Duodeno gastric reflux: diet, sample menu, diet recipes

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Duodenogastric reflux is a disease of the digestive system, which is accompanied by the release of the entire contents of the duodenum into the stomach, in particular, bile is thrown. Considering the criticality of the condition, it is necessary to start the recovery process as soon as possible in order to exclude the development of complications and critical consequences.

The basics of treating bile in the stomach with a diet

It is very important that duodenogastric reflux is treated in a comprehensive manner. In the vast majority of cases, its symptoms are unambiguous, but a diagnostic examination is still required. This is what will make it possible to prescribe the most correct treatment associated with all functions in the stomach, which will allow in the future to exclude the likelihood of complications and other critical consequences.

In general, the patient needs to change his own lifestyle so that the diet is also complete. It is strongly recommended by experts to abandon the effects of bad habits, namely smoking and drinking alcoholic beverages. The use of certain medicinal names, in particular, aspirin, choleretic, caffeine, is permissible only in accordance with the appointment of a specialist.

In addition, patients need to control their own weight as carefully as possible and prevent the likelihood of developing obesity and other abnormalities in the stomach. This is also why dieting in a condition such as duodenogastric reflux is a prerequisite for the recovery process.

Basic diet rules

The diet implies, first of all, fractional nutrition, namely, eating five to six times a day.

It is required to completely eliminate the possibility of overeating, in addition, it is very important that the food is thoroughly chewed or served in a pre-ground form.

Experts recommend cooking in the oven, steamer, or just boil them - in this case, they will be most useful for a disease such as duodenogastric reflux. In addition, this is how they will be much better absorbed in the stomach, excluding bile and other consequences.

It is important to consume warm food, refusing hot or cold items. It is very important to exclude physical activity, a horizontal position of the body within 60 minutes after eating a particular dish. Speaking directly about what the diet should be, experts draw attention to the fact that the use of fatty, salty, smoked and other types of dishes is unacceptable.

It is strongly recommended to completely eliminate sour-tasting fruits, such as citrus fruits, from the diet, to give up tomatoes, onions and garlic. In addition, certain fermented milk products are prohibited, as well as fresh bread and drinks, in particular carbonated ones.

In order for duodenogastric reflux to be fully treated and affect the stomach as quickly as possible, it is necessary to take into account some other norms that help eliminate bile, vomiting and much more:

it is advisable to use bran, mashed soups, as well as grated cereals, meat and lean fish;
it is permissible to use milk and yogurt, as well as vegetables, fruits and berries - as noted earlier, everything except sour ones;
a combination with drug treatment should be successfully combined with a diet, because it is the use of certain medicinal names that is the basis of a recovery course for a sick stomach.

In general, the use of certain drugs is aimed at establishing the optimal functioning of the entire gastrointestinal system, as well as adjusting the motor and evacuation functions of all departments. Similar drugs that provide optimal regulation include Trimedat.

In order for the diet to be even more effective, specialists may insist on the use of some other medicines.

We are talking about the fact that with a sick stomach, Cerucal and Domperidone, Omez and Nexium will help. Of course, each of the names has its own functions, but it is with their combination that duodenogastric reflux will be defeated. No less significant are certain preventive measures that will help eliminate bile and other unpleasant consequences in the future.

Prevention of duodeno-gastric reflux

Speaking about prevention, experts point out that the diet must be maintained without fail and after eliminating all negative symptoms, improving the patient's condition. In addition, the activities presented include the exclusion of overeating and the most even use of food. This will make it possible to normalize all processes in the stomach and prevent aggravation of the condition.

As noted earlier, after eating food, it is strongly recommended to avoid any physical exertion, as well as simply uncomfortable or uncomfortable postures. This aggravates everything related to the course of the disease and the process of digestion of food. In order for prevention and diet for a condition such as duodenogastric reflux to be effective, it is necessary to minimize the use of coffee and chocolate, the use of fresh pastries, as well as fatty and fried foods, and alcoholic beverages that can provoke bile.

In addition to the preventive measures presented, I would like to note other interventions that will help you recover much faster from this disease. They are no less important than diet, and therefore must be taken into account by every patient.

Great importance is attached to the normalization of the digestion process, which is why it is required to comply with all measures that will contribute to this process. In particular, it is recommended to refrain from wearing any tight clothing or belts.

It is advisable to walk as often as possible, especially in the morning or evening.

This will eliminate the likelihood of complications such as bile or vomiting.

It is equally important to visit sanatoriums or resorts, where the patient will be provided with full assistance, certain preventive procedures will be carried out. Thus, treatment for duodenogastric reflux should be comprehensive, include dietary measures, as well as the use of certain drugs.

Important!

HOW TO SIGNIFICANTLY REDUCE THE RISK OF CANCER?

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1. Can cancer be prevented? The occurrence of a disease such as cancer depends on many factors. No one can be completely safe. But everyone can significantly reduce the chances of a malignant tumor.

2. How does smoking affect the development of cancer? Absolutely, categorically ban yourself from smoking. This truth is already tired of everyone. But quitting smoking reduces the risk of developing all types of cancer. Smoking is associated with 30% of cancer deaths. In Russia, lung tumors kill more people than tumors of all other organs.

Eliminating tobacco from your life is the best prevention. Even if you smoke not a pack a day, but only half, the risk of lung cancer is already reduced by 27%, as the American Medical Association found.

3. Does excess weight affect the development of cancer? Keep your eyes on the scales! Extra pounds will affect not only the waist. The American Institute for Cancer Research has found that obesity contributes to the development of tumors in the esophagus, kidneys, and gallbladder. The fact is that adipose tissue serves not only to store energy reserves, it also has a secretory function: fat produces proteins that affect the development of a chronic inflammatory process in the body. And oncological diseases just appear against the background of inflammation. In Russia, 26% of all cancer cases are associated with obesity.

