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Lifestyle
Unfortunately most patients do not respond to lifestyle advice and require further therapy. However, the following are recommended:[9]
Reduce weight
Stop smoking
Reduce alcohol intake
Raise the head of the bed at night
Take small, regular meals
Avoid hot drinks, alcohol, and eating during the three hours before going to bed
Avoid drugs that affect oesophageal motility (nitrates, anticholinergics, tricyclic antidepressants) or damage the mucosa (NSAIDs, potassium salts, alendronate)
Pharmacological treatment
Patients with reflux symptoms but no alarm symptoms, should receive initial treatment with full-dose proton pump inhibitors (PPIs) for one month.
In cases of uninvestigated dyspepsia, eradication therapy for H. pylori can also be provided if infection is evident on serology or urea breath test. Where there is known GORD (ie post-gastroscopy), H. pylori eradication is not recommended.
If symptoms return after treatment, and long-term acid suppression is required, a step-down strategy to the lowest dose of PPI that provides effective relief of symptoms is more cost-effective than the step-up approach.[6] Start acid suppression at a healing dose for 1 to 2 months. Then either step up a level if still symptomatic, or step down, once symptoms have improved, to the lowest level that provides effective symptom control. All patients should have a treatment plan and should be told if they can stop if symptom-free
- from www.patient.co.uk
And please read this
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Heartburn_is_a_form_of_indigestion |
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澳洲历史上一些有名的冤案 (2010-9-28) JuJu 
发表于 2014-5-18 17:34
