What are the symptoms of gastric reflux

As the saying goes, nine out of ten people suffer from stomach problems. The food we eat must first be stored and digested in the stomach and then absorbed by the intestines to provide the energy and nutrients needed by the human body. However, due to bad living habits or improper eating habits, many people have some stomach problems to a greater or lesser extent. For example, many people have heartburn, which is actually a manifestation of gastric reflux symptoms. When you find yourself in this situation, you should pay attention to it.

About half of the patients with gastroesophageal reflux disease have inflammatory lesions such as esophageal mucosal erosion and ulcers under endoscopy, which is called reflux esophagitis; but a considerable number of patients with gastroesophageal reflux disease may not show reflux esophagitis under endoscopy, and this type of gastroesophageal reflux disease is called endoscopically negative gastroesophageal reflux disease. Collapse and edit this section Symptoms and signs The symptoms of gastric reflux are diverse and vary in severity. Some symptoms are more typical, such as heartburn and acid reflux, while some symptoms are not easy to recognize, thus neglecting the diagnosis and treatment of this disease. Many patients present with a chronic relapsing course.

1. Heartburn and acid reflux

It is the most common symptom of gastric reflux. Heartburn refers to a burning sensation behind the sternum or under the xiphoid process, often extending upward from the lower part of the sternum. It usually occurs 1 hour after a meal and may worsen when lying down, bending over, or with increased abdominal pressure. Regurgitation is the rushing of gastric contents into the mouth without nausea or straining. The reflux product of this disease is mostly acidic, which is called acid reflux. Acid reflux is often accompanied by heartburn.

2. Dysphagia and odynophagia

Some patients experience reflux symptoms such as difficulty swallowing, which may be due to esophageal spasm or functional disorders. The symptoms are intermittent and can occur with either solid or liquid food. In a small number of patients, dysphagia is caused by esophageal stenosis, in which case the dysphagia may persist and progressively worsen. Severe esophagitis or concurrent esophageal ulcer may be accompanied by dysphagia.

3. Pain behind the sternum

The pain occurs behind the sternum or below the xiphoid process. In severe cases, it may be severe, stabbing pain that may radiate to the back, chest, shoulders, neck, and ears, which is similar to angina pectoris. Most patients develop heartburn, but some patients may not have the typical symptoms of heartburn and acid reflux related to gastroesophageal reflux disease, which makes diagnosis difficult.

IV. Others

Some patients have symptoms of gastric reflux, such as discomfort in the throat, a foreign body sensation, a cotton ball sensation, or a blockage sensation, but no real difficulty in swallowing. This is called globus hystericus and may be related to increased upper esophageal sphincter pressure caused by acid reflux. Reflux can irritate the throat and cause pharyngitis and hoarseness. Aspiration of reflux into organs and lungs can cause recurrent pneumonia and even pulmonary fibrosis. Some non-seasonal asthma may also be related to reflux. In the above situation, if the accompanying reflux symptoms are not obvious or are ignored, the condition will not be cured for a long time due to improper treatment.