Some people with a weak stomach often experience acidity and heartburn. Acid reflux is caused by the reflux of acid in the stomach, mostly due to the high secretion of stomach acid. Heartburn, because the stomach acid reflux, the esophageal mucosa of the stimulation, resulting in a burning sensation behind the sternum often stomach acid reflux, acid reflux, heartburn people can be through the diet to improve the symptoms.

1, often eat alkaline food, such as: soda crackers, spinach, cabbage, black tea. To try not to eat acidic foods, such as: beans, vinegar and so on.

2, excessive stomach acid people, available ginger with Pu'er tea soup to drink boiled.

3, the diet should pay attention to the temperature is moderate, drink tea, soup and so on do not overheat. Note, also do not go to eat frozen food, drinks.

4, should not eat too much spice, spicy food. Diet should be light, do not greedy flavor heavy easy to stimulate gastric acid secretion. Such as: garlic, onions, citrus, tomatoes, etc. should not eat too much will stimulate the stomach.

5, should not drink alcohol, coffee. It is easy to lead to excessive gastric irritation and worsening of ulcers.

6. Diet needs to be regular, with smaller meals.

7. Don't eat before going to bed.

8, should not smoke after meals, can quit smoking better.

9, drink some baking soda, alkaline, can neutralize stomach acid, relieve heartburn. But total heartburn, it is not advisable to drink baking soda water, easy to lead to stomach bloating, nausea and other side effects.

10, eat some bananas it is a natural antacid, can produce mucus layer in the stomach wall has a protective effect. However, there are one percent of people with heartburn, the situation will be aggravated after consuming bananas, so, after eating bananas need to pay attention to the condition.

Well, as a gastroenterologist to answer that question:

This kind of question is still a good one for a gastroenterology specialist to answer.

The first thing to know is where does our stomach acid come from and where does it end up going?

Our stomach indicates that there are many types of epithelial cells, each with a different function, which can be commonly imagined as a cell phone assembly line factory, where each person has a different division of labor, but in the end, it is a cell phone that is assembled. Inside the stomach, each kind of cells gathered together, some cells are responsible for the production of "gastric acid", some production of "pepsin", some production of "mucus (a kind of gastric acid can be neutralized to protect the gastric mucous membrane of the very viscous liquid, washed). Pork belly people know that the surface of pork belly has a layer of very sticky liquid is this thing)", these cells produce a variety of gastric acid, pepsin and mucus secreted in combination with each other can we eat into the food to the initial digestion.

The stomach acid we secrete is neutralized by intestinal mucus in addition to digesting food and saving the excess into the small intestine. If too much stomach acid is secreted and refluxed into the esophagus it can lead to symptoms of acid reflux and heartburn.

So the stomach acid is from the stomach indicates the secretion of epithelial cells, according to the professional saying we stomach acid is our stomach "wall cell" secretion of the production of a variety of reasons can lead to an increase in gastric acid and thus produce the symptoms of heartburn acid reflux, the most common reasons are irregular meals, work stress, mental tension and anxiety, a meal is very full, another meal and almost no food, resulting in disorders of gastric acid secretion, sometimes more, sometimes less. The most common reasons are irregular meals, work stress, stress and anxiety, eating a lot of food at one time and hardly eating at another time, leading to disorders in the secretion of gastric acid, which is sometimes secreted more and sometimes less. It can be easily understood as a neuroendocrine hormone disorder of the gastrointestinal tract.

So here's the question: what should I do if I have a lot of stomach acid, acid reflux and heartburn all the time?

So if you have more stomach acid, acid reflux, heartburn, no appetite, indigestion and other symptoms in the short term, you should take a good look at their own recently there is no regular meals, there is no late night or lack of sleep, the work pressure will be too much, there is no mental tension and anxiety, etc. If these conditions, you can try to adjust the rhythm of life and work, self-regulation of tension and anxiety. If these circumstances, you can try to adjust the rhythm of life and work, self-regulation of tension and anxiety, light regular diet for a period of time to take good care of.

