... Why are drugs like the proton pump inhibitors and the H2 – receptor antagonists ,which are gastric acid secretion inhibitors ,are used?
Answers (1)
When an organ leaves its natural position that is called a hernia. In a hiatus hernia the stomach moves through the hiatus membrane, so that just breathing pumps stomach juices into the esophagus. That is what reflux means. A hernia is caused by B vitamin deficiencies. Doctors have no training in that field so they are forced to find some other way to treat the condition, using drugs and surgery.
Nutrition is a young science, barely one century old. The best studied nutrient is vitamin C, and not much is known even about that one. The first vitamin to get the world's attention was the B complex, which is lost when rice is polished, which led to unique diseases among middle class workers in some countries, not poor people, and not wealthy people. The middle management ate polished rice, but could not afford the expensive sauces used by the upper classes.
There are 40 nutrients in human nutrition, and only a few have been studied a little. The knowledge in the subject is not complete enough to make doctors learn it.