{"id":716,"date":"2019-05-27T14:03:30","date_gmt":"2019-05-27T20:03:30","guid":{"rendered":"https:\/\/www.4nrx.md\/blog\/?p=716"},"modified":"2019-05-28T01:07:41","modified_gmt":"2019-05-28T07:07:41","slug":"gastroesophageal-reflux-disease-gerd","status":"publish","type":"post","link":"https:\/\/www.4nrx.md\/blog\/gastroesophageal-reflux-disease-gerd\/","title":{"rendered":"Gastroesophageal reflux disease (GERD)"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">Gastroesophageal reflux disease (GERD) is a chronic recurrent multisymptomatic disease caused by a spontaneous, regularly repeated move the gastrointestinal and\/or duodenal content into the esophagus, leading to a defeat of the lower part of the esophagus.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The promotion of the contents of the stomach through the lower esophageal sphincter (LES) into the esophagus is called gastroesophageal reflux (GERD) too. But this is maybe a normal physiological phenomenon if it occurs occasionally after eating and does not accompany by unpleasant subjective sensations. But if there are many such complaints and they are accompanied by inflammation or damage gastric mucosa or esophagus, then it is already a disease.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The development of GERD is also influenced by lifestyle features such as stress, obesity, pregnancy, smoking, nutrition factors (fatty foods, chocolate, coffee, fruit juices, alcohol, spicy foods).<\/span><\/p>\n<h3 class=\"p1\"><span class=\"s1\"><b>Causes of GERD:<\/b><\/span><\/h3>\n<ul class=\"ul1\">\n<li class=\"li2\"><span class=\"s1\">Reducing the tone of the LES.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Reduced esophageal ability to self-purify.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Damaging properties of the contents of the stomach and\/or duodenum that is thrown into the esophagus.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">The inability of the mucous membrane to withstand the harmful effects of reflux.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Violation of stomach emptying.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Increase intraabdominal pressure.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Peptic stricture (narrowing) of the esophagus near the LES, which is a complication of chronic GERD.<\/span><\/li>\n<\/ul>\n<h3 class=\"p1\"><span class=\"s1\"><b>Manifestations of GERD<\/b><\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">It turns out to be GERD primarily in heartburn (which occur more often after eating) when the body is tilted forward or at night. The second most frequent manifestation of this disease is pain that irradiates in the interpulmonary region, neck, lower jaw, left half of the chest.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Pulmonary symptoms (cough, shortness of breath, often occur in the lying position), otolaryngologic symptoms (hoarseness, dryness in the throat) and gastric symptoms (rapid saturation, bloating, nausea, vomiting) are referred to the additional manifestations of the disease.<\/span><\/p>\n<h3 class=\"p1\"><span class=\"s1\"><b>Classification of GERD<\/b><\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\"><u>There are two forms of GERD:<\/u><\/span><\/p>\n<ol class=\"ol1\">\n<li class=\"li2\"><span class=\"s1\">Endoscopic-Negative Reflux Disease. Its share accounts for about 70% of cases of the disease.<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">Reflux esophagitis (RE) &#8211; about 30% of cases of the disease.<\/span><\/li>\n<\/ol>\n<h3 class=\"p1\"><span class=\"s1\"><b>GERD treatment<\/b><\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">The basis of treatment is a change in lifestyle &#8211; normalization of body weight, elimination of smoking, reduced consumption of alcohol, fatty foods, coffee, chocolate, carbonated drinks. Food should be taken in small portions, regularly, supper no later than 2-3 hours before bedtime. It is necessary to eliminate the loads associated with increased intra-abdominal pressure, as well as wearing belts, etc. It is recommended to sleep with a raised position (15-20 cm) of the main end of the bed.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">At present, the management guide for GERD has been developed, which provides 3 stages of patient assistance: self-treatment, primary care (therapist) and specialized medical care (gastroenterologist).<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><u>At all these stages, various preparations are used:<\/u><\/span><\/p>\n<ul class=\"ul1\">\n<li class=\"li2\"><span class=\"s1\">proton pump inhibitors (<a href=\"https:\/\/www.4nrx.md\/stomach\/lanzol-relief-lansoprazole.html\"><span class=\"s2\">Lanzol Relief<\/span><\/a>)<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">histamine-2 blockers (<a href=\"https:\/\/www.4nrx.md\/stomach\/Ranitidine-Relief-Ranitidine-Hydrochloride.html\"><span class=\"s2\">Ranitidine Relief<\/span><\/a>)<\/span><\/li>\n<li class=\"li2\"><span class=\"s1\">antacids<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Gastroesophageal reflux disease (GERD) is a chronic recurrent multisymptomatic disease caused by a spontaneous, regularly repeated move the gastrointestinal and\/or duodenal content into the esophagus, leading to a defeat of the lower part of the &hellip;<\/p>\n","protected":false},"author":7,"featured_media":717,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[80],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v14.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gastroesophageal reflux disease (GERD) Symptoms, Causes, Treatments<\/title>\n<meta name=\"description\" content=\"Gastroesophageal reflux disease (GERD) is a chronic recurrent multisymptomatic disease caused by a spontaneous, regularly repeated move the 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