If good maintenance still feel too much stomach acid, it is best to go to do a gastroscopy to check the situation inside the stomach, the chemical formula of stomach acid is hydrochloric acid, if long-term gastric acid secretion will be too much gastroesophageal corrosion of the bad, long-term gastric acid is the most common gastric erosion and gastric ulcers and reflux esophagitis and other diseases occur. If it leads to gastric ulcers, then you need to take medication. If the medication with good maintenance is still not improved, it is recommended to go to the hospital to draw blood to check the level of hormones in the stomach, such as "pepsinogen, gastrin" and other hormones that affect the secretion of gastric acid is not elevated.

In short to maintain a good mood, reduce tension and anxiety, reduce work pressure appropriate more exercise is very important for people with gastrointestinal endocrine disorders.

If there are vacations out of the following will also play a good role in regulating gastrointestinal dysfunction.

In the end most everyone had a good time.

Clinical work often encounter patients tell stomach discomfort acid reflux, hiccups, heartburn, nausea, many people are tormented by the suffering, but the treatment effect is not too obvious. So what kind of performance is heartburn and acid reflux, what causes heartburn and acid reflux? And how to treat it clinically?

Heartburn and acid reflux are common symptoms of stomach disorders. Heartburn is a burning sensation behind the sternum or under the xiphoid process, located in the mid-abdomen exactly where our stomach is located. Acid reflux is the sensation of substances from the stomach rushing into the pharynx or mouth without exertion, caused by the presence of sour taste or acidic water. Symptoms of heartburn and acid reflux are usually caused by stomach or esophageal disorders such as gastroesophageal reflux disease (GERD) and acute gastritis. The main cause of GERD is gastroesophageal dysfunction, which is caused by common diseases such as pancreatic achalasia, hiatal hernia, high intra-abdominal pressure, increased intra-gastric pressure, and damage to the esophageal mucosal barrier, etc. The anti-reflux effect of the esophagus is weakened by the reflux of gastric acid, which leads to heartburn and acid reflux symptoms. At present, the most accurate way to diagnose this kind of disease is gastroscopy, and other indirect methods such as esophageal X-ray barium meal, esophageal manometry, and esophageal acid-base monitoring are all helpful for diagnosis.

Symptoms can be treated symptomatically to alleviate the symptoms, but the cause of the treatment is the most critical, after a clear diagnosis for the cause of the treatment. Common treatment methods include medication and surgery, generally based on medication, commonly used drugs are the following categories, to promote gastrointestinal power, such as domperidone, mosapride, etc. The main role is to promote gastrointestinal peristalsis, to promote gastrointestinal emptying to reduce gastric pressure to reduce reflux. Acid-suppressing drugs such as ranitidine are the mainstay of treatment for this type of disease and can rapidly control symptoms. Antacids are used only in mild cases with intermittent onset. Surgical treatment such as anti-reflux surgery may be an option when medication is ineffective, but there are usually certain complications that need to be carefully considered.

Such symptoms also need to go to the regular medical institutions to clarify the cause of the disease, for the cause of standardized treatment, do not believe in bioprescription, blindly use drugs to avoid delaying the condition.

Acid reflux and heartburn are common clinical symptoms of the digestive system. There are two main causes of acid reflux and heartburn symptoms: impaired contraction of the lower esophageal sphincter and overproduction of gastric acid.

Acid reflux and heartburn are typical symptoms of reflux esophagitis, and gastric ulcers and duodenal ulcers can also have symptoms of acid reflux and heartburn, so if it is a regular acid reflux and heartburn, the first thing you need to do is to identify the cause of the disease and diagnose the disease. Instead of simply taking omeprazole to relieve the symptoms one way or the other.

For acid reflux and heartburn caused by gastric ulcers and duodenal ulcers, formal anti-ulcer treatment is needed, which first requires the use of quadruple medication to eradicate Helicobacter pylori, and later on the corresponding oral omeprazole to inhibit gastric acid and heal the ulcers.

Regarding the quadruple combination of drugs, as Kirk has said many times, it is composed of antibiotics, proton pump inhibitors, and gastric mucosal protectors, and the common clinical regimens are.

