Does spearmint affect lower esophageal sphincter function and acid reflux. What are the common triggers for acid reflux. How can diet modifications help manage acid reflux symptoms. What foods should be avoided to prevent acid reflux.

The Surprising Truth About Spearmint and Acid Reflux

Contrary to popular belief, spearmint may not have the cooling, soothing effect on acid reflux that many assume. A clinical trial published in Alimentary Pharmacology & Therapeutics in 1999 investigated the impact of spearmint on lower esophageal sphincter (LES) function and acid reflux in healthy volunteers. The study aimed to clarify whether spearmint could exacerbate reflux symptoms, as is commonly believed.

The researchers found that spearmint had no significant effect on LES function or acid reflux in the study participants. This challenges the widespread notion that mint-flavored products, including teas, gums, and candies, should be avoided by those suffering from acid reflux.

How does this finding impact our understanding of acid reflux triggers? While spearmint may not be a direct culprit, it’s essential to recognize that individual responses to foods can vary. Some people may still experience discomfort after consuming mint products, highlighting the importance of personalized approaches to managing acid reflux symptoms.

Common Acid Reflux Triggers: What You Need to Know

Understanding the common triggers for acid reflux is crucial for managing symptoms effectively. While spearmint may not be a universal trigger, several other foods and beverages have been identified as potential culprits:

• Caffeine (coffee, tea, energy drinks)
• Alcohol
• Spicy foods
• Tomatoes and tomato-based products
• Chocolate
• Citrus fruits and juices
• High-fat foods
• Carbonated beverages

It’s important to note that these triggers may affect individuals differently. Keeping a food diary can help identify personal triggers and inform dietary choices.

The Coffee Conundrum: Balancing Enjoyment and Reflux Management

Coffee is a beloved morning ritual for many, but it’s also a common acid reflux trigger. Why does coffee cause problems for some people with acid reflux? There are two main reasons:

1. Caffeine content: Caffeine can relax the LES, allowing stomach acid to flow back into the esophagus.
2. Acidity: Coffee is naturally acidic, which can exacerbate reflux symptoms in sensitive individuals.

For those struggling to give up their daily cup of joe, there are alternatives to consider. Herbal teas, decaffeinated coffee, or even a morning workout can provide an energy boost without the reflux risk. Some people find that cold brew coffee, which is less acidic, may be better tolerated.

Alcohol and Acid Reflux: A Delicate Balance

Many people enjoy unwinding with a glass of wine or a cocktail, but alcohol can be problematic for those with acid reflux. How does alcohol contribute to reflux symptoms? Alcohol relaxes the LES, much like caffeine, and can also stimulate stomach acid production. This double effect increases the likelihood of acid flowing back into the esophagus.

Does this mean all alcohol consumption is off-limits for those with acid reflux? Not necessarily. Moderation is key, and some types of alcohol may be better tolerated than others. For example, some people find that clear spirits like vodka or gin, when consumed in moderation and mixed with non-acidic beverages, cause fewer symptoms than wine or beer.

Spice and Acid Reflux: Finding the Right Balance

Spicy foods are often cited as a major trigger for acid reflux, but the relationship between spice and reflux symptoms is complex. Why do spicy foods cause problems for some people with acid reflux?

• Irritation: Spicy foods can irritate the lining of the esophagus, exacerbating reflux symptoms.
• Delayed gastric emptying: Some spices may slow down digestion, increasing the risk of reflux.
• Individual sensitivity: Spice tolerance varies greatly among individuals.

For those who love flavorful food but need to manage reflux symptoms, there are ways to adapt recipes and cooking methods. Using milder spices, reducing the quantity of spice used, or incorporating herbs for flavor instead can help maintain taste without triggering symptoms.

The Tomato Dilemma: Balancing Nutrition and Reflux Management

Tomatoes and tomato-based products are staples in many cuisines, but they’re also known acid reflux triggers. Why are tomatoes problematic for some people with acid reflux? The primary reason is their high acidity. Tomatoes contain citric and malic acid, which can increase stomach acid production and irritate the esophagus.

Does this mean tomatoes should be completely eliminated from the diet? Not necessarily. Some people may be able to tolerate small amounts of tomatoes, especially when combined with other foods that help neutralize acidity. Additionally, cooking tomatoes can reduce their acidity, making them more tolerable for some individuals.

For those who need to avoid tomatoes, there are alternative ingredients that can provide similar flavors and nutritional benefits:

• Red bell peppers
• Carrots (for sweetness in sauces)
• Beets (for color and sweetness)
• Squash (for texture in sauces)

Chocolate: A Sweet Temptation with Reflux Consequences

Chocolate is a beloved treat for many, but it can be a double threat for those with acid reflux. Why is chocolate problematic for people with reflux? There are two main reasons:

1. Caffeine content: Like coffee, chocolate contains caffeine, which can relax the LES.
2. Acidity: Chocolate, particularly dark chocolate, is acidic and can increase stomach acid production.

