Patient: I used to have stomach problems, always bloated, and then I never cared about it because of my college entrance exams. I got sick in August 08, when it was acid reflux heartburn was particularly strong, eating a little noodles was unbearable, acid reflux to the mouth, after going to college one day drank some drinks and blocked, very uncomfortable. Later, I went to the hospital for a gastroscopy and was diagnosed with reflux esophagitis, chronic gastritis, and was prescribed Nexium and Mojibili and MIT in the hospital, and felt good, then I accidentally ate something and had a blocked feeling again, and now I have been eating Rebella thrombosis and drinking tonics, sometimes with heartburn, a foreign body feeling in my throat all day and night, irregular stools, and bloating. When I stop PPI, I get heartburn. Is it possible to have surgery when I am so young? Gastroscopy specialist: There is no need to do surgery when you are so young. You should pay attention to your life, especially your diet, not to eat too much, exercise more, and treat with omeprazole as needed. Patient: Doctor, I have a severe foreign body sensation in my throat, is it caused by reflux? How should I treat it? I am on the right side of my throat, and it feels like there are leaves sticking to it. Gastroscopy room specialist: It may be related to reflux. Patient: Doctor, can surgery solve the underlying problem? I feel very tired to live now, I don’t dare to eat anything, I don’t feel like doing anything, and I feel very uncomfortable watching my mother work all day long. I had hoped to study hard after I went to college to ease the burden for my family, but now that I have this disease, it’s costing me money and dragging my mother down. But no one in our group recommends surgery, I don’t know why. Please help me, doctor. Gastroscopy room experts: first of all, we must solve your heart problem, do not stress too much, the disease is related to psychological factors, you do not think too much, in addition your mother to raise you is not easy, she and other people will need you to take care of later. If you do the following precautions disease will be reduced, and can be cured. First, diet treatment Pay attention to a small number of meals, eat a low-fat diet, can reduce the frequency of reflux symptoms after eating. On the contrary, a high-fat diet can promote the release of cholecystokinin from the small intestine mucosa, which can easily lead to reflux of gastrointestinal contents. Therefore, attention should be paid to the diet with less fat, cream and cooking oil, should be mainly boiled, stewed, blanching, braised, steamed, eat less and do not eat fried food. Food protein can stimulate the secretion of gastric acid, stimulate the secretion of gastrin, gastrin can make the lower esophageal sphincter tension increase, inhibit gastroesophageal reflux, in the diet can be appropriate to increase protein, such as lean meat, milk, soy products, egg whites, etc.. If the diet pays attention to control the intake of fats and oils and maintain a normal weight, there is a certain basis. Obesity can increase the intra-abdominal pressure, which is conducive to the reflux of food and aggravate the disease and symptoms. The diet should pay attention to the reasonable use of fats and maintaining the ideal body weight. The diet should include easily digestible and soft food, less irritating food, less or no food that can cause lower esophageal sphincter tension, such as strong tea, coffee, cocoa, chocolate, fresh lemon juice, fresh orange juice, tomato juice and other acidic drinks and irritating spices, such as curry, pepper, mint, chili, etc. Tobacco and alcohol can cause a decrease in the tone of the lower esophageal sphincter, especially strong alcohol can cause a decrease in the frequency of the peristaltic contraction wave of the esophagus. The decrease in the ability of the esophagus to remove acid plays a negative role in the treatment of esophagitis. Do not eat too much at dinner, plus do not add meals before bedtime to prevent aggravation of symptoms. The second, weight control Overweight people are advised to lose weight. Because excessive obesity increased abdominal pressure, can promote gastric reflux, especially in the horizontal position, especially, so should actively reduce weight to improve the symptoms of reflux. Third, change the bad sleeping posture and lying bed head pad 15-20cm high, to reduce the night gastric reflux is a good and effective way. Avoid eating within 2 hours before bedtime, and do not get up immediately after eating during the day. Some people like to sleep with both upper arms up or under the head, which can cause the diaphragm to be elevated and the pressure in the stomach to increase, causing gastric reflux. Fourth, lifestyle habits minimize the activities that increase intra-abdominal pressure, such as excessive bending, wearing tight-fitting clothes and pants, tightening the belt, etc., to keep the bowels unobstructed. Five, avoid alcohol and quit smoking Because tobacco contains nicotine, which can reduce the pressure of the lower esophageal sphincter, leaving it in a relaxed state, aggravating reflux, smoking can also reduce esophageal mucosal blood flow, inhibit the synthesis of prostaglandins, reduce the body’s resistance, making it difficult to recover from inflammation. The main component of alcohol is ethanol, which not only stimulates gastric acid secretion, but also relaxes the lower esophageal sphincter, which is one of the causes of gastroesophageal reflux. Six, careful use of drugs to avoid the application of drugs that reduce LES pressure and drugs that cause delayed gastric emptying: anticholinergic, dopamine agonists, calcium channel blockers, nitrates, theophylline, tranquilizers, etc.. For example, some elderly patients are prone to gastroesophageal reflux due to LES hypofunction, and taking nitroglycerin preparations or calcium antagonists may aggravate reflux symptoms if they are combined with cardiovascular disorders, so they should be avoided. Some bronchial asthma patients with combined GERD may aggravate or induce asthma symptoms, so avoid the use of theophylline and dopamine agonists and add anti-reflux treatment. The disease is associated with psychological factors. Patient: Thank you, doctor. Patient: Doctor, is the function of the cardia as young as I am a neurological relaxation? Is it possible to recover on my own? And patience is too expensive, I have been taking it for two weeks, I want to change the brand, what brand should I change? Gastroscopy room experts: the more unified understanding is: mild reflux esophagitis can be preferred to H2 receptor antagonists (ranitidine, famotidine, etc.) or H2 receptor antagonists combined with prokinetic drugs (morbutrin, etc.); moderate to severe reflux esophagitis using proton pump inhibitors (omeprazole, lansoprazole, etc.) standard dose or double dose, after 8 weeks of treatment symptom relief to maintenance therapy, maintenance therapy available Small doses of proton pump inhibitors or therapeutic amounts of H2 receptor antagonists, taken daily for at least 6 months.