Heartburn - Causes, Symptoms and Treatment .MF .
Heartburn - it is an unpleasant burning sensation in the sternum and upper abdomen.So determine its patients.Anatomically, this region corresponds to the esophagus.Heartburn appears unnatural when casting the stomach contents into the esophagus and into the mouth and esophagus causes severe burning and mouth, without, unlike the stomach, gastric protection.
If a little deeper into the anatomy, we see that our digestive tract is nothing but a pipe.On the way down the tube narrows and widens.To food on it progressed in the right direction there is a system of targeted muscle movements (peristalsis) and the system of "valves" (sphincter).Sphincters - bundles of muscle fibers is arranged circularly and restricting chamber on both sides Gastrointestinal combined audio function.Since the bottom of the esophagus at the site of its passage through the aperture and move into the stomach, there is a sphincter that separates the esophagus and stomach cavity, called the cardia.In
determine the root cause of heartburn, say the word and esophageal sensitivity to various stimuli.It is each person is individual and depends on the characteristics of his psyche and nervous system.The sensitivity is exacerbated for most of us on the background of acute and chronic stress.
Most adults at least once in a lifetime experience heartburn.And, of course, they see themselves as healthy people.And there is.Each person may experience heartburn, if inclined to overeat, eat too spicy, greasy, fried, smoked food.As precipitating factor may be alcohol and some vegetables (tomato, radish, radish) and fruit (apples, lemons, plums, rhubarb, sorrel).Scored the gastric contents into the esophagus contributes to all situations in which increased intra-abdominal pressure, such as weight lifting, constipation and flatulence.
Heartburn during pregnancy
should also talk about heartburn in pregnant women.She often worries expectant mothers, especially in the later stages.The fact that there is a sum of several predisposing factors: increased intra-abdominal pressure due to the increased uterus, raising the level of the pregnancy hormone, progesterone, which has a relaxing effect on the smooth muscle of all, namely, they are the basis of the sphincters.
Thus, if any of you suddenly felt unpleasant sensations like heartburn and this happened: a) single, b) after errors in diet) stopped quickly g) had no other accompanying symptoms - so you just worth moreregularly and eat rationally.
diseases caused heartburn
But the seemingly harmless thing such as heartburn can be a sign of another, more serious diseases.
With which diseases occur heartburn:
- Peptic ulcer and 12 duodenal
gut - Gastritis
- Chronic pankreotit
- Chronic cholecystitis
- Biliary Biliary
disease - Lack of esophageal sphincter
- Reflux gastro disease
stomach - Cancer
pancreas - Poisoning
most often diseases such as GastroEzofagealnoReflyuksnaya disease (GERD) hiatal hernia (HH), gastritis (often with increased secretion), stomach ulcer and \ or duodenum, Chronic cholecystitis.I think we should talk about each separately.
GERD - a disease that occurs due to the casting of aggressive gastric contents into the esophagus.It is not difficult to guess that its main symptom is just heartburn.At the site of contact on the wall of the esophagus appears the area of inflammation, then ulceration.It - reflux esophagitis.The reason is the lack of smykaemost lower esophageal sphincter (cardia).It is said that the intensity of heartburn are not always comparable to the depth of esophageal wall.That is, if the patient indicates almost unbearable burning, the wall loss he may have barely begun.But even minor pain can indicate a profound defeat.
Hiatal - as manifested heartburn due to insufficient clamping of the cardia.When the disease occurs in the diaphragm expansion openings intended for the passage of the esophagus.It may increase so that it can pass through itself and of the other organs of the abdominal cavity.Most often, such a body becomes the stomach.HH The reason is the weakening of the muscles of the diaphragm in the amount of the regular increase in intra-abdominal pressure.Heartburn during hiatal hernia occurs suddenly, often when bending in a horizontal position.The pain may radiate (give) in the back or the heart area.It is also characteristic that the pain alone passes when the patient takes a vertical position.
hyperacidity gastritis (with increased secretion).Heartburn occurs when the disease is due to increased formation of hydrochloric acid.This occurs most often as a compensatory response to excess food or regular use of indigestible food.The body adapts to the new conditions, it increases the production of digestive enzymes.But if the amount of food fed to reduced or irregularly, and the production of enzymes remains at a high level, an excess of them can enter into the esophagus, causing heartburn.As increased amounts of gastric juice and not pass completely to the stomach itself, causing inflammation and erosion in its wall.Heartburn in this case combined with pain in the epigastric (upper third of the stomach) immediately after a meal.