Is it necessary to completely eliminate chocolate from your diet if you have acid reflux? Not always. Some people may be able to tolerate small amounts of milk chocolate, which is less acidic than dark chocolate. Additionally, timing chocolate consumption away from bedtime and other trigger foods may help minimize symptoms.

For those who need to avoid chocolate, there are alternative treats that can satisfy sweet cravings without triggering reflux:

• Carob chips or powder (a naturally sweet, caffeine-free alternative)
• White chocolate (contains no cocoa solids, so it’s less likely to trigger symptoms)
• Fruit-based desserts

Citrus Fruits: Navigating Acidity in a Healthy Diet

Citrus fruits like oranges, lemons, and grapefruits are packed with vitamins and nutrients, but they’re also highly acidic and common reflux triggers. Why do citrus fruits cause problems for people with acid reflux? The high concentration of citric acid in these fruits can increase stomach acid production and irritate the esophagus.

Does this mean all fruits should be avoided? Not at all. Many fruits are well-tolerated and can be part of a healthy diet for people with acid reflux. Some low-acid alternatives include:

• Bananas
• Melons
• Pears
• Apples (except for green apples, which are more acidic)

For those who miss the tangy flavor of citrus, there are ways to incorporate small amounts into the diet without triggering symptoms. For example, using a small amount of lemon zest rather than juice can add flavor without significantly increasing acidity.

The Role of Alkaline Foods in Managing Acid Reflux

While avoiding trigger foods is important, incorporating alkaline foods into the diet can help balance stomach acid and potentially reduce reflux symptoms. What are alkaline foods, and how do they help? Alkaline foods have a higher pH level and can help neutralize stomach acid. Some examples of alkaline foods include:

• Leafy green vegetables (spinach, kale, collard greens)
• Root vegetables (sweet potatoes, carrots)
• Nuts and seeds (almonds, pumpkin seeds)
• Certain fruits (melons, bananas)

Incorporating these foods into meals can help create a more balanced diet that supports digestive health and potentially reduces reflux symptoms.

High-Fat Foods and Acid Reflux: Understanding the Connection

High-fat foods are often associated with increased acid reflux symptoms. Why do fatty foods trigger reflux? There are several reasons:

1. Delayed gastric emptying: High-fat foods take longer to digest, increasing the time that stomach contents can reflux into the esophagus.
2. Increased pressure: Fatty foods can relax the LES and increase intra-abdominal pressure, making reflux more likely.
3. Stimulated acid production: Some studies suggest that certain fats can stimulate the release of cholecystokinin (CCK), a hormone that may relax the LES and increase stomach acid production.

Does this mean all fats should be avoided? Not necessarily. Healthy fats, when consumed in moderation, are an important part of a balanced diet. The key is to focus on lean proteins, incorporate healthy fats like those found in avocados and nuts, and use cooking methods that don’t add excessive fat to meals.

Cooking Methods to Reduce Reflux Symptoms

How you prepare food can significantly impact its potential to trigger reflux symptoms. Some cooking methods to consider include:

• Grilling
• Baking
• Steaming
• Poaching

These methods generally require less added fat than frying or sautéing, potentially reducing the risk of triggering reflux symptoms.

Carbonated Beverages: The Fizzy Culprit Behind Reflux Discomfort

Carbonated drinks, including sodas and sparkling water, are often cited as acid reflux triggers. Why do carbonated beverages cause problems for people with reflux? There are several factors at play:

1. Increased pressure: The carbonation can cause bloating and increased abdominal pressure, pushing stomach contents back into the esophagus.
2. LES relaxation: Some studies suggest that the bubbles in carbonated drinks may cause the LES to relax, allowing acid to flow back into the esophagus more easily.
3. Added ingredients: Many carbonated drinks, especially sodas, contain caffeine, sugar, or artificial sweeteners that can exacerbate reflux symptoms.

Are all carbonated beverages equally problematic? Not necessarily. While sugary, caffeinated sodas are generally the worst offenders, some people may find that plain sparkling water in moderation doesn’t trigger symptoms. However, for those with severe reflux, it may be best to avoid carbonation entirely.

Healthier Alternatives to Carbonated Beverages

For those looking to replace carbonated drinks in their diet, there are several reflux-friendly options to consider:

• Herbal teas (caffeine-free)
• Infused water (with non-citrus fruits or herbs)
• Coconut water
• Aloe vera juice (check with a doctor first, as it may interact with certain medications)

These alternatives can provide hydration and flavor without the reflux-inducing effects of carbonated beverages.

