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К какому врачу идти с изжогой | Изжоги.нет - информационный портал | Лечение и советы

«У меня изжога. Когда нужно идти к врачу?»


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Как часто должна появляться изжога, чтобы стать серьёзным поводом для визита к врачу-гастроэнтерологу? Один раз в неделю, два, три или больше? И сколько недель подряд? Расскажем, как разобраться: ваша изжога – заболевание или лишь эпизод, о котором можно забыть без ущерба для здоровья.

СРОКИ

У гастроэнтерологов есть чёткий дедлайн, когда с изжогой нужно обращаться за медицинской помощью. Если симптом стабильно (почти ежедневно) возникает в течение 2-3 недель – вам прямая дорога в клинику. Такую изжогу не спишешь на остренькое или солёненькое, она говорит о наличии заболевания. Насколько сложного и запущенного – покажет осмотр и анализы. Но чем раньше вы окажетесь у врача, тем больше шансов вылечиться полностью.

Есть ли смысл идти к гастроэнтерологу с единичным эпизодом изжоги? Не будьте ипохондриком. Скорее всего, вы просто чересчур плотно пообедали. Выпейте чистой воды и прогуляйтесь – это должно помочь.

ЕСЛИ НЕ ПОМОГЛИ ИЗМЕНЕНИЯ В ПИТАНИИ

Первое, что рекомендуется сделать при регулярной изжоге – изменить питание. Снизить количество жирной и жареной пищи, отказаться от острого, солёного, пряного, цитрусовых и кофеинсодержащих продуктов, алкоголя и сладких газированных напитков (диета Стол №5).

Всё это – продукты-триггеры изжоги. Т.е. в них содержатся вещества, способные ослабить нижний пищеводный сфинктер между пищеводом и желудком. Расслабленный сфинктер легко пропускает из желудка в пищевод соляную кислоту и остатки пищи, отсюда – изжога.

Если вы провели 2-3 недели (до месяца) на Столе №5, а изменений в лучшую сторону никаких – не раздумывайте, идите к врачу. Подумайте сами: изменения в питании не помогают, значит, организм сам не справляется. Причин для изжоги может быть масса – от гастрита и гастроэзофагеальной рефлюксной болезни (ГЭРБ) до пищевода Барретта (предраковое состояние).

ЕСЛИ ПОМИМО ИЗЖОГИ ПЕРШИТ В ГОРЛЕ ИЛИ ЕСТЬ ОЩУЩЕНИЕ КОМА В ГОРЛЕ

Першение, ощущение кома в горле и затруднения при глотании принято ассоциировать с простудными заболеваниями. Но это ещё и знаковый симптом патологий желудочно-кишечного тракта. Вернее, их запущенности. Когда у пациента непреходящее чувство комка в горле, речь может идти о предраковом состоянии или даже раковой опухоли. Поэтому если постоянная изжога у вас сопровождается першением, кашлем, вам трудно сглатывать пищу и вообще в горле постоянный дискомфорт – отправляйтесь к врачу.

А что Вы думаете по данному вопросу? Нам важно Ваше мнение!


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    Debug: (0,040096) - (usage: 4335752) - (peak: 4508072)
    (mysql): SELECT * FROM izjoga_content_props WHERE content_id = '42'
    
    Debug: (0,040238) - (usage: 4340024) - (peak: 4512504)
    (mysql): SELECT * FROM izjoga_content_props WHERE content_id = '43'
    
    Debug: (0,040379) - (usage: 4344296) - (peak: 4516792)
    (mysql): SELECT * FROM izjoga_content_props WHERE content_id = '44'
    
    Debug: (0,040519) - (usage: 4348568) - (peak: 4521112)
    (mysql): SELECT * FROM izjoga_content_props WHERE content_id = '45'
    
    Debug: (0,04066) - (usage: 4352840) - (peak: 4525480)
    (mysql): SELECT * FROM izjoga_content_props WHERE content_id = '46'
    
    Debug: (0,040837) - (usage: 4359896) - (peak: 4529848)
    (mysql): SELECT * FROM izjoga_content WHERE content_id IN (23) ORDER BY hierarchy
    
    Debug: (0,041265) - (usage: 4405408) - (peak: 4565272)
    (mysql): SELECT * from izjoga_module_templates WHERE module_name = 'MenuManager' and template_name = 'new' LIMIT  1
    
    Debug: (0,041406) - (usage: 4410344) - (peak: 4581672)
    (mysql): SELECT module_name,template_name,modified_date 
                                FROM izjoga_module_templates
    
    Debug display of 'End of Menu Manager Display':(0,046514) - (usage: 4445800) - (peak: 4811616)
    Debug: (0,046572) - (usage: 4419112) - (peak: 4811616)
    start global_content_get_template
    Debug: (0,046721) - (usage: 4443216) - (peak: 4811616)
    Loading /var/www/vhosts/izjogi.net/httpdocs/lib/classes/class.globalcontentoperations.inc.php = 22784 bytes for an approximate total of 1096728
    Debug: (0,046892) - (usage: 4449176) - (peak: 4811616)
    (mysql): SELECT htmlblob_id, htmlblob_name, html, owner, use_wysiwyg, description, modified_date FROM izjoga_htmlblobs WHERE htmlblob_name = 'Search' LIMIT  1
    
