How does spearmint affect lower esophageal sphincter pressure. Does spearmint consumption increase acid reflux episodes. Can spearmint trigger heartburn symptoms in healthy individuals. What are the implications of spearmint use in antacid medications.

The Role of Spearmint in Gastroesophageal Health

Spearmint, a common ingredient in various medications and culinary applications, has long been associated with potential effects on digestive health. This article delves into a groundbreaking study that examines the relationship between spearmint consumption and acid reflux, focusing on its impact on lower esophageal sphincter (LES) function.

Spearmint’s Prevalence in Digestive Health Products

Spearmint is widely used as an antispasmodic agent and flavoring in numerous medications, including antacids. Its popularity in these products raises questions about its potential effects on the digestive system, particularly in relation to acid reflux and heartburn.

Understanding Lower Esophageal Sphincter Function

The lower esophageal sphincter plays a crucial role in preventing acid reflux. This muscular valve acts as a barrier between the stomach and esophagus, helping to keep stomach acid from flowing back into the esophagus.

The Importance of LES Pressure

Maintaining adequate LES pressure is essential for preventing gastroesophageal reflux disease (GERD) and its associated symptoms. Any factors that could potentially lower LES tone are of significant interest to researchers and clinicians alike.

The Spearmint and Acid Reflux Study: Methodology and Design

To investigate the effects of spearmint on LES function and acid reflux, researchers conducted a comprehensive study involving healthy volunteers. The study employed a double-blind, randomized crossover design to ensure scientific rigor and minimize bias.

Study Participants and Equipment

Healthy volunteers were recruited for the study. Each participant was fitted with a Dent Sleeve and a pH electrode placed in the distal esophagus. These tools allowed for precise measurements of LES pressure and esophageal pH levels throughout the experiment.

Spearmint Dosage and Administration

Participants were given spearmint in three different forms:

• A flavoring dose (0.5 mg)
• A high dose (500 mg)
• A placebo

The use of varying doses allowed researchers to assess any potential dose-dependent effects of spearmint on LES function and acid reflux.

Measuring the Impact: LES Pressure, pH, and Symptoms

Researchers recorded three key parameters before and after spearmint administration:

1. LES pressure
2. Esophageal pH
3. Symptoms reported by participants

These measurements were taken for 30 minutes before and after the administration of spearmint or placebo, providing a comprehensive picture of any changes in digestive function.

Surprising Results: Spearmint’s Lack of Effect on LES Pressure

Contrary to popular belief, the study revealed that spearmint did not significantly affect LES pressure in healthy volunteers. The results were consistent across all dosage levels:

• High dose: 19.6 mmHg before vs. 16.0 mmHg after
• Flavoring dose: 20.2 mmHg before vs. 19.8 mmHg after
• Placebo: 20.5 mmHg before vs. 19.2 mmHg after

These findings challenge the common assumption that spearmint lowers LES tone, which was previously thought to be the mechanism behind its potential to cause heartburn.

Acid Reflux Episodes: No Significant Increase

In addition to LES pressure, the study also examined the occurrence of acid reflux episodes following spearmint consumption. The results showed no significant differences in reflux episodes across the different dosage groups:

• High dose: 0.65 episodes before vs. 0.85 episodes after
• Low dose: 0.4 episodes before vs. 0.5 episodes after
• Placebo: 0.7 episodes before vs. 1.10 episodes after

These findings suggest that spearmint consumption does not directly lead to an increase in acid reflux episodes in healthy individuals.

Symptom Analysis: High-Dose Spearmint and Heartburn

While LES pressure and acid reflux episodes remained largely unaffected, the study did reveal an interesting finding regarding symptoms. There was a significant increase in mean symptom scores following high-dose spearmint administration:

• High dose: 0 before vs. 0.35 after (P = 0.03)
• Low dose: 0 before vs. 0.2 after (not statistically significant)
• Placebo: 0 before vs. 0 after (not statistically significant)

This suggests that while spearmint may not directly affect LES function or acid reflux, high doses could potentially trigger heartburn-like symptoms in some individuals.

Implications for Spearmint Use in Medications and Dietary Choices

The findings of this study have important implications for both the pharmaceutical industry and individuals prone to acid reflux or heartburn. While spearmint appears to be safe in terms of its effects on LES function and acid reflux episodes, the potential for symptom induction at high doses warrants consideration.

Recommendations for Antacid Formulations

Given that spearmint is commonly used as a flavoring in antacid medications, manufacturers may want to consider the dosage levels used in their products. While low doses appear to be well-tolerated, high concentrations of spearmint could potentially induce symptoms in sensitive individuals.

Dietary Considerations for GERD Patients

For individuals with gastroesophageal reflux disease (GERD) or those prone to heartburn, moderation in spearmint consumption may be advisable. While the study focused on healthy volunteers, further research is needed to determine the effects of spearmint on individuals with pre-existing digestive issues.

