2023-05-31 05:11:27
64-year-old Ms. Zhan had heartburn, mightn’t sleep, and her throat was stuck. She sought medical treatment everywhere. After gastroscopy, she took strong antacids, but it didn’t improve. False reflux, the problem is autonomic nervous disorder and flatulence, so there is no need to take antacids for a long time. Dr. Xiao Wangde, a gastroenterologist, said that patients with gastroesophageal reflux who have not been relieved following taking medicine for 8 weeks can improve 90% of the time if they receive 24-hour dynamic pH monitoring to find out the key point and then take medicine.
Xiao Wangde, a gastroenterologist at China Affiliated Hospital, said that the prevalence of gastroesophageal reflux has increased from less than 10% thirty years ago to regarding 30% to 40% now. The reason for the surge is related to Westernized eating habits and stressful life. Typical symptoms include : Acid overflow, heartburn, chest tightness, chest pain, hiccups, nausea, vomiting, upper abdominal pain, pain or difficulty swallowing, etc., and some extraesophageal symptoms, such as sore throat, foreign body sensation in the throat, ear pain, cough, breathing Shortness of breath, etc. may be related to gastroesophageal reflux. Predilection age, between the ages of 50 and 59, and those who have just entered the society, the rate of women suffering from the disease is regarding twice as high as that of men. Clinically, regarding 40% of the patients have no obvious mucosal damage under gastroscopy, and the symptoms have not improved significantly following drug treatment. Stress Test” to help provide a more accurate assessment of the patient and monitor changes in the esophagus.
The doctor gave an example. Mr. Xie, 40 years old, is an office worker in the financial industry. He has long-term work pressure and often eats following returning home in the middle of the night. After a long period of time, he feels heartburn. Heartburn, especially in the middle of the night, often awakened by heartburn, accompanied by a dry cough, unable to fall asleep once more, and unable to work the next day due to lack of energy, causing Mr. Xie to be nervous, irritable, and even suicidal thoughts. Under multiple tortures, he was introduced to the China Affiliated Hospital and underwent 24-hour “dynamic pH monitoring”. A 0.2 cm small catheter was inserted through the nasal cavity near the esophagus and stomach, and the catheter was connected to an ambulatory recorder. The inspection found that Mr. Xie was particularly sensitive at night. When lying down, the acid reflux was very serious. After changing the time of taking antacids, changing the content of dinner, and quitting the habit of eating late at night, the symptoms of heartburn at night improved significantly.
In addition, 64-year-old Ms. Zhan suffered from heartburn, might not sleep, and had a stuck throat. She sought medical treatment everywhere. After gastroscopy, she took strong antacids, but did not improve. Unlike Mr. Xie who can find obvious acid reflux, because the burning sensation in the upper abdomen is very obvious, he decided to undergo 96 hours of wireless pH monitoring. Only then did he find out that it was false reflux. The problem was autonomic nervous disorder and flatulence. Acids, and subsequent referral to other outpatient treatments, also resulted in some relief of heartburn symptoms.
Dr. Xiao Wangde, a gastroenterologist, said that for gastroesophageal reflux patients who have not been relieved following taking medicine for 8 weeks, it is recommended to do 24-hour dynamic pH monitoring to find out the key point and then take medicine. More than 90% of them can improve. Because stomach acid can help digestion, if you take drugs that suppress stomach acid for a long time, it may affect calcium absorption. If it is not acid reflux, it is recommended not to take antacid drugs all the time, which can also prevent osteoporosis in the elderly. (Reported by Kou Shijing)
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