4. Does exercise help reduce the risk of cancer? Set aside at least half an hour a week for exercise. Sport is on the same level as proper nutrition when it comes to cancer prevention. In the US, a third of all deaths are attributed to the fact that patients did not follow any diet and did not pay attention to physical education. The American Cancer Society recommends exercising 150 minutes a week at a moderate pace or half as much but more vigorously. However, a study published in the journal Nutrition and Cancer in 2010 proves that even 30 minutes is enough to reduce the risk of breast cancer (which affects one in eight women in the world) by 35%.

5.How does alcohol affect cancer cells? Less alcohol! Alcohol is blamed for causing tumors in the mouth, larynx, liver, rectum, and mammary glands. Ethyl alcohol breaks down in the body to acetaldehyde, which then, under the action of enzymes, turns into acetic acid. Acetaldehyde is the strongest carcinogen. Alcohol is especially harmful to women, as it stimulates the production of estrogen - hormones that affect the growth of breast tissue. Excess estrogen leads to the formation of breast tumors, which means that every extra sip of alcohol increases the risk of getting sick.

6. Which cabbage helps fight cancer? Love broccoli. Vegetables are not only part of a healthy diet, they also help fight cancer. This is also why recommendations for healthy eating contain the rule: half of the daily diet should be vegetables and fruits. Especially useful are cruciferous vegetables, which contain glucosinolates - substances that, when processed, acquire anti-cancer properties. These vegetables include cabbage: ordinary white cabbage, Brussels sprouts and broccoli.

7. Which organ cancer is affected by red meat? The more vegetables you eat, the less red meat you put on your plate. Studies have confirmed that people who eat more than 500 grams of red meat per week have a higher risk of developing colon cancer.

8. Which of the proposed remedies protect against skin cancer? Stock up on sunscreen! Women aged 18-36 are particularly susceptible to melanoma, the deadliest form of skin cancer. In Russia, in just 10 years, the incidence of melanoma has increased by 26%, world statistics show an even greater increase. Both artificial tanning equipment and the sun's rays are blamed for this. The danger can be minimized with a simple tube of sunscreen. A study published in the Journal of Clinical Oncology in 2010 confirmed that people who regularly apply a special cream get melanoma half as often as those who neglect such cosmetics.

The cream should be chosen with a protection factor SPF 15, apply it even in winter and even in cloudy weather (the procedure should turn into the same habit as brushing your teeth), and also do not expose yourself to the sun's rays from 10 to 16 hours.

9. Do you think stress affects the development of cancer? By itself, stress does not cause cancer, but it weakens the entire body and creates conditions for the development of this disease. Research has shown that constant worry alters the activity of the immune cells responsible for turning on the fight-and-flight mechanism. As a result, a large amount of cortisol, monocytes and neutrophils, which are responsible for inflammatory processes, constantly circulate in the blood. And as already mentioned, chronic inflammatory processes can lead to the formation of cancer cells.

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Diet is a key factor for those suffering from heartburn or its chronic form of gastroesophageal reflux disease (GERD). The purpose of this article is to provide advice from dietitians on proper diet and lifestyle choices.

When you swallow, the lower esophageal sphincter closes the passage to the stomach, food cannot go back up the esophagus. When the sphincter relaxes, gastric juice can flow back into the esophagus. This reflux action can lead to GERD symptoms, including heartburn, belching, coughing, and choking.

Diet for reflux esophagitis

Harvard Medical School identifies poor functioning of the esophageal sphincter as the culprit in most cases of GERD. Some drinks and foods are safe and harmless, while others can permanently damage the sphincter, irritate the esophagus, and make reflux worse. There is no one-size-fits-all diet that can prevent all GERD symptoms. Developing a meal plan for GERD patients includes looking for foods that make the condition worse and foods that don't.

Write down in a notebook everything you eat for one week. A detailed report should include: food, drinks, meal times, post-meal symptoms. After that, you can determine for yourself a list of "bad" foods that worsen the symptoms of the disease.

Effective diet for reflux. List of "bad" foods

If you don't want to experience food for yourself, follow the recommendations given in the article below. There is no consensus in the medical community about which foods cause reflux. Nutritionists have made a list of foods that need to be excluded from the diet.

Foods high in fat. Fried and fatty foods can reduce pressure on the esophageal sphincter and delay gastric emptying. Fatty foods increase the risk of reflux symptoms. To minimize the number of attacks of the disease, it is necessary to reduce daily fat intake. The following foods are high in fat and should be avoided or eaten as little as possible:

French fries and onion rings;
Some dairy products: whole milk, butter, cottage cheese, sour cream, cheese;
Fatty or fried cuts of beef, pork or lamb;
Salo, ham, bacon;
Desserts and snacks: ice cream, chips, sauces, gravies, creamy salad dressings;

Tomatoes and citrus. Tomatoes, oranges, grapefruits and other citrus fruits are healthy foods. Despite this, the diet for reflux gastritis provides for the exclusion of the following foods from the diet:

oranges;
Grapefruit;
lemons;
limes;
Pineapples;
Tomatoes;
Tomato sauce;
salsa;
Chile;
Pizza.

Chocolate. Harvard Medical School classifies chocolate as a causative agent of GERD. Chocolate contains methylxanthine, which relaxes the smooth muscles of the esophageal sphincter. Regular consumption of chocolate can lead to reflux problems.
Garlic and onion. Most doctors believe that onions and garlic cause heartburn. Recent studies published in the American Journal of Gastroenterology indicate an increase in reflux and heartburn episodes in patients who consumed raw onions. These patients had previously suffered from heartburn. Heartburn and reflux symptoms were not observed in patients who did not previously have heartburn.

