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Friday, December 28, 2012

The causes, symptoms and treatment of Esophageal reflux

The causes, symptoms and treatment of Esophageal reflux
About 20-40% of people infected with esophageal disease apostasy is a very common disease incidence has increased over the past years and rebound reflux occurs equally in both sexes either inflammation of the esophagus caused by esophageal rebound occurs in males twice as females that rebound reflux occurs in all ages and increases incidence after the age of forty.

Complications of esophageal rebound and remedies:
Echo esophageal In fact, the structure is more important in the protection of a rebound esophageal layer is muscle at the bottom of the esophagus when it is connected stomach called bent lower esophagus where open after swallowing so that food from entering the stomach and closes immediately afterward to prevent any rebound of the stomach contents, including acid to esophagus and maintain the status of the closure until swallowing again.
Clinical symptoms may resemble with several diseases:
Heartburn feeling heartburn behind the breastbone and this happens sense rebound acid gastro which increase the quantity after meals and in the supine position dysphagia and swallowing painful and Altghu either demonstrations outside the esophagus which symptoms that occur in areas outside the esophagus and notes a lot and most of these symptoms chest pain unexplained where he will attend patients to clinics heart disease after suffering from chest pain and suspected diseases ischemic cardiovascular of angina and myocardial infarction, but after conducting all tests indicated the absence of any signs of that, and here is suspected rebound esophageal كمسبب for chest pain and there demonstrations pulmonary There are many diseases pulmonary may appear due to the presence of esophageal rebound and the most important of bronchial asthma chronic bronchitis and pneumonia inhalation and sleep apnea lung atelectasis, pulmonary fibrosis and demonstrations ears.
May review patients specialist ear, nose and throat after complaining of a symptom following cough and sore throat and hoarseness and chronic sinusitis and pharyngitis back and feeling of a foreign body in the throat diagnosis medical history is very important in the diagnosis of rebound reflux and there are questions of importance diagnostic high leveled a doctor to a patient, a Do you suffer from a sense of unease spread to top retrosternal Will accompanies this heartburn highest sense abdomen and whether the use of antacids relieve these symptoms occurred symptoms for more than 4 days in the past week has been found that 85% of the patients answer yes to all questions
The resort doctor for scans radial and mean here meal Albaritih They are useful in patients who suffer from dysphagia, where can you explain the whereabouts of stenosis that found as can be inferred the existence and form of diaphragmatic hernia, for if accompanied in many cases being of the patient endoscopy upper gastrointestinal endoscopic where be sure there is an inflammation of the esophagus and determine the degree of inflammation and the possibility of the presence of Barrett's disease and denies the existence of other diseases with similar symptoms such as hand peptic ulcers and in more than half of the patients have normal endoscopy despite the existence of apostasy.
It tests might resorted to doctor control acid secretion gastric for 24 hours and is indicated conduct this examination in patients with endoscopy natural and suffer from symptoms of apostasy esophageal not Aostagibo for treatment or who complain of pain was non-specific and manifestations outside the esophagus asthma hoarseness chronic cough as well as in patients with endoscopy patients nor Aostagibo for treatment or patients who Sakhaddawa surgical treatment differential diagnosis can be misdiagnosed rebound esophageal lot of diseases that are similar with the clinical picture among them gastritis esophagitis microbial esophagitis medicines peptic ulcer dyspepsia disease biliary coronary artery disease cardiac disorders motor esophagus.
Complications:
May be associated recoil esophageal many complications, including stenosis and disease Barrett Cancer glandular esophageal treatment intended treatment to patient convenience of symptoms and healing esophagitis addition to avoid complications and first and foremost step in the treatment of inflammation of the esophagus lies with the patient and by following the advice and guidance following lifting head of the bed the head and hand to follow a strict diet to lose weight and eat a snack close periods instead of regular meals, and more importantly not to eat before going to sleep at least two hoursThe patient must also refrain from smoking and alcohol, peppermint, chocolate and fatty foods.
Medication:
The main objective is to comfort the patient of symptoms suffered by maintaining the pH of the stomach level 4 or more and were antacids cornerstone of treatment until the seventies of the last century has been evoke receptor antagonists histamine where it seemed use cimetidine and currently available treatments other within this group gives function better and has fewer complications.
In 1988 appeared the use of anti-proton therapy the oldest in this group is Alamibrazaul and subsequent evoke other treatments within this group and recently put drug esomeprazole for circulation in 2000 and given these drugs at once to twice daily may need patients for attendance on treatment for long periods and in some cases doctor may for surgical intervention to conduct operations aimed at preventing reflux of stomach acid into the esophagus does not have room here to be customized.

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