Have you ever had this experience? When you finish eating or lying down, you feel that your chest is very hot, like a fire burning?
In fact, this symptom is called "heartburn", the English has a corresponding word, called "heart burn", it is one of the most common symptoms of gastroenterology, the incidence rate can reach 10%, china has nearly 100 million people affected by this.
<h1 class = "pgc-h-arrow-right" >, the organ that "burns the heart" is not the "heart"</h1>
"Heartburn" is just a popular expression of the public's burning sensation in front of the chest, in fact, it is not that the heart has a burning sensation, but the esophagus next to the heart has a burning sensation, which is because the stomach acid regurgitates into the esophagus, and the stimulation causes this uncomfortable feeling.
The human body's esophagus has the function of contraction and expansion, especially in the lower end of the esophagus connected to the area of the stomach, the lower sphincter is dilated or contracted, which plays an important role in regulating the entry of food and preventing the upward reflux of stomach acid. In a healthy state, the food will go down the esophagus, the lower sphincter will be stretched out to allow the food to pass, and then immediately contract to seal the mouth, preventing the regurgitation of acid and fluid.
However, those with heartburn symptoms are abnormal in the subesophageal sphincter. After the food enters the stomach, the "mouth" cannot be contracted and sealed immediately, and the stomach acid takes advantage of the opportunity to regurgitate, especially when bending down or lying down, the symptoms are aggravated, and the heartburn is aggravated.
Source: news.cari
<h1 class= "pgc-h-arrow-right" > second, "heartburn", must be a disease? </h1>
In life, most people have had a heartburn feeling, and it is normal to appear once or twice once or twice, don't worry. However, if there is frequent heartburn, such as aggravation of symptoms after each meal, and the symptoms are even worse after lying down, then this is greatly related to gastroesophageal reflux. Long-term treatment of gastroesophageal reflux can cause erosion and bleeding of the mucosa of the esophagus, and repeated "erosion-repair" under the inflammatory response can further develop into esophageal cancer.
If you experience the following symptoms, you need to see a doctor as soon as possible:
The feeling of heartburn is increasing, and the symptoms are obviously worsening;
After taking the drug to control and relieve symptoms, the feeling of heartburn still reappears;
Because of long-term irritation of the esophagus, a feeling of difficulty swallowing appears;
The combined effect of difficulty eating and loss of appetite leads to weight loss;
Onset of persistent nausea and vomiting;
In addition to the symptoms of esophageal discomfort, patients with gastroesophageal reflux can also face the problem of bad breath, and some patients are accompanied by breathing problems.
<h1 class= "pgc-h-arrow-right" > third, the cause of heartburn is not only gastroesophageal reflux</h1>
In life, chest pain caused by heartburn is sometimes confused with a heart attack, how to distinguish between heartburn and heart disease? A simple screening can be performed by the following method.
If there are symptoms of chest pain, the symptoms are relieved after taking antacid drugs, or there is a sour feeling in the mouth after hiccups, this is heartburn.
If the patient's chest is a feeling of squeezing, squeezing, and shortness of breath, it may be a heart attack rather than a heartburn.
<h1 class="pgc-h-arrow-right" >4. How is gastroesophageal reflux treated and relieved? </h1>
To confirm the diagnosis of gastroesophageal reflux, drug therapy can play a good role. At present, there are two commonly used drugs, one is to inhibit the secretion of gastric acid, and the other is to speed up the emptying of the stomach.
Drugs that inhibit gastric acid secretion, mainly proton pump inhibitors (so-and-soprazole) and H2 receptor antagonists (so-and-so tidin), can reduce the secretion of gastric acid and reduce damage to the esophagus, such as omeprazole, rabeprazole and so on. Depending on the patient's specific symptoms, the doctor will prescribe different doses and number of doses.
Drugs that promote gastric emptying, by speeding up the emptying of the stomach, reduce the pressure on the stomach, thereby reducing the occurrence of reflux. Patients should take the medication according to the doctor's advice, not to take it themselves,
At the same time as drug treatment, patients also need to pay attention to lifestyle in order to alleviate and alleviate the symptoms of reflux.
First of all, don't eat too much.
Eating too much will stretch the lower esophageal sphincter and become too loose, and it should be noted that do not eat for two hours before going to bed, and do not lie flat immediately after eating. Avoid foods that are prone to reflux, although this varies from person to person. Some people may eat a certain food, the reflux symptoms will worsen, so the patient should pay attention to it.
Secondly, in life, you should wear loose clothes, and the belt should not be tied too tightly, otherwise it is easy to lead to excessive pressure in the abdominal cavity and increase the symptoms of reflux. Especially after eating, avoid bending over and strenuous exercise, which will exacerbate the occurrence of reflux. If you have a chronic cough or constipation, you should also treat it aggressively to reduce reflux caused by excessive abdominal pressure.
Finally, pay attention to raising your head high when sleeping.
Source: Human Health
The overall elevation of the head is 10 to 15 cm, and because the esophagus is tilted, the stomach acid is not easy to regurgitate. Due to the physiological structure, the left side sleeps, and the cardia is just tilted upwards, which can also alleviate the symptoms of reflux.
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Resources:
[1] The stomach "door" is not closed tightly, resulting in acid reflux and heartburn, what to do?.Human Health, 2020.8.23
Peng Lin, Zhang Zhiming, Chen Xinhua. Research progress on the correlation between gastroesophageal reflux disease and esophageal cancer[J]. Inner Mongolia Medical Journal, 2005, 37(004):345-347.
[3] Heartburn is acid reflux? This is not necessarily true, Medical Community Digestive Liver Disease Channel, 2018-08-22
[4] How did my heart feel like it was burning? Where does "heartburn" burn? fruit shell network, 2018.9.24
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