Managing Acid Reflux Gastroesophageal Reflux Disease or “GERD”!
Acid reflux
For those that suffer from heartburn or the many symptoms of acid reflux, working out whether or not they are suffering from acute or chronic acid reflux can be a constant worry. As with most chronic or acute forms of any illness, they are worse with more painful or severe symptoms and may also call for more drastic types of treatment and this is the case with chronic acid reflux as well. acid reflux
The only way that a sufferer can really work out if they have this severe branch of the condition is to be diagnosed by a medical professional so making an appointment to see a doctor is important.
Acid Reflux (Gastroesophageal Reflux) Or GERD Is:
When acid from the stomach backs up into the esophagus. It can happen when the opening from the stomach to the throat is weak, or when food takes longer to leave the stomach. Heartburn is the most common symptom of GERD.
Heartburn is the burning feeling in your chest and throat caused when stomach acid backs up into your throat. Some foods and habits can make heartburn and GERD worse.
Signs And Symptoms:
There are a few symptoms that can be matched with this severe condition and although they can also be common with the less severe type of acid reflux, they will be predominantly more obvious with the chronic version.
These are:
The most common symptom of gastroesophageal reflux disease (GERD) is regular heartburn, a painful, burning feeling in the middle of your chest, behind your breastbone, and in the middle of your abdomen. Not all adults with GERD have heartburn.
Other Common GERD Symptoms Include:
- Bad breath.
- Vomiting.
- Nausea.
- Pain in your chest or the upper part of your abdomen.
- Problems swallowing or painful swallowing.
- Respiratory problems.
- The wearing away of your teeth.
Some symptoms of GERD come from its complications, including those that affect your lungs.
Heart Burn, And Acid Reflux Causes:
Lots of people get heartburn from time to time. There’s often no obvious reason why. Sometimes it’s caused or made worse by:
- Certain food and drink – such as coffee, alcohol, chocolate, and fatty or spicy foods
- being overweight.
- Smoking, or inhaling secondhand smoke.
- Pregnancy.
- Stress and anxiety.
- A hiatus hernia – when part of your stomach moves up into your chest.
- Some medicines, such as anti-inflammatory painkillers (like ibuprofen).
- Certain medicines, including those that doctors use to treat asthma – a long-lasting disease in your lungs that makes you extra sensitive to things that you’re allergic to…,
- Calcium channel blockers-medicines that treat high blood pressure.
- Antihistamines-medicines that treat allergy symptoms.
- Painkillers.
- Sedatives-medicines that help put you to sleep.
- Antidepressants -medicines that treat depression.
When To See Your Health Provider?
Talk to your healthcare provider right away if you have any of the symptoms below. These symptoms may not be signs of GERD and might need medical attention right away:
- Throwing up.
- Vomiting.
- Black stool.
- Trouble swallowing.
- Chest pain.
- Losing weight without trying.
Also talk to your healthcare provider if:
- You want to use antacids or other medicines for your acid reflux.
- You think your other medicines might be making your acid reflux worse.
- Your symptoms don’t get better with diet and lifestyle changes some acid reflux medicines make it harder for your body to use certain vitamins, like vitamin B12. You might need supplements if you’ve been on acid reflux medicine for a long time.
- Talk to your healthcare provider to see if this applies to you.
Treatment of Acid Reflux:
Most acid reflux treatments follow a sensible, nutritious diet which produces less stomach acid. Such kind of treatment patterns has shown to be effective for a fast aid of acid reflux.
I. Positional Therapy:
Sleeping on the left side had shown less night time reflux occurrence in patients. A meta-analysis recommended that elevating the head of the bed is an effective therapy.
Elevation can be achieved by using plastic or wooden bed risers which support bed posts or legs or using a therapeutic bed wedge pillow, or a wedge or an inflatable mattress lifter which fits in-between mattress and box spring. The height of the elevation is critical thus, it should be set at least six to eight inches to avoid the backflow of gastric fluids.
II. Natural Remedies:
These may include various old wife’s tales that you may have heard about or found on the internet. Some of these do work for a lot of people but not for others so be sure to not get your hopes up and not to be too disappointed if they do not work for you. Ginger is said to be a particularly good treatment for acid reflux.
III. Lifestyle Changes:
These are always advised by the doctor whether you are taking medication or not and some of the most simple lifestyle changes that may work as a treatment of acid reflux are simple things such as cutting out acidic and fatty foods, quitting smoking, drinking alcohol little or in moderation and also various other dietary changes.
IV. Over The Counter Remedies, Drug Treatment:
Again, some of these do work for some and not for others and you will very often find that one particular brand or type will work better than others.
- Alginic acid or Geviscom can coat the mucosa as well as increase pH and decrease reflux. It may be the most effective of non-prescription treatments.
- Antacids before meals or after symptoms begin could reduce gastric acidity. It is also a non-prescription drug.
- Prokinetics improves the lower esophageal sphincter and also speeds up gastric emptying.
