Q: I am 7 1 year old. I had subtotal gastrectomy for duodenal ulcer more than 30 years ago. Stomach trouble has recurred in recent years, and I often feel heartburn, acid reflux and abdominal distension. The results of gastroscopy showed mucosal congestion, edema and intestinal metaplasia. Helicobacter pylori is yin and yang, and the doctor's diagnosis is "remnant gastritis". In addition, cholecystectomy has been performed in recent years. Excuse me: Are these diseases related? How should we treat and take care of them? (Zhejiang Zhang) A: After subtotal gastrectomy, many patients have symptoms such as acid reflux, heartburn and abdominal distension, which are all caused by the relaxation of the upper mouth of the stomach. Here are some ways to adjust your life. ● Eat slowly and chew slowly. ● Don't eat enough for three meals, and eat less for two hours after meals to ensure the needs of nutrition and calories. After lunch and dinner, you can take a walk, rest on the bamboo couch, watch TV, read newspapers and sleep. It is not appropriate to sit on the sofa. ● Please keep your upper body at 20 degrees when you sleep at night. After subtotal gastrectomy, individuals may have "anastomotic ulcer" and "gastric stump cancer". When Helicobacter pylori is positive, anti-Helicobacter pylori drugs can be used. In addition, after cholecystectomy, bile in some patients can flow back from duodenum to gastric cavity. These bile are more harmful to the stomach and esophageal mucosa. Therefore, it is recommended that you take: ① gastric motility drugs, such as metoclopramide (also known as metoclopramide), modiglian or Silona, to reduce the reflux of bile and gastric acid; 2 antacids, such as Daxi, can effectively protect esophagus and gastric mucosa.