Duodeno gastric reflux: diet, list of "good" foods

There is no proven effective diet to prevent GERD. Studies have shown which foods can relieve the symptoms of the disease:

Yogurt and probiotics. Probiotics are a type of "good" bacteria found in yogurt. Products containing probiotics can provide some protection against "bad" bacteria. The effectiveness of the use of probiotics has not been proven, but in practice the symptoms of the disease become less painful.
Peanut butter. A limited intake of nuts is recommended by nutritionists as a source of protein and safe fats. Some GERD patients may experience unpleasant symptoms after eating peanuts. The number of nuts you need to choose yourself. More than 75% of asthma patients experience GERD. The allergic form of asthma is the most common. If you're allergic to peanuts, peanut butter can cause GERD-like symptoms: wheezing, throat swelling, and difficulty breathing.
Cellulose. Eating fiber reduces the risk of GERD by 20%. How to lose weight with fiber? Eat food in small portions, add fiber foods to each meal. After eating, do not take a horizontal position. A little physical activity will keep the muscles in good shape.

vesdoloi.ru

Diet for erosive gastritis of the stomach

Hello dear readers!

There are many different gastrointestinal disorders that can affect how you feel. Erosive gastritis is one such disorder that can cause severe pain. Regular use of pain medications and steroids can slowly eat away at the lining of the stomach and intestines, resulting in small ulcers. You end up feeling extremely uncomfortable every time you eat something.

A little about diseases

Usually all three of these diseases go together. As a rule, first a person begins gastritis, then it flows into an erosive form. As a result, esophagitis begins.

Treatment of gastritis

Erosive gastritis is a kind of inflammatory processes of the gastric mucosa of acute and chronic origin, a distinctive feature of which is the formation of small defects (erosions) on its surface.

At first, these lesions are invisible, usually occur in the outer shell, but if started, the entire stomach will be affected.

It has pronounced symptoms, such as:

Heartburn, feeling of heaviness.
Nausea and vomiting, accompanied by the release of blood.
Diarrhea and constipation, excretion of feces with blood.
Constant pain in the abdomen, which is dull in nature.

When diagnosing, the patient is forced to “swallow the hose”. Usually, if the disease is detected, urgent medical treatment is started. As a method of prevention and treatment, a strict diet is used for erosive gastritis.

Information about esophagitis

It is often provoked by diseases such as gastritis, allergies, burns of the esophagus. With esophagitis, the lining of the stomach becomes inflamed. Sometimes it passes easily and imperceptibly, and sometimes it is accompanied by terrible pains.

When esophagitis is characterized by pain behind the sternum, wearing a burning character. At the same time, they sometimes increase, sometimes they practically disappear.

Also, with esophagitis, it is difficult for the patient to swallow, a lump in the throat constantly interferes. It cannot be eliminated even if you drink a lot of water.

Even with esophagitis, heartburn is constantly haunted, while drowning it out with medication is quite problematic - neither folk remedies nor pills help. If you have these symptoms, it is better to consult a doctor, because the consequences of esophagitis are untreated.

Treatment for esophagitis is exactly the same. To begin with, a gastroscopy is performed. If a disease is detected, if necessary, a complex of drugs and a special menu are prescribed. Immediately, a diet is used for erosive gastritis of the stomach - it is also great for esophagitis.

Duodeno gastric reflux

Speaking of esophagitis, one cannot fail to mention duodeno-gastric reflux. All these diseases follow each other, provoking the appearance of more and more new ones, if timely treatment does not arrive.

With duodeno-gastric reflux, decay products from the intestines enter the stomach, resulting in a powerful intoxication of the body. It, like the previous disease, is caused by gastritis. In addition, the appearance of reflux can provoke smoking, passion for alcohol, drugs and the use of "heavy" medications.

Unfortunately, often treatment comes too late, as duodeno gastric reflux is elusive. It is usually discovered when another illness is being treated.

Duodeno gastric reflux in its symptoms is in many ways similar to gastritis. There is heaviness in the abdomen, sometimes nausea and vomiting. Sometimes duodeno gastric reflux manifests itself as bad breath, heaviness, and impaired stool.

Treatment of duodeno gastric reflux is, first of all, a diet for reflux gastritis. But this does not mean that duodeno gastric reflux is not treated with medication. On the contrary, without medicines prescribed by a specialist, one cannot get rid of gastric reflux duodeno.

Prescribed diet

The diet for reflux gastritis is a strict menu with many restrictions. Sometimes it is even impossible to imagine how to combine all this into one. Sometimes you want to give up. But you can’t: otherwise you can’t get rid of gastritis or duodeno gastric reflux.

Nutrition for erosive gastritis usually excludes all types of foods that can cause bloating, discomfort and flatulence. Such a diet also excludes most spices and almost all types of fats.

Still, diet is the main treatment. Can't do it without her.

But don't worry. Below you will see a special menu for duodeno-gastric reflux, which will help you forget about boring food, while not violating the norms established by your doctor. With such a diet, treatment will certainly be successful.

Monday

Sunday

All the best to you, get well soon!

Thank you for your attention! Sincerely, Olga.

foodlife.ru

Duodeno gastric reflux: symptoms, treatment and diet

Many people have an imbalance of the gastric environment, and as a result - duodeno gastric reflux. Most often this occurs during physical exertion or at night. Subject to gastroduodenal reflux are adults who move little and snack on the go. Therefore, they often have inflammatory processes in the stomach.

Why does pathology occur?