The Role of Portion Size and Eating Habits in Managing Acid Reflux

While identifying and avoiding trigger foods is crucial for managing acid reflux, how and when you eat can be equally important. What eating habits can help reduce reflux symptoms?

• Eating smaller, more frequent meals: This can help prevent overloading the stomach and reduce pressure on the LES.
• Avoiding late-night eating: Lying down with a full stomach can increase the risk of reflux. Try to eat your last meal at least 3 hours before bedtime.
• Chewing thoroughly: Proper chewing aids digestion and can reduce the workload on your stomach.
• Staying upright after meals: Gravity helps keep stomach contents where they belong. Try to remain upright for at least an hour after eating.

How can these habits be incorporated into daily life? Planning meals and snacks in advance, setting reminders to avoid late-night eating, and creating a relaxed eating environment can all contribute to better reflux management.

The Importance of Mindful Eating

Mindful eating practices can also play a role in managing reflux symptoms. By paying attention to hunger cues, eating slowly, and focusing on the meal without distractions, you may naturally eat less and reduce the risk of overeating-induced reflux.

Beyond Diet: Lifestyle Factors That Influence Acid Reflux

While diet plays a significant role in managing acid reflux, other lifestyle factors can also impact symptoms. What non-dietary factors should be considered when managing acid reflux?

• Weight management: Excess weight, especially around the abdomen, can increase pressure on the stomach and LES, exacerbating reflux symptoms.
• Stress reduction: Stress can increase stomach acid production and affect digestion. Incorporating stress-management techniques like meditation or yoga may help reduce symptoms.
• Sleep position: Elevating the head of the bed or using a wedge pillow can help prevent nighttime reflux.
• Clothing choices: Tight clothing around the abdomen can increase pressure and worsen reflux symptoms.
• Smoking cessation: Smoking can relax the LES and increase acid production, making reflux more likely.

How can these factors be addressed in daily life? Setting realistic weight loss goals, establishing a regular stress-management routine, adjusting sleep habits, choosing comfortable clothing, and seeking support for smoking cessation can all contribute to better reflux management.

The Role of Exercise in Managing Acid Reflux

Regular exercise can help manage acid reflux symptoms by promoting healthy digestion and weight management. However, certain high-impact or abdominal-focused exercises may exacerbate symptoms. Low-impact activities like walking, swimming, or yoga may be better tolerated. It’s important to time exercise appropriately, avoiding vigorous activity immediately after meals.

Common Acid Reflux Triggers

Sep 8, 2015

By

Erica Sanderson

You might think this refreshing herb would cool down heartburn and soothe reflux. Surprisingly, it does just the opposite. Mint relaxes the muscles in your esophagus, including the sphincter, so acid and other food remnants can flow back up to worsen reflux. Unfortunately, this includes anything mint flavored, such as tea, gum or candy.

Caffeine in general should be avoided when you have reflux. Coffee is not only caffeinated, but it can also be acidic—another reflux trigger. Try to kick the coffee habit by working out in the morning for a jolt of energy.

You know how a couple glasses of wine can be relaxing? Well, it has the same effect on your lower esophageal sphincter (LES). It also stimulates the production of stomach acid. Limit alcohol consumption and opt for healthier beverages instead.

Spice is not always nice. It is one of the top triggers for reflux and heartburn. It’s best to stay away from Indian, Mexican or Thai foods. When you cook at home, opt for milder spices and lightly apply.

Tomatoes are known for their acidity. This includes all tomato-based foods as well, such as ketchup, marinara sauce and salsa.

Chocolate is a double threat: it contains both caffeine and is acidic. Giving up chocolate completely is impossible for some, so have milk over dark because it is less acidic. Eat it in small portions, sparingly.

Oranges and orange juice are high in acid and are more likely to trigger reflux. Reach for high alkaline foods instead that can balance out acid in the stomach. These include apples, pears, melons and bananas.

Trouble swallowing is a common reflux symptom. Meat that is dried out and overcooked can trigger this even more. Don’t overcook your meat and serve it with a sauce or juicy side dish.

High-fat foods are harder on the system because they take longer to digest and put more pressure on your LES and stomach as a result. The longer food stays in your stomach, the more likely reflux is to occur. Fried foods also retain a lot of oil during the frying process, so try grilling or steaming instead.

Soda is another double whammy. It is loaded with caffeine and the carbonation can cause both heartburn and the bubbles to open up your esophagus, making you more susceptible to food contents coming back up.

These two toppings often trigger reflux and heartburn in people. They tend to be on the acidic side, so it’s best to avoid them and see how you feel once you’ve eliminated them from your diet.

