Reflux Là Gì

When you have GERD (chronic acid reflux) your stomach acid persistently flows back up into your mouth through your esophagus. You may experience heartburn, acid indigestion, trouble swallowing, feeling of food caught in your throat & other problems.

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GERD or Acid Reflux

What is GERD (chronic acid reflux)?

GERD (gastroesophageal reflux disease, or chronic acid reflux) is a condition in which acid-containing contents in your stomach persistently leak back up into your esophagus, the tube from your throat lớn your stomach.

Acid reflux happens because a valve at the over of your esophagus, the lower esophageal sphincter, doesn’t close properly when food arrives at your stomach. Acid backwash then flows back up through your esophagus into your throat & mouth, giving you a sour taste.

Acid reflux happens to lớn nearly everyone at some point in life. Having acid reflux & heartburn now & then is totally normal. But, if you have acid reflux/heartburn more than twice a week over a period of several weeks, constantly take heartburn medications và antacids yet your symptoms keep returning, you may have developed GERD. Your GERD should be treated by your healthcare provider. Not just lớn relieve your symptoms, but because GERD can lead khổng lồ more serious problems.

What are the main symptoms of GERD (chronic acid reflux)?

The main symptoms are persistent heartburn and acid regurgitation. Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning or trouble swallowing. You may feel lượt thích you have food stuck in your throat, or like you are choking or your throat is tight. GERD can also cause a dry cough & bad breath.

What is heartburn?

Heartburn is a symptom of acid reflux. It’s a painful burning sensation in the middle of your chest caused by irritation to the lining of the esophagus caused by stomach acid.

This burning can come on anytime but is often worse after eating. For many people heartburn worsens when they recline or lie in bed, which makes it hard to lớn get a good night’s sleep.

Fortunately, heartburn can usually be managed with over-the-counter (OTC) heartburn/acid indigestion drugs. Your healthcare provider can also prescribe stronger medicines to lớn help tame your heartburn.

What vị I vày if I think I have GERD (chronic acid reflux)?

With GERD — when reflux và heartburn happen more than once in a while — the tissue lining your esophagus is getting battered regularly with stomach acid. Eventually the tissue becomes damaged. If you have this chronic acid reflux & heartburn you can see it’s affecting your daily eating and sleeping habits.

When GERD makes your daily life uncomfortable in this way, gọi your healthcare provider. Although GERD isn’t life-threatening in itself, its chronic inflammation of the esophagus can lead khổng lồ something more serious. You may need stronger prescription medications or even surgery to ease your symptoms.

How common is GERD (chronic acid reflux)?

GERD is very common. The condition và its symptoms cảm biến a huge number of people: 20% of the U.S. Population.

Anyone of any age can develop GERD, but some may be more at risk for it. For example, the chances you’ll have some form of GERD (mild or severe) increase after age 40.

You’re also more likely lớn have it if you’re:

Overweight or obese.Pregnant.Smoking or are regularly exposed to lớn second-hand smoke.Taking certain medications that may cause acid reflux.

Symptoms and Causes

What causes acid reflux?

Acid reflux is caused by weakness or relaxation of the lower esophageal sphincter (valve). Normally this valve closes tightly after food enters your stomach. If it relaxes when it shouldn’t, your stomach contents rise back up into the esophagus.


Stomach acids flow back up into the esophagus, causing reflux.

Factors that can lead to lớn this include:

Too much pressure on the abdomen. Some pregnant women experience heartburn almost daily because of this increased pressure.Particular types of food (for example, dairy, spicy or fried foods) and eating habits.Medications that include medicines for asthma, high blood pressure & allergies; as well as painkillers, sedatives và anti-depressants.

What are the symptoms of GERD (chronic acid reflux)?

Different people are affected in different ways by GERD. The most common symptoms are:

Heartburn.Regurgitation (food comes back into your mouth from the esophagus).Coughing.Chest pain.Problem swallowing.Vomiting.Sore throat & hoarseness.

Infants và children can experience similar symptoms of GERD, as well as:

Frequent small vomiting episodes.Excessive crying, not wanting to lớn eat (in babies & infants).Other respiratory (breathing) difficulties.Frequent sour taste of acid, especially when lying down.Hoarse throat.Feeling of choking that may wake the child up.Bad breath.Difficulty sleeping after eating, especially in infants.

How vày I know I’m having heartburn and not a heart attack?

Chest pain caused by heartburn may make you afraid you’re having a heart attack. Heartburn has nothing to do with your heart, but since the discomfort is in your chest it may be hard to know the difference while it’s going on. But symptoms of a heart attack are different than heartburn.

Heartburn is that uncomfortable burning feeling or pain in your chest that can move up to your neck và throat. A heart attack can cause pain in the arms, neck và jaw, shortness of breath, sweating, nausea, dizziness, extreme fatigue and anxiety, among other symptoms.

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If your heartburn medication doesn’t help and your chest pain is accompanied by these symptoms, call for medical attention right away.

Can GERD (chronic acid reflux) cause asthma?

We don’t know the exact relationship between GERD và asthma. More than 75% of people with asthma have GERD. They are twice as likely khổng lồ have GERD as people without asthma. GERD may make asthma symptoms worse, & asthma drugs may make GERD worse. But treating GERD often helps khổng lồ relieve asthma symptoms.