Duodeno-gastric reflux is next to gastritis and peptic ulcer. But as a separate disease it is not considered. Gastritis appears when the duodenum does not work properly. Therefore, if there is superficial duodenogastric gastritis, then gastroduodenitis can also be detected, which must be treated immediately. The occurrence of duodenogastric gastritis occurs due to various factors. A healthy lifestyle is of particular importance:

smoking and drugs;
Alcoholic drinks;
Prohibited drugs during pregnancy.

Formed duodenitis gastric reflux, if the tone of the circular muscles of the openings of the stomach decreases, with the occurrence of a hernia of the diaphragm. This may be due to cholecystitis, pancreatitis, Botkin's disease.

How does reflux develop?

There are three types of duodenogastric gastritis, which can be identified by a diagnostic method. At the first stage, the contents of the stomach are mixed with the duodenal to a small extent. The second degree is manifested if there are diseases of the stomach. The third is confirmed when the duodenal contents in the stomach are mixed in large quantities. The fact that gastroduodenitis has appeared is indicated by the following indicators:

smells bad from the mouth;
there is a feeling of heaviness in the stomach;
there is a desire to tear.

There are other signs of gastroduodenitis that may indicate gastritis:

the patient has constipation or loose stools;
he often suffers from flatulence;
no appetite;
frequent belching.

Reflux duodenogastric can be:

Superficial, if mucosal cells are affected.
Catarrhal with inflammation, swelling and redness of the mucosa.
Erosive if focal atrophy is present.
Billiary, if bile does not pass properly from the gallbladder to the duodenum.

The constant reflux of the contents of the duodenal process of the intestine back into the stomach is called duodeno-gastric reflux. DGR of the stomach as an independent pathology is rare, more often it is a symptom of another ailment in the gastrointestinal tract. Characteristic signs are diffuse pain and dyspeptic disorders in the form of heartburn, belching, nausea with vomiting, and the formation of a yellow coating on the tongue. For diagnosis, EGDS, electrogastroenterography, daily intragastric pH-metry are used. Treatment is complex with the use of prokinetics, acid-lowering agents, antacids.

Description of pathology

Duodeno-gastric gastric reflux implies a painful condition of the organ, in which the intestinal alkaline environment is thrown into the stomach, which contains digestive juice with hydrochloric acid. As a result, a conflict of different environments develops, against the background of which unpleasant symptoms arise. The clinical picture is usually blurred and intensifies with active physical activity or at night with the relaxation of all muscle structures in the body and the spreading of the digestive tract.

Gastro-duodenal reflux through the pyloric zone of the stomach disturbs every 9th adult. The high-risk group includes office workers, whose lives are inactive, people who consume large portions of food at a time. Duodeno reflux exacerbates addiction to fast foods and quick snacks. If gastro-duodenal reflux occurs constantly, inflammation of the mucosa develops on the walls of the stomach.

Reasons for the appearance

Addiction to fast foods, harmful, fatty foods can provoke illness.

There are external and internal factors that affect the development of duodeno-gastric reflux into the stomach:

Exogenous causes:
- malnutrition - addiction to fast foods, harmful, fatty foods;
- quick snacks, one-time consumption of large portions of food;
- a sedentary lifestyle or, conversely, intensive work immediately after eating;
- sleep immediately after a meal.
Endogenous causes:
- pathology of the gastrointestinal tract - chronic ulcer, duodenitis, gastritis or gastroduodenitis;
- muscle weakness of the sphincters;
- diaphragmatic hernia.
Other provoking factors:
- frequent alcohol abuse;
- uncontrolled medication, especially during pregnancy;
- frequent smoking, in particular, immediately after eating.

Degrees and varieties

There are 3 degrees of development of duodeno-gastric reflux:

I degree - insignificant violations, when only a small amount of the contents of the duodenum is thrown into the stomach and causes irritation. This degree is characteristic of 49% of patients.
II degree, when a large portion of the alkaline environment from the intestine is thrown into the stomach, causing inflammation and the development of other pathologies. This degree develops in 10% of patients.
III degree, when the gastric mucosa suffers significantly due to alkalization by intestinal contents. A vivid clinical picture develops with vomiting, heaviness in the stomach, bad breath, which often resemble the stage of exacerbation of gastroduodenitis. This degree occurs in 1 patient out of 10. Often, symptoms develop that are identical to gastritis, when diarrhea, flatulence, decreased appetite, and increased belching are observed.

According to the nature of destruction, there are 4 types of duodeno-gastric reflux:

Superficial, when the destruction concerns only the cells of the mucous layer, and the integrity of the glandular exocrine epithelium is preserved.
Catarrhal, when inflammation, swelling and redness of the mucosa join the process.
Erosive, when there is a focal form of atrophy.
Biliary, when the inflammation of the mucosa is accompanied by a violation of the supply of bile from the gallbladder to the duodenal process of the intestine.

Symptoms of duodeno-gastro reflux

Flatulence is a symptom of duodeno-gastric reflux.

A feature of the clinical picture of duodeno-gastric reflux of the stomach is the similarity with other pathologies of the gastrointestinal tract. The characteristic features of DGR are:

strong, sharp pains in the epigastrium caused by the processes of digestion of food;
chronic severe heartburn;
severe flatulence;
belching with a bitter taste, provoked by the reflux of bile from the duodenum into the stomach and esophagus;
dense mass of yellow coating on the tongue;
bad smell from the oral cavity against the background of the predominance of carbohydrate foods in the diet.

Indirect signs of gastroduodenal reflux are:

brittle nails and dry hair;
unhealthy skin tone;
the presence of jamming and hyperemia in the corners of the lips.

