Ms. Zhang, 26, is a new media practitioner who often completes emergency tasks. Write the hotspot in urgent drafts. He usually works easily. He often delays eating because of busyness.Stay up late to rush the manuscript.
After a long time, she started to feel some problems from time to time when she started to feel the stomach. In the recent period of time, she was easy to reflective after eating something.
What is wrong with acid and heartburn?
Most people have experienced anti -acid and heartburn, but not many people often see it as a disease.Clinically, most of them are acidic and heartburn, which is actually the main symptoms of gastroesophageal reflux.
Statistics show that the incidence of gastroesophageal reflux is 5.77%, and there are nearly 80 million patients in my country, so the number is actually very large.Especially in the first -tier cities in Beishangguang, the incidence rate is as high as 17%.In the digestive clinic of the third -level hospital, the proportion of patients with gastroesophageal reflux disease is greater than 40%.
Several joint surveys made by several three sectors in Beijing showed that more than 47%were, but less than 10%of patients who could see a doctor, which showed that most people did not take acid burn as one thing.
The typical symptom of acid reflux is that the patient feels that the acidic liquid flows from the stomach to the pharynx and the mouth.The symptoms of heart burning are after the sternum, the throat to the heart fossa appears burning pain.
The main cause of reflux and heartburne is a problem at the cardia, which causes gastric acid liquid to flow to the esophagus and throat.The cardia is like a switch. Under the dominance of the nerves, it is usually closed. This is to prevent food from the stomach and gastric acid reflux to the esophagus.
However, when the lesions of the cardia are caused by a variety of reasons, the shrinkage of the cardia is weakened or even disappeared.In this way, the cardia is open, and gastric acid will flow to the esophagus.
Stomach acid is a strong acidic liquid, which is corrosive. It is only suitable for staying in the stomach. Once reflux into the esophagus, it will cause damage to the esophagus mucosa, so the patient feels the pain symptoms and acid reflux of the sternum.
Clinically, patients with esophageal sphincter, esophageal pores, eosinophils, esophageal cells, esophageal cancer, and after surgery of esophageal cancer, gastroesophageal reflux will occur.
What are the side effects of taking Omeprazole for a long time?
There are currently no treatment measures and drugs for the loss of esophageal sphincter and the failure of the cardia.After the symptoms of anti -acid heart burning, the symptoms can only be relieved by drugs.
At present, there are two types of medicines, one is drugs that suppress gastric acid secretion. Omeprazole and Rebitzole belong to this type.The role of such drugs is to reduce the acidity of the gastric juice, thereby reducing the damage to the esophagus in the esophagus.
The other is the drug that promotes the peristalsis of the esophagus. Dopanolidone and Moshabi belong to this type of drug. The role of the drug is to strengthen the downward peristalsis of the esophagus, so that the reflux gastric juice returns to the stomach quickly.
For example, Omeprazole, its effects of inhibiting gastric acid are very good, especially for patients with anti -fluid esophagitis, esophageal cancer surgery or cardia resection, because of the obvious gastric acid reflux, it is necessary to take Omera all year round.Azole.However, after taking the medicine for a long time, it will also produce great side effects.
Booth loose risk increases: suppressing gastric acid, calcium absorption is affected, long -term medication leads to calcium deficiency in the body, and osteoporosis is prone to occur in middle -aged and elderly patients.
The risk of atrophic gastritis: The concentration of gastric acid is adjusted by the body, which can maintain the ecological environment balance of the gastrointestinal tract.The drug changes the properties of gastric acid. Insufficient gastric acid will affect gastric function digestion and absorption, further cause indigestion, and even cause atrophic gastritis.However, after stopping the drug, the symptoms disappear by themselves.
Increased risk of anemia: Gastric acid is a necessary condition for vitamin B12 and iron absorption. Long -term use of omeprazole may lead to reduced absorption of iron, folic acid, and vitamin B12 due to lack of gastric acid.Young red blood cell anemia.
Low magnesia: long -term use of Omeprazole will lead to reduced magnesium content in the blood, fatigue, hands and foot convulsions, convulsions, and arrhythmia.
Liver and kidney damage: Long -term medication can cause drug -based liver damage and cause renal dysfunction.
Abdominal infection: Gastric acid is the prevention barrier of the human body. Gastric acid is suppressed, increasing the risk of bacterial infections such as peritonitis and pneumonia.
Don’t underestimate the gastroesophageal reflux, beware of the heart to become esophageal cancer
In daily life, many people do not take acid and heartburn seriously, but simply believe that it is caused by indigestion.In fact, if the symptoms of gastroesophageal reflux are long -term and continuous, without interference and treatment, it will increase the risk of esophageal cancer.
Stomach acid is a strong acidic liquid, which reflux to the esophagus, which can damage and stimulate the esophagus mucosa. Long -term soaking in acidic liquid, the esophageal mucosa will gradually mutate and evolve into tumors.Clinically, after about 10 years of anti -acid and heart burning symptoms, the esophagus gradually canceled.
Therefore, in life, both diet or drugs must prevent and treat gastroesophageal reflux.In diet, it is best not to eat other foods before going to bed with gastroesophageal reflux. Do not lie down immediately after eating during the day.
Far away from the three categories of food
Secondly, such groups should avoid eating high -fat foods, chocolate, coffee, and food containing caffeine, and drink less carbonated drinks, because these foods reduce the pressure of esophageal sphincter, which causes reflux.Eat more protein -rich foods, such as milk and soy milk, because such foods are easy to digest and can neutralize gastric acid.Do not overeating, which will increase the secretion of gastric acid and lead to an increase in reflux.
Eat less or not pickle, barbecue, smoked, fried, cold foods, eat more fried, boiled, and steamed food.In addition, soda biscuits can reduce gastric secretion and neutralize gastric acid, which can eat more appropriately.
In addition to the conditioning in diet, once patients with acid reflux and severe symptoms occur, they must be treated for treatment.After the examination, the doctor will take reasonable treatment measures according to the symptoms.
 “Stomach esophageal reflux disease is fierce than Qiu tiger!”Health Times. 2018.8.12
 “Parenting to eat frequently” of Life Times .2018.10.27
 “Patients with gastroesophageal reflux patients in mind” three taboos and three precepts “health report. 2018.5.8