The mechanism of gastroesophageal reflux disease is very simple, that is, the pressure of the stomach and esophagus changes, usually the pressure of our esophagus is greater than the pressure in the stomach, this is because there is a group of muscle structures in the lower esophagus lower esophageal sphincter, we can also be commonly understood as the cardia, it is the gateway to the esophagus to the stomach, this portal can maintain a certain pressure, always higher than the pressure in the stomach, which ensures that we drink and eat will not The reason why GERD occurs is because this portal is not strict, the cardia is too loose, causing the pressure in the stomach exceeds the pressure in the esophagus, so that the stomach will flow back into the esophagus. What are the symptoms of GERD? Acid reflux, heartburn, frequent burping, food reflux, pain behind the sternum and foreign body blockage, and foreign body sensation in the throat are all common symptoms. Acid reflux, heartburn and hiccups are common symptoms that everyone has experienced, but most people experience them only briefly and then disappear quickly with no apparent discomfort. What are the risks of GERD? First of all, it will affect our quality of life; secondly, frequent reflux will burn our esophageal mucosa because stomach acid is corrosive and will form esophagitis; then, long-term repeated chronic inflammation of the esophagus will stimulate heterotypic changes in the esophageal mucosa, and over time, there will be a tendency to cancer (speaking of which, and remembering our diet, if we eat some rough, dry, hard, spicy and hot irritating food for a long time, over time, it will also cause cancer. Food, over time, will also cause damage to the esophageal mucosa, causing the esophageal mucosal hyperplasia to become rough, and will also appear esophageal disease). In addition, there are some patients will appear stubborn cough, how much cough and phlegm medicine does not work, then you should suspect gastroesophageal reflux disease, because long-term acid reflux can damage our throat, especially at night acid reflux so that we do not know, over time will cause chronic pharyngitis, and even inhale the trachea to cause chronic bronchitis. What should I do if I find out that I have GERD? First of all, it is recommended to go to the hospital, because it involves differential diagnosis, especially when the pain behind the sternum to identify whether it is an angina attack, the feeling of blockage behind the sternum to identify whether it is an esophageal tumor, and some mediastinal diseases in the chest also need to be identified. Here I would like to emphasize that timely gastroscopy can detect some microscopic lesions in the esophagus, stomach and duodenum at an early stage, and the gastroscopy equipment is very fine nowadays. How to effectively treat GERD? It is very simple, that is, omeprazole, rabeprazole, lansoprazole and other types of drugs that inhibit gastric acid secretion, together with gastrointestinal motility drugs such as morpholine and mosapride, etc. The gastric acid secretion is less, the gastric motility is stronger, the reflux will be less, and the damage of gastric acid to the esophagus will be greatly weakened. Usually an acid suppressant plus a motivational drug will do, and if the symptoms are severe, you can add a mucosal protector such as chewable magnesium aluminum carbonate tablets. Usually about 1 week of symptoms can be relieved, but often the symptoms will quickly relapse once the drug is stopped, why? The course of treatment is not enough, at least one month in a row, more stubborn can be extended to 2 months, and then reduce the amount of medication to maintain taking a period of time. Remember that acid suppressants should be taken half an hour before meals. You can also add a kind of Chinese medicine to regulate the qi, such as stomach su granules, Mu Xiang Shun Qi Wan, qi stagnation and stomach pain granules, etc.