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Nini husababisha kiungulia (Heartburn)?

Discussion in 'JF Doctor' started by Sajenti, Nov 11, 2008.

  1. Sajenti

    Sajenti JF-Expert Member

    #1
    Nov 11, 2008
    Joined: Apr 24, 2008
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    Nimekuwa nikipata tatizo la kupata kiungulia (heart burn) mara kwa mara na kwa kweli huniletea maumivu na usumbufu sana.Je nini chanzo chake na vipi jinsi ya kutibu au kuepuka? Naomba msaada wenu wanaJF
     
  2. MziziMkavu

    MziziMkavu JF-Expert Member

    #2
    Apr 9, 2009
    Joined: Feb 3, 2009
    Messages: 38,511
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    Heartburn - Home Treatment

    Home treatment, such as lifestyle changes and nonprescription medicines, may be all that is needed to treat mild to moderate heartburn. However, if your symptoms do not get better with home treatment, or if your symptoms occur frequently and last longer than 2 weeks, see your doctor to find out whether other medical conditions may be causing your symptoms.

    Keep a record of your heartburn symptoms before and after making lifestyle changes or using nonprescription medicines so you can discuss any improvement with your doctor. See an example of a heartburn symptom record (What is a PDF document?) .
    Lifestyle changes to treat heartburn

    You can make changes to your lifestyle to help relieve your symptoms of heartburn. Here are some things to try:

    * Change your eating habits.
    o It's best to eat several small meals instead of two or three large meals.
    o After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren't a good idea.
    o Chocolate, mint, and alcohol can make heartburn worse. They relax the valve between the esophagus and the stomach.
    o Spicy foods, foods that have a lot of acid (like tomatoes and oranges), and coffee can make heartburn symptoms worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.
    * Do not smoke or chew tobacco.
    * If you get heartburn at night, raise the head of your bed 6in. to 8in. by putting the frame on blocks or placing a foam wedge under the head of your mattress. (Adding extra pillows does not work.)
    * Do not wear tight clothing around your middle. Lose weight if you need to. Losing just 5 to 10 pounds can help. For more information, see the topic Healthy Weight.

    Medicines to treat heartburn
    Note:

    If you are pregnant and have heartburn symptoms, be sure to talk to your doctor before you take any heartburn medicines. Some medicines may not be safe to take while you are pregnant. For more information, see the topic Pregnancy-Related Problems.
    Antacids

    Many people take nonprescription antacids for mild or occasional heartburn. If you use antacids more than just once in a while, talk with your doctor.

    * Antacids such as Tums, Mylanta, or Maalox neutralize some of the stomach acid for 30 minutes to 2 hours, depending on whether the stomach is full or empty. Liquid or dissolving antacids usually work faster than tablet forms.
    * Some antacids, such as Gaviscon, have a foaming agent (alginate) that acts as a barrier between stomach acid and the esophagus.
    * Antacids such as Pepto-Bismol coat the esophagus and act as a barrier to reflux acid. Pepto-Bismol should not be used for more than 3 weeks and you should not take it if you can't take aspirin. It may make your tongue or stools black. The black color is usually not serious. Brushing your teeth and tongue after taking Pepto-Bismol may keep your tongue from turning black. If your child or teen gets chickenpox or flu, do not treat the symptoms with nonprescription medicines that contain bismuth subsalicylate (such as Pepto-Bismol and Kaopectate). If your child has taken this kind of medicine and he or she has changes in behavior with nausea and vomiting, call your doctor. These symptoms could be an early sign of Reye's syndrome, a rare but serious illness. Ask your doctor if your child younger than 12 should take these medicines.

    Heartburn - Home Treatment
    (continued)
    continued...

    Antacids work faster than acid reducers (H2 blockers), but their effect does not last more than 1 to 2 hours. H2 blockers can provide relief for up to 12 hours.

    Antacids do have side effects. They may cause diarrhea or constipation. Also, antacids can interfere with how your body absorbs other medicines.

    If you have any health risks, talk with your doctor before you start taking an antacid. If you have kidney disease, it is especially important to discuss antacid use with your doctor. Regular use of antacids that contain magnesium or aluminum can cause a dangerous buildup of magnesium or aluminum in people who have kidney disease.
    Stomach acid reducers
    H2 blockers

    Acid reducers, also called histamine receptor (or H2) blockers, decrease the amount of acid that the stomach makes, which may reduce irritation to the stomach lining and decrease heartburn. Some examples of nonprescription acid reducers are Pepcid AC, Tagamet HB, Zantac 75, or Axid AR. Talk with your doctor if you take an H2 blocker for more than 2 weeks.
    Proton pump inhibitors

    Proton pump inhibitors (PPIs), such as omeprazole (for example, Prilosec), reduce stomach acid and effectively treat severe heartburn symptoms. These acid-reducing medicines are used when your heartburn has not gotten better with other home treatment measures, antacids, or H2 blockers. You may need to use a PPI for up to 5 days before you have relief of your heartburn but they are safe to use for long-term management. They also are safe to use if you have kidney or liver problems. PPIs are available without a prescription.

