Stomach Acid - Treatment of Diseases Stomach Acid

Healthy-best.blogspot.com- Treatment of diseases of stomach acid or GERD, there is a wide range of. Starting from the handling by the sufferer, the use of special drugs, up through the surgical procedure as the last step.

The following are some of the things that the sufferer can do to relieve the symptoms of GERD:

• Lose weight if needed.
• Eat in small portions but more often.
• Do not lie down immediately after eating
• Avoid chocolate, tomatoes, fatty foods, and spicy.
• Avoid drinking alcohol and coffee.
• Quit smoking.
• Bed with pillows that are a bit high to prevent rising stomach acid when lying.
• Avoid stress.
• Avoid wearing clothes that are too tight.

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Drugs to overcome stomach acid or GERD

Antasida
Antasida can be bought at the pharmacy directly. Antasida functions to neutralize stomach acid. Not recommended to be consumed simultaneously with other medications because it can have an impact on the rate of absorption of other drugs. These drugs also can relieve the pain of an ulcer.

Alginate
The drug is consumed right after eating. Alginate serves to protect the walls of the stomach and the esophagus or throat irritation from excessive stomach acid. These drugs can be bought directly at a pharmacy without a prescription.

Receptor inhibitor H2 or H2-receptor antagonist (H2RA)
These drugs reduce stomach acid by way of inhibiting the effects of histamine. Histamine required the body to produce gastric acid. Examples of medication are ranitidine and nizatidine H2RA. The purchase of these drugs usually needs a doctor's prescription. 

Proton pump inhibitor or proton-pump PIs (PPI)
This medication works to reduce acid production in the stomach. This drug rarely gives heavy side effects. If any exist, conditions are not too severe and can be constipation, dizziness, or diarrhea. 

An example of a drug is omeprazole, lansoprazole PPI danesomeprazole. This medicine usually requires a prescription from a doctor.

Prokinetics
These drug functions accelerate the process of emptying the stomach. This means food and stomach acid will more quickly get into the intestine so as to reduce the chance of stomach acid up into the esophagus. 

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This medication is not recommended for use by persons aged under 20 years due to potential side effects. Control drug pyrokinetic is domperidone and bethanechol. These drugs generally require a prescription.

Treatment with Surgery

The operation became the last handling steps for stomach acid disease or GERD if the handling of its own and the drugs don't give significant results. Other conditions when the operation is an option to do is:

• The occurrence of severe inflammation in the esophagus.

• The occurrence of esophageal narrowing so hard food down to the stomach.

• The occurrence of changes in the cells of the esophagus caused by gastric irritation often referred to as the esophagus Barrett.

Laparoscopic Nissen fundoplikasi surgery to tighten the LES functions to prevent the rising of stomach acid into the esophagus. This is done by wrapping the LES with the top of the stomach to form a collar. 

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This operation is usually done by laparoscopic or Keyhole ' surgery '.
Some of the techniques of surgery that can be done to treat GERD is as follows:

• Endoscopic injection of the bulking agent. Special substances will be injected in the part of the body between the stomach and the esophagus to make it narrower.

• Endoluminal gastroplication. The folds will be sewn on the bottom of the muscles of the LES, to limit the width of the openings of such muscles.

• Endoscopic augmentation with implants hydrogel. The implant contains a special gel is placed between the stomach and the esophagus to make it narrower.

• Endoscopic radiofrequency ablation. The small balloon will be placed at the bottom of the esophagus. The small balloon will generate heat to make more narrow esophagus.

• Laparoscopic insertion of a magnetic bead band (LINX). Magnetic rings are planted around the bottom of the esophagus to strengthen and help him shut down when not swallowing.

References:
Badillo, r. Francis, d. (2014). Diagnosis and Treatment of Gastroesophageal Reflux Disease. World J Gastrointest Pharmacol Ther. 5 (3), pp. 105 – 112.
Gyawali, c., Fass r. (2018). Management of Gastroesophageal Reflux Disease. Gastroenterology. 154 (2, pp. 302-318.
American College of Gastroenterology. Acid Reflux NHS Choices UK (2017). Health A-Z. Heartburn and Acid Reflux.
Mayo Clinic (2018). Diseases and Conditions. Gastroesophageal Reflux Disease (GERD).
WebMD (2017). Heartburn Surgery.

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