People often forget that pepper falls under the spicy trigger category. But this common tabletop spice can be just as potent as cayenne for some, especially in heavy amounts. Use it lightly and sparingly.

Lack of effect of spearmint on lower oesophageal sphincter function and acid reflux in healthy volunteers

Save citation to file

Format:

Summary (text)PubMedPMIDAbstract (text)CSV

Add to Collections

• Create a new collection
• Add to an existing collection

Name your collection:

Name must be less than 100 characters

Choose a collection:

Unable to load your collection due to an error
Please try again

Add to My Bibliography

• My Bibliography

Unable to load your delegates due to an error
Please try again

Your saved search

Name of saved search:

Search terms:

Test search terms

Email:

(change)

Which day?

The first SundayThe first MondayThe first TuesdayThe first WednesdayThe first ThursdayThe first FridayThe first SaturdayThe first dayThe first weekday

Which day?

SundayMondayTuesdayWednesdayThursdayFridaySaturday

Report format:

SummarySummary (text)AbstractAbstract (text)PubMed

Send at most:

1 item5 items10 items20 items50 items100 items200 items

Send even when there aren’t any new results

Optional text in email:

Create a file for external citation management software

Full text links

Wiley

Full text links

Clinical Trial

. 1999 Jun;13(6):805-12.

doi: 10.1046/j.1365-2036.1999.00528.x.

R Bulat 
¹
, E Fachnie, U Chauhan, Y Chen, G Tougas

Affiliations

Affiliation

• ¹ Division of Gastroenterology and Digestive Diseases Research Program, McMaster University Medical Centre, Hamilton, Ontario, Canada.

• PMID:

  10383511

• DOI:

  10.1046/j.1365-2036.1999.00528.x

Free article

Clinical Trial

R Bulat et al.

Aliment Pharmacol Ther.

1999 Jun.

Free article

. 1999 Jun;13(6):805-12.

doi: 10.1046/j.1365-2036.1999.00528.x.

Authors

R Bulat 
¹
, E Fachnie, U Chauhan, Y Chen, G Tougas

Affiliation

• ¹ Division of Gastroenterology and Digestive Diseases Research Program, McMaster University Medical Centre, Hamilton, Ontario, Canada.

• PMID:

  10383511

• DOI:

  10.1046/j.1365-2036.1999.00528.x

Abstract

Background:

Spearmint is commonly used as an antispasmodic and as a flavouring in several medications including antacids. It can produce heartburn, presumably by lowering lower oesophageal sphincter (LES) tone, but the mechanism has not previously been objectively examined.

Aim:

To study the effect of spearmint on LES function, acid reflux and symptoms.

Methods:

In healthy volunteers, a Dent Sleeve and a pH electrode were placed in the distal oesophagus. They were then given spearmint either in a flavouring (0.5 mg), or a high (500 mg) dose, or a placebo, using a double-blind randomized crossover design. LES pressure, oesophageal pH and symptoms were recorded for 30 min before and after administration.

Results:

LES pressure was not affected by spearmint, either high dose (19.6 vs. 16.0 mmHg), flavouring dose (20.2 vs. 19.8 mmHg) or placebo (20.5 vs. 19.2 mmHg, all N.S.). There were no differences in reflux occurrence following high dose (mean = 0. 65 vs. 0.85 episodes), low dose (0.4 vs. 0.5 episodes) or placebo (0.7 vs. 1.10 episodes, all N.S.). There was a significant increase in mean symptom scores following high-dose spearmint (0 vs. 0.35, P = 0.03), but not low dose (0 vs. 0.2) or placebo (0 vs. 0.5, both N.S.). One subject reported symptoms with placebo, one with low dose, and six with high dose; all without increased reflux episodes or decreased sphincter pressure.

Conclusion:

Spearmint has no effect on LES pressure or acid reflux. Flavouring doses of spearmint do not produce more symptoms than placebo while high doses can be associated with symptoms, presumably from direct mucosal irritation but not reflux.

Similar articles

• Effect of cisapride on nocturnal transient lower oesophageal sphincter relaxations and nocturnal gastro-oesophageal reflux in patients with oesophagitis: a double-blind, placebo-controlled study.

  Pehlivanov N, Sarosiek I, Whitman R, Olyaee M, McCallum R.

  Pehlivanov N, et al.
  Aliment Pharmacol Ther. 2002 Apr;16(4):743-7. doi: 10.1046/j.1365-2036.2002.01225.x.
  Aliment Pharmacol Ther. 2002.

  PMID: 11929392

  Clinical Trial.

• The effect of cholecystokinin antagonism on postprandial lower oesophageal sphincter function in asymptomatic volunteers and patients with reflux disease.