Diagnostics

Duodeno-gastric reflux is detected by chance - with fibrigastroduodenoscopy for the diagnosis of another pathology. It is possible to determine the presence of GDR in the stomach with a comprehensive examination of a person. For these purposes, the following is carried out:

Visual examination of the patient, assessment of the collected anamnesis.
Ultrasound of the abdominal area. The method allows to determine the nature and source of dysfunction of the stomach, duodenum, pancreas, gallbladder.
Esophagogastroduodenoscopy. Endoscopic examination allows you to get accurate information about reflux, identify its cyclicity, check the cytology and histology of the affected mucosa, the type of its lesion (differentiate malignancy from good quality).
Chemical analysis of digestive juices. It is carried out to detect even minimal concentrations of pancreatic enzymes of the pancreas and bile acids in gastric juice by titration.
Daily measurement of the pH of the gastric environment while observing the usual way. This is necessary to determine the exact cause and timing of reflux.

Additional methods are:

removal of irritation from the gastric mucosa arising from exposure to pancreatic juice;
restoration of the peristaltic ability of the intestine in one direction.

For this, the following drugs are used:

Prokinetics, such as "Motilium", "Passage", which are necessary to correct the conditions for the gradual movement of food in the right direction, to ensure the tone of the circular sphincter of the gastrointestinal tract.
Tablet form and suspension "Ovenson", "Choludexan" - to eliminate the harmful effects of bile acids on the stomach.
"Omeprazole" - to correct the level of acid in the gastric juice, create a barrier against the active effects of bile acids in the main digestive organ.
"Almagel", "Pylorid" - for the treatment of an erosive form of reflux.

Despite the fact that a healthy lifestyle and proper nutrition are becoming more and more popular today, there are people who still do not pay due attention to their health, have bad habits, and consume foods that can hardly be called healthy. And this, in turn, becomes the root cause of multiple digestive problems, which include the DGR of the stomach.

Duodenogastric reflux is a condition in which the contents of the duodenum are thrown into the stomach cavity. In this case, the patient often experiences discomfort, such as nausea, stomach pain, heartburn, increased flatulence.

However, GHD is not always considered as an independent disease, it often develops against the background of other problems with the gastrointestinal tract. Moreover, the presence of duodenogastric reflux does not at all indicate any pathology of the digestive tract, as it occurs quite often in healthy people (in 15% of cases). In this case, the reflux of intestinal contents into the stomach is observed mainly at night.

The presence of pathological processes can be said in the case when this condition persists for a long period of time during the day. In addition, patients have a significant increase in the acidity of gastric juice even a few hours after eating. The disease is most often a consequence of diseases of the organs of the initial sections of the gastrointestinal tract, but in 30% of cases there is an independent pathology. Often the disease is the result of trauma, surgery.

DGR in the stomach occurs most often against the background of other diseases of the digestive tract. In this case, gender does not matter, the disease manifests itself equally in both men and women. Most often this occurs in middle and older age.

Stages of development and types of disease

Depending on how much of the contents of the duodenum enters the stomach, there are three stages of the disease:

A small number (occurs in almost half of patients)
Moderate amount. In this case, the first symptoms of the disease may occur. At the same time, DGR often causes other problems in the work of the digestive tract.
Acute stage, accompanied by characteristic signs. It is considered the most dangerous, can cause serious harm to the health and well-being of the patient.

Depending on the area of damage to the stomach, GDR is divided into the following types:

surface type. The cells of the gastric mucosa are damaged. In this case, the cells of the epithelial tissue remain intact.
catarrhal type. In the mucosal area, the presence of inflammatory processes is noted. At the same time, the mucosa itself turns red, swelling and irritation occur.
erosive type. Atrophy of the mucous membrane is noted, while its individual areas (foci) are affected.
Biliary type. The work of the biliary organs is disrupted.

Clinical picture of the disease

In most cases, GHD has an asymptomatic course, or its signs are rather mild. This significantly complicates the diagnosis of the disease in the early stages of its development. Clinical signs are similar to those of diseases such as ulcers and gastritis. And this is not surprising, because these diseases often serve as the root cause of GHD. However, there are a number of characteristic signs, the presence of which may indicate the presence of an ailment:

Immediately after eating, the patient feels sharp pains in the abdomen.
Complaints of frequent and prolonged heartburn that occurs after eating and persists even 1-2 hours after eating
Bloating, heaviness in the stomach even when eating a small amount of food
Yellow coating on the surface of the tongue, bitterness in the mouth.

One of the most characteristic manifestations of the disease is the patient's bad breath, which persists even after hygienic procedures in the oral cavity. This sign indicates the entry of bile into the cavity of the stomach, especially after eating foods rich in carbohydrates.

Reasons for the development of the disease

The reasons for the development of DGR include:

Diseases of the digestive system, such as gastritis (acute or chronic), peptic ulcer, gastroesophageal reflux, when stomach contents are thrown into the esophagus
Features of the structure of the digestive tract, in particular, weakness of the muscles of the stomach, blocking its entrance and exit
The presence of neoplasms in the esophageal opening of the diaphragm
Bad habits, malnutrition (especially the use of carbohydrate foods)
Uncontrolled intake of certain drugs during pregnancy, when the growing uterus compresses the digestive tract
Lack of physical activity. Thus, the risk group includes representatives of sedentary professions.
Mature age (however, there are known cases of diseases among children).

How to identify the disease?

Diagnosis of GHD is complicated by the asymptomatic course of the disease, or the low intensity of the manifestation of its signs.

The most reliable diagnostic method is intragastric pH-metry, that is, measuring the dynamics of changes in the acidity of gastric juice. The study is carried out throughout the day, it is especially important to take into account the dynamics of acidity at night, when the patient does not experience physical exertion and does not eat.

The condition of the muscles of the stomach is assessed using antroduodenal manometry. This method allows you to identify a decrease in muscle tone, impaired motility of the stomach.

It is necessary to conduct a study of the composition of gastric juice, which makes it possible to identify the presence of enzymes of other organs of the gastrointestinal tract in it.

