Patient: My mother has been suffering from reflux esophagitis for half a year, she is 69 years old, she has been seeking medical help all over the place, which makes me feel very heartbroken and worried.
The following are my mother’s specific medical conditions.
① Frequent belching, heartburn and burning pain in the chest, and a distinct blockage in the throat, sometimes accompanied by a burning and painful sensation. She has been diagnosed with reflux esophagitis and reflux gastritis by many hospitals (gastroscopy has been performed, etc.)
②The diet is very homogeneous, and only a small amount of noodles are eaten every day.
③My mother’s examination report is as follows.
On April 29, 2008, gastroscopy showed that
Esophagus: no significant abnormalities in the mucosa and good contraction.
Cardia: no obvious abnormality of mucosa, good opening and closing, clear E-G line.
Gastric fundus: mucosa seen Trail size about 0.2 cm flattened polyp, smooth, follow-up recommended, mucosal lake clear, no varices.
Gastric body: red and white, one red predominant.
Gastric angle: curved, smooth.
Gastric sinus: red-white, one red predominant. Scattered small flaky erosions. Peristalsis is good.
Pylorus: round, good opening and closing. Mucous membrane is congested.
August 12, 2008.
Hospitalized for gulping discomfort and chest discomfort diagnosed as chronic superficial gastritis with renal cysts.
On October 6, 2008, due to increasing wasting and belching, another gastroscopy was performed showing.
Gastric polyp with erosion
(polyp was lasered)
December 12, 2008.
Hospitalized with blood in stool (black stool), diagnosed with chronic superficial gastritis, chronic colitis, and moderate anemia with blood loss.
Gastroesophageal reflux disease center of the General Hospital of the Chinese People’s Liberation Army Rocket Army, Wang Liying, GERD center of the Second Artillery General Hospital, Wang Liying: At present, the diagnosis of GERD, gastritis and enteritis is clear for Lingtang.
But why did black stool appear? Resulting in moderate anemia? Generally speaking, the above-mentioned diseases do not cause moderate anemia. It is recommended that: barium enema (or total gastroenterography), colonoscopy, etc. be performed to find the cause of gastrointestinal bleeding.
Regarding the treatment options for esophagitis are as follows.
First of all, please improve your lifestyle. The principle is to reduce or avoid any factor that triggers or aggravates the symptoms, and most patients develop the disease in relation to the following conditions, so pay attention to.
1, minimize the use of high-fat foods, chocolate, coffee, strong tea, and quit smoking and alcohol.
2, eat less and more often, chew slowly, and do not eat 2-3 hours before bedtime.
3.If coughing or breath-holding is severe, elevate the head of the bed 30 centimeters during sleep, not just the pillow.
4, reduce factors that cause increased abdominal pressure, such as not tightening the girdle, avoiding constipation and controlling weight.
5, pay attention to rest, do not stay up late and strain, adjust the mood, etc.
Second, drug treatment
1, omeprazole or esomeprazole 20mg oral 30 minutes before breakfast and dinner, can be taken for a long time.
2, magnesium aluminum carbonate tablets (Daxi) 1.0 3 times a day chewed orally 1 hour after three meals, 1-2 months after discontinuation.
3, use gastrointestinal motility drugs, such as: morpholine, mosapride, itopride, etc., as appropriate.
3, If the above methods are ineffective or ineffective, gastroscopic treatment, laparoscopic fundoplication can be considered.