    Debug: (0,04696) - (usage: 4451192) - (peak: 4811616)
    end global_content_get_template
    Debug: (0,046975) - (usage: 4451536) - (peak: 4811616)
    start global_content_get_timestamp
    Debug: (0,046987) - (usage: 4451952) - (peak: 4811616)
    end global_content_get_timestamp
    Debug: (0,048052) - (usage: 4478984) - (peak: 4824064)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGExtensions/lib/class.cge_tmpdata.php = 3464 bytes for an approximate total of 1100192
    Debug: (0,048511) - (usage: 4518296) - (peak: 4824064)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGExtensions/lib/class.cge_utils.php = 8184 bytes for an approximate total of 1108376
    Debug: (0,048533) - (usage: 4517184) - (peak: 4824064)
    Nothing is known about FrontEndUsers... cant load it
    Debug: (0,049291) - (usage: 4625720) - (peak: 4824064)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGBlog/lib/class.cgblog_article.php = 106552 bytes for an approximate total of 1214928
    Debug: (0,049472) - (usage: 4630912) - (peak: 4824064)
    (mysql): SELECT mn.* FROM izjoga_module_cgblog mn WHERE status = 'published' AND  cgblog_id = 167 LIMIT  1
    
    Debug: (0,049678) - (usage: 4642824) - (peak: 4828704)
    (mysql): SELECT A.value,B.id,B.name,B.type 
                  FROM izjoga_module_cgblog_fieldvals A, izjoga_module_cgblog_fielddefs B 
                  WHERE A.fielddef_id = B.id AND A.cgblog_id = '167' ORDER BY B.item_order
    
    Debug: (0,050109) - (usage: 4663504) - (peak: 4839328)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGBlog/lib/class.cgblog_field.php = 19280 bytes for an approximate total of 1234208
    Debug: (0,05027) - (usage: 4666656) - (peak: 4851192)
    (mysql): SELECT A.category_id,B.name 
                      FROM izjoga_module_cgblog_blog_categories A
                      LEFT JOIN izjoga_module_cgblog_categories B
                        ON A.category_id = B.id
                     WHERE A.blog_id = '167'
    
    Debug: (0,050429) - (usage: 4661464) - (peak: 4853576)
    (mysql): UPDATE izjoga_module_cgblog SET views = views + 1 WHERE cgblog_id = 167
    
    Debug: (0,050662) - (usage: 4687808) - (peak: 4872768)
    (mysql): SELECT * from izjoga_module_templates WHERE module_name = 'CGBlog' and template_name = 'detailSample' LIMIT  1
    
    Debug: (0,057536) - (usage: 4850736) - (peak: 5185072)
    Nothing is known about FrontEndUsers... cant load it
    Debug: (0,058163) - (usage: 4857656) - (peak: 5185072)
    (mysql): SELECT count(DISTINCT mn.cgblog_id) as count
                 FROM izjoga_module_cgblog mn WHERE status = 'published' AND ( IFNULL(start_time, '1970-01-01 03:00:01')  < '2018-12-18 17:58:05') AND (( IFNULL(end_time, '1970-01-01 03:00:01')  = '1970-01-01 03:00:01') OR (end_time > '2018-12-18 17:58:05')) LIMIT  1
    
    Debug: (0,060176) - (usage: 4865800) - (peak: 5185072)
    (mysql): SELECT DISTINCT mn.*
                 FROM izjoga_module_cgblog mn WHERE status = 'published' AND ( IFNULL(start_time, '1970-01-01 03:00:01')  < '2018-12-18 17:58:05') AND (( IFNULL(end_time, '1970-01-01 03:00:01')  = '1970-01-01 03:00:01') OR (end_time > '2018-12-18 17:58:05'))  ORDER BY RAND() desc LIMIT 0, 2
    
    Debug: (0,060362) - (usage: 4876984) - (peak: 5185072)
    (mysql): SELECT A.category_id,B.name 
                      FROM izjoga_module_cgblog_blog_categories A
                      LEFT JOIN izjoga_module_cgblog_categories B
                        ON A.category_id = B.id
                     WHERE A.blog_id = '28'
    
    Debug: (0,060525) - (usage: 4878952) - (peak: 5185072)
    (mysql): SELECT A.value,B.id,B.name,B.type FROM izjoga_module_cgblog_fieldvals A, izjoga_module_cgblog_fielddefs B WHERE A.fielddef_id = B.id AND B.public = 1 AND A.cgblog_id = '28' ORDER BY B.item_order
    
    Debug: (0,061051) - (usage: 4887200) - (peak: 5223168)
    (mysql): SELECT A.category_id,B.name 
                      FROM izjoga_module_cgblog_blog_categories A
                      LEFT JOIN izjoga_module_cgblog_categories B
                        ON A.category_id = B.id
                     WHERE A.blog_id = '142'
    
