Acid reflux, annual gastroscopy is superficial gastritis may be due to improper diet, smoking, Helicobacter pylori infection, etc. It can be relieved by regular diet, smoking cessation, improvement of lifestyle habits, eradication of Helicobacter pylori infection and other treatments.
1. Regular diet: Cold and spicy food can stimulate the secretion of gastric acid to increase, and some coarse food containing a lot of starch, sugar and acid can also stimulate the stomach to produce a lot of gastric acid, which can induce acid reflux. Patients can improve their diet to relieve the symptoms, avoiding cold, greasy, spicy and other stimulating food.
2. Quit smoking: the main component of tobacco is nicotine, long-term heavy smoking can lead to pyloric sphincter relaxation, duodenal reflux, as well as gastric vasoconstriction, gastric acid secretion increases, thus destroying the gastric mucosal barrier leading to chronic inflammatory lesions, you can improve the symptoms by quitting smoking.
3. Improve living habits: obese people control their weight and pay attention to exercise. Especially pay attention to avoid overeating or lying down immediately after meals, avoid bending over and weight-bearing activities that increase abdominal pressure, and patients with severe acid reflux need to raise the head of the bed when sleeping.
4. Eradication of Helicobacter pylori infection: Helicobacter pylori infection through the role of its virulence factors directly damage the epithelial cells of the gastric mucosa, destroying the gastric mucosal barrier, the infection can stimulate the body’s immune response, causing inflammation of the gastric mucosa, resulting in acid reflux, bloating, oral odor and other manifestations.
It can be eradicated with a proton pump inhibitor + a bismuth + two antibiotics quadruple therapy. Commonly used proton pump inhibitors are omeprazole, pantoprazole, etc., bismuth agents are bismuth potassium citrate, etc., and antibiotics are amoxicillin, metronidazole, clarithromycin, etc..
If the patient’s acid reflux is serious, he should go to the hospital in time to find out the cause of the disease, standardize the treatment, use drugs under the guidance of the doctor, and avoid unauthorized use of drugs.