  Trudgill NJ, Hussain FN, Moustafa M, Ajjan R, D’Amato M, Riley SA.

  Trudgill NJ, et al.
  Aliment Pharmacol Ther. 2001 Sep;15(9):1357-64. doi: 10.1046/j.1365-2036.2001.01045.x.
  Aliment Pharmacol Ther. 2001.

  PMID: 11552906

  Clinical Trial.

• Effect of baclofen on gastric acid pocket in subjects with gastroesophageal reflux disease symptoms.

  Scarpellini E, Boecxstaens V, Broers C, Vos R, Pauwels A, Tack J.

  Scarpellini E, et al.
  Dis Esophagus. 2016 Nov;29(8):1054-1063. doi: 10.1111/dote.12443. Epub 2015 Nov 6.
  Dis Esophagus. 2016.

  PMID: 26541138

  Clinical Trial.

• Lower esophageal sphincter injections for the treatment of gastroesophageal reflux disease.

  Watson TJ, Peters JH.

  Watson TJ, et al.
  Thorac Surg Clin. 2005 Aug;15(3):405-15. doi: 10.1016/j.thorsurg.2005.04.001.
  Thorac Surg Clin. 2005.

  PMID: 16104131

  Review.

• Current approaches in the medical treatment of oesophageal reflux.

  Richter JE, Castell DO.

  Richter JE, et al.
  Drugs. 1981 Apr;21(4):283-91. doi: 10.2165/00003495-198121040-00004.
  Drugs. 1981.

  PMID: 7014172

  Review.

See all similar articles

Cited by

• Mentha spicata L. essential oil, phytochemistry and its effectiveness in flatulence.

  Mahboubi M.

  Mahboubi M.
  J Tradit Complement Med. 2018 Sep 28;11(2):75-81. doi: 10.1016/j.jtcme.2017.08.011. eCollection 2021 Mar.
  J Tradit Complement Med. 2018.

  PMID: 33728265
  Free PMC article.

  Review.

• Development of scores assessing the refluxogenic potential of diet of patients with laryngopharyngeal reflux.

  Lechien JR, Bobin F, Mouawad F, Zelenik K, Calvo-Henriquez C, Chiesa-Estomba CM, Enver N, Nacci A, Barillari MR, Schindler A, Crevier-Buchman L, Hans S, Simeone V, Wlodarczyk E, Harmegnies B, Remacle M, Rodriguez A, Dequanter D, Eisendrath P, Dapri G, Finck C, Karkos P, Pendleton H, Ayad T, Muls V, Saussez S.

  Lechien JR, et al.
  Eur Arch Otorhinolaryngol. 2019 Dec;276(12):3389-3404. doi: 10.1007/s00405-019-05631-1. Epub 2019 Sep 12.
  Eur Arch Otorhinolaryngol. 2019.

  PMID: 31515662

• Challenges of correlating pH change with relief of clinical symptoms in gastro esophageal reflux disease: a phase III, randomized study of Zegerid versus Losec.

  Walker D, Ng Kwet Shing R, Jones D, Gruss HJ, Reguła J.

  Walker D, et al.
  PLoS One. 2015 Feb 23;10(2):e0116308. doi: 10.1371/journal.pone.0116308. eCollection 2015.
  PLoS One. 2015.

  PMID: 25706883
  Free PMC article.

  Clinical Trial.

• Risk factors for gastroesophageal reflux disease: the role of diet.

  Jarosz M, Taraszewska A.

  Jarosz M, et al.
  Prz Gastroenterol. 2014;9(5):297-301. doi: 10.5114/pg.2014.46166. Epub 2014 Oct 19.
  Prz Gastroenterol. 2014.

  PMID: 25396005
  Free PMC article.

Publication types

MeSH terms

Substances

Full text links

Wiley

Cite

Format:

AMA

APA

MLA

NLM

Send To

Eight Natural Remedies for Heartburn and Acid Reflux｜ iHerb Blog

The information in this blog has not been verified by your local health authority and is not intended as a diagnosis, treatment, or medical advice.
Read more

‌‌What is heartburn?

Heartburn, acid reflux, and indigestion are often referred to as upper gastrointestinal problems other than ulcers. In addition to heartburn, symptoms of acid reflux and indigestion can include difficulty swallowing, a feeling of pressure, heaviness, or bloating after eating, and pain and cramps in the stomach or lower abdomen.

‌‌Causes of heartburn

Heartburn and other symptoms of acid reflux are usually caused by the release of stomach acid into the esophagus, leading to an upward burning sensation that is aggravated by lying down.

