Heartburn and reflux is one of the main reasons for consultation. The first thing to do is to rule out pathologies such as hiatal hernia, Helicobacter pylori infection, lower esophageal sphincter incontinence or possible food allergies.
For this purpose, one of the following tests can be performed:
- Endoscopy with esophageal biopsy.
- Esophageal manometry and multichannel intraluminal impedance with acidic and alkaline pH monitoring.
The most important thing is that these tests can rule out non-reflux disorders that can cause heartburn such as: eosinophilic esophagitis, achalasia and biliary diseases.
To reduce the discomfort, many specialists prescribe Omeprazole or similar, but let us remember that the continued administration of this drug is harmful. Given the choice, histamine receptor inhibitors are preferable, although they are not as effective, or esophageal mucosal protectors such as ZIVEREL.
However, we should not forget that a good diet is fundamental and our best ally to reduce reflux.
If none of the above options work, the patient may consider fundoplication surgery.
However, up to 40% of patients with reflux symptoms medicated with ibuprofen experience persistent symptoms with few treatment options given the excessive consumption of the medication.
Dr. Tormo Carnicé recalls the importance of following a proper diet and, only in cases where symptoms persist, resorting to intervention by an expert surgeon by laparoscopy is the best solution.