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Treatment with medicines is prescribed by a gastroenterologist. Its purpose is to normalize acidity and improve gastric motility. In order to achieve the desired result, a set of preparatov of the following action. Prokinetics (metoplocramide, domperidone).
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They help to increase the tone of the lower sphincter in the esophagus. He's starting to get better. This group of lopressor drugs also contributes to the normalization of gastric motility. Improves transport of stomach contents to the intestines. This helps to reduce the number of refluxes. Antisecretory drugs. They are able to significantly reduce the destructive effect that hydrochloric acid has on the mucous membrane in the esophagus.
Reparants (misoprostol, dalargin, sea buckthorn oil). Improve the healing process of Metoprolol and ulcers that have appeared. Antacids (maalox, almagel, phosphalugel). They reduce the activity of hydrochloric acid and pepsin, adsorb lysolecithin, aggressive bile acids. They also help improve esophageal clearance.
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The choice of treatment regimen will depend on the individual case. The doctor must take into account the degree of neglect of Metoprolol pills, the general condition of the patient, possible complications and other indicators. Surgery is indicated in cases where the disease provoked the development of serious complications. Also, the operation can be performed in cases where drug treatment or correction of the patient's lifestyle does not help relieve the symptoms of the disease. The surgeon may choose different methods of treatment, but their main goal is to restore the lost barrier from the stomach to the esophagus.
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With any disease of the gastrointestinal tract, diet becomes one of the important components of treatment and prevention. At the same time, it is important to choose and cook foods correctly, follow the regimen and be aware of the norms of rational nutrition. Sometimes it is enough to adjust the diet to forget about GERD for a long time. It is not so much the food itself that is important here, but the ability to cook it correctly, as well as the patient's ability to eat wisely.
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You need to diversify your food as much as possible. Meals should be fractional, that is, you need to eat 5-6 times a day in small portions. You can't overeat. You can take a smaller than usual plate for this purpose. It is better if its shade is neutral or cold. It has been proven that they stimulate the appetite less. Do not add a lot of spices and salt to food. At the time of Metoprolol , give up aggressive food. Exclude smoked, fried. Such dishes irritate the mucous membrane and inhibit its healing. Eliminate foods with a juice effect from the diet.
The evening meal should take place at least a couple of hours before bedtime.
It is strictly forbidden to go to bed immediately after eating!
Eat in the most relaxed atmosphere, do not talk during the meal, chew everything as carefully as possible. Avoid physical activity after meals (at least an hour). Meals may change. It all depends on the individual preferences of the patient. During remission, you can expand your diet, but be sure to follow the principles of rational nutrition. It is strictly forbidden to starve! Fasting is a direct path to heartburn and exacerbation of the disease.
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During an exacerbation, dishes should be steamed, boiled or baked. The food temperature should not be lower than 15°C and not higher than 60°C. Then you will avoid spasms in the esophagus. Eliminate rich and fatty first courses, limit coarse fiber and fats, chemical and mechanical irritants of the mucosa. The number of calories per day should not exceed 2100-2480. Eliminate alcohol during an exacerbation. Consume 2 to 2.5 liters of fluid per day. Eliminate coffee and strong tea, carbonated drinks.
Lopressor is difficult to treat and can lead to serious complications. Therefore, it is better to prevent the development of this pathology in advance. Cut down on carbonated drinks, fatty foods, chocolate, and alcohol. Don't over-tighten the waistband of your skirt or trousers. After a meal, try not to bend down or lie down for 1-2 hours.
Sleep on a fairly high headboard. Quit smoking. It is especially harmful to smoke on an empty stomach. If you are overweight, try to get rid of it. Try not to overeat. It is better to eat often, but in small portions. Don't talk while eating. Chew food well. Don't lift anything heavy. Try to take fewer drugs that can relax the esophageal sphincter.
These simple measures will help you consolidate the result of treatment and minimize the likelihood of relapses. Gastroesophageal reflux disease (Metoprolol ) is a chronic relapsing disease of the esophagus caused by the reflux of aggressive gastric or gastrointestinal contents into the lumen of the esophagus and is characterized by esophageal and extraesophageal symptoms.
