In life, a large number of patients with gastroesophageal reflux disease and chronic gastritis have gastroesophageal reflux disease. The two typical symptoms of gastroesophageal reflux disease - heartburn and acid reflux. However, because gastroesophageal reflux disease itself is also a chronic disease, many patients often ignore the discomfort caused by these two typical symptoms by the body due to the long-term "adaptation inertia" of the body, coupled with the relief and concealment of the symptoms by long-term medication, often ignores the discomfort caused by these two typical symptoms to the body.
In this case, on the one hand, the body relies on drugs to relieve and "adapt inertia", but on the other hand, it is still under high pressure in life, high work load and irregular diet, which can easily cause "inflammatory precancerous lesions" to the gastroesophageal tract.
In fact, in clinical practice, many patients with "inflammatory precancerous lesions" were found. The reason for the treatment was not the two typical symptoms of heartburn and acid reflux (as the above mentioned, the easier it is to cover up itself), but the treatment was inadvertently due to four atypical symptoms. suddenly found the precancerous lesions of the gastroesophageal lesions by accident. Since these 4 atypical symptoms are easily confused with other diseases, I will now talk about what these 4 atypical symptoms are, so as to avoid misunderstandings in gastroesophageal reflux and patients with disease in their own condition!
Before talking about the 4 atypical symptoms of gastroesophageal reflux, let’s take a look at a classic case:
A couple in their 40s came to see the doctor. More than a year ago, my wife started to feel that her heart was often burned after meals, and her throat would suddenly get stuck and she couldn't even swallow her saliva. She often had to wait for more than ten minutes to relieve it. In addition, the stomach is always swollen and there will be a tingling feeling below the sternum. Since these symptoms are typical symptoms of gastroesophageal reflux, the doctor first helped his wife with gastroscopy as usual to confirm the severity. As a result, the examination report was beyond my expectations, she was only quite mild first-level reflux esophagitis .
The gentleman who accompanied his wife to see the doctor said that he occasionally had stomach bloating, but the frequency was very low and there were no other special symptoms. However, the wife said that the husband had bad breath problems and his teeth were not improved after brushing, so she performed gastroscopy at the doctor's advice. Sure enough, the results of the husband's gastroscopy report showed that although there was no major problem with the stomach, the esophagus was very problematic, and the cardia at the lower end could not be closed at all. gastric acid repeatedly refluxed with breathing.
was further diagnosed and found that the teacher not only had severe third-level reflux esophagitis, but also Barret's esophageal lesions, which are the so-called precancerous lesions. Mr. and his wife were both frightened and asked the doctor in confusion, "Why are the esophageal inflammation and precancerous lesions even though they have no symptoms?
The couple in the above cases are the best interpretation of the typical symptoms and atypical symptoms of gastroesophageal reflux. The wife is a very typical symptom, such as heartburn and throat kara, which are easily directly related to the gastroesophageal reflux. The reason why the husband discovered this later is that he presents the atypical symptoms of gastroesophageal reflux, so it is difficult to diagnose it as soon as possible, and even if he is accidentally ignored or misdiagnosed.
Now let's talk about the four atypical symptoms of gastroesophageal reflux disease:
Now let's talk about the 4 atypical symptoms of gastroesophageal reflux disease:
Atypical symptoms 1: Bad breath: The most serious saliva secretion is
- There is a bitter and salty taste in the mouth and a difficult-to-improve bad breath. It may also be an extraesophageal atypical symptoms of gastroesophageal reflux. The main reason for the bitter and salty taste in the mouth is that the salivary glands are secreted in large quantities by gastroesophageal acid stimulation from the esophageal acid, so that the mouth often has bitter, salty and sour water for no reason. This type of bad breath is usually the most serious in the morning. This is because the food regurgitates from the stomach and stomach acid, which is often accompanied by an unpleasant smell, and the smell becomes more obvious after rushing into the mouth. In addition, if repeated reflux causes the reflux to erode the gums and inflame, or leads to dry mouth, it will aggravate the degree of bad breath.
Atypical symptoms 2: Chest tightness Sternum pain
- According to statistics, one-quarter of patients with gastroesophageal reflux will give priority to the cardiology department for treatment due to "chest tightness sternum pain". After many examinations, they will only visit the gastroenterology department. The most important reason for atypical symptoms such as chest tightness and chest pain is that long-term reflux of digestive and gastric acid in the stomach to the esophagus, causing respiratory irritation after long-term chronic stimulation of the esophagus (the trachea and esophagus are similar to "two ducts" adjacent to each other). It is worth noting that atypical symptoms of gastroesophageal reflux do not only occur near the esophagus, but also have many symptoms outside the esophagus, such as pain in the upper abdomen, frequent hiccups and upper abdominal distension and a sense of pressure. Because they are very similar to many symptoms, they are often misdiagnosed or delayed treatment.
Atypical symptoms 3: Chronic cough, colds, reflux, and can’t tell the difference between
- Currently there are two statements about gastroesophageal reflux that causes chronic cough and asthma. First, while gastric acid reflux, a very small amount of gastric acid chokes into the trachea, causing stimulation of the trachea, causing cough, phlegm, and even asthma. Another situation is the reflex reaction between the esophagus and the trachea, that is, when gastric acid refluxes to the esophagus, stimulating the parasympathetic nerves in the lower esophagus, causing reflex cough. If you do not have chronic cough and suddenly have symptoms of cough, then the respiratory tract infection of and the history of respiratory tract is generally caused by reflux stimulation of the respiratory tract and throat.
Atypical symptoms 4: Laryngeal syndrome: hoarse speaking, and the throat is stuck
- Gastroesophageal reflux causes throat discomfort. Depending on the degree of reflux, the feeling of "stabs" is different. It may be slightly like a small pill stuck, and in severe cases it will seem like a ping-pong ball stuck. This is because after gastric acid refluxes to the vocal cords or trachea, no relevant muscles can assist in the discharge of gastric acid. As long as there is more than three times a week, there is a high probability that the vocal cords and throat will cause redness and swelling, and the vocal cords and throat will evolve from laryngeal bulbism to "reflux pharyngitis (LPR)."
It is worth noting that among the people who have no or no obvious symptoms, up to 40% of patients with "reflux esophageal inflammation" are hidden. This phenomenon is called "silent gastroesophageal reflux". Many of the silent gastroesophageal reflux patients only accidentally learned during a health check that they had reflux esophagitis or pharyngitis. Because they are usually silent, some people are even so serious that they don’t know about precancerous lesions of the esophageal tract. Therefore, patients with the above symptoms should pay attention and judge in their daily lives. I wish you good health!
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