When mental tension, excessive fatigue, poor mood, the cerebral cortex dysfunction, can not well govern the nerves of gastric acid secretion, prompting an increase in gastric acid secretion. Increased gastric acid can lead to chronic gastritis, gastric or duodenal ulcer disease. Certain medications, such as aspirin, reserpine, and prednisone, can lead to increased gastric acid secretion. Improper diet, such as too sweet, too salty, too spicy, too acidic, too cold, too hot food can lead to increased secretion of gastric acid; certain coarse grains, sweet potatoes, potatoes, etc. contain a lot of starch, sugar, acid, etc., which will stimulate the stomach to produce a large amount of gastric acid, in addition to not easy to digest food, the remaining sugar in the gastrointestinal tract fermentation, will also induce acidosis.

Clinical manifestations

1. Acid swallowing, regurgitation, and spitting.

2. Heartburn, acid reflux, burning discomfort, which can be relieved by eating or taking alkalizing or acid-suppressing drugs.

3. Regular hunger pains and nocturnal pains may occur after the development of ulcers.

Treatment

The most important aspect of the current understanding of this disorder is how to correctly diagnose it and the appropriate medication, and its possible complications, such as esophageal ulcers, lower esophageal strictures, or tumors, which must be closely tracked.

1. Pharmacologic therapy

(1) The use of acid generators and proton pump inhibitors (PPIs).

(2) Antacids are categorized according to their effects: ① Absorbent antacids: such as sodium bicarbonate. ② non-absorbable antacids: such as calcium carbonate, magnesium oxide, aluminum hydroxide (tablets or gels), magnesium trisilicate, etc.. Liquid or powder antacids are more effective than tablets; if tablets are used, they should be chewed before swallowing. Application of antacids to neutralize stomach acid, should pay attention to increase the frequency of medication, can not rely on increasing the dosage of drugs, generally 1 hour and 3 hours after each meal and 1 time before bedtime, a day **** service 7 times is appropriate, antacid treatment should not be less than 3 months. Inorganic weak alkaline substances, can neutralize excessive gastric acid, reduce the ability of pepsin to decompose gastric wall proteins, weaken or lift the corrosive and irritating effects of gastric acid on gastric and duodenal ulcer surfaces, which is conducive to the healing of ulcer surfaces. The purpose of antacid treatment is to make the ulcer heal completely, and the healing time usually takes 8 weeks. Symptoms often disappear long before the ulcer is completely healed. Therefore, the disappearance of symptoms should never be used as a criterion for stopping antacid therapy. Otherwise, the symptoms will quickly return, which is actually a worsening of the original ulcer rather than a relapse of the disease. The duration of antacid therapy should not be less than 3 months.