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It is recommended to sleep on a bed with a headboard raised by 15 centimeters, smoking cessation. It is necessary to avoid prolonged work in an inclined state, heavy physical exertion. Drugs that negatively affect esophageal motility (nitrates, anticholinergics, beta-blockers, progesterone, antidepressants, calcium channel blockers), as well as non-steroidal anti-inflammatory drugs that are toxic to the mucous membrane of the organ, are contraindicated.

Drug treatment of gastroesophageal reflux disease is carried out by a gastroenterologist. Therapy takes from 5 to 8 weeks (sometimes the course of treatment reaches a duration of up to 26 weeks), is carried out using the following groups of drugs. antacids (aluminum phosphate, aluminum hydroxide, magnesium carbonate, magnesium oxide), H2-histamine blockers (ranitidine, famotidine), proton pump inhibitors (omeprazole, rebeprazole, esomeprazole). In cases where conservative therapy for GERD does not work (about 5-10% of cases), with the development of complications or diaphragmatic hernia, surgical treatment is performed. The following surgical interventions are used.

Drug treatment of gastroesophageal reflux disease is carried out by a gastroenterologist. Therapy takes from 5 to 8 weeks (sometimes the course of treatment reaches a duration of up to 26 weeks), is carried out using the following groups of drugs. antacids (aluminum phosphate, aluminum hydroxide, magnesium carbonate, magnesium oxide), H2-histamine blockers (ranitidine, famotidine), proton pump inhibitors (omeprazole, rebeprazole, esomeprazole). In cases where conservative therapy for GERD does not work (about 5-10% of cases), with the development of complications or diaphragmatic hernia, surgical treatment is performed. The following surgical interventions are used.

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endoscopic plication of the gastroesophageal junction (sutures are placed on the cardia), radiofrequency ablation of the esophagus (damage to the muscular layer of the cardia and gastroesophageal junction, in order to scar and reduce reflux), gastrocardiopexy and laparoscopic Nissen fundoplication.

Prevention of the development of GERD is the maintenance of micardis pills lifestyle with the exclusion of risk factors that contribute to the onset of the disease (smoking cessation, alcohol abuse, fatty and spicy foods, overeating, weight lifting, prolonged inclination, etc.). Timely measures are recommended to identify violations of the motility of the upper digestive tract and treatment of diaphragmatic hernia. PWith timely identification and adherence to lifestyle recommendations (non-drug measures for the treatment of GERD), the outcome is favorable. In the case of a prolonged, often recurrent course with regular refluxes, the development of complications, and the formation of Barrett's esophagus, the prognosis worsens markedly.

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The 20th century is the century of stomach ulcers, and the 21st century is gastroesophageal reflux disease, or GERD. This medical term has a number of symptomatic signs, the main of which is heartburn. The concept of gastroesophageal reflux disease symptoms, the causes and treatment of which are associated with a disease that develops as a result of the formation of the reflux of any stomach contents into the esophagus, entered gastroenterology a little over ten years ago, and today represents the most urgent clinical problem of the esophagogastric canal. How does food travel through the esophagus?

Gastroesophageal reflux disease. symptoms, causes and treatment features.

If you ate a fragrant slice of pizza, and then felt an unpleasant burning sensation in the stomach, heartburn and discomfort in the esophagus, then it is likely that the symptoms of micardis (gastroesophageal reflux disease) make themselves felt. To understand what causes heartburn and other pain symptoms, you need to trace the path of this pizza.

As soon as a person has bitten off and chewed a slice of pizza, it immediately enters the esophagus. It is from this organ of the digestive system that the transit of food that we have consumed begins. Where the esophagus flows into the stomach, there is a special valve - the lower sphincter, which serves as a kind of restrictive door between the esophagus and the stomach, which opens for the passage of food, and closes after food enters the stomach.

When food is in the stomach, its muscles begin to work intensively - contract, relax and mix. At the same time, the pressure inside the stomach rises, and if the sphincter is not tightly closed, then part of the food is automatically sent to the floor above. As a rule, this happens to those who like to eat tightly, however, the stomach is not rubber, and it is not able to accommodate a large amount of food consumed. Therefore, he tries to return the excess food back.