• Inhibitors of the proton pump is the most effective treatment for Acid Reflux symptoms occurring after meals. Optimal treatment can be obtained by increasing the dose by dividing the dose twice daily and taking the medication before meals. After 5 years of treatment, it may be useful to measure the concentration of vitamin B12.

• H2 antihistamines: These drugs block the stomach acid stimulated by histamine. They are effective only over a relatively short period of time, ie 4-8 hours. However, over a period of 24 hours, 70% of acid secretion may be blocked. A long-term treatment is not possible because after 2 weeks, tolerance to the drug's effects are found.

Other Therapeutic Measures

The use of biopolymers for injection or implantation of prostheses for the treatment of reflux disease have not been proven. Few Studies Have Shown Improvements in Symptoms, Which Have Reduced The dose of medication. For this reason, experts recommend the use of radiofrequency treatment or treatment by endoscopy.

Surgery

• Surgical treatment should be considered when the reflux disease was confirmed and when the patient does not respond well to medication. * Surgical Treatment Should Be When The regarded reflux disease WAS and Confirmed When The Patient Does not corresponds well to medication.

• During the operation, the barrier function between the stomach and esophagus is increased, the difference in pressure between the esophagus and stomach is increased and any diaphragmatic hernia is corrected. * "During the opera, The barrier function esophagus and stomach Between The IS laundry charges, the Difference Between the pressure in esophagus and stomach and Any IS Increased diaphragmatic hernia IS corrected.

What to do yourself?

Dietary

High-fat meal

Recent studies confirm Could not thats the exclusion of high-fat meal Improves The Symptom Of The disease. A high fat meal causes an increase in acid reflux only in healthy subjects and not in patients with reflux disease.

A high fat meal causes acid reflux year Increase in healthy subjects and only in patients not in with acid reflux disease. It is the same for heartburn and acid regurgitation, which are not influenced by meals rich in fat.

Sweets, chocolate, onions

Samples of Subjects Tested In The studies are so weak No definite answer That Can Be Provided.

And soft drinks with caffeine, fruit juices and soft drinks

Carbon dioxide can block the relaxation of the esophageal muscles and thus promote acid reflux. Other ingredients have no influence.

Decaffeinated coffee causes less reflux than real coffee.. Fruit juices, especially lemon-based, cause an increase in reflux in a third of those examined.

Feeding Behavior

Dilatation of the stomach due to overeating can cause relaxation of the muscles of the esophagus, which is why frequent small meals are better tolerated. It is worth mentioning that we have no scientific study confirming these facts.

Alcohol - Studies have shown that the type of alcohol plays a role.White wine causes more reflux than red wine and beer. But this does not depend on the alcohol content or pH of the beverage consumed. Development of esophageal cancer: The wine may cause reflux, but this is not to be linked with the development of cancer of the esophagus, which is actually caused by acid reflux.. Beer and other spirits on the other hand seem to promote the development of esophageal cancer.

Nicotine

It is not demonstrated beyond doubt that nicotine causes gastroesophageal reflux. The available data are controversial and range from no effect to a negative influence on the number of reflux episodes. There is no doubt that nicotine reduces the pressure in the muscles of the lower esophagus and neutralizes the bicarbonate in saliva.

Smokers develop more often a cancer of the esophagus following reflux esophagitis... In this context, It Is recommended to stop smoking for health in general.

Exercise

Running obviously can cause acid reflux.. By moving back and forth, the barrier function between the stomach and esophagus can be altered. It is recommended for athletes prone to reflux antacids before the start of the race.

Position to bed position in bed

What is the relevance of advice on the raised position during sleep and waiting for three hours after meals to go to sleep in patients with GERD?

Study Results:

• Patients with inflamed esophageal reflux following shows an accentuation of reflux when lying flat.

• Patients without esophageal inflammation showed a regression of reflux episodes when lying flat.Thus for these patients, the flat position is recommended.

• While lying down, it was demonstrated that the left lateral position caused less reflux compared with the right lateral position.

Abstract

Many changes in lifestyle can have a positive impact on reflux disease. The application of these changes is often difficult and the effects are moderate. The drugs available to us may already be administered at an early stage of the disease and contribute to improved quality of life of the patient.