Omeprazole + amoxicillin + clarithromycin + colloidal bismuth pectinate

Taking it for 1-2 weeks, as prescribed, will kill 90 percent of H. pylori bacteria.

Once H. pylori is killed, it will not cause overproduction of stomach acid, so the symptoms of acid reflux and heartburn will naturally improve.

For reflux esophagitis, in addition to inhibiting the secretion of gastric acid, it is also necessary to take drugs to promote gastrointestinal peristalsis, because the lower esophageal sphincter is impaired, and if you can't get the food in the stomach in a timely manner, to the intestines, it will cause reflux.

Therefore, patients with reflux esophagitis can take drugs such as Trimethoprim and Mosapride in addition to Omeprazole and Rabeprazole.

In addition to conventional medication, patients with acid reflux and heartburn, reflux esophagitis, peptic ulcer patients should also need to pay attention to is to maintain a good and healthy habits in their daily life and diet, to avoid foods that cause excessive secretion of gastric acid, such as chocolate, sweets, cakes, honey, yogurt, etc., and to avoid the intake of some high-fat foods.

These are the views of Xiao Ke, welcome your questions and additions, pay attention to Xiao Ke, to learn more about health knowledge.

(Ear Zhao Q&A 20180321) The so-called heartburn and acid reflux is medically known as gastroesophageal reflux disease (GERD), a disease that affects the esophagus, pharynx, and trachea, leading to a wide range of respiratory and digestive symptoms, with two specific treatments as follows.

1 Drug treatment There are two kinds of drugs for the treatment of gastroesophageal reflux disease (GERD), one is H2 receptor antagonists and proton pump inhibitors. The former has the strongest inhibitory effect on basic gastric acid secretion, but the body can be rapidly resistant to H2 receptor antagonists, which can be resistant to two weeks of continuous administration, while the latter proton pump inhibitors are currently the first choice of drugs for the treatment of GERD.

2 Anti-reflux surgery Laparoscopic fundoplication, as an alternative treatment option after the failure of proton pump inhibitor therapy, has a remarkable short- and medium-term therapeutic effect, with the vast majority of patients with gastroesophageal reflux disease showing significant improvement or disappearance of their symptoms within 3 to 5 years after the operation, and no need to continue taking medication after the operation, with a recurrence rate of no more than 15.0%. However, the long-term therapeutic effect of this treatment is not satisfactory, and more than half of the patients have recurrence of symptoms 10 years after the operation, requiring a second operation or continued use of medication.

Heartburn acid reflux is a problem in the stomach, medically known as gastroesophageal reflux syndrome, gastric contents reverse reflux into the esophagus, together with a large number of reflux into the esophagus of gastric acid, and gastric acid is a strong acid (PH0.9-1.8), can corrode the esophageal mucosa, the human body feels like it's on fire, and the symptoms of serious people can't lie down at night to sleep. Because of the anatomical location of the heart is located in front of the esophagus, so people think it is the heart in the burning, so called heartburn, in fact, it is the stomach out of the problem.

So, how to relieve it effectively? Here are some dietary and medicinal remedies to help.

I. Foods that can lower acidity

1. Raw peanuts (eaten with the red skin) Contain a large amount of protein and fat, which can alleviate gastric acid, and its fat-soluble components can lubricate the mucous membrane of the stomach from the corrosion of gastric acid.

2. Edible lye. Home kitchen will be prepared, when the emergency directly drink water can quickly relieve the symptoms of heartburn. But do not take a lot of it, not to mention can not be taken often, will destroy the normal PH of the stomach!

3. Dairy Milk, powdered milk, etc. A cup of milk can temporarily relieve symptoms of heartburn. Some people say that adding ground licorice to milk powder is more effective, and that you should stop using it as soon as the symptoms disappear. You can try

4. Carrot Alkaline food, chewing directly to take can be

5. Beans Soybeans are the best

II. If the condition requires medication, the following medications are available.

1. Proton pump inhibitor is the strongest class of drugs to inhibit gastric acid secretion, through the inhibition of the proton pump on the cells of the stomach wall to play the role of acid suppression. Representative drugs are omeprazole (20mg, oral, swallowed in the morning), pantoprazole (40mg, one capsule in the morning before meals), esomeprazole (20mg, once a day), lansoprazole (30mg, once a day, for 8 weeks), rabeprazole (10mg, once a day, for 8 weeks).

