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Long-term treatment should be adhered to for gastroesophagus reflex disease

2026-09-09 06:32
2026-09-09 06:53

The treatment of gastroesophagus reflex disease was a long-term process. For patients with uncomplicated gastroesophagus reflex disease, treatment measures include lifestyle adjustments, such as raising the head of the bed by about 15cm; avoiding the use of strong stimulants that cause gastric acid secretion (such as coffee and alcohol); avoiding certain drugs (such as anti-cholic drugs), food (fat, chocolate), and smoking; One hour after meals and before going to bed, 30ml of antacid was given to neutralize gastric acid and may increase the tension of the lower esophagus constrictor; Use H2 blocking agent to reduce gastric acid (sometimes combined with other drugs); use of a cholic stimulant (For example, uracholine 25 milligrams, three times a day; metoclopramine 10 milligrams, oral 30 minutes before meals and before going to bed; cisapride 10 milligrams, four times a day); H+ -K+ jumped adenases such as Omepraz (20 milligrams/day, continuous 4 - 8 weeks) or Lansoprazole (30 milligrams/day, continuous 4 - 8 weeks) to promote the rapid healing of digestive esophagus. Omepraz can also be used to prevent the relapse of corrosive esophagus. In terms of drug therapy, the first line of drugs was the proton-pump-inhibition drugs (such as prazoles). Their main function was to suppress gastric acid secretion, but there would be side effects caused by insufficient gastric acid secretion. Therefore, they should be taken in combination with protective agents for the gastric mucus (such as aluminum magnesite, Na-Alginate, etc.) and gastric prokinetic drugs (such as mosapride, itopride, cicilliride, etc.). The histamin H2 receptor antagonist (such as ranitidine, famotine, etc.) was not as effective as the proton-pump antagonist. For patients with mild symptoms (once or twice a week), it might be used. If the symptoms could not be completely relieved, then consider taking the proton-pump antagonist. During the medication period, it was also necessary to use a combination of a gastric kinetic drug and a mucus membrane protective agent according to the doctor's advice. If the symptoms could not be improved, antacid drugs such as Na-hydrogen-carbonate-could be added. If the symptoms still existed after two weeks, low-dose proton-pump-inhibition drugs such as rabeprazole-Omeprazole-could be added. For complications (such as bleeding caused by esophagus, esophagus stricture, Barrett's metaplasias, etc.). In addition to massive bleeding, bleeding caused by esophagus does not require emergency surgery but can recur. Patients with esophagus stricture should be treated with active medical treatment and repeated expansion, such as omeprazol, lansoprazol, or anti-reflex surgery.(For example, Belsey, Hill, Nissen) is often used for patients with severe esophagus, bleeding, stricture, ulcers, or difficult to treat symptoms. Regardless of whether there is a hiatal hemorrhoid, the surgery can also be performed with laparoscopy assisted by television. The effect of medical or surgical treatment on Barrett's metaplasias is inconsistent. It is often recommended to perform an examination with laparoscopy (once every 1 - 2 years) to monitor the possibility of malignant transformation of this metaplasias. In addition, according to the symptoms, the symptoms of esophagus were divided into liver and stomach heat stagnation, liver qi invading the stomach, liver depression and spleen deficiency, liver depression and blood stasis, etc. There were corresponding treatments and prescriptions, but it was easy to relapse, often due to improper diet and emotional discomfort. In addition to drug treatment, daily life also needed to pay attention to health care, such as avoiding excessive eating and drinking. In summary, regardless of the comprehensive use of multiple treatment methods, the possible relapse of the disease, the treatment of complications, and the adjustment of lifestyle, long-term treatment should be adhered to. Read more exciting novels for free

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