Heartburn

Heartburn refers to the lack of elasticity of the sphincter muscles and the inability to close tightly, causing food to flow back into the esophagus or mouth.

cause

The famous doctor Gong Tingxian of the Ming Dynasty set up a chapter on the spleen and stomach in "Shou Shi Bao Yuan". It is believed that "everything breeds, one element of the human being, the Qi of the Triple Burner, the veins of the internal organs and the six internal organs, are in the stomach, so the stomach is the basis for people.

Overeating

Overeating and over-satisfaction make it easier for food to flow back to the esophagus through the cardia sphincter.

Strenuous activities after meals

Bending over, lying down or doing vigorous exercise after a meal can easily cause food to flow back to the esophagus.

The belt is too tight

Wearing tight clothes and pressing on the stomach may cause food to flow back.

Disease

Such as stomach ulcers, gallbladder disease, or gastrointestinal diseases can cause problems similar to heartburn.

Differentiation of heartburn

(1) Stomach and duodenal bulb ulcer: Pain in the upper abdomen is seasonal, rhythmic, and periodic. Pain is often related to eating. Gastric ulcer pain mostly occurs half an hour after a meal, and gradually relieves after 1 to 2 hours. However, duodenal ulcers are most common in patients with pain during hunger and relief after eating. It is often accompanied by other symptoms of indigestion such as acid reflux and belching.

(2) Gastric cancer: Abdominal pain is irregular, which can be continuous with the development of the disease, and it is difficult to alleviate. At the same time, patients may have symptoms such as loss of appetite, weight loss, anemia, vomiting, melena, upper abdominal mass, and even cachexia. The age of onset is more than 40 years old.

(3) Pancreatic disease: Chronic pancreatitis may have a dull or dull pain in the upper abdomen, sometimes radiating to the lower back, or it may be the acute onset of severe pain. As the course of the disease progresses, abdominal pain may gradually increase; in addition, chronic pancreatitis may have digestion Symptoms of impaired endocrine and exocrine functions such as malaria, steatorrhea, and diabetes. Pancreatic cancer abdominal pain is paroxysmal or persistent, progressively aggravated colic or dull pain in the upper abdomen, around the umbilical cord or right upper abdomen, mostly radiating to the lower back, and the pain is reduced when lying or leaning forward. Cancer of the head of the pancreas is more common with jaundice, as well as weight loss, ascites, and thrombophlebitis. B-ultrasound, retrograde cholangiopancreatography and CT can confirm the diagnosis.

(4) Liver disease: Abdominal pain of hepatitis can be dull, tingling, and swelling pain in the right upper abdomen or right under the flank, most of which are intermittent. Pain has no obvious relationship with eating. It is easy to appear after fatigue. The abdomen palpates liver enlargement and tenderness. The pain of liver cancer often worsens progressively. It starts intermittently and then becomes continuous. It is often fixed in a certain part, and sometimes it can palpate the enlarged and hard liver or mass. A liver abscess often presents persistent pain, which can be confined to a certain part, with obvious tender points, and may be accompanied by systemic symptoms such as fever and elevated white blood cells. B-ultrasound and liver puncture can confirm the diagnosis.

(5) Biliary system disorders: patients with cholecystitis and cholelithiasis often have chronic right upper abdominal pain or pain, belching, etc., which are more induced or worsened after a fatty meal. Some patients have localized tenderness or palpable swelling in the gallbladder area. Large gallbladder, or accompanied by jaundice. B-ultrasound and cholangiography can help diagnosis.

(6) Others: Upper abdominal pain may occur in the early stage of acute appendicitis, and it turns to right lower abdominal pain a few hours later. The elderly with atypical angina and myocardial infarction can sometimes also have upper abdominal pain, which is easily misdiagnosed.

Treatment and prevention of heartburn

1. Medication

Long-term and severe heartburn can be relieved by medicines. The medicines that doctors usually prescribe are roughly divided into two types. One is antihistamines that reduce gastric acid secretion; the other is drugs that form a barrier between the esophagus and the stomach to protect the stomach wall. . At present, the commonly used drugs are as follows: [Livzon Dele] Oral. Adults take 1 capsule at a time, 4 times a day, the first 3 times half an hour before the three meals, and the fourth time 2 hours after dinner; or 2 times a day, 2 capsules each morning and evening. [Kaixiong Shunqi Capsules] Orally, 3 capsules each time, 2 times a day. The ingredients are betel nut, morning glory seed (stir-fried), tangerine peel, woody, magnolia (made from ginger), three-lens (made from vinegar), turmeric (made from vinegar), pig tooth soap. [Omeprazole] Swallow 20mg every morning (for duodenal ulcers, take it before going to bed to reduce duodenal pain on an empty stomach). When the stomach is full of food, absorption can be reduced, so it should be taken orally before a meal or on an empty stomach.

2. Usual prevention

There are many ways to prevent the occurrence of heartburn, such as small meals, chew slowly, eat less irritating and special-tasting foods; try not to drink soup or water during meals to reduce the chance of food reflux; wear clothes and pants as much as possible Loose is appropriate; do not exercise vigorously or sleep after meals.

胃灼热 胃灼熱

胃灼热指括约肌缺乏弹性，无法紧闭，导致食物逆流回食道或口中。