Functional disorders of the digestive system, manifested by vomiting
Hastroэzofahealnыy reflux (FAMILY)
ERT is a retrograde movement, leaking or reflux of gastric and / or intestinal contents into the esophagus. At the heart of the ERT is reducing the tone of the lower esophageal sphincter and increase intragastric pressure.
Clinical symptoms of GERD
Heartburn, a burning sensation behind the breastbone and increased after a meal, in the supine position, at the bend of the trunk, after overeating, during physical activity. Often there is excessive salivation and slyunoobrazovanie during sleep, casting acidic gastric contents into the mouth, chest pain, resembling angina, cough, hoarseness, bad breath.
Diagnostika FAMILY
Daily intragastric pH-metry, which allows to determine the total number of reflux during the day and their duration.
General therapeutic measures in the ERT
To reduce GER in most cases it is enough for the general measures to change the lifestyle of the patient:
- stop smoking and drink alcohol;
- Raise the head end of the bed in the 15 cm;
- change the style of food and lose weight;
- not to overeat;
- Do not eat less than 3 hours before bedtime;
- Avoid hot drinks or alcohol before bedtime;
- Do not use unnecessarily medicines, influencing the motility of the esophagus (nitroglycerin, antidepressants, drugs, potassium, and calcium, NSAIDs).
After consultation with a gastroenterologist from medication use drugs kislotosnizhayuschie (ma-alkoxy, Aluminium phosphate gel, Gustav), preparations, affecting the motor function of the esophagus.
Cyclical (functional) vomiting
Ostro arising nausea and vomiting lasting from several hours to several days. May alternate with periods of asymptomatic, lasting for weeks and even months.
The complex of therapeutic measures begins with finding the root causes of, that often requires consulting neurologist, a psychologist or a neuropsychiatrist. Patients are encouraged to appropriate diet excluding fat, smoked, hot beverages, alcohol, carbonated drinks. It is necessary to sleep with the head of the bed elevated, do not wear clothing with a tight belt, Avoid exercise overvoltage abdominals.