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Acidic Ascents and burns of stomach that characterize the ebb gastro-oesophagien (RGO) make stand numerous people. Provided that they are tolerable and occasional, it is possible to resort to the self-medication in first intention. What are the big rules to respect?
The ebb gastro-oesophagien (RGO) is characterized by an ebb abnormal of the acidic content of the stomach. sophage, sometimes same until in the mouth, bound to a bad working of the sphincter. Such acidic ascents provoke the burns and/or the acidic regurgitations, generally after the meals or during the night. Other signs are susceptible to appear: nauseas, eructation, hiccup, nocturnal chronic cough, hoarse voice, sinusitis, pains to the ears, etc.
The most serious problem is that to the long, the mucous membrane of l'. sophage can damage itself and can be the seat of an inflammation (. sophagite), that can complicate itself then of an ulcer, of a difficulty to swallow (dysphagie), of a shrinkage of the low of l'. sophage (peptic sténose) and very rarely of a cancer of l'. sophage. not to arrive from it there, follow the following advice.
In case of RGO little stern and occasional at the adult
Adapt your Just life hygiene after the meal, don't lie down, don't do any important efforts, avoid to incline you toward the before, loosen the clothes and the belts susceptible to compress your abdomen. Avoid the meals rich in greases and copious. Split up your meals. Identify and avoid food encouraging the burns of stomach: greases, spices, sodas, chocolate. Suppress all consumption of tobacco and the alcohol. ..Avoid all overweight.
Raise your head during the night while placing some holds under the feet of your bed. Learn to manage your stress: sport, relaxation. Some medicines against the RGO are available in self-medication, that means over-the-counter without order. They permit to relieve the symptoms but don't permit to heal the RGO. It is imperative to respect the posology and the length of the treatment indicated. In any case, it is not necessary to take these medicines ever in a prolonged way without a physician's opinion. Every medicinal class has his own indications and contra-indications.
..The antacids
These are salts (aluminum, calcium, magnesium) that neutralize the acidity of the content of the stomach locally. They are to take as soon as the symptoms of the RGO appear. Susceptible to decrease the absorption of other medicines, they must be taken from afar: 2 hours or more. Attention, the antacids to basis of salts of aluminum or magnesium can provoke unrests of the transit (constipation, diarrhea). They often present themselves in association with other molecules: of the anti-flatulent (siméticone, diméticone) or of the gastro-intestinal protectors (Silica, Eraser Guar, Attapulgite of Mormoiron, Monmectite, Kaolin). They are contraindicated in case of illness of the kidneys.
..The alginates
They form a viscous frost that protects the partition of l'. sophage. They are to take after the meal. The alginates is always associated to salts (sodium, aluminum, magnesium). It is necessary to baffle the hold of other medicines of 2 hours or more. Attention in case of régime without salt: the alginates is often rich in sodium or in calcium. They are contraindicated in case of illness of the kidneys if they are associated to an antacid.
..The H2 antihistamines
They reduce the acidic secretion of the stomach. According to the symptoms, they can be taken at the time of the pains, before the meal or at the time of the bedtime. Not to pass 2 holds by 24 hours. Respect the length of treatment indicated on the note: 5 days for the cimétidine and 2 weeks for the famotidine. Respect one interval of 2 hours enters the hold of an antacid and a H2 antihistamine They are contraindicated in case of illness of the kidneys.
..nd finally
The self-medication is advised against if you have more than 50 years and that the symptoms are of recent apparition. You must consult a physician if the unrests come with gravity signs (difficulties to swallow, thinning, containing vomitings of the blood traces.).
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