2. H2 receptor inhibitors can inhibit gastric acid secretion, representative of the drug ranitidine (150mg, 2/day), cimetidine (400mg, 2/day), early in the morning, before bedtime.

3. Antacids Alkaline, can neutralize stomach acid. Chewable Magnesium Aluminum Carbonate Tablets, Usage: 1-2 hours after meal, before bedtime or when stomach upset, chew 1-2 tablets 3-4 times a day; Aluminum Sulphate Tablets, Usage: 1g, three times a day; Compound Aluminum Hydroxide Tablets, Usage: Adults 2-4 tablets at a time, three times a day, chewed half an hour before meal or when stomachache attack.

4. Gastric stimulants Promote gastrointestinal peristalsis, so that gastric contents and gastric acid can be propelled to the intestines as soon as possible to reduce the irritation of the esophagus. For example, domperidone tablets, adults 10mg/dose, 3/day, 15-30 minutes before meals.

Clinical pharmacist advice:GERD patients should be light and easy to digest diet, prohibit spicy, high-fat food, eat more vegetables and other foods containing more fiber, avoid coffee and carbonated beverages (can cause reflux), prohibit smoking and alcohol. Do not eat 2-3 hours before bedtime. Excessive obesity should lose weight.

References.

Clinical Diagnostic Guidelines - Digestive Diseases fascicle

Personal opinion, for reference only, insufficient, please correct!

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

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The key points of taking care of your stomach are told to you here.

Why do you feel heartburn

When you feel heartburn, it is a phenomenon caused by damage to the mucous membrane of the stomach or even acid reflux into the esophagus.

Both gastritis and gastric ulcer symptoms are the result of stomach acid irritation.

Understanding Stomach Acid

Stomach acid has a pH of 2-3 when you eat, it is hydrochloric acid and is a strong acid. Why our stomach can digest food like meat and turn it into celiac disease is because of stomach acid, so you know how powerful it is.

Well, our stomachs are also made of meat, so how come the stomach acid didn't digest it? It's the protection of the gastric mucosa. When the gastric mucosa is damaged, it causes stomach acid to directly irritate the stomach lining, which leads to various conditions such as gastritis and gastric ulcers, and you get heartburn.

When the mucous layer of our stomach is constantly irritated by stomach acid, the above conditions occur, and if it gets to the point where gastric perforation is serious.

This is the cause of heartburn.

gastric acid reflux

In addition, in our stomach and esophagus where there is a valve called the spout, its purpose is to let the esophagus into the stomach through the food does not flow back, once into the stomach, the spout will be locked "closed", so that food will not flow back.

Otherwise no you're full as soon as you lay down the food literally goes down your throat.

The above is about the normal situation of the spout, not so when an abnormal situation arises and the spout is loose. While the vast majority of food is difficult to pour, liquids can be poured.

What kind of fluid is in the stomach? Stomach acid. Stomach acid is so acidic, once it backs up into the esophagus the damage to the esophagus can be imagined, there is no gastric mucosa in the esophagus to counteract the acid, it will constantly irritate your esophagus, and eventually form reflux esophagitis.

Did you know that stomach acid has a pH of 2? That's the same pH of the toilet bowl cleaner we commonly use, so you know how damaging it can be.

This also plays an important role in the development of esophageal cancer.

I'll have a chance to describe the whole process of esophageal cancer to you later, and it's quite shocking.

This will really make you feel more burnt out.

Ways to rule out heartburn symptoms

1, regular meals, because once the meal time, the stomach acid will begin to secrete, then the secretion of the strong acid, if you do not eat, direct stimulation of the stomach lining can occur gastritis, you said the heartburn will often occur.

If you're busy and can't eat at meal times, make sure you carry food with you and eat when you get there, when it's not primarily about supplementation, it's about preserving and saving your stomach, and you are in fact fighting the battle of preserving your stomach every day.

2, avoid eating pickled food. Nitrite in pickled food enters the stomach, it is easy to become nitrosamine, which is a confirmed carcinogen.