Differential diagnosis is also of great importance, that is, methods that make it possible to distinguish GHD from other diseases accompanied by similar symptoms.

Features of treatment

Effective treatment of GHD must be comprehensive. First of all, you will need to consult a doctor - a gastroenterologist, who will make an accurate diagnosis, identify the cause of the disease, and determine how to treat the disease.

Important! A positive result can be achieved with the help of not only medication, the patient must change his lifestyle and diet.

Diet

Normalization of the diet is a prerequisite for successful treatment. The patient should not overeat, it is necessary to take food in small portions, but, quite often, avoiding acute attacks of hunger. Three meals a day are recommended, with each meal alternating with a snack (2-3 snacks per day are needed in total). For snacks, it is best to choose bran, low-fat crackers, bread in the form of crackers. Such products help to remove excess bile.

As the main meals, preference should be given to dishes such as vegetable purees, cereals, low-fat dairy products, kissels. Particular attention should be paid to the consistency of the dishes. They should be mashed, as easy to digest as possible. Useful courses of the use of medicinal mineral water, which includes a large amount of magnesium.

The list of prohibited foods for patients suffering from GHD is quite large. This list includes:

Fatty, fried foods
Spices, spices, spicy sauces
Sweets, sweet pastries
Citrus
Onions, garlic, apples, white cabbage, tomatoes
Coffee, alcohol.

Medical treatment

The patient is prescribed certain medications aimed at restoring the working capacity of the digestive tract. There are the following groups of medicines:

Prokinetics (Motilium) improve the condition of the muscles of the digestive tract, promote easy digestion and promotion of food
Ovenson (and its analogues) protect the gastric mucosa from the destructive effects of bile, restore damaged areas of the mucosa
Omeprazole (and its analogues) reduce the acidity of gastric juice, eliminate the unpleasant symptoms of the disease
Almagel promotes the speedy regeneration of the gastric mucosa in cases where the patient is diagnosed with atrophy of the mucous membrane.

Physiotherapy

Numerous physiotherapeutic methods help eliminate the symptoms of the disease, restore muscle tissue and the gastric mucosa. For the treatment of DGR use:

Impact of dynamic currents. Helps restore the tone of the stomach muscles, accelerates the healing process of the mucous membrane, normalizes the nutrition of the stomach tissues.
Ultrasound. Relieves discomfort, pain, inflammation of the mucosa
UHF reduces the acidity of gastric juice, regulates the process of its production
Exposure to microwaves. This method is indicated for severe pain. The procedure contributes to the normalization of gastric motility, reduces the amount of gastric juice produced, and eliminates inflammatory processes.

Traditional medicine recipes

Folk remedies, in combination with the methods mentioned above, allow you to quickly cure the disease. It is important to remember that the choice of one or another recipe is carried out individually for each patient, depending on the tolerance of the constituent ingredients. Popular recipes include:

Freshly squeezed celery root juice. Eat before each meal (30 minutes) 1 tbsp. l. juice.
Place dandelion flowers tightly in a 3-liter jar. At the same time, cover each layer of the product with a small amount of sugar. When the flowers give juice, it must be separated and taken 1 tsp. in a day.

How to prevent

Preventive measures are quite simple. Necessary:

To refuse from bad habits
Limit your consumption of strong coffee
Keep track of your weight
Limit the consumption of foods that cause an increase in the acidity of gastric juice (fresh pastries, sweets, citrus fruits, spicy, fried, salty dishes).

DGR can be cured only if all doctor's prescriptions are followed. This applies not only to taking medications, but also to diet. The wrong diet negates the entire therapeutic effect that medicines and procedures provide.

Duodeno-gastric reflux (DGR) is a disorder of the digestive system, which is accompanied by the ingestion of the contents of the small intestine into the stomach. As a rule, the disease indicates a pathological condition of one or more organs of the digestive system, however, it is also diagnosed as an independent disease.

Occurring spellings duodeno gastral, duodenal gastric or gastric reflux are not correct.

Independent disease is quite rare - in 30% of cases. As a rule, DGR is a concomitant symptom of gastrointestinal pathologies: chronic gastritis, ulcerative lesions of the stomach and duodenum (duodenum), gastroduodenitis, duodenitis.

Pathology can also develop as a result of surgical intervention - after excision of the gallbladder, suturing of perforated ulcers of the stomach or duodenum.

There are signs of duodenogastric reflux disease in healthy people. In 15% of the population, food from the upper intestines can return to the stomach, which does not always mean an abnormal state of the digestive tract.

Most often, casts occur at night and during physical exertion, without causing an increase in the level of acidity of the gastric environment and without bringing discomfort.

However, the long course of gastroduodenal reflux is dangerous for the state of the digestive system. Active enzymes contained in bile aggressively affect the walls of the stomach, injuring the protective membrane. Over time, such a chemical effect leads to reflux gastritis - “corrosion” of the protective layer and inflammation of the walls of internal organs.

In addition, the pressure in the stomach increases, and the contents of the intestine can be pushed even further. Unlike conventional GDR (grade 1), when food does not rise above the stomach, grade 2 DGR is characterized by the reflux of duodenal contents into the esophagus (duodeno-gastro-esophageal) or into the oral cavity (duodeno-gastro-esophago-oral reflux).

Symptoms of duodeno-gastric reflux

Why does the disease occur and how does it proceed? Among the leading causes of pathology are:

gastroduodenal stenosis - low patency of the pyloric part of the stomach, narrowing of the outlet leading to the duodenum;
increased pressure in the upper region of the small intestine;
disorder of motor activity of the stomach and duodenum;
chronic inflammatory processes occurring in the gastrointestinal tract (gastritis, stomach ulcers, cancer), as well as prolonged exposure to the mucous membrane of adverse factors (smoking, alcohol abuse, prolonged medication);
malnutrition;
consequences of surgical intervention;
pregnancy can contribute to the weakening of the esophageal muscles.