    Debug: (0,06135) - (usage: 4888832) - (peak: 5223168)
    (mysql): SELECT A.value,B.id,B.name,B.type FROM izjoga_module_cgblog_fieldvals A, izjoga_module_cgblog_fielddefs B WHERE A.fielddef_id = B.id AND B.public = 1 AND A.cgblog_id = '142' ORDER BY B.item_order
    
    Debug: (0,061967) - (usage: 4913144) - (peak: 5227856)
    (mysql): SELECT * from izjoga_module_templates WHERE module_name = 'CGBlog' and template_name = 'summarysameArticles' LIMIT  1
    
    Debug: (0,065157) - (usage: 4901152) - (peak: 5336824)
    Nothing is known about FrontEndUsers... cant load it
    Debug: (0,065451) - (usage: 4905296) - (peak: 5336824)
    (mysql): SELECT id FROM izjoga_module_cgblog_categories WHERE name IN ('news')
    
    Debug: (0,065711) - (usage: 4915856) - (peak: 5336824)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGExtensions/lib/class.cge_array.php = 8600 bytes for an approximate total of 1242808
    Debug: (0,066082) - (usage: 4920320) - (peak: 5336824)
    (mysql): SELECT count(DISTINCT mn.cgblog_id) as count
                 FROM izjoga_module_cgblog mn LEFT OUTER JOIN izjoga_module_cgblog_blog_categories bc ON mn.cgblog_id = bc.blog_id WHERE status = 'published' AND ( IFNULL(start_time, '1970-01-01 03:00:01')  < '2018-12-18 17:58:05') AND bc.category_id IN (4) AND (( IFNULL(end_time, '1970-01-01 03:00:01')  = '1970-01-01 03:00:01') OR (end_time > '2018-12-18 17:58:05')) LIMIT  1
    
    Debug: (0,067515) - (usage: 4925624) - (peak: 5336824)
    (mysql): SELECT DISTINCT mn.*
                 FROM izjoga_module_cgblog mn LEFT OUTER JOIN izjoga_module_cgblog_blog_categories bc ON mn.cgblog_id = bc.blog_id WHERE status = 'published' AND ( IFNULL(start_time, '1970-01-01 03:00:01')  < '2018-12-18 17:58:05') AND bc.category_id IN (4) AND (( IFNULL(end_time, '1970-01-01 03:00:01')  = '1970-01-01 03:00:01') OR (end_time > '2018-12-18 17:58:05')) ORDER BY mn.cgblog_date desc LIMIT 0, 1
    
    Debug: (0,067649) - (usage: 4933664) - (peak: 5336824)
    (mysql): SELECT A.category_id,B.name 
                      FROM izjoga_module_cgblog_blog_categories A
                      LEFT JOIN izjoga_module_cgblog_categories B
                        ON A.category_id = B.id
                     WHERE A.blog_id = '166'
    
    Debug: (0,067953) - (usage: 4935016) - (peak: 5336824)
    (mysql): SELECT A.value,B.id,B.name,B.type FROM izjoga_module_cgblog_fieldvals A, izjoga_module_cgblog_fielddefs B WHERE A.fielddef_id = B.id AND B.public = 1 AND A.cgblog_id = '166' ORDER BY B.item_order
    
    Debug: (0,068577) - (usage: 4943872) - (peak: 5336824)
    (mysql): SELECT * from izjoga_module_templates WHERE module_name = 'CGBlog' and template_name = 'summaryrightNews' LIMIT  1
    
    Debug: (0,069224) - (usage: 5053960) - (peak: 5337264)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGExtensions/lib/class.cge_smarty_plugins.php = 15840 bytes for an approximate total of 1258648
    Debug: (0,070979) - (usage: 4923744) - (peak: 5350968)
    (mysql): SELECT count(mq.id) as num
                FROM izjoga_module_questions_questions mq
                LEFT OUTER JOIN izjoga_module_questions_categories mqc
                  ON mqc.id = mq.category_id WHERE mq.answered_date IS NOT NULL AND mq.approved_date IS NOT NULL LIMIT  1
    
    Debug: (0,07155) - (usage: 4930928) - (peak: 5350968)
    (mysql): SELECT mq.*, mqc.name, mqc.long_name
                FROM izjoga_module_questions_questions mq
                LEFT OUTER JOIN izjoga_module_questions_categories mqc
                  ON mqc.id = mq.category_id WHERE mq.answered_date IS NOT NULL AND mq.approved_date IS NOT NULL ORDER BY 8 ASC LIMIT 0,1
    
    Debug: (0,07194) - (usage: 4963064) - (peak: 5350968)
    (mysql): SELECT * from izjoga_module_templates WHERE module_name = 'Questions' and template_name = 'summaryqaRight' LIMIT  1
    
    Debug: (0,078573) - (usage: 4808624) - (peak: 5350968)
    calling module CGExtensions from event ContentPostRender
    Debug: (0,078934) - (usage: 4817584) - (peak: 5350968)
    Loading /var/www/vhosts/izjogi.net/httpdocs/modules/CGExtensions/lib/class.cge_headers.php = 2872 bytes for an approximate total of 1261520
    Debug: (0,078956) - (usage: 4812744) - (peak: 5350968)
    calling module TinyMCE from event ContentPostRender