3. Quit smoking. What I wrote here is not to smoke less, but to quit smoking. Do not think that smoking has a big impact on the lungs, the stomach is also the hardest hit. Smoke through the esophagus into the stomach, the impact on the spout is great, easy to lead to spout edema loss of autonomy, smokers in the reflux esophagitis is a lot of people.

4, do not eat too greasy and too sweet food. The effect on the stomach should not be underestimated.

5, do not eat too much food, do not lie down immediately after eating, this will lead to the spout is open, stomach acid is easy to backflow.

Foods that reduce heartburn

1, food containing alkali. Carry half a steamed bread, steamed bread has alkali, heartburn, acid reflux, eat a little, immediate relief. Vegetables and fruits are often eaten. Yellow plants are spleen and stomach, such as millet, pineapple, sweet potato.

2. Eat more low-fat and low-sugar foods. This will reduce stomach acid secretion.

3. High protein food. Add raw materials to the stomach so that the repair of the gastric mucosa becomes better.

4, drink light tea. It can relieve heartburn and nourish the stomach, and black tea is especially mentioned here.

5, drink astragalus in water. It helps the stomach a lot.

Thanks for the invite! I am glad to answer your question! From your symptoms, you should often have heartburn and stomach acid symptoms. This symptom is due to the reflux of gastroduodenal contents into the esophagus, which causes inflammation of the esophagus, which is a typical gastroesophageal reflux symptom.

There are many causes of GERD, and the following is a brief overview of common causes:

• The first is the anti-reflux barrier destruction, the end of the esophagus has a group of circular muscles, thicker, the muscle contraction can close the lower end of the esophagus, diastole so that the lumen of the tube is open, usually often in a state of constriction, by the vegetative nerve innervation or hormone regulation. This sphincter is the lower esophageal sphincter, and its purpose is to allow food to enter the stomach and prevent reflux of gastroduodenal contents into the esophagus. GERD can occur when this muscle tissue is dysfunctional, and there are many causes of dysfunction, such as morphine, fats, alcohol, caffeine, and smoking, as well as food and other factors, and some medications. Women in pregnancy, oral progesterone-containing contraceptives and late menstrual cycle, plasma progesterone levels increase, that is, hormonal regulation, sphincter dysfunction, can also occur.
  
  
• The second is the decreased ability of the esophagus itself to clear acid. If the first line of defense does not prevent the gastroduodenal contents from entering the esophagus, the secondary peristalsis of the esophagus can empty almost all of the reflux when these contents enter; the small amount of acid remaining in the esophageal mucosal fossa can be neutralized by slightly alkaline saliva. Especially at night, the ability of the esophagus to clear itself is reduced, so that the symptoms of acidity and heartburn are more pronounced at night while sleeping.
• The weakening of the epithelial cell proliferation and repair capacity of the esophagus itself does not allow for timely repair of the esophageal epithelial and mucosal tissues.
• Acid reflux into the esophagus occurs when gastroduodenal dysfunction, abnormal gastric emptying, and duodenal reflux cause the pressure in the stomach to be higher than the lower esophageal sphincter can handle.

We basically know the cause of these symptoms, so treating the cause is sufficient. The aim of treatment is to reduce reflux and minimize the irritation and erosion of gastric secretions. Avoid eating before going to bed, elevate the head of the bed, avoid overeating, small meals, eat less sweets and high fat food, avoid tobacco and alcohol stimulation, avoid spicy stimulation, obese people should reduce weight, if it is clear that the lower gastric sphincter dysfunction caused by oral medication, it is best to consult your doctor, it is best to adjust the use of medication. Medications to promote gastric and esophageal emptying such as: morphine, cisapride and other drugs to reduce gastric acid such as omeprazole, lansoprazole and so on. Neutralize stomach acid, thus reducing the activity of pepsin, such as aluminum hydroxide gel and magnesium oxide.

