We a bin de na yunivasiti, a bin gɛt wan tayt padi we nem Chamari. Bɔku tɛm, Chamari kin kɔmplen se in bɛlɛ kin at ɛn in at kin bɔn afta i dɔn it, mɔ afta i it gud spaysi Sri Lankan it ɔ afta i dɔn it dina. I bin tink se na jɔs indigest. Bɔt as tɛm de go, di at bin de bɔn so i go ivin ambɔg in slip na nɛt.
"Dɔkta Priya, a kin gɛt bɔn na mi chɛst ɛvri nɛt. A kin gɛt sɔl-tasting dischaj na mi mɔt. A nɔ kin bɛtɛ ivin wit rɛgyula mɛrɛsin," Chamari aks mi wan de.
A bin de ɛksplen to Chamari wit kol at se: "Chamari, wetin yu bin de ignore, tink se na jɔs nɔmal indigestion, na wan kɔndishɔn we dɛn kɔl GERD (Gastroesophageal Reflux Disease) . Dis na wan kɔndishɔn we bɛlɛ asid de flɔ bak ɔp na di trot. Dis na wan sik we rili kɔmɔn pan yɔŋ pipul dɛn dis tɛm. Bɔt nɔ wɔri, dɛn kin kɔntrol am kɔmplit wan wit smɔl layf stayl chenj ɛn." di rayt mɛrɛsin tritmɛnt."
🚨 Rɛd Flag dɛn we nid fɔ go na dɔktɔ wantɛm wantɛm
Pan ɔl we asid riflɔks nɔ kin mek yu layf de pan denja, yu fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn bad bad tin ya:
- I kin tranga fɔ swɛla it ɔ saliva ɔ pen we yu de swɛla (Dysphagia/Odynophagia).
- We yu de lɔs yu wet kwik kwik wan fɔ no rizin (Unexplained Weight Loss).
- Fɔ vɔmit ɔ vɔmit blɔd ɔltɛm.
- Blak (tarry) stɔl (na sayn fɔ blɔd na di bɛlɛ ɔ di εsophagus).
Wetin mek GERD kin apin? Di rizin dɛn simpul
na di say we wi εsophagus εn bεlε de jכnkshכn, na wan mכsul we shep lεk ring we dεn kכl di LES (Lower Esophageal Sphincter) . i de akt lεk "valv" we de כnli opin na wan dairekshכn.
we wi de it, dis valv de opin fכ alaw di it fכ pas insay di bεlε, dεn de kכloz tayt wans di it dכn pas, we de mek di strכng asid dεm na di bεlε nכ fכ fכlכ bak כp insay di trot.
bכt if fכ sכm rizin dis LES valv wik כ nכ kכloz di rayt tεm, di bεlε asid kin lik izi wan insay di εsophagus. Dɛn kɔl dis asid riflɔks .
Bɔku men rizin dɛn de we mek dis valv kin wik:
1. Hiatal Hernia: di כp pat pan di bכdi de kכmכt insay di chεst tru wan ol na di dayafragm, we de mek di valv nכ de wok fayn.
2. Fat εn bεlε: di valv de opin mכr fכs biכs di prεshכn we de go כp na di bεlε.
3. Rɔng it abit: Fɔ it big it wan tɛm ɛn ledɔm wantɛm wantɛm afta yu dɔn it.
4. Rɔk, smok ɛn drɔgs:Smok kin mek di LES valv rilaks, ɛn di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen lɛk ibuprofen kin pwɛl di bɛlɛ wɔl dɛn bak.
Mɛdikal tɛst fɔ no if pɔsin gɛt asid riflɔks sik
Dɔktɔ dɛn kin se dɛn fɔ du dɛn tɛst ya fɔ no di sik kɔrɛkt wan:
- Ɔpa Ɛndoskopi: Dɛn kin put wan tiub we gɛt smɔl kamɛra tru di mɔt fɔ chɛk di wɔl dɛn na di εsophagus fɔ si if i gɛt inflamɛns, lɛshɔn dɛn, ɔ sayn dɛn fɔ kansa.
- Ambulatory pH Monitoring: na tεst we dεn kin du bay we dεn de yuz sכmכl divays we de mכsu di כmכnt כf asid we de fכlכ insay di trot fכ 24 awa.
- εsophagram (barium x-ray): Dis tεst de yuz barium swכla tεst fכ tek εks-ray fכ di εsophagus fכ no se i sכmtεm sכmtεm כ hεnia.
Aw fɔ kɔntrol di sik we dɛn kɔl asid riflɔks?