- Sucralfate is beneficial as an adjunct in helping heal and prevents esophageal damage caused by GERD. Thus, it should be taken several times daily and at least two hours apart prior to taking meals and medications.
- Mosapride citrate a 5-HT4 used during therapy for GERD and dyspepsia.
V. Surgical Treatment:
- Nissen fundoplication where the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and avoid acid reflux.
- “TIF” or transoral incisionless fundoplication is done to reconstruct the valve between the stomach and diaphragm by going through the esophagus using a device called Esophyx.
Some acid reflux treatments can be a decisive and dangerous process, specifically if the condition of GERD is severe enough to require surgical treatment. Standard surgical treatment is sometimes preferred over long term usage of medications. Acid reflux treatments must directly equal the severity of your condition so as not to lead to any other problems.
To Ease Symptoms of Acid Reflux,
A doctor may prescribe medicine that reduces how much acid your stomach makes, such as:
- Omeprazole.
- Lansoprazole.
- Ranitidine.
You may be prescribed 1 of these medicines for a month or 2 to see if your symptoms stop.
Managing Acid Reflux Disease:
What can you do to make your GERD better?
- Changing what and how you eat can sometimes help the symptoms of GERD.
- Lifestyle changes can help too.
1. Eating Tips:
- Try not to eat too much food at one time: Eat 5 to 6 small meals throughout the day. Having smaller amounts of food in your stomach means there is less chance of stomach acid backing up into your throat.
- Choose lower-fat foods: Fat takes longer to leave your stomach, which may make symptoms worse for some people. Choose lean meats and lower-fat dairy products (2% milkfat (MF) or less for milk and yogurts; 20% MF or less for cheese).
- Use lower-fat cooking methods like grilling, baking, or steaming.
- Reduce your intake of fried foods and the amount of fat added to foods.
- Eating fast or gulping drinks may make you swallow more air: This can make symptoms worse for some people. Eat and drink slowly, and chew foods well. Don’t use straws, chew gum, or drink pop or other fizzy drinks.
- Cut back or cut out caffeine if it bothers you: Caffeine relaxes the muscle at the opening of the stomach, which allows stomach acid to back up into your throat. Caffeine is found in coffee, tea, energy drinks, pop, chocolate, and some medicines.
- Alcohol and peppermint may relax the muscle at the opening of the stomach. Don’t use them if they make your symptoms worse.
- Citrus fruits and juices, tomatoes, chocolate, onions, garlic, and strong spices may cause heartburn for some people. The foods that bother you at one time may not bother you forever. Try adding these foods back into your diet once in a while.
- Don’t eat the foods that bother you: If you choose to eat foods that might cause heartburn, eat them at the end of a meal. For example, eat an orange at the end of a meal instead of on an empty stomach.
2. Lifestyle Tips:
- Quit smoking: Nicotine relaxes the muscle at the opening of the stomach.
- Reach and stay at a healthy weight: This will lower the pressure on the muscle at the opening of the stomach.
- Don’t lie down for 2 to 3 hours after eating to lower the chance of stomach acid backing up into your throat.
- Try raising the head of your bed by 6 to 8 inches (15 to 20 cm): This makes it harder for stomach contents to back up into your throat. You can do this by adding blocks under the bed legs or using a foam wedge under your mattress. Sleeping on extra pillows won’t prevent reflux, as this only raises your head, not your upper body.
- Don’t wear tight clothing across the stomach and chest.
Acid Reflux Gastroesophageal Reflux Diet:
Why Your Diet is Important in Curing Heartburn:
Most adults can say they have experienced heartburn sometime in their life. And many adults can say they experience it almost every day. If you experience acid reflux often, you most likely suffer from a damaged or weakened lower esophageal sphincter (LES) and/or esophagus.
The LES is a muscle flap that opens and closes to let food into your stomach and keep stomach acid down in your stomach. The esophagus is the tube that carries food to your stomach. Research everywhere is showing the GERD sufferers will often have damaged tissue on both the esophagus and sphincter. And researchers are showing simple ways you can heal and repair the damaged tissue on both the LES and sphincter.
If you Have Acid Reflux Disease,
You may want to try to use alternatives before you get into taking harsh medications. First, try making some lifestyle changes to see if they work for you. Your doctor can give you some information and help with that. A change in diet is the first thing that can help reduce your acid reflux symptoms. An acid reflux diet is usually simple to follow and easy for you to make the changes with.
A. Foods To Try:
1. Meat Products:
Skinless chicken breast, extra-lean ground beef, London broil steak, egg whites and substitutes, no fat fish “Be sure to remove the fatty skin. Skip fried and instead choose baked, broiled, or grilled”.
2. Oatmeal:
Filling, hearty and healthy, this comforting breakfast standard also works for lunch. oatmeal-like other high-fiber foods, oatmeal may help avoid acid reflux symptoms. Fiber not only promotes intestinal health, but it also reduces constipation and makes you feel full a long while after eating it.
