name is nadezhda, i am 70 years old, i am from the city of kirov and my friend lives in the city of urzhumshe suffers greatly from burns. in general, what pills do not help her, she has hellish pain every day, i can’t imagine, but she says so. then nothing helps her at all, what would you advise, maybe, what, what to her to undertake? well, first of all, it is necessary to conduct an examination, that is, gastroscopy is mandatory here. and why? it is necessary to understand how this heartburn affected the esophagus, because, unfortunately, in those cases when a person has this reflux for a long time, the release of gastric juice into the esophagus, this leads to a chemical burn of the esophagus, the structure of the cells changes, a complication such as esophageal metaplasia can develop, that is , when cells are replaced, and the complication can be esophageal cancer, if there are any there foci of abnormal cell arrangement, so a biopsy is necessarily taken in such cases, in order to understand whether this is already the most severe complication, then, it is necessary to evaluate the func