Heartburn and inability to sleep may be caused by reflux esophagitis, chronic gastritis, functional dyspepsia, etc. Whether surgery is needed needs to be divided into circumstances, reflux esophagitis may need surgical treatment, chronic gastritis, functional dyspepsia is generally not considered surgical treatment.
Heartburn is common in patients with reflux esophagitis, which can be treated by elevating the head of the bed during sleep, avoiding eating before bedtime, and using acid-suppressing drugs such as cimetidine and lansoprazole, as well as gastrointestinal power-promoting drugs such as domperidone and mosapride; for those who have poor results of drug treatment and persistent symptoms, surgical treatment, such as laparoscopic fundoplication, should be considered.
In addition, heartburn can also be seen in chronic gastritis, functional dyspepsia patients, such diseases are generally not considered surgical treatment.
Chronic gastritis with more acid can be treated with acid-suppressing drugs, such as omeprazole, etc.; gastric mucosal protectants, such as Rebapatide, aluminum thioglycollate, etc.; gastrointestinal stimulants, such as domperidone, mosapride, etc.; if accompanied by Helicobacter pylori infection, amoxicillin+clarithromycin+bismuth pectate+omeprazole can be given to anti-infective treatment.
Functional dyspepsia patients are recommended to eat less and more meals, follow the doctor’s instructions to use mosapride and other drugs to promote gastrointestinal power treatment, multi-enzyme tablets and other digestive enzymes to help digestion.
When heartburn can not sleep, it is recommended to go to the hospital, ask the doctor to judge with the specific situation and give treatment plan.