Peptic ulcer as stomach and duodenum also has as a symptom of heartburn.It is also possible complaints of nausea, vomiting, pain in the upper third of the stomach (both right and left- depends on the location of the ulcer).It can occur completely asymptomatic.In these patients, in most cases the gastric hyperacidity.Under these conditions, small short episodes cast it through the cardiac sphincter, which is the norm, cause a significant deleterious effect on the esophageal mucosa.Also, when a peptic ulcer is a defect mucosa (ulcers) of the stomach or duodenum.This leads to disruption of the stomach contractions, which promote normal conclusion partially digested alimentary bolus from the stomach into the intestine.Latency food in the stomach leads to gastric hyperinflation and pressure increase therein.This aggravates reflux.Amplification reflux for the same reason may occur when the gastric constriction outlet orifice.Pyloric stenosis is a complication of peptic ulcer disease and occurs due to the formation at the site of ulcer wall defect pylorus (outlet of the stomach) rumen, narrowing the lumen of the sphincter.
operated stomach disease develops as a result of the removal of part of the stomach and duodenum in the surgical treatment of peptic ulcer disease or gastric cancer diseases.In this case, the esophagus is thrown juice containing pancreatic and liver enzymes.They also have a damaging effect on the mucous membrane.
In chronic cholecystitis heartburn combined with pain under the right edge of the liver, sometimes served in the right shoulder blade.They appear after a fatty meal or drinking a bumpy ride.
It should also be said about the diseases, which primarily affect the other organs, and the esophagus is affected indirectly.This so-called systemic connective tissue diseases.In these diseases, chronic inflammation of muscle of various organs, including the esophagus, and their replacement by connective tissue.In this case, nizhnepischevodny sphincter can not fully contract and cover the entrance to the stomach.In addition to those diseases characterized by dryness of mucous membranes, reducing protection against external damaging agents.Damaged blood vessels are exposed and therefore decreases blood flow to the affected areas and slows down the recovery process of damaged esophageal mucosa.
So, if there is heartburn, which periodically, but regularly disturbs natural human need to see a doctor.These diseases are the responsibility of a general practitioner, general practitioner and gastroenterologist.After further examination at the discretion of the physician may be additional consultation rheumatologist, a dentist and a therapist.
What are the methods of examination have in the arsenal of modern doctor?First of all, it FibroEzofagoGastroDuodenoSkopiya.This visual inspection, in which by means of an optical fiber can see the bodies of the upper gastrointestinal tract in the manner specified in the procedure's name.That is inspected esophagus, stomach, duodenum.After examination, the doctor will know if there are changes in the walls of the esophagus, and what diseases can cause anxiety.Also at FEGDS it has the opportunity to determine the acidity of the stomach (pH-Merten), take on the suspicious particles of the disease with the mucosal surface and the test for detection of Helicobacter pylori (the bacteria that contribute to ulcer disease).If you can not spend FEGDS, then this information can be obtained using X-ray with contrast suspension.In this case, the patient drinks a drug, and after hitting him in the stomach do a series of X-rays from different angles.But first, the method is less informative Secondly, linked to additional exposure of the patient, and thirdly, it is impossible to obtain tissue samples for further study.This significantly narrows the range of indications for this method of inspection.
When reflux at night, when the patient is in a horizontal position, throw the acid content can flow to the mouth, destroying tooth enamel.Therefore, it may require consultation and treatment in the dental office.
Treatment of heartburn
you feel heartburn?Make an appointment with the specialist and see if that can help you in your first aid kit.
Well to use any alkali (hydrocarbonate) mineral water, broth (infusion) of flaxseed.Everyone knows about the good effects of soda solution, that the composition, by the way, very close to the alkaline mineral water, a higher concentration only.But we recommend not to use baking soda as a regular assistance, because when it swallowed a large amount of carbon dioxide and dramatically increases the pressure inside the stomach that stimulates repeated heartburn.
Because of drugs antacids distinguished group.These drugs are known and widely distributed.All the familiar names: Almagel, Fosfalyugel, Maalox, Rennie.Their mechanism of action is based on binding of salts of magnesium and aluminum with hydrochloric acid in the stomach.A more recent group of drugs - alginates.These drugs are not simply bind the hydrochloric acid formed but also on the mucosal surface of the gel film, which protects the mucosa from the damaging effect of further agents.For long-term treatment using drugs proton pump inhibitors (PPIs).They block the production of hydrochloric acid in the stomach wall for a longer period of time.
with little effect on the treatment assigned and controlled your doctor may be necessary psychotherapist counseling to reduce stress alertness of the organism as a whole.
Danger This sign is in the case of prolonged absence of the diagnosis and treatment of diseases caused by it.At the site of inflammation of the mucous membrane forms an ulcer with continued actions damaging factor.It can penetrate the entire thickness of the wall and disrupt its integrity.Scar formed on the site of healed ulcers, can narrow the esophagus lumen and obstruct the passage of food through it.It is treated by surgery only.Therefore, one should not underestimate heartburn.Consult a doctor and treated in time.
By the way physicians treat when there Heartburn: