the stomach stomach is also repaired. Nissen fundoplication As the gold standard, laparoscopic (closed), reflux is the most effective surgery.