Often several factors influence the development of pathology at once.

What are the signs of duodenogastric reflux?

It is not easy to identify the vivid symptoms of the disease, since they are similar to the manifestations of other pathologies in the activity of the digestive system. Sometimes a person does not feel any discomfort, and the disease is diagnosed randomly when complaining about other problems.

Signals indicating retrograde reflux of duodenal contents into the stomach are:

convulsive pain in the upper abdomen following a meal;
feeling of bloating, fullness of the stomach, increased gas formation;
heartburn and regurgitation with a sour taste;
belching with air;
bitterness in the mouth;
nausea, vomiting (food leftovers with bile);
dense plaque on the tongue of yellow color.

The danger of GDR is that, while asymptomatic, it can provoke complications: gastroesophageal form, reflux gastritis, intestinal metaplasia of the stomach or esophagus, and the growth of cancerous tumors.

The respiratory system is also negatively affected: as a result of GHD, asthma, bronchitis, and lungs suffer in some patients.

All these serious changes are associated with the aggressive effect of intestinal enzymes and bile on the mucous membrane of the stomach and esophagus, which are subject to chemical burns.

Diagnosis of the disease

It is not always possible to determine GDR by external signs and complaints of the patient. To exclude similar disorders in the work of the gastrointestinal tract, it is necessary to undergo the procedure of esophagogastroduodenoscopy (EFGDS) - examination of the cavity of the stomach and small intestine with a probe with a special camera. This study helps to establish the condition of the mucous membrane, but it itself is capable of provoking GHD.

The most accurate diagnostic method for verifying the pathology is daily pH-metry of the gastric environment. Fluctuations in the acidity of gastric juice during the night are carefully analyzed, since they are not associated with meals and physical activity.

The diagnosis of GHD is made if the gastric pH rises above 3. And when examining gastric juice, bile impurities should be detected in it.

Electrogastroenterography and antroduodenal manometry provide information about the motor function of the stomach and duodenum.

Treatment of duodenal gastric reflux

First of all, it is necessary to eliminate concomitant diseases that led to DGR: gastritis, gastroduodenitis, ulcer, duodenitis.

Normalization of the functioning of the gastrointestinal tract is possible only with an integrated approach: the use of medicines, lifestyle changes, and the rejection of bad habits.

Medical therapy

How to treat gastroduodenal reflux depends on the cause of its occurrence. Usually prescribed drugs such as:

drugs that normalize the peristalsis of the upper gastrointestinal tract (Trimedat);
prokinetics that stimulate the motor activity of the stomach and duodenum and contribute to a better movement of food through the digestive tract (Cerual);
drugs that neutralize the action of bile in the stomach (Rabeprazole, Nexium, Omez);
means that lower the level of acidity of gastric juice, as well as relieve unpleasant symptoms, such as heartburn (Almagel, Maalox).

Duodeno-gastric reflux will have to be treated with both pills and diet:

it is important to observe a diet - it is worth eating at the same time 4-6 times a day, if possible, reduce portions so as not to get used to overeating;
food must be steamed or boiled; allowed to bake in the oven. Fried foods should be completely eliminated from your diet;
the optimal temperature for ready-made food is 35-37 degrees. Too hot or too cold can harm your mucosa;
it is better to eat chopped food or chew it well;
after eating, you can’t lie down, it’s better to take a half-hour-hour walk, while avoiding heavy loads;
you need to give up products that irritate the mucous membrane - salty, spicy, sour, pickled dishes, smoked meats and canned food, yeast bread, citrus fruits, tomatoes, onions and garlic, soda, coffee;
the diet should be dominated by pureed soups and cereals, lean meat and fish, as well as low-fat milk; the use of bran, fresh vegetables (except cabbage, cucumbers, asparagus beans) and fruits (not sour) helps to promote duodenal contents through the intestines.

Giving up bad habits - alcohol, smoking - will be an effective step towards recovery.

You should also stop taking unsystematic medications (especially choleretic and non-steroidal anti-inflammatory drugs - aspirin, ibuprofen, diclofenac) or consult a doctor about replacing them.

Folk recipes

Additional help in the treatment of DGR can be traditional medicine:

Herbal tea: St. John's wort, chamomile, yarrow. Proportions are chosen to taste. Take twice a day. Such an infusion also helps with inflammatory processes of the digestive tract.

Soaked flax seeds. Flax seed is poured with water at room temperature (half a glass of water per 1 tablespoon). It is taken on an empty stomach after flax secretes mucus that protects the walls of internal organs.

Smoke leaves help against vomiting (2 tablespoons per half liter of boiling water). Infuse for an hour. Take 50 ml every two hours.

Rue leaves, which can be chewed or added to tea, help restore the motor function of the digestive tract.

Please note that folk remedies are not the basis of treatment! First of all, you need to visit a gastroenterologist or therapist!

Prevention of duodenogastric reflux

Improper nutrition and its consequence - obesity provoke the development of GHD. Therefore, keeping your body in good shape and being attentive to the food you eat are the main preventive measures in maintaining your health.

In addition, you should seek professional help in a timely manner in case of unpleasant symptoms, treat diagnosed diseases of the digestive system, listen to the advice of doctors, following their recommendations.

Gastroduodenal reflux (GDR) is the reflux of contents from the duodenum into the stomach. This process occurs in about 15% of healthy people, mostly at night. Reflux is considered a disease if daily intragastric ph-metry detects an increase in the acidity of gastric juice over five.