Fɔ mek yu wɛl frɔm dis sik fɔ ɔltɛm, ɔl tu di chenj dɛn we yu de chenj yu layf ɛn di tritmɛnt we yu de tek fɔ tek drɔgs fɔ du am wit balans:
1. Impɔtant chenj dɛn we yu fɔ chenj di we aw yu de liv yu layf:
- Smɔl it: Bifo yu it big it fɔ ful yu bɛlɛ wan tɛm, it sɔm smɔl smɔl it dɛn ɔltɛm.
- Gap bitwin it ɛn slip: Nɔ ledɔm ɔ slip fɔ at le 3 awa afta yu dɔn it dina.
- Fɔ ɛlevɛt di ed pan di bed: If yu es di ed pan di bed lɛk 6 inch, i go mek asid nɔ go ɔp bikɔs ɔf di graviti (fɔ yuz pilo nɔmɔ nɔ go du).
- We yu kɔntrol yu wet: Ridyus di fat we yu nɔ want na yu bɛlɛ.
2. Mɛdikal Tritmɛnt:
- PPI dεm (Proton Pump Inhibitors): Drug dεm lεk Omeprazole כ Esomeprazole de ridyus di prodakshכn fכ asid na di bεlε bכku bכku wan.
- H2 Blockers (H2 Receptor Blockers): Drug dεm lεk Famotidine de kכntro di asid bak.
- Antacids: Na likwid mɛrɛsin dɛn we de mek pɔsin fil fri kwik kwik wan frɔm pen na in chɛst.
Di tin dɛn we yu fɔ du & wetin yu nɔ fɔ du
| ✔️ Tin dɛn fɔ du (Du) | ❌ Nɔ fɔ du am |
|---|---|
| If yu chɛst nɔ de pen, go to dɔktɔ ɛn gɛt di rayt tritmɛnt plan. | Nɔ it tomato, sitrus frut, chɔklɛt, kafin (ti/kɔfi), ɛn it dɛn we gɛt spays we gɛt bɔku fat. |
| Wear klos we nɔ gɛt natin; avɔyd tayt bɛlt, mɔ rawnd di bɛlɛ. | Nɔ ledɔm ɔ bɛn ɛn du ebi wok wantɛm wantɛm afta yu dɔn it. |
| If yu kɔntinyu fɔ gɛt strenj kɔf ɔ hoarseness na yu trot, tɛl yu dɔktɔ, bikɔs i kin bi bak bikɔs ɔf asid riflɔks. | Nɔ tek PPI pils fɔ mɔnt dɛn we nɔ gɛt dɔktɔ advays (i kin afɛkt di kidni dɛn). |
❓ Sɔm ɔda kwɛstyɔn dɛn we yu kin gɛt (FAQ)
Aw fɔ no difrɛns bitwin at-bɔn ɛn at atak pen? ▼ we dɛn kɔl
Chɛst pen kin apin we yu ledɔm afta yu dɔn it ɛn i kin mek yu fil pen bay we yu de yuz antasid. Bɔt, at atak pen na we yu de swɛt, ebi ebi na yu chɛst we de spre to yu lɛft an ɔ yu jaw, ɛn i kin kam wit shɔt briz ɛn swet. If yu gɛt dawt, dɛn fɔ du ECG wantɛm wantɛm.
Wetin kin apin if dɛn nɔ trit GERD fɔ lɔng tɛm? ▼ we dɛn kɔl
if dεn nכ trit am, asid kin pwεl di εsophagus, we kin mek Esophagitis. as tεm de go, di εsophagus kin sכmtεm (Esophageal Stricture), we kin mek i at fכ sכlow, εn if i tranga, Barrett's Esophagus, we de mek di risk fכ kεnsar kin bכku.
Yu tink se asid we de na di trot kin mek yu tut rɔtin? ▼ we dɛn kɔl
Yɛs, di strɔng haydroklɔrik asid we de na di bɛlɛ kin flɔ insay di mɔt we yu nɔ no se na nɛt, ɛn i kin sɔlv di ɛnamel layt na di tit, ɛn dis kin mek di tut rɔtin ɛn di tut kin rɔtin.
Yu tink se i nid fɔ du ɔpreshɔn fɔ mek yu wɛl ɔlsay frɔm GERD? ▼ we dɛn kɔl
Nɔ, pas 90% pan di sik pipul dɛn kin wɛl wit di rayt it ɛn asid-kɔntrol pils we dɔktɔ gi. Ɔpreshɔn (e.g. Fundoplication) na fɔ di wan dɛn nɔmɔ we gɛt rili siriɔs ɔ hεnia we nɔ de ansa ɛni mɛrɛsin.
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