The main cause of reflux is a malfunction of the lower esophageal sphincter, the annular valve that separates the esophagus from the stomach. Sometimes this dysfunction is due to mechanical factors, such as hiatal hernia, pregnancy, or obesity. It can also be caused by overeating or poor digestion.

When the lower esophageal sphincter is relaxed, the contents of the stomach enter the esophagus. It is made up of acid, bile, pepsin, and other enzymes that damage or irritate the esophagus. Reflux can be caused by cigarette smoking, eating chocolate, fried foods, carbonated drinks, alcohol, caffeine, high blood pressure medications, antidepressants, hormones, antibiotics, chemotherapy drugs, and bisphosphonates. All these substances reduce the tone of the lower esophageal sphincter. Reflux symptoms can be especially bothersome if the person is lying down.

‌‌Eight Natural Supplements for Heartburn, Acid Reflux, and Indigestion

There are several natural products that have been clinically shown to be effective in relieving the symptoms of heartburn, acid reflux, and indigestion:

1. Calcium

90 002

Calcium carbonate and citrate can be used as antacids (substances that reduce acidity) to relieve heartburn. Recommended single dosage: 500-1000 mg.

Five ways to get the most out of calcium supplements: learn more.

2. Betaine Hydrochloride

Betaine Hydrochloride may help if heartburn or indigestion is caused by poor stomach acid production. The body’s ability to secrete stomach acid decreases with age. Some studies show reduced stomach acid production in more than half of people over the age of 60. ¹ In addition to heartburn, lack of stomach acid is also often the cause of gas and bloating within 30 minutes of eating. Fortunately, taking stomach acid as a supplement can help make up for the body’s lack of it.

The recommended dosage for gastric acid replacement therapy in adults is one to two 500 mg capsules up to three times daily with meals. To improve protein absorption, the product should contain the enzyme pepsin or fungal protease.

Safety note: do not consume gastric hydrochloric acid on an empty stomach. Take the capsules shortly after you start eating. Consult your doctor first if you have an active peptic ulcer, are pregnant or breastfeeding. Keep out of reach of children.

Do you feel gas and bloated? Here is what can happen to your intestines: more.

3. Alginate

Alginate (alginic acid) is a dietary fiber found in the cell walls of brown algae. Alginate has the unique ability to retain water (up to 200-300 times its weight), making it a natural gelling agent.

When taken with natural buffers (eg calcium carbonate), alginate forms a secure “raft” that floats on the surface of the stomach contents and prevents them from being released into the esophagus. With the passage of alginate through the esophagus, it is partially absorbed and acts by analogy with other types of fiber, after which it is excreted from the body. ^2.3

For alginate to be effective, it must be taken after meals as a chewable tablet or liquid solution. If it is taken in capsules or with food, then it will simply mix with the contents of the stomach and not form a “raft”. The standard dosage is 400-1000 mg after each meal and 30 minutes before bedtime. If taken in the evening, consume it 30 minutes before going to bed and do not lie down for 30 minutes.

Alginate has no known side effects or drug interactions.

Spirulina and chlorella: beneficial algae: more.

4. Melatonin

Melatonin plays an important role in protecting the stomach and intestines. In the gastrointestinal tract, the content of melatonin is 400 times higher than in the brain. According to several studies, melatonin can greatly relieve heartburn. Melatonin increases the pressure (tonus) of the lower esophageal sphincter, increases the level of gastrin (a hormone that stimulates the production of gastric juice and enters the bloodstream from the walls of the stomach when food is taken) in the blood serum, and reduces the production of gastric acid. Melatonin dosage: 3mg at night. ⁴

Four health situations where melatonin can be useful: more.

5. Licorice glycyrrhizinate

Licorice glycyrrhizinate. This natural product is formed when glycyrrhizic acid is removed from licorice (because it can increase blood pressure). Licorice glycyrrhizinate stimulates the body’s natural defense mechanisms to conserve and heal the stomach and esophageal mucosa, as well as combat heartburn and indigestion. ^5.6 Licorice glycyrrhizinate increases the quantity and quality of protective compounds lining the gastrointestinal tract, increases the lifespan of intestinal cells and increases blood flow to the intestinal mucosa. Take one to two licorice glycyrrhizinate chewables twenty minutes before meals for 8-16 weeks to completely relieve irritation.

Top ten Ayurvedic herbs and their benefits: more.

6. Mastic

Mastic gum is a natural product from pistachio mastic resin. It effectively fights H. pylori bacteria. In one randomized, placebo-controlled trial, 77% of dyspeptic patients who took 350 mg of mastic three times a day experienced improvement in symptoms of heartburn, indigestion, and stomach and upper abdominal pain. ⁷

15 natural ways to solve digestive problems: more.

