What to do if you have stomachache, acid reflux, or vomiting

Stomach pain, acid reflux, and even vomiting are very uncomfortable experiences, so when this happens, it must be resolved as soon as possible, but you can't be blind. First, you must figure out the cause of the stomach pain, acid reflux and vomiting, so that you can prescribe the right medicine. This will not only save you from taking medicine in vain, but also effectively solve the pain caused by the disease. If it is not so serious, you can drink more hot water. The saying that water is the source of life is not entirely unreasonable. Drinking more hot water can indeed solve the problem sometimes.

1. Western medicine treatment: Use gastric motility to increase gastrointestinal motility, inhibit bile reflux into the stomach, use gastric mucosal protectants to protect the gastric mucosa from bile damage, use gastric membrane elements to cover the gastric mucosa to reduce the irritation of the refluxed bile and gastric acid on the gastric mucosa, and use drugs to promote the secretion of mucus by the gastric mucosa to promote the healing of inflammation.

2. Treatment with Traditional Chinese Medicine: Traditional Chinese Medicine believes that bile reflux gastritis is caused by the disorder of the spleen and stomach, stagnation of water in the stomach, and stagnation of liver qi. It should be treated with symptomatic treatment and dietary conditioning.

3. Surgical treatment.

4. Physical therapy

① Promote gastric motility: by promoting gastric emptying, reducing the residence time of bile in the stomach, and promoting the emptying of reflux. Commonly used ones include metoclopramide (Metoclopramide), domperidone (Mostrin), etc. Enhance gastric motility, promote gastric emptying and dilation of the pylorus and duodenum, and accelerate food passage.

②Bound bile salts: such as Daxil (magnesium aluminum carbonate), which combines with bile acid and lysophosphatidylcholine, thereby reducing the damage of bile salts to the gastric mucosa. It is effective for bile reflux gastritis and is mainly used in clinical practice.

③Inhibit gastric acid: Gastric acid and bile have a cumulative effect, which has a strong damaging effect on the gastric mucosa. Acid inhibition is also effective for those with bile reflux. Commonly used acid suppressants are mainly H2 receptor blockers (H2RA) and proton pump inhibitors (PPI).

④ Anti-Helicobacter pylori treatment: Helicobacter pylori infection can cause gastric mucosal inflammation, and bile reflux gastritis can coexist with Helicobacter pylori infection. Therefore, in the treatment of patients with bile reflux gastritis combined with HP infection, acid suppressants, gastric mucosal protective agents and gastric motility should be used in addition to routine treatment. Removal of Helicobacter pylori should also be considered first. This not only helps the healing of the disease, but also reduces the possibility of inducing cancer.