Treatment of GERD the basic principles, events and methods
The treatment of gastroesophageal reflux disease
In the origin and course of the disease plays an important role many factors: incorrect behavior after eating, feeding disorders, some features of the structure and functioning of the digestive system.
For this reason, treatment of GERD can be reduced to several key points. Only respect for each of them will lead to long-term remission, and in a good case and to a full recovery. Therapy should be multi-directional and long, touching all of the mechanisms of development. Today we will discuss all the General principles of treatment of gastroesophageal reflux disease.
Basic principles for the treatment of GERD
Much easier to buy GERD than to get rid of it. Tight schedules, full load working time and the wrong mode of work lead to the violation of the principles of nutrition. And this is a real step toward the emergence and further development of the disease process.
- Therefore, the mainstay of treatment, proper planned diet, work and rest.
- Common activities are necessarily combined with the appointment of nonabsorbable antacids or alginates.
- Violation of bowel movement is another important problem, leading to the development of GERD. It is eliminated with the aid of prokinetics drugs, which normalize motor function of the gastrointestinal tract.
- A real help in the treatment of the purpose of substances that block the production of hydrochloric acid blockers and proton pump antagonists or H2-histamine receptors of the third and fourth generation. They act at the cellular level.
- Sometimes, in addition to all the above-mentioned items is added and the appointment of certain symptomatic drugs — «Venter» and calming effects.
- The most rare and extreme way of getting rid of the disease is surgical intervention.
To treatment gastroesophageal reflux disease suitable comprehensively, taking into account all the reasons for the development of process and symptoms. Why assign each of the represented groups of substances, examine them in more detail.
General activities for the treatment of GERD
Often, the questions about change in diet or correction of work and rest, and often the replacement of a power exercise on the more forgiving people are skeptical. However, without marked lesions of the digestive system, serious irregularities in the entire system, which lead to GERD, this approach to treatment can be fundamental. In other words, such measures sometimes becomes enough to rid the body from disease. And there are no original and specific events. They are common to many diseases of the esophagus and gastrointestinal tract.
- To get started is to organize a diet — it must be in the period of exacerbation only frequent and fractional. There is a need at least five times a day, small portions, food must be balanced. Temporarily have to remove from the diet of easily processed carbohydrates and complex fats, carbonated drinks and other things that would prohibit a doctor. It is important to remember that diet during exacerbation does not end, it continues during remission, with some exemptions.
- The next step is the right exercise. And there are limitations to the exclusion of some sports. The main rule — not to play sports even after a light snack — it will help to reverse reflux of food from the stomach into the esophagus, exacerbating the disease.
- Rest — without it anywhere. After a meal should not take a horizontal position. At least 30-40 minutes sitting, standing or a light walk after a meal will save the body from the next occurrence of heartburn.
Treatment of GERD drugs
Treatment of GERD involves long-term use of certain medications. All therapy is aimed primarily at reducing heartburn attacks, which were caused by the reflux of gastric contents into the upper digestive system. Such episodes can be up to 50 or more per day. How to reduce the number of them:
- Two weeks of antacids or alginates after eating will help for a short time to get rid of the burning sensation. The action of such drugs aimed at reducing the excess of hydrochloric acid produced after eating. More than the period use of antacids is not recommended due to their unpleasant effect on some systems of the organism (development of constipation or diarrhea, potashnaya).
- Four to eight weeks it is necessary to use proton pump inhibitors or H2-histamine antagonists. There are treatment regimens in which these groups of substances can be used interchangeably with the development of severe reactions to any of the groups. Agents are appointed in therapeutic and maintenance dose, which depends on the stage of the disease. These drugs also alter the production of aggressive hydrochloric acid, but on a deeper level.
- The use of prokinetics. Until now, doctors still argue about whether their long-term use. Substances affect the Central nervous system, so the researchers came to the conclusion that they should be prescribed only small courses. These medicinal substances improve the functioning of the stomach, enhancing its evacuation ability. The food is not stagnant, which contributes to rapid recycling and further advance digestive system.
- Long for such illnesses as GERD delivers emotional discomfort, so treatment often involves administration of sedative drugs or other symptomatic drugs.
Surgical treatment of GERD
Sometimes without surgery can not do. Two main areas of surgical treatment of GERD following.
- Treatment of the underlying disease, strengthening the lower esophageal sphincter (muscle at the junction of the esophagus and stomach) through the fundoplication.
- Eliminating the complications arising from incorrect or missing treatment. These include: bleeding, Barrett’s esophagus, ulcers or narrowing of the esophagus.
GERD, is a disease that does not develop over a day or two. For its appearance it needs to last at least several months. So do not expect easy and quick recovery. People do not get better after drinking just one pill. The mainstay of treatment is long-lasting and high-quality work by skilled professionals. Do not self-medicate, to cure this disease, it will not work!