In 30% of patients, duodenogastric reflux is considered as an independent pathology. In the remaining 70%, GHD accompanies diseases of the initial sections of the gastrointestinal tract. Men and women suffer from this disease equally.

The disease develops due to reduced function of the gastric sphincter. Because of this, pressure in the duodenum rises, and all components of the intestinal secretion, such as pancreatic enzymes and bile, are thrown back into the stomach. They burn the mucous membrane and cause unpleasant symptoms.

Prolonged episodes of the disease lead to irreversible consequences, the formation of ulcers or the occurrence of chronic gastritis.

Other causes that provoke the appearance of duodeno-gastric reflux of bile include:

surgery, in which a partial excision of the stomach or intestines is performed;
excess weight;
malnutrition;
chronic gastritis;
ulcer;
violation of the sphincter of Oddi.

GDR and duodenogastroesophageal reflux are often combined, in which the contents of the stomach are thrown into the esophagus, as they have common factors in the development of pathologies.

Improper peristalsis of the digestive system leads to the throwing of the contents of the stomach and duodenum back into the stomach. Disorders can occur in various parts of the gastrointestinal tract.

Duodenogastric reflux has 4 varieties, depending on the ongoing destructive processes:

Surface. Mucosal cells are affected. The exocrine glandular layer of the epithelium is intact.

catarrhal. There is inflammation, swelling, redness of the mucosa.

Biliary. The outflow of bile from the gallbladder is disturbed.

Erosive. There is focal atrophy of the mucous membrane.

Symptoms

Symptoms of duodeno-gastric reflux are not specific and pronounced. That is, the patient may have the same complaints with pancreatitis, cholelithiasis, gastritis.

DGR is manifested by the following symptoms:

With reflux, a sign may be the presence of dry hair, brittle nails, cracks in the corners of the lips. But often a person does not pay attention to these symptoms and goes to the doctor when irreversible changes in the mucous membrane have already occurred, an ulcer has appeared.

Diagnostics

A disease such as duodenogastric reflux is usually detected by chance when differentiating other pathologies of the gastrointestinal tract. It is impossible to make a diagnosis only on the basis of symptoms, since they are also characteristic of other diseases of the gastrointestinal tract.

Before treating the disease, the following diagnostic studies are carried out:

Treatment

Therapy of duodenogastric reflux does not require the placement of a person in a hospital setting. However, for a complete examination, the patient must spend several days in the gastroenterology department. During this time, symptoms are studied, and treatment is prescribed depending on what the test results are.

Doctors have long developed clear practical recommendations for therapy. For the treatment of duodeno-gastric reflux, it is first necessary to achieve accelerated emptying of the stomach, increase the tone of the esophageal sphincter, and neutralize the effect of bile acids on the gastric mucosa.

Appoint:

But medication alone cannot stop the development of GHD. Doctors warn the patient about the need to change their lifestyle in favor of health.

It is recommended to stop smoking, strong coffee and alcoholic beverages. It is impossible to take choleretic drugs, NSAIDs and other medicines uncontrollably, as they provoke an exacerbation of duodeno-gastric reflux. To achieve remission, the patient, if necessary, should normalize weight and try to keep it within limits.

Treatment with folk remedies also helps with reflux. Various recipes for decoctions of medicinal herbs are used, which have a calming and anti-inflammatory effect. This is chamomile, St. John's wort, sage. Helps to strengthen the motility of the stomach infusion or tea from the bark of buckthorn, plantain. Enveloping action has a decoction of flax seeds, as well as linseed oil.

Diet

Proper nutrition is essential for the treatment of the disease. The diet for duodeno-gastric reflux was not specially developed, it is based on generally accepted principles of nutrition in diseases of the gastrointestinal tract.

Black bread, coffee, chocolate, onions, garlic, tomatoes are excluded from the diet. They reduce the tone of the gastric sphincter of Oddi. Cabbage, sour apples and other foods that increase the acidity of gastric juice should be avoided.

During snacks, it is allowed to take crackers, dry crackers, which contribute to the outflow of bile. You should also exclude spicy, fried, canned foods.

The menu should include vegetarian soups, vegetable and fruit dishes, bran bread, low-fat cottage cheese, juices, yoghurts, mineral water.

It is better to eat lean meat, fish, vegetables, fruits, cereals and dairy products. A complete list of allowed and prohibited foods can be checked with a gastroenterologist. Basically, a treatment table No. 1 and No. 2, recommended for diseases of the gastrointestinal tract, is prescribed.

There should be 5 or 6 small meals a day. After eating, it is better not to do bends and other movements associated with tension in the press. Wearing tight clothing in the waist area should be avoided so that intra-abdominal pressure does not increase.

Prognosis for duodenogastric reflux

If a person has a family history of duodenogastric reflux, one of the relatives has serious problems with the gastrointestinal tract, then he should find out what this disease is, its symptoms and treatment.

With a long course of the disease, serious changes occur in the stomach and esophagus, it becomes much more difficult to recover. Pressure in the stomach will cause inflammation of the lining of the esophagus (esophagitis). Gradually, bile acid and pancreatic enzymes burn the esophageal mucosa, which over time can lead to the development of a malignant tumor, atrophic gastritis.

The most common outcome in long-term untreated GHD in combination with esophagitis is the development of toxic-chemical duodenal reflux gastritis type C. It occurs due to the constant reflux of bile into the stomach and damage to the mucous membrane.

The sooner treatment is carried out, the more favorable the prognosis for duodenogastric reflux. After treatment, you need to constantly monitor your health.

You should maintain a normal body weight, give up fast food, eat right, do gymnastics every day to speed up your metabolism. With duodeno-gastric reflux, diet, giving up bad habits, physiotherapy, and medications can achieve stable remission.