    Acid reducers can sometimes change the way other medicines work. If you are taking prescription medicines, be sure to talk with your doctor before you take a nonprescription acid reducer.
    Symptoms to Watch For During Home Treatment

    Use the Check Your Symptoms section to evaluate your symptoms if any of the following occur during home treatment:

    * Heartburn is not relieved by home treatment and medicine.
    * Blood appears in your vomit.
    * Blood appears in your stools or you have black, tarry stools.
    * You have symptoms of mild heartburn for more than 2 weeks.
    * Swallowing problems are not improving.
    * You continue to lose weight for no reason.
    * Your symptoms become more severe or frequent.

    Heartburn-Home Treatment
     
  3. I

    Ikena JF-Expert Member

    #3
    Apr 9, 2009
    Joined: Oct 24, 2007
    Messages: 380
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    Tafadhali soma hii nimeidesa sehemu.

    What is a Stomach Ulcer?

    A stomach ulcer (also called a peptic ulcer) is a small erosion (hole) in the gastrointestinal tract. The most common type, duodenal, occurs in the first 12 inches of small intestine beyond the stomach. Ulcers that form in the stomach are called gastric ulcers. An ulcer is not contagious or cancerous. Duodenal ulcers are almost always benign, while stomach ulcers may become malignant.

    Stomach ulcer disease is common, affecting millions of Americans yearly. The size of a stomach ulcer can range between 1/8 of an inch to 3/4 of an inch.

    Children develop stomach ulcers too.

    Stomach Ulcers may be a symptom of another disease or condition. Stomach ulcers are often common in mastocytosis. Bleeding from stomach ulcers may cause iron deficiency anemia.

    What causes Stomach Ulcers?

    The direct cause of peptic ulcers is the destruction of the gastric or intestinal mucosal lining of the stomach by hydrochloric acid, an acid normally present in the digestive juices of the stomach. Infection with the bacterium Helicobacter pylori is thought to play an important role in causing both gastric and duodenal ulcers. Helicobacter pylori may be transmitted from person to person through contaminated food and water. Antibiotics are the most effective treatment for Helicobacter pylori peptic ulcers.

    Injury of the gastric mucosal lining, and weakening of the mucous defenses are also responsible for gastric ulcers. Excess secretion of hydrochloric acid, genetic predisposition, and psychological stress are important contributing factors in the formation and worsening of duodenal ulcers.

    Another major cause of ulcers is the chronic use of anti-inflammatory medications, such as aspirin. Cigarette smoking is also an important cause of ulcer formation and ulcer treatment failure.

    Stomach Ulcer symptoms

    The major symptom of an ulcer is a burning or gnawing feeling in the stomach area that lasts between 30 minutes and 3 hours. This pain is often interpreted as heartburn, indigestion or hunger. The pain usually occurs in the upper abdomen, but sometimes it may occur below the breastbone. In some individuals the pain occurs immediately after eating. In other individuals, the pain may not occur until hours after eating. The pain frequently awakens the person at night. Weeks of pain may be folowed by weeks of not having pain. Pain can be relieved by drinking milk, eating, resting, or taking antacids.

    Appetite and weight loss are other symptoms. Persons with doudenal ulcers may experience weight gain because the persons eats more to ease discomfort. Recurrent vomiting, blood in the stool and anemia are other symptoms.

    What does a Stomach Ulcer affect?

    The main thing that a stomach ulcer affects is the nerves surrounding it. The nerves become agitated and cause a great amount of pain. However, stomach ulcers can cause hemorrhages from the erosion of a major blood vessel; a tear in the wall of the stomach or intestine, with resultant peritonitis; or obstruction of the gastrointestinal tract because of spasm or swelling in the area of the ulcer.

    Stomach ulcer diets

    Stomach ulcer statistics

    About 20 million Americans develop at least one stomach ulcer during their lifetime.
    Stomach ulcers affect about 4 million Americans every year.
    More than 40,000 Americans have surgery because of persistent symptoms or problems from ulcers every year.
    About 6,000 Americans die of stomach ulcer-related complications every year.
    Stomach Ulcer Treatment

    Risks of Developing a Stomach Ulcer

    Family history of ulcers
    Smoking
    Excess alcohol consumption
    Use of nonsteroidal anti-inflammatory medications (aspirin) or corticosteroids.
    Zollinger-Ellison syndrome
    Improper diet, irregular or skipped meals
    Type O blood (for duodenal ulcers)
    Stress does not cause an ulcer, but may be a contributing factor
    Chronic disorders such as liver disease, emphysema, rheumatoid arthritis may increase vulnerability to ulcers


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    Pole na maumivu.
     
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