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When I sleep at night, I sometimes wake up with acid water poured back from my stomach. Why?
The patient was awakened by gastric acid reflux at night, which may be a sign of bad behavior. In addition, functional gastropathy or reflux esophagitis can also be caused by patients going to bed immediately after meals. Food is not completely emptied from the stomach, and it is easy to flow back from the stomach to the esophagus, causing acid reflux. This is because the stomach and esophagus are on the same level when sleeping, and it is easy to reflux.

After excluding this situation, reflux esophagitis or functional gastropathy can be treated with mosapride citrate plus omeprazole or lansoprazole. In addition, patients are advised to walk for more than two hours half an hour before going to bed or after meals. Don't eat too much before going to bed at night, eat less greasy, fried and other indigestible foods, and don't drink alcohol.

Acid regurgitation at night is mainly caused by parasympathetic nerve excitation, relaxation and decompression of lower esophageal sphincter, esophageal acid discharge dysfunction and abnormal gastroduodenal peristalsis. The contents of the stomach flow back into the esophagus, up into the throat and into the lungs, causing the patient to suffocate. Severe cases can lead to suffocation and death, which must be taken seriously.

Gastric acid reflux means that gastric acid content or pure acidic water is poured into the pharynx or mouth without feeling nausea and fatigue. Some patients have reflux symptoms at night. Gastric reflux at night is mainly due to the supine position and sleep state of the patient. When the human parasympathetic nerve is excited in sleep, the lower esophageal sphincter relaxes, and the gastric acid secreted in supine position is easy to reflux through the lower esophageal sphincter, resulting in gastric acid reflux at night. It is suggested that patients with gastric reflux at night should not eat 2 hours before going to bed, and the bedside can be raised by 15-20cm. In severe cases, acid inhibitors such as omeprazole can be used.

There may be reflux esophagitis or peptic ulcer, so do gastroscopy diagnosis. If you have reflux esophagitis, you can take oral acid inhibitors such as omeprazole. The gastroscopy diagnosis of biochemical ulcer is Helicobacter pylori infection, and it is also necessary to eradicate Helicobacter pylori. Proton pump inhibitors can be used together with two antibiotics and reviewed after 4 weeks of treatment. Eat regularly at ordinary times.