7. Ginger root and artichoke leaves

A combination of extracts of ginger root (Zingiber officinalis) and artichoke leaf (Cynara scolymus) has been shown to be effective in relieving indigestion, indigestion and decreased intestinal motility, which can also cause heartburn. It can help with non-ulcer dyspepsia and other functional bowel disorders. Dosage: twice a day 20 mg of ginger extract (33% gingerols and shogaols) and 100 mg of artichoke extract (20% caffeylquinic acids). ⁸

Ginger: useful root: more.

8. Peppermint Oil

Peppermint Oil is sold in enteric-coated capsules to prevent digestion in the stomach and into the small and large intestines, where it can help with indigestion and stomach irritation. It has been shown to be effective in treating both upper GI irritation and symptoms of small and large intestinal irritation. Dosage: Take one to two capsules three times daily 20 minutes before meals. ⁹

Peppermint oil for irritable bowel syndrome and other problems: more.

‌‌What supplements to take for heartburn, acid reflux and indigestion?

To help you choose the right product, please refer to the following guidelines:

• Mechanical factors. If you are obese, pregnant, or have a hiatal hernia, alginate is the best natural approach. If you are overweight, losing weight often helps.
• Periodic heartburn. Antacids containing calcium can be taken from time to time, but it is not recommended to use them for a long period of time. Taking alginate as needed may help.
• Irritation due to intolerance to certain foods. Sometimes reflux symptoms are due to intolerance to coffee, carbonated drinks, alcohol, fatty and/or spicy foods, citrus fruits, and other foods. It is recommended to exclude such foods from the diet. In addition, as needed, you can take alginate. Licorice glycyrrhizinate may also help.
• Lack of hydrochloric acid or digestive enzymes. Inadequate production of stomach acid can lead to heartburn and reflux. It often also causes gas and bloating within 30 minutes of eating. Simply taking hydrochloric acid supplements at the recommended dosage can make a big difference.
• Irritation of the intestine along with heartburn. Try a combination of ginger and artichoke extracts or enteric-coated peppermint oil.
• Nighttime heartburn. Often helps to raise the head by 15 cm. Alginate or melatonin (3 mg at night) are effective.
• Heartburn and poor sleep. Melatonin (3 mg at bedtime).

Home Remedies for Heartburn and Acid Reflux

There are some other natural remedies that can help with reflux.

Aloe Vera

Aloe Vera helps reduce inflammation and may be helpful for heartburn in cases of irritated or inflamed stomach and esophagus. ¹⁰ Aloe can be taken as an extract (capsule) or juice.

Apple cider vinegar

Apple cider vinegar will be a mild substitute for acid. You can drink 60 ml of raw unfiltered apple cider vinegar before meals. You can also take capsules or tablets with a similar dosage.

Alkaline Water

Try drinking a glass of alkaline water (pH > 8) or 250 ml of water, in which you simply squeeze a lemon wedge first. ¹¹

Sugar Free Gum

Chewing sugar free gum after meals can help with heartburn and acid reflux. This stimulates the secretion of saliva by the salivary glands in the mouth. This extra saliva dilutes and flushes out acid that may have entered the esophagus. Studies have shown that chewing sugar-free gum reduces the symptoms of chronic acid reflux. It can also be helpful for occasional heartburn and reflux. ¹²

‌‌‌‌Lifestyle effects on heartburn and acid reflux

Heartburn and acid reflux often occur at night when the person is in bed. This is because gravity does not prevent stomach acid from entering the esophagus. You can try to get rid of nighttime heartburn by raising the head of the bed, placing bricks or blocks of wood 5 x 10 cm under it.

Heartburn can be alleviated with a more mindful approach to eating. Small and thoroughly chewed pieces of food are easier to digest than large pieces. It is also helpful to eat without haste.

Sources:

