Reflux dry mouth and bitter mouthReflux dry mouth and bitter mouth can be caused by many reasons. Due to the lack of gastric power and bile reflex, patients with gastroesophagus reflex disease are prone to bitter taste. The contents of the stomach or the contents of the intestine flow into the esophagus and oral cavity through the esophagus. It is more likely to cause dry mouth and bitter taste in the morning due to the reverse flow when sleeping at night. Duodenal Ulcer, Duodenal Siltation caused by gastric reflex, in the morning before meals will also appear bitter mouth dry mouth symptoms.
From the point of view of traditional Chinese medicine, the liver and gallbladder are both exterior-interior and exterior-interior. If the liver qi is depressed for a long time, it will affect the gallbladder and cause the gallbladder to be out of function. The gallbladder fire will burn up or the gallbladder qi will overflow, which will cause a bitter taste. In patients with gastroesophagus reflex disease, bitter mouth and dry mouth are often seen, and they like to drink; Or bitter mouth, sticky mouth; Or bitter mouth, accompanied by foul smell in the mouth, which is caused by damp-heat evil invading the internal organs and attacking the liver and gallbladder, resulting in liver heat and gallbladder diarrhea.
In addition, as a type of chronic rheumatism, most of the bile regurgitation-type Gastritis is related to high-fat diet, excessive eating and drinking, emotional imbalance, and other factors. If it is a temporary bile regurgitation-type Gastritis, it will not cause damage to the gastric membrane. However, if the bile regurgitation-type Gastritis is not treated in time, it can be complicated by esophagus stricture, bleeding, esophagus ulcers, etc. The fluid is inhaled into the respiratory tract, which can also cause aspiration pneumonia.When the gastric acid invades the vocal cords and trachea, it will cause chronic inflammation. Bronchitis, vocal cords, etc.
If there are symptoms of dry mouth and bitter mouth, it is recommended to seek medical advice in time and receive treatment under the guidance of a doctor. For the symptoms of bitter mouth and dry mouth in patients with gastroesophagus reflex disease, from the perspective of traditional Chinese medicine treatment, it should be used to soothe the liver and relieve depression, clear the gallbladder and fire. For example, Sini Wendan Soup can be used to regulate qi, eliminate phlegm, clear gallbladder and stomach. It can be added or reduced according to the specific situation. Add dandelion for severe stomach heat; Add laurel twig for severe stomach cold; add coshen and Bai Zhu for spleen deficiency; add denubine and bamboo for deficiency of stomach yin; add dandelion root and fragrant wood for long course of disease; add rosewood for obvious belching.
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Bitter mouth, dry mouth, reverse esophagus, incurableReflux esophagus can be treated. The following are some common treatments:
1. ** Lifestyle adjustment **
- ** Dietary adjustment **: avoid high-fat, stimulating, spicy food, avoid eating strong tea, coffee, chocolate, etc., reduce the stimulation of gastric acid secretion. After eating during the day, avoid going to bed immediately. At night, avoid eating 2 - 3 hours before going to bed to prevent gastric acid reversal at night.
- ** Postures adjustment **: When sleeping, raise the head of the bed 15 - 30° (as comfortable as you feel). This way, you can use gravity to reduce gastric acid reversal. Eliminate the factors that cause the increase in abdominal pressure, such as avoiding tightening the belt, and actively treat problems such as constipation and obese.
2. ** Medication **
- ** Acid suppressors **: This is the first choice for the treatment of gastroesophagus reflex, which is the commonly used proton-pump inhibition drugs in the Digestive Department, such as esomeprazol, rabeprazo, omeprazol, and other prazole-type drugs. These drugs could effectively suppress gastric acid secretion, reduce gastric acid, and reduce the stimulation of gastric acid reversal on the esophagus.
- ** Prokinetic drugs **: drugs such as domperidone, itopride, mosapride, trimebutine, etc. can promote digestive mobility, help gastric emptying, and prevent gastric acid reversal.
- ** Antacids (gastric acid neutralizers)**: This is a type of weakly basic compound, such as aluminum magnesite, aluminum magnesite plus, aluminum magnesite dimethicones, and hydrogen carbonate. After oral administration, it can reduce the gastric content's acidic content and pepsin activity, reduce the erosion of gastric acid on the gastric and Duodenal mucus, and stimulate the sore, thus relieving pain. Different antacid drugs are suitable for different patients, but long-term consumption of large amounts may affect the body's absorption of certain nutrients and lead to some adverse consequences. Therefore, it is necessary to use it with caution, especially for patients with kidney disease, pregnant and lactational women, and patients with other chronic diseases.
- ** Protective drugs for the mucus membrane **: For example, sucralfate, which can protect the esophagus and gastric mucus membrane from damage caused by gastric acid reversal.
3. ** Traditional Chinese Medicine Treatment **: It can be treated through Traditional Chinese Medicine and has a good effect.
4. ** Surgery treatment **: mainly anti-reflex surgery, such as laparoscopy folding surgery, but surgery treatment is usually considered when the drug treatment is not effective or the condition is serious.
Bitter mouth and dry mouth may be one of the symptoms of Reflux Empyosis. During the treatment of Reflux Empyosis, as the condition improved, the symptoms of bitter mouth and dry mouth may also be reduced. If the current treatment plan is not effective, it is recommended to return to the doctor in time. The doctor may adjust the treatment plan, such as changing the type of medicine, adjusting the dosage of the medicine, etc.
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