The symptoms of GERD can injure the lining of the throat, airways & lungs, making breathing difficult & causing a persistent cough, which may suggest a link. Doctors mostly look at GERD as a cause of asthma if:

Asthma begins in adulthood.Asthma symptoms get worse after a meal, exercise, at night and after lying down.Asthma doesn’t get better with standard asthma treatments.

If you have asthma & GERD, your healthcare provider can help you find the best ways khổng lồ handles both conditions — the right medications & treatments that won’t aggravate symptoms of either disease.

Is GERD (chronic acid reflux) dangerous or life-threatening?

GERD isn’t life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems:

Diagnosis & Tests

How is GERD (chronic acid reflux) diagnosed?

Usually your provider can tell if you have simple acid reflux (not chronic) by talking with you about your symptoms & medical history. You and your provider can talk about controlling your symptoms through diet and medications.

If these strategies don’t help, your provider may ask you to get tested for GERD. Tests for GERD include:

When does a child/infant need to lớn be hospitalized for GERD?

GERD is usually treated on an outpatient basis. However your child will need to be hospitalized if he or she:

Has poor weight gain or experiences a failure khổng lồ thrive.Has cyanosis (a bluish or purplish discoloration of the skin due khổng lồ deficient oxygenation of the blood) or choking spells.Experiences excessive irritability.Experiences excessive vomiting/dehydration.

Management & Treatment

What medications bởi vì I take to manage the symptoms of GERD (chronic acid reflux)?

Many over-the-counter (OTC) và prescription medications relieve GERD. Most of OTC drugs come in prescription strength too. Your provider will give you a prescription for these stronger drugs if you’re not getting relief from the OTC formulas.

The most common GERD medications:

Antacids (provide quick relief by neutralizing stomach acids) include Tums®, Rolaids®, phauthuatcatmimat.comlanta®, Riopan® & Maalox®.H-2 receptor blockers (which decrease acid production) include Tagamet®, Pepcid AC®, Axid AR® and Zantac®.Proton pump inhibitors (stronger acid blockers that also help heal damaged esophagus tissue) include Prevacid®, Prilosec®, Zegerid®, Nexium®, Protonix®, AcipHex® & Dexilant®.Baclofen is a prescription drug used to reduce the relaxation of the lower esophageal sphincter which allows acid backwash.

Is there surgery lớn treat GERD (chronic acid reflux)?

GERD is usually controlled with medications and lifestyle changes (like eating habits). If these don’t work, or if you can’t take medications for an extended period, surgery may be a solution.

LINX device implantation is another minimally invasive surgery. A LINX device is a ring of tiny magnets that are strong enough to keep the junction between the stomach & esophagus closed to refluxing acid but weak enough khổng lồ allow food to lớn pass through.

What treatments approaches will be considered if child has GERD?

Approaches may include one or more of the following:

Advice on avoiding triggers (certain types of food, changing formulas in infants) that may be causing GERD symptoms or making them worse.Over-the-counter medications.Prescription medications.Information on proper toàn thân positioning, e.g., maintaining an upright position after eating meals/feedings.Surgery (reserved as a last resort, or for when certain surgical correctable causes are identified).


How bởi I prevent symptoms of GERD (chronic acid reflux)?

Here are 10 tips to lớn help prevent GERD symptoms:

Eat small, frequent meals rather than huge amounts a few times a day.Reduce fat by decreasing the amount of butter, oils, salad dressings, gravy, fatty meats & full-fat dairy products such as sour cream, cheese và whole milk.Sit upright while eating & stay upright (sitting or standing) for 45 khổng lồ 60 minutes afterward.Avoid eating before bedtime. Wait at least three hours after eating lớn go lớn bed.Try not to lớn wear clothes that are tight in the belly area. They can squeeze your stomach and push acid up into the esophagus.When sleeping, raise the head of the bed 6 to lớn 8 inches, using wooden blocks under the bedposts. Extra pillows don’t work.Your healthcare provider may prescribe acid-reducing medications. Be sure khổng lồ take them as directed.Cut out possible trigger foods.

What foods should I avoid if I have GERD (chronic acid reflux)?

Adjusting your diet & eating habits play a key role in controlling the symptoms of GERD. Try to avoid the trigger foods that keep giving you heartburn.

For example, many people get heartburn from:

Spicy foods.Fried foods.Fatty (including dairy) foods.Chocolate.Tomato sauces.Garlic and onions.Alcohol, coffee and carbonated drinks.Citrus fruits.

Keep a record of the trigger foods that give you trouble. Talk with your provider to lớn get help with this. They’ll have suggestions about how to log foods and times of day you should eat.

Outlook / Prognosis

What is the outlook for GERD (chronic acid reflux)?

You can control the symptoms of GERD. If you adjust your eating and sleeping habits & take medications when needed, you should be able to get your GERD symptoms lớn a manageable level.

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When should I gọi healthcare provider?

If you experience acid reflux/heartburn more than twice a week over a period of several weeks, constantly take heartburn & antacids và your symptoms keep returning, call your healthcare provider.