Diseases

Reflux disease

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The reflux disease (Gastroesophageal reflux disease) is a pathologically increased reflux of acidic gastric contents into the esophagus. About every fifth person in Germany is affected by it. Patients with reflux disease suffer from heartburn and pain behind the sternum, which often worsens when lying down. With a 24-hour pH-metry, the reflux disease can be diagnosed safely. Medication or a change in diet relieve the symptoms. Here you read all important information about the reflux disease.

ICD codes for this disease: ICD codes are internationally valid medical diagnosis codes. They are found e.g. in medical reports or on incapacity certificates. K21

A proven helper is chamomile tea. Due to the anti-inflammatory, antispasmodic and antibacterial effect chamomile tea helps with the reflux disease.

Dr. med. Mira SeidelArticle overviewReflux disease
  • description
  • symptoms
  • Causes and risk factors
  • Examinations and diagnosis
  • treatment
  • Disease course and prognosis

Reflux disease: description

The occasional reflux of gastric juice into the esophagus is quite normal during the day. In gastroesophageal reflux disease, the amount of acidic gastric juice, which rises back into the esophagus (esophagus), but increased morbid. Gastric acid is good if left in the stomach. There the low pH between 1 and 4 helps in the digestion process and the killing of harmful substances. The stomach is also specially protected from the acid. Not so the esophagus - her mucous membrane is not resistant enough and is attacked by the acid.

On the way from the mouth to the stomach, the esophagus passes through a small opening in the diaphragm. Here is usually the cause of the reflux disease: Because the lower sphincter muscles, which actually ensure that after swallowing the food porridge, the esophagus closes again, are dysfunctional. Reflux disease causes the lower esophageal sphincter (lower esophageal sphincter) to no longer seal completely when lying down or bending over, and the hydrochloric acid from the gastric juice comes into contact with the esophageal mucosa. If this happens for a longer period of time, the mucous membrane of the esophagus is damaged. This can lead to a painful inflammation with mucosal changes (Gastroesophageal reflux disease) to lead.

Reflux Disease - Diagnosis Frequent heartburn may be an indication of reflux disease. Find out here with which examinations the doctor can reliably determine the disease. Frequent heartburn can be an indication of the reflux disease. Find out here with which examinations the doctor can reliably determine the disease.

Reflux disease: who is affected?

In the western population, ten to twenty percent of people suffer from the reflux disease. It is therefore a very common disease that affects women more often than men. The incidence of reflux disease increases with age, but in rare cases, babies and toddlers are affected.

Reflux disease: forms

Distinction NERD and ERD

If there is a reflux without changes in the mucosa one speaks of one non-erosive gastroesophageal reflux disease (NERD). NERD accounts for about 60 percent of those with gastroesophageal reflux disease. On the other hand, if mucosal changes can be detected in a tissue sample from the esophageal reflection, this is referred to as erosive reflux disease (ERD).

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