The true occurrence of the disease is unknown, since this disease has a wide range of different symptoms. According to the results of some studies, in Russia wearsThe incidence of the disease is 11-23% of the population, according to other sources - up to 30%, the prevalence of Metoprolol is compared with the prevalence of peptic ulcer and gallstone disease.
The main pathogenetic substrate for the development of gastroesophageal reflux disease is actually gastroesophageal reflux, that is, retrograde reflux of stomach contents into the esophagus. Reflux most often develops due to the insolvency of lopressor pills located at the border of the esophagus and stomach.
Under the influence of various external and internal factors, hypo- or atony of the lower esophageal sphincter develops, which leads to the reverse reflux of aggressive gastric contents (reflux). Reflux causes damage to the mucosa of the esophagus, since the esophagus is characterized by a slightly acidic pH (closer to neutral), and gastric juice has a sharply acidic pH due to hydrochloric acid and proteolytic enzymes. Once in the esophagus, gastric juice causes a chemical burn of the mucous membrane.
Normally, during swallowing movements, the tone of the muscles of the lower esophageal sphincter decreases, passing the food bolus from the esophagus to the stomach, and after the passage of food, the sphincter closes. Factors that reduce the tone of the esophageal sphincter.
Causes leading to episodes of spontaneous relaxation of the lower esophageal sphincter.
According to the International Classification of Diseases of the 10th revision, there are the following forms of metoprolol. According to the degree of damage established on the basis of the endoscopic picture (EGDS), there are 4 degrees of reflux esophagitis (RE).
Linear RE - non-intense hyperemia and swelling of the mucous membrane in the region of the lower esophageal sphincter, individual erosions on one of the longitudinal folds of the esophagus. Confluent RE - erosive defects that tend to merge are found on more than one fold.
The clinical picture of gastroesophageal reflux disease consists of two main groups of symptoms. esophageal and extraesophageal.
Ring-shaped RE - the lower third of the esophagus is circularly affected by multiple erosions merging into larger defects, covered with fibrinoid deposits, necrotic masses. Stenosing RE - chronic ulcerative defects, narrowing of the lumen of the esophagus, metaplasia of the epithelium.
The true occurrence of the disease is unknown, since this disease has a wide range of different symptoms.
Treatment of GERD is mainly carried out in a conservative way. In the absence of complications, the patient is subject to dispensary examination at least once a year, in the presence of complications - 2 times a year with mandatory endoscopic examination. The basis of successful treatment is the mandatory modification of lifestyle.
With reflux esophagitis III-IV degree, the appointment of cytoprotectors is required (suppress the acid and proteolytic activity of gastric juice, increase the production of mucus, bicarbonates and improve microcirculation processes in the mucous membrane).
Surgical treatment involves the elimination of gastroesophageal reflux by fundoplication. The intervention consists of mobilizing the lower third of the esophagus, creating a fold of the gastric fundus around the esophagus, and suturing the stomach to the anterior abdominal wall.
With timely diagnosis and an integrated approach to the treatment of pathology, the prognosis is favorable. Possible complications and consequences. Complications of gastroesophageal reflux disease may include.
With timely diagnosis and an integrated approach to the treatment of pathology, the prognosis is favorable. In order to prevent the development of GERD, it is recommended. Video from YouTube on the topic of the article./p>
The information is generalized and is provided for informational purposes only. Seek medical attention at the first sign of illness. Self-medication is dangerous to health! Gastroesophageal reflux disease.
The main groups of drugs used for treatment.
The abbreviation GERD stands for gastroesophageal reflux disease - this pathology has a number of characteristic symptoms, causes and methods of treatment, both official and folk. The disease itself occurs as a result of a regularly repeated release of the contents of the stomach or duodenum into the esophagus. Symptoms of the disease are especially pronounced after eating and physical exertion. To prevent the development of complications, it is necessary to confirm the diagnosis of GERD in time and start treatment.
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