1. Howden CW, Hunt RH. Spontaneous hypochlorhydria in man: possible causes and consequences. Digestive Diseases 1986;4(1):26–32.
2. Leiman DA, Riff BP, Morgan S. Alginate therapy is an effective treatment for GERD symptoms: a systematic review and meta-analysis. Dis Esophagus. 2017;30(5): 1–9.
3. Mandel KG, Daggy BP, Brodie DA, Jacoby HI. Review article: alginate-raft formulations in the treatment of heartburn and acid reflux. Alimentary Pharmacology and Therapeutics 2000:14(6):669-90.
4. Kandil TS, Mousa AA, El-Gendy AA, et al. The potential therapeutic effect of melatonin in gastro-esophageal reflux disease. BMC Gastroenterol 2010;10:7–16.
5. Morgan AG, McAdam WA, Pacsoo C, et al. Comparison between cimitidine and Caved-S in the treatment of gastric ulceration, and subsequent maintenance therapy. Gut 1982;23:545–551.
6. Raveendra KR, Jayachandra, Srinivasa V, et al. An Extract of Glycyrrhiza glabra (GutGard) Alleviates Symptoms of Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study. Evid Based Complement Alternat Med. 2012;2012:216970.
7. Dabos KJ, Sfika E, Vlatta LJ, Frantzi D, Amygdalos GI, and Giannikopoulos G. Is Chios mastic gum effective in the treatment of functional dyspepsia? A prospective randomized double-blind placebo-controlled trial. J Ethnopharmacol 2010;127(2):205-209.
8. Lazzini S, Polinelli W, Riva A, Morazzoni P, Bombardelli E. The effect of ginger (Zingiber officinalis) and artichoke (Cynara cardunculus) extract supplementation on gastric motility: a pilot randomized study in healthy volunteers. Eur Rev Med Pharmacol Sci. 2016;20(1):146-9.
9. Kligler B, Chaudhary S. Peppermint oil. Am Fam Physician. 2007 Apr 1;75(7):1027-30.
10. Panahi Y, Khedmat H, Valizadegan G, Mohtashami R, Sahebkar A. Efficacy and safety of Aloe vera syrup for the treatment of gastroesophageal reflux disease: a pilot randomized positive-controlled trial. J Tradit Chin Med. 2015 Dec;35(6):632-6.
11. Zalvan CH, Hu S, Greenberg B, Geliebter J. A Comparison of Alkaline Water and Mediterranean Diet vs Proton Pump Inhibition for Treatment of Laryngopharyngeal Reflux. JAMA Otolaryngol Head Neck Surg. 2017 Oct 1;143(10):1023-1029.
12. Moazzez R, Bartlett D, Anggiansah A. The effect of chewing sugar-free gum on gastro-esophageal reflux. J Dent Res. 2005 Nov;84(11):1062-5.

Do you suffer from heartburn? These supplements and vitamins will help you

Acid reflux is a disease that causes heartburn. It is also called gastroesophageal reflux disease (GERD) and is a fairly common digestive problem. Eh, how to deal with it?

Tags:

Netlenka

Health

Biology

Diseases

Chemistry

Unsplash

Heartburn is a common condition that no one likes! Fortunately, it can be easily dealt with

Do not self-medicate! In our articles, we collect the latest scientific data and the opinions of authoritative health experts. But remember: only a doctor can diagnose and prescribe treatment.

GERD is associated with a range of side effects including heartburn, nausea, belching and abdominal pain. The disease is usually treated with antacids and proton pump inhibitors, but these will not be effective unless the person follows a specific diet.

In addition to diet and medication, there are vitamins, herbs, and supplements that can help relieve symptoms. Here are six supplements that can be helpful for GERD and heartburn in general.

Betaine HCl with Pepsin

Betaine hydrochloride (HCl) is a compound that increases stomach acid levels for better absorption of proteins, vitamin B12, iron, calcium. Pepsin is a digestive enzyme that breaks down food proteins into peptides.

ADVERTISING – CONTINUED BELOW

Low stomach acid can slow down nutrient absorption and cause a number of side effects, including heartburn, stomach pain, and acid reflux. Therefore, betaine HCl with pepsin helps to get rid of these symptoms.

B vitamins

Some research suggests that B vitamins, including folic acid, riboflavin, and vitamin B6, may help treat acid reflux.

One study showed that increased intake of several B vitamins was associated with a lower risk of reflux esophagitis, a condition characterized by inflammation in the esophagus often caused by acid reflux.

Moreover, folate and vitamin B6 intake has been associated with a lower risk of developing esophageal cancer and a condition called Barrett’s esophagus, both of which are potential complications of long-term GERD.

Melatonin

This hormone is primarily responsible for regulating the sleep-wake cycle. And while it’s commonly used to treat insomnia, some studies have shown that melatonin can also help treat acid reflux.

Melatonin, alone or with heartburn medications, for 4-8 weeks reduced GERD symptoms in one study. Other studies have shown that low melatonin levels may also be associated with a higher risk of digestive disorders, including peptic ulcers and acid reflux.

Iberogast

Iberogast is an over-the-counter supplement commonly used to treat acid reflux and irritable bowel syndrome. It consists of a blend of herbal extracts including peppermint, licorice root and milk thistle fruit.

Studies show that this supplement has a positive effect on digestive system disorders such as upper abdominal pain, heartburn and loss of appetite. In addition, one animal study found that iberogast was just as effective in reducing stomach acid as traditional antacids.

Probiotics

Probiotics are a type of beneficial bacteria found in the digestive tract.