Acid reflux and heartburn are the typical manifestations of GERD, the so-called gastroesophageal reflux disease (GERD) refers to the reflux of gastric contents including gastric acid and pepsin into the esophagus leading to damage to the esophageal mucous membrane of the disease, which usually occurs one hour after a meal, and can be triggered or aggravated by bending or lying down, and sometimes the patient will be choked up by refluxed gastric juice at night, which in the long run can cause pharyngitis and even aspiration pneumonia.

If people have the above symptoms, it is recommended to further consult the doctor for examination, on the one hand, to clarify the disease, and more importantly, to exclude other diseases, such as esophageal cancer. GERD is often combined with poor esophageal dynamics or poor contraction of the pancreatic sphincter, and the main means of examination include the following:

• Gastroscopy: Through gastroscopy we can see the inflammatory manifestations of the esophageal mucosa, and in severe cases there can be erosion and ulcer formation.
  

• 24-hour PH measurement: assesses the extent of acid reflux into the esophagus by measuring 24-hour intraesophageal PH.

• Esophageal manometry: This test is essential for etiologic diagnosis, assesses esophageal dynamics and pyloric sphincter contraction, and is sometimes even superior to gastroscopy for the diagnosis of GERD.

If GERD is identified through testing, then the next step is treatment of the disease, which consists of the following:

1. General treatment: dietary attention to raw, cold, hard, spicy, tobacco, alcohol, coffee, chocolate plus candy should eat less, these foods will make the cardia sphincter relaxation, aggravate the reflux; sleep with elevated pillows, the water flows to the lower part of the good to understand; weight loss: reduce the reflux by lowering the abdominal pressure; each time you eat do not eat too much full, 7 minutes of satiety can be.
   

2. Drug therapy: usually includes three categories: acid inhibitors: reduce the damage to the esophageal mucosa by reducing the secretion of gastric acid, commonly used drugs include omeprazole, rabeprazole, lansoprazole, etc.; mucosal protectants: promote the repair of the esophageal mucosa, commonly used drugs include Rehabilitación, Daxi, etc.; prokinetic drugs: promote peristalsis of the stomach and esophagus to reduce reflux, commonly used drugs include Itopride, Moxabryl, etc.

3. Surgery: If the symptoms are not well controlled by medication and recurring symptoms seriously affect your life, surgery is needed, usually fundoplication or hernia repair if combined with hiatal hernia.

I hope my answer helps, and if you have any questions, please feel free to ask!

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Dr赵

As a gastrointestinal surgeon, let me answer this question. Constant acid heartburn is a very typical symptom of gastroesophageal reflux.

Under normal circumstances, food enters the esophagus through the mouth, and the food passes through the esophagus quickly and then into the stomach. The food in the stomach cannot reflux into the esophagus because the place where the esophagus and stomach meet each other is called the cardia, and the muscle tissue of the cardia has an anti-reflux effect.

However, if the effect of the esophagus against reflux is weakened due to removal of the cardia by surgery of the esophagus or stomach, or for other reasons, the strongly acidic gastric juices inside the stomach will reflux into the esophagus, corroding the mucosa of the esophagus, resulting in inflammation, erosion, and bleeding. Patients suffer from heartburn, acid reflux, belching, flatulence and other uncomfortable symptoms. Especially on an empty stomach, at night when lying down to sleep.

Diagnosis and treatment

First of all, we have to make a clear diagnosis, we should do a gastroscopy to observe the condition of the esophagus and stomach, to rule out any tumor and other diseases, and then we can treat them with medication.

The following medications are availableFirst, acid suppressants, which inhibit the secretion of gastric acid, can quickly relieve symptoms, such as omeprazole, esomeprazole and so on. Secondly, mucosal protectants, mucosal protectants are applied on the surface of esophagus and gastric mucosa, which can protect the mucosa from damage. For example, potassium citrate, aluminum sulfate and so on. Third, gastrointestinal stimulants. Can increase gastrointestinal power, promote gastric emptying, prevent reflux. For example, mosapride, morpholine and so on. If the effect of these medications is not good, you can do anti-reflux surgery, which can effectively control GERD.

Precautions for normal lifeEat small, frequent meals, don't overeat, and when you have acid reflux, eat some alkaline soda crackers. When you sleep at night, put your pillow higher to prevent food reflux in your stomach.