I will start with medical treatment first. Antacid, proton pump inhibitor, H2 blockers. If one does not work on you, try another, or a combination recommended by your doctor. Avoid spicy food, oily food, caffeine, dairy products. Elevate head. Small, frequent meals. Avoid eating a few hours before bedtime. GI doctors would not recommend OGD unless you don't respond to medical treatment, or you have red flag symptoms suggesting something else rather than reflux. OGD is invasive, and low in both sensitivity and specificity in diagnosing reflux. Simple test like 24 hour PH monitoring is better in diagnosing GERD than a scope.
Some of the red flag symptoms include difficulty swallowing, pain on swallowing, unexplained weight loss, unexplained anemia, early satiety (easily full when you haven't eaten much), aspiration, coughing, vomiting, elderly, obesity. I don't think lz has any of these. If you do a 24 ph monitoring and confirm it is reflux, then just treat the reflux. Doing a scope wouldn't help much in diagnosing reflux, but more for finding other pathology in the stomach. If they can't find anything on the OGD, they will still conclude that you have GERD, and give you medical treatment for GERD. The scope itself does not treat GERD.
Long story short: if you are quite sure you are having reflux, doing an OGD will not change the management. Plus you have to go through all the discomfort and risk of GA and risk of perforation/bleeding, although the risk is small.
目前我找的这个医生觉得正常,吃药就好。我是应该换个医生,还是找专科医生做胃镜,还是找中医呢?湾区中医应该挺多的吧。有没有mm有类似情况的啊?
我下周还有CPA考试,复习都被生病影响了。求个bless,不要考场上发病影响我考试。。
谢谢啊 竟然还有这种神器
谢谢 听起来好吓人 我抓紧去查
我也好想回国去治 可是这几个月都没法回。如果能痊愈真是太好啦。
你如果不想做胃镜 你可以试一个月上面的方法 如果还不行就只能胃镜了
三九胃泰 美国有卖的??哪里能买到啊?
另外一个mm也推荐三九胃泰,你们是国内买了带回来的吗?
I will start with medical treatment first. Antacid, proton pump inhibitor, H2 blockers. If one does not work on you, try another, or a combination recommended by your doctor. Avoid spicy food, oily food, caffeine, dairy products. Elevate head. Small, frequent meals. Avoid eating a few hours before bedtime. GI doctors would not recommend OGD unless you don't respond to medical treatment, or you have red flag symptoms suggesting something else rather than reflux. OGD is invasive, and low in both sensitivity and specificity in diagnosing reflux. Simple test like 24 hour PH monitoring is better in diagnosing GERD than a scope.
Some of the red flag symptoms include difficulty swallowing, pain on swallowing, unexplained weight loss, unexplained anemia, early satiety (easily full when you haven't eaten much), aspiration, coughing, vomiting, elderly, obesity. I don't think lz has any of these. If you do a 24 ph monitoring and confirm it is reflux, then just treat the reflux. Doing a scope wouldn't help much in diagnosing reflux, but more for finding other pathology in the stomach. If they can't find anything on the OGD, they will still conclude that you have GERD, and give you medical treatment for GERD. The scope itself does not treat GERD.
Long story short: if you are quite sure you are having reflux, doing an OGD will not change the management. Plus you have to go through all the discomfort and risk of GA and risk of perforation/bleeding, although the risk is small.
不过估计我在华人区,医生都是华人,做什么动作都麻利,所以不用排,当天早上见我,马上就安排做胃镜了,前后加起来1个小时搞定;我休息了20分钟就去上班了
让我这个reflux了很多年的过来人说一说。
1 去做胃镜和检查,要查清楚到底有没有幽门螺旋杆菌。这个菌或促进reflux的情况,所以如果有这个菌,reflux就会反复发作
2 如果有,要根治reflux要先把这个菌杀死 -- 这个有一个联合用2种抗生素+奥美拉唑的医疗方案。我记得疗程是2周左右。杀死之后 》 90% 基本不会复发。发现幽门螺旋杆菌和reflux机制的这个大佬还得了诺贝尔奖。
3 杀死之后,就吃奥美拉唑一段时间巩固一下,再之后就是as needed
幽门螺旋杆菌会传染,所以如果家里有小孩什么的,你确实查出来是positive的,就最好要分开碗筷一段时间。
mm好专业!我查了别的帖子,的确胃镜做不做影响不大。我估计我胃部有炎症,还有reflux,因为我喝了姜茶就立刻缓解,查了下姜茶有杀菌消炎的作用。我会立刻去找专科医生看的。
所以你也只是找了专科医生检查吃药,没有做胃镜?
然后吃药就好啦?还会再犯吗?
我也戒不掉咖啡和奶茶。。
Mark".......