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Treating Stomach Acid

October 7, 2010 | In: english knowledge

Lifestyle and eating again proven to affect health better to prevent than treat stomach acid. Life with high stress and eating fatty foods are believed to trigger gastroesofageal reflux disease (GERD). Diseases with symptoms of pain and heat in the chest and stomach acid up into the esophagus if left unchecked this could lead to protracted disruption hoarseness, chronic cough, shortness of breath , and even esophageal cancer. This disorder can be treated with drugs that are available the market. The type and dose standardized in the National Consensus Reflux Disease Treatment Gastroesofageal compiled Indonesian GERD Study Group.

Gastroesofageal reflux disease according to the definitions in the national consensus is a disorder that causes gastric fluid reflux (flow back) into the esophagus and cause symptoms typical of a burning sensation in the chest, sometimes accompanied by pain and other symptoms such as acid and bitter taste on the tongue, pain heartburn, abdominal bloating, frequent belching, and difficulty swallowing. According to Dr. Ari Fahrial Sham SpPD MMB from the Division of Gastroenterology Department of Medicine Faculty of Medicine, University of Indonesia / Cipto Mangunkusumo Hospital (FKUI / RSCM) at a press conference symposium on the management of current disease, Saturday (4 / 12), originally classified as a disturbance of this disruption in the stomach. But in its development, GERD becomes a separate disease, namely disorders of the esophagus with the criteria, examination, and treatment of its own.

“Fatty foods such as cheese or chocolate as well as stress factors causing excessive acid and gas production in the stomach. Fatty foods also weaken the esophageal valve. As a result of acid and gas go up into the esophagus. This will cause sores in the throat, “he explained.

If it continues, this will interfere with other organs such as vocal cord disorders, itching in the throat, the acid into the lungs will cause shortness of breath symptoms such as asthma. In the esophagus will occur narrowing, inflammation and changes in esophageal wall, first of polyps and can develop into cancer.

The prevalence of GERD and its complications in Asia are low compared with Western countries. Prevalence in the West ranges from 10-20 percent, while Asia’s 3-5 percent, with the exception of 13-15 percent in Japan and Taiwan 15 percent.

A 1998 study in the Faculty of medicine / RSCM in patients with dyspeptic symptoms who received endoscopic examination found GERD cases of strep throat as much as 22.8 percent. Other studies in the Faculty of medicine / RSCM report of 1718 patients who underwent examination with the binoculars the upper gastrointestinal tract with an indication of dyspepsia for five years (1997-2002) showed an increased prevalence of strep throat from 5.7 percent in 1997 to 25.18 percent in 2002. GERD symptoms often overlap with symptoms of dyspepsia (indigestion due to high acidity). Often mistaken for heart problems because the patient feels pain, tightness, and heat in the chest so that there are various tests to find abnormalities in class heart . Antacids are able to eliminate symptoms, but did not stop the process that occurs. Therefore, according to Ari, antacids needed a more powerful form of proton pump inhibitor (proton pump inhibitor / PPI) such as omeprazole, esomeprazol, pantoprazol, lansoprazol.
This drug works by inhibiting the proton pump in parietal cell wall-that is acid-producing cells resulting in decreased gastric acid production and expenditure. “The acidity of the stomach is maintained at pH 4-6 to give the body a chance to repair the damage that occurred,” he explained.
Acid actually works to help digestion and kills germs. However, excessive production of acid will damage the stomach lining and esophagus as in the case of GERD. An effort to reduce the acidity to pH 4-6 so far does not endanger health.

In a national consensus is mentioned, if patients who received a double dose PPI for one week his condition improved, treatment should be continued up to eight weeks for full recovery.
For moderate and severe inflammation of the esophagus should be followed by maintenance therapy as needed (up to six months). According to Ari, a national consensus based on the consensus established various research centers in the world, case studies in Indonesia, and the empirical experience of the experts / medical practitioners that make up this consensus. Consensus guidelines are expected to become doctors in the management of GERD in order to reach results that optimal .treatment, treatment will not mean much if your lifestyle and diet can not be changed. Because those two things are actually the key to our health.

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