Mild regurgitation of valves II and III

Some people may experience mild regurgitation of the second and third valves. At this time, they will be very afraid that they have developed a more serious condition. In this case, it is very important to adjust their lifestyle first. This is also the most critical step in treatment. You must not smoke or drink anymore, as such behaviors will aggravate the development of your disease.

1.24-hour esophageal pH monitoring is considered to be the best method to diagnose gastric acid reflux. This test can reflect the rhythm of acid reflux during the day and night and the degree of reflux.

2. Esophageal combined multi-channel intraluminal impedance-pH detection can directly indicate the occurrence of reflux and distinguish the physical and chemical properties of the refluxed material.

3.24-hour bile detection uses a special fiber optic probe to continuously and dynamically monitor changes in bilirubin concentration in the esophagus to determine whether bile reflux exists.

4. After taking 300 ml of radionuclide labeled liquid orally, the patient lies supine and undergoes radionuclide scanning. Reflex activity appears in the esophagus 10 minutes later, indicating the presence of gastroesophageal reflux. If radionuclide enhancement is shown in the lungs, it indicates that reflux material has entered the lungs.

5. Traditional esophageal manometry can understand esophageal motility function, while high-resolution esophageal manometry plus impedance can better detect the occurrence of reflux.

1. Change your lifestyle

Changing lifestyle is the first step in treatment and should be carried out throughout the entire treatment process, including raising the head of the bed, reducing fat intake, avoiding coffee, chocolate, and reflux-promoting drugs such as calcium channel blockers, quitting smoking and drinking, and losing weight for obese people.

2. Medication

Acid suppressants, prokinetics and gastric mucosal protectants, the recommended course of treatment is more than 8 weeks. Drugs that promote gastric motility, such as cisapride, domperidone, mosapride, etc., drugs that inhibit gastric acid, such as cimetidine, omeprazole, mucosal protective agents, such as bismuth drugs, etc.

3. Treatment of uncomplicated gastroesophageal reflux disease (GERD)

(1) Raise the head of the bed by about 15 cm.

(2) Avoid using strong stimulants that cause gastric acid secretion (such as coffee and alcohol).

(3) Avoid the use of certain medications (such as anticholeretic drugs), foods (fat, chocolate) and smoking, as these factors can reduce the tone of the lower esophageal sphincter.

(4) Give antacids one hour after meals and before going to bed.

(5) Use H2 receptor antagonists to reduce gastric acid.

(6) Use cholestatic agonists to increase sphincter pressure.