At the same time gastritis, GERD and cardia failure — what to do?

At the same time gastritis, GERD and cardia failure — what to do?

Anna asks:

Hello, please help in the situation. Female, 35 years, growth 170 cm, weight 75 kg. Prolonged abuse of coffee. Now, after analyzing the clinical picture, suggested that the disease began about 3 years ago with the mucous membrane of the mouth was discovered erosive areas that bothered me (parasthesia). Dentists and periodontists was diagnosed with «lichen planus» and treated me locally, long and hard. Pockets then disappeared, then reappeared, causes, and context was not clear.

Two years ago, began to disturb pains in the gastrointestinal tract, diarrhoea disorders, including oberneisen salivation that occurred especially after sugary foods. Performed the EGD and an abdominal ultrasound. By EGD — gastritis, stomach was found bile. Ultrasound — a small increase in pancreas. By appointment therapist took 2 weeks «Omez», followed a short time, the condition was normalized.

September 2015: crumbled teeth. Destroyed two molar. Mechanical stress was not.

2015: suddenly appeared strong, enduring heartburn regardless of the meal. Began to throw into a fever and chills, severe fatigue and irritability. Sometimes burning sensation in various parts of the body (though there is also heartburn). Oral mucosa burns. The attacks were at night. «Rennie» heartburn not removed. Removed from the diet of coffee, was taking «Omez» twice a day on their own initiative and «gaviscon» almost all day, as it is well relieves heartburn for about 2 hours.

A month passed, the condition did not improve. Sometimes there have been improvements, but not for long. Performed EGD — gastritis, gastroesophageal reflux disease, insufficiency of the cardia. Appointment therapist: «Nolpaza» 20 mg twice clarithromycin 500 mg and metronidazole twice «Maalox» after a meal. Antibiotics for 10 days. Diet.

Treated at the moment 6 days, little improvement is not see. Heartburn may be a day not to bother, but the night nevertheless appears. There is burping air. All the symptoms that accompanied earlier, too. Heartburn looks like a burning sensation in district of a solar plexus up through the esophagus and in the throat. Baking sometimes feel discomfort in the stomach. Sometimes there is only a semblance of menthol chill in the throat. From the change of position of a body condition does not depend. Discomfort equal in any position.

One day, when the diagnosis I have not yet passed and did not have at home antacids, the night had to drink a teaspoon of baking soda diluted in a glass of water. Waited for the relief, and got a worsen — it felt like I drank a chemical solution and my stomach and esophagus was on fire. She was covered with sweat, the whole night in the end not sleep.

Asked to comment on the prescribed treatment — if it is true, when to wait for improvements?

The answer of the doctor:

Hello, Anna!

To assess whether the prescribed medicines do not have enough information. Usually, during the EGD take a biopsy using thin forceps take a piece of diseased tissue to study the presence of bacteria (Hp), leading to the development of gastritis or peptic ulcer disease. If a biopsy was taken and revealed the presence of HP (Helicobacter pylori) — prescription is correct.

You said that during the ultrasound examination of the abdomen detected an inflammation of the pancreas. You did the biochemical analysis of blood research of the ferments of the liver, pancreas and gall bladder? You need to try to find out the cause of GERD. The disruption of the digestive glands can lead to this condition. The fact that GERD is a frequent cause of severe heartburn. This is one of the main symptoms that characterize this condition. In addition, the disease is accompanied by failure of the lower esophageal sphincter. This circular muscle at the junction of the esophagus and stomach that does not pass food back. If the contents of the stomach or duodenum enters the esophagus is a heartburn. You may receive a cough, sleep disturbance, problems with the teeth.

Perhaps a bit disappoint you, but apart from a 10-day course of antibiotics will have long take the drug «Nolpaza» (not less than 2 months).

What else do you need? Diet — the mainstay of treatment. It is not only hard temporary restriction of coffee, alcohol, sweet, fatty and spicy dishes. The products can vary. The main — method of their preparation and use. Frequent smaller meals in small portions — you need not to create stress on the digestive organs. Products during exacerbation of the disease cannot be fried. Will only fit boiled, stewed, baked, and dishes prepared on pair. Even such food can be delicious! Diversify food — consult a dietician, speaking about his disease. Make delicious and healthy menu, taking into account the condition. Even after the end of treatment and normalization of the condition of diet should gradually. Alternately in small portions to enter some products.

Circular muscle of the esophagus does not like hesitation: strap, tight clothes, corset — these are the factors that weaken it.
Try to find out the cause of the disease (you have had reflux of bile into the stomach in the study — it disrupts the stomach and esophagus). So, will be more likely to cope with the problem.

READ  Constantly burns in the esophagus and the stomach — what to do when treatment fails