increased intragastric pressure
Introduction
Introduction Increased intragastric pressure is a clinical manifestation of gastroesophageal reflux. Gastroesophageal reflux disease (GERD) is an esophageal and gastric motility disorder. During the relaxation of the lower esophageal sphincter (LES), the gastric contents of the reflux esophagus called gastroesophageal reflux (GER) gastroesophage have two kinds of physiological reflux and pathological reflux. A disease of clinical gastroesophageal reflux disease and esophageal mucosal damage caused by excessive contact (or exposure to) gastric juice in the gastroesophageal cavity is called gastroesophageal reflux. Gastroesophageal reflux and its complications are multifactorial. These include defects in the anti-reflux mechanism of the esophagus itself, such as lower esophageal sphincter dysfunction and abnormal movement of the esophageal body; there are also dysfunctions of many mechanical factors outside the esophagus.
Cause
Cause
Cause: Increased intragastric pressure is caused by gastroesophageal reflux.
Examine
an examination
Diagnosis: Symptoms of gastroesophageal reflux:
1. Acid reflux: Every time after a meal, when the torso bends forward or when you sleep in bed at night, there are often acidic liquids or foods that flow from the stomach and esophagus to the throat or mouth. This symptom usually occurs before the burning of the sternum or before the heartburn occurs.
2, heartburn or pain: the main symptoms of this disease. Symptoms occur more than 1 hour after eating, can be radiated to the scapular region, neck, ear or upper arm; or induced in the body flexion, supine or sideways, strenuous exercise; symptoms can disappear after standing in the upright position or taking acid. Overheated, over-acid food can make the symptoms worse.
3, difficulty in swallowing: early stage can often cause secondary esophageal fistula due to esophagitis, intermittent pharyngeal difficulty; late stage may be due to esophageal scar formation stenosis, burning heart or pain gradually reduced and replaced by permanent swallowing difficulties. When eating solid foods, it can cause blockage or pain at the xiphoid.
Diagnosis
Differential diagnosis
Should be differentiated from other symptoms of gastroesophageal reflux diagnosis. Gastroesophageal reflux disease (GERD) is an esophageal and gastric motility disorder. During the relaxation of the lower esophageal sphincter (LES), the gastric contents of the reflux esophagus called gastroesophageal reflux (GER) gastroesophage have two kinds of physiological reflux and pathological reflux. Physiological reflux is caused by the spontaneous relaxation of LES, which is conducive to the discharge of gas in the stomach. The esophagus will promote the peristalsis to push the gastric juice into the stomach. Under normal circumstances, it will not cause damage to the esophageal membrane. Pathological reflux is a pathological phenomenon caused by a variety of factors caused by gastroesophageal anti-reflux insufficiency. Gastroesophageal reflux disease is a disease caused by reflux of the human esophagus in the stomach or duodenal contents. Often combined with esophagitis, about 10%-20% of the population have symptoms of gastric collateral reflux, but X-ray endoscopy can be found without abnormalities and may not be known for a long time. Sustained development can lead to serious complications such as esophageal strictures, ulcers, hemorrhage and Barrett's esophagus, the latter being precancerous lesions. Complications outside the esophagus may also occur. Such as acid laryngitis, respiratory tract spasm, lung injury complications.
