duodenal reflux (DGR) - a disease in which the retrograde reflux of the contents of the duodenum into the stomach.In most cases the disease is diagnosed as the syndrome that accompanies many other diseases of the digestive system, such as chronic gastritis or gastric ulcer and duodenal ulcer.Only 30% of cases, doctors diagnose the GDR as an independent disease.It should be noted that 15% of healthy individuals may also be detected duodenogastric reflux occurring periodically (during sleep, physical activity) and does not cause clinical symptoms.Because in such cases this condition has no negative effect on the digestive system of the GDR is not considered as a disease. Content
Symptoms of the diseasefew in number and are similar to symptoms of other diseases of the gastrointestinal tract.Sometimes the disease altogether asymptomatic and detected incidentally during fibrog
main symptoms of duodenal reflux:
Diagnosis of the disease is usually not difficult for the doctor.If you suspect a duodenal reflux patients are directed to fibrogastroduodenoscopy (EGD).Some patients received contrast radiography of the stomach and duodenum.
Treatment of patients suffering from this disease, should be complex.In most cases, doctors can determine the cause of occurrence of duodenal reflux, then you first need to start the treatment of the underlying disease.
Patients should change their lifestyle.It is necessary to give up smoking and drinking alcoholic beverages.The use of drugs, especially such as aspirin, cholagogue drugs, caffeine, can only be prescribed by a doctor.Patients need to control weight and prevent obesity.Dieting - an integral part of treatment.
Patients must be observed fractional diet, the food should be taken in 5-6 receptions, we can not allow eating, food should chew or chopping.Cooking meals is necessary by baking in an oven, or in a double boiler otvarivaya.There should be a warm meal is not recommended to use hot or cold foods.After a meal within 1 hour should not take a horizontal position, avoid strenuous exercise, especially abdominal muscle strain.
Diet for duodenal reflux excludes the use of fatty, spicy, smoked, fried and salty foods.It should be removed from the diet of sour fruit, citrus, tomatoes, onions, garlic, some dairy products, fresh bread, soft drinks.
recommended eating bran, cream soups, pureed oatmeal, low-fat meat and fish varieties, milk, yogurt, vegetables, fruits and berries (except acid).
Drug treatment of patients with reflux duodenogastric aimed at normalization of motility of the gastrointestinal tract and the regulation of motor-evacuation function of all parts of the digestive system.For drugs that regulate motor activity of the gastrointestinal tract, is Trimedat.
Also, patients received prokinetics (Reglan, Domperidone) that accelerate gastric emptying, and promote the content of the small intestine.
In order to neutralize the effect of duodenal contents on the gastric mucosa, the patient may be prescribed drugs - proton pump inhibitors (Omez, Nexium).
Taking other medicines aimed at combating the symptoms of the disease.To eliminate heartburn appointed antacids such as Almagell, Gaviscon, Fosfalyugel.
Treatment of duodenal reflux is necessary even in cases where patients do not have symptoms of the disease, and it does not bother him because GDR can lead to severe complications - reflux gastritis.
To prevent the occurrence of this condition is necessary to keep track of your diet and nutrition.Food should always be taken in regular intervals, it should not overeating.After the meal is not recommended to go to bed, bend over, eliminated physical activity, which can lead to an increase in intra-abdominal pressure.
should limit the consumption of coffee, chocolate, fresh pastries, fatty and fried foods, alcohol.An important role in the prevention of diseases plays a smoking cessation.