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The lower esophageal sphincterFor some reason, it doesn't perform well. This may be, for example, the result of a hernia in the esophageal part of the diaphragm. Such a hernia can cause destructuring of the entire esophagus. Decreased clearance of the esophagus. It can be provoked by a change in the composition of saliva or a decrease in its quantity. Because of this, the neutralizing effect that saliva usually has is significantly reduced. Also, a similar pathology can be caused by a decrease in the level of bicarbonates in the mucus that is contained on the walls of the esophagus. Gastrointestinal contents have an irritating effect and damage the esophageal mucosa.
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This is because gastric juice contains hydrochloric acid, bile acids and pepsin. For some reason, the process of emptying the stomach from its contents is disrupted. Increased pressure inside the peritoneum. Pregnancy. As the fetus grows, pressure on the stomach and intestines increases. Because of this, the contents of the stomach can enter the esophagus. Smoking. Too much weight. Taking certain medications. These are drugs that can reduce the tone of smooth muscles. They can provoke a violation of the function of the sphincter.
As gastroenterologists have long noticed, GERD can provoke fried, spicy and fatty foods, flour, lard, fatty meat.
Very often, the development of this disease provokes an improper diet. It is extremely harmful to absorb food too quickly. A person with this method of eating absorbs an excess amount of air. This provokes an increase in pressure inside the stomach. At the same time, the lower sphincter relaxes and begins to pass food in the opposite direction, back into the esophagus.
The use of lisinopril products leads to the fact that the food bolus lingers in the stomach and pressure increases.
Clinical manifestations of zestril (typical manifestations and non-coronary pain in the sternum). Symptoms of damage to the esophagus (adenocarcinoma, reflux esophagitis, Barrett's esophagus, peptic stricture of the esophagus). In which a relationship has been established (reflux-associated laryngitis, cough, erosion of enamel on the teeth, bronchial asthma). Manifestations that can presumably be associated with gastroesophageal reflux (sinusitis, pharyngitis, recurrent otitis media, idiopathic pulmonary fibrosis).
What are the symptoms of GERD? Doctors divide the symptoms of zestril into two groups.
Why do extraesophageal lesions occur? This is due to the fact that the refluctant enters the respiratory tract and has a significant irritating effect. At the same time, reflexes are triggered. esophagobronchial and esophagocardial. Pulmonary syndrome (shortness of breath that appears when a person lies down, cough). Otorhinolaryngopharyngeal syndrome (reflex apnea, rhinitis, otitis media, pharyngitis or laryngitis may develop). Dental syndrome (periodontal disease, caries). anemic syndrome.
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It manifests itself at a late stage of the development of the disease and is associated with the fact that erosion appears on the walls of the esophagus. They can bleed, which reduces hemoglobin levels. Cardiac syndrome (arrhythmia is observed, the patient feels pain in the region of the heart).
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Barrett's esophagus is the most dangerous complication. With this development of the course of the disease, the squamous epithelium in the esophagus is replaced by a cylindrical epithelium (it is characteristic of the stomach). With this substitution, the risk of developing cancer increases tenfold. Reflux gastroesophageal in children.
If this ailment is ignored, it can lead to dangerous complications. Among them, one of the most common is the stricture of the esophagus, Barrett's esophagus, the development of ulcers and erosions, as well as bleeding from them.
But it also happens that GERD develops in infants. This is facilitated by damage to the esophagus by hydrochloric acid.
Older children with GERD develop heartburn, upper chest pain, a sour taste in the mouth, a feeling that food is stuck in the throat, discomfort during swallowing.
Gastroesophageal reflux disease can be diagnosed by various methods. Examination of the esophagus with an endoscope.
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This is the main method for determining GERD. It allows you to accurately see the changes that appeared as a result of the development of the inflammatory process, and erosive and ulcerative lesions, metaplasia, strictures. Esophagomanometry. It allows you to explore the motor activity of the esophagus. If the tone of the sphincters has changed, this will also be immediately visible. Esophageal acidity measurements. This method helps to buy lisinopril identify abnormal acidity, the duration and number of such episodes.
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