You will need
- - prokinetics: metoclopramide (brand names reglan, reglan);
- - antacids: gastal, Maalox, Almagel, aluminium phosphate gel;
- blockers H2-histamine receptors: ranitidine, famotidine;
- inhibitors of proton pump: omeprazole, rabeprazol.
If cardia failure is caused by any other disease, first treat it. Cured the underlying disease will facilitate treatment of cardiac insufficiency.
If you have increased body mass, reduce it. The extra inches of fat in the abdomen increases intra-abdominal pressure and cause the abandonment of stomach contents into the esophagus.
Eat standing or sitting 4-6 times a day in small portions. Food should not be spicy, very hot or cold.
Limit consumption of fats, citrus fruits, tomatoes, chocolate and coffee. They cause relaxation of the cardia of the stomach and aggravate the insufficiency of the cardia.
After eating one and a half hours are in a vertical position. If you lie, then there is heartburn or vomiting.
Have dinner 3-4 hours before bedtime.
Sleep with a raised 15 cm head end of the bed, or on high pillows.
Give up Smoking and alcohol.
Do not wear tight clothing, tight belt and straps.
Avoid frequent trunk bending forward.
Regularly take a group of drugs prokinetics: metoclopramide (brand names reglan, reglan).
If after a meal you experience heartburn, take antacids: gastal, Maalox, Almagel, aluminium phosphate gel, or similar drugs.
If you regularly take prokinetics, but your condition is not improving, start blockers H2-histamine receptors (ranitidine, famotidine) and proton pump inhibitors (omeprazole, rabeprazole) must.
Constantly observe the gastroenterologist, he will adjust your treatment and prescribe studies.
If, after compliance with diet, rules of eating and regular medication no improvement, consult a gastroenterologist to address the issue of surgical treatment of insufficiency of the cardia.