And, of course, when you feel full, you are less likely to overeat and therefore less likely to regurgitate what’s in your stomach into your esophagus. Enjoy your oatmeal with low-fat or almond milk, as both are low in fat and highly alkaline.
3. Bananas:
This low-acid fruit can help those with acid reflux by coating an irritated esophageal lining and thereby helping to combat discomfort. Due to their high-fiber content, bananas also can help strengthen your digestive system which can help ward off indigestion.
One soluble fiber found in bananas is pectin, which helps move stomach contents through your digestive tract. And that’s a good thing – because food that sticks around will only continue to generate acid.
4. Ginger:
Steep caffeine-free ginger tea or chew on low-sugar dried ginger for a natural tummy tamer.
5. Lettuce, Celery, and Sweet Peppers:
These mild green veggies are easy on the stomach – and won’t cause painful gas. If you like green vegetables and have acid reflux, you’re in luck. Asparagus, spinach, kale, and brussels sprouts all are highly alkaline, meaning they’re good for your stomach and digestive system. Being naturally low in fat and sugar, vegetables also help lessen stomach acid.
6. Dairies:
Fat-free cream cheese, goat cheese, low-fat soy cheese, fat-free sour cream. Dairies have a soothing effect that helps keep stomach discomfort at bay. It also contains probiotics, a type of good bacteria found in the digestive tract that gives a boost to your immune system. it also improves your ability to properly digest food.
7. Melons:
Like bananas, melons also are a highly alkaline fruit. Watermelon, cantaloupe, and honeydew are all low-acid fruits that are among the best foods for acid reflux.
B. Foods to Avoid, “Trigger Foods”:
Some foods are known to trigger symptoms of GERD. By keeping a food diary, you can identify your trigger foods and change your diet to reduce discomfort. Below is a list of some foods recognized to trigger symptoms of GERD and how they affect the digestive tract:
- Coffee (with or without caffeine) and caffeinated beverages relax the lower esophageal sphincter.
- Citrus fruits and juices such as orange, grapefruit, and pineapple have high acid content.
- Tomatoes and processed tomato-based products such as tomato juice, and pasta and pizza sauces are highly acidic.
- Carbonated beverages ( fizzy drinks) cause gaseous distension of the stomach (bloating) which increases pressure on the lower esophageal sphincter causing acid reflux.
- Chocolate contains a chemical called methylxanthine from the cocoa tree, which is similar to caffeine. It relaxes the lower esophageal sphincter, which causes acid reflux.
- Peppermint, garlic, and onions relax the lower esophageal sphincter causing acid reflux.
- Fatty, spicy, or fried foods relax the lower esophageal sphincter as well as delay stomach emptying and therefore cause acid reflux. Contact your health care provider if symptoms do not improve with diet and lifestyle changes. Initial treatment may start with over-the-counter (OTC) medications that control stomach acid.
C. Other Dietary Facts:
- It is a common misconception that drinking milk before going to sleep can prevent acid reflux. On the contrary, milk was found to have a rebound action and in fact, encourages more acid secretion.
- Others think that beverages will flow easily and be digested without affecting acid production. Studies show that it is actually the opposite. Beverages especially beer, have the ability to double stomach acid within an hour.
- An alkaline diet can help overcome the effects of acid reflux. This was explained by medical professionals as the need to maintain acidity and alkalinity balance within the body.
Easy Tips For Beating Acid Reflux:
Overcoming acid reflux can be a difficult task since the condition tends to be chronic for most that suffer from it. The most common symptom of heartburn can be a severely uncomfortable feeling for many especially after eating a meal. There is a wealth of information and advice on controlling acid reflux. So where to start? Here we give 5 quick and easy tips for beating acid reflux:
1. Watch Your Diet:
Eat less fatty foods, chocolate, dairy products, spicy foods, and citrus fruits. Eat more cereals, bread, beans, fresh vegetables, and legumes.
2. Eat More But Smaller Meals:
Large meals are harder to digest and cause the stomach to produce lots of acids. Therefore, eating more but smaller meals is better for acid reflux.
3. Wear Loose Clothing:
Tight clothing, especially around the waist, squeezes acid up through your chest to your esophagus causing heartburn.
4. Sleep With Your Head Elevated:
Acid reflux is common during the night because you are lying down and lose the effect of gravity in keeping the acid down. So use plenty of pillows.
5. Drink Less Alcohol:
Binge drinking is never advisable from a health point of view and it is also a chief aggravator of acid reflux conditions.
So,
There we have 5 tips that anyone who suffers from acid reflux should have no problem incorporating into their lifestyles. There are, of course, lots of other ways to treat and help you if you have acid reflux and you should generally seek the advice of your doctor before making any large changes in your lifestyle.
Conclusion:
The best way to deal with chronic acid reflux is to get the appropriate treatment and to make the appropriate changes but before you can even think of doing this, you must get yourself diagnosed so making an appointment is the first thing that you will need to do.
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Disclaimer: “Nothing in this article makes any claim to offer cures or treatment for any disease or illness. If you are sick please consult with your doctor.”
References
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