Future Research Directions: Expanding Our Understanding

This study provides valuable insights into the relationship between spearmint and acid reflux, but it also opens up new avenues for future research. Some potential areas for further investigation include:

• Long-term effects of regular spearmint consumption on digestive health
• Impact of spearmint on individuals with diagnosed GERD or other digestive disorders
• Potential mechanisms behind symptom induction at high doses
• Comparative studies with other mint varieties and their effects on LES function

The Need for Larger-Scale Studies

While this research provides a solid foundation, larger-scale studies with diverse populations could help confirm and expand upon these findings. Such studies could provide more definitive guidance for both medical professionals and the general public regarding spearmint consumption and digestive health.

Balancing Flavor and Function: The Future of Spearmint in Digestive Health

As research continues to evolve, the role of spearmint in digestive health products and dietary recommendations may need to be reevaluated. The challenge lies in balancing the pleasant flavor and potential benefits of spearmint with any possible risks or symptom induction in sensitive individuals.

Personalized Approaches to Digestive Health

The varied responses to different spearmint doses observed in this study highlight the importance of personalized approaches to digestive health. What works for one individual may not be suitable for another, emphasizing the need for tailored dietary and medication recommendations.

Conclusion: Rethinking Spearmint’s Role in Acid Reflux

This groundbreaking study challenges long-held assumptions about spearmint’s effects on lower esophageal sphincter function and acid reflux. While high doses of spearmint may induce symptoms in some individuals, its direct impact on LES pressure and reflux episodes appears to be minimal in healthy volunteers.

As we continue to unravel the complex relationships between dietary factors and digestive health, studies like this provide valuable insights that can inform both clinical practice and product development. The future of spearmint in digestive health products and dietary recommendations will likely involve a more nuanced approach, taking into account individual sensitivities and potential symptom induction at higher doses.

Ultimately, this research underscores the importance of evidence-based approaches to understanding the effects of common ingredients on our digestive system. As we move forward, continued scientific inquiry will be essential in providing accurate guidance for both healthcare professionals and individuals seeking to maintain optimal digestive health.

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

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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.

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Heartburn affects more than 60 million Americans every month (1Trusted Source).

It is best described as a painful, burning sensation that occurs in the lower chest area.

Heartburn is a symptom of acid reflux, a condition where stomach acid escapes into the esophagus, the tube that delivers food and beverages to your stomach.

Normally, stomach acid cannot escape into the esophagus because of a barrier called the lower esophageal sphincter. This is a ring-like muscle that naturally stays closed, and normally only opens when you swallow or belch (2Trusted Source).

However, in people with acid reflux, this muscle is often weakened. This is one reason why people with acid reflux experience heartburn (3Trusted Source).

Diet plays an important role in heartburn. Many foods can relax the lower esophageal sphincter, which allows food to escape into the esophagus and cause heartburn.

Here are 11 foods that can cause heartburn.

1. High-Fat Foods

High-fat foods may cause heartburn. Unfortunately, this includes incredibly healthy and nutritious foods like avocados, cheese and nuts (4Trusted Source).

There are two ways that high-fat foods can trigger heartburn.

First, they may relax the lower esophageal sphincter, the muscle that acts as a barrier between the esophagus and the stomach. When this muscle relaxes, stomach acid can escape from the stomach into the esophagus and cause heartburn (5Trusted Source).

Second, high-fat foods stimulate the release of the hormone cholecystokinin (CCK). This hormone may also relax the lower esophageal sphincter and cause acid reflux (6, 7Trusted Source).

In addition, CCK encourages food to stay in the stomach longer so it can be better digested. Sadly, this may also increase the risk of acid reflux, which can cause heartburn (8Trusted Source).

It’s important to note that this does not only apply to healthy foods that are rich in fats. It also applies to fried foods and takeout meals that are high in fat.

SUMMARYFoods that are high in fat may cause heartburn by relaxing the lower esophageal sphincter. Fat also promotes the release of CCK, which may relax the sphincter and let food sit in the stomach for longer — both risk factors for heartburn.

2. Mint

Mints like peppermint and spearmint are often thought to soothe digestive conditions. However, there is some evidence that these mints may cause heartburn.

One study found that high doses of spearmint were linked with acid reflux symptoms.

Surprisingly, spearmint did not relax the lower esophageal sphincter. Instead, researchers believe that spearmint may cause heartburn by irritating the lining of the esophagus (9Trusted Source).

Another study of more than 500 people found that those who consumed peppermint tea daily had twice the risk of heartburn (10Trusted Source).

That said, there is limited evidence of a link between mint and heartburn. If you feel that mint makes your heartburn worse, then it’s best to avoid it.

SUMMARYMints like peppermint and spearmint may cause heartburn. If you experience heartburn after consuming mint, it is best to avoid it.

3. Citrus Juices

Drinking citrus juices may trigger heartburn symptoms.

For example, in a study of 382 people with heartburn, 67% of participants experienced heartburn after consuming orange juice (11Trusted Source).

In another study of approximately 400 people with heartburn, 73% experienced heartburn after drinking orange or grapefruit juice. The findings suggested that the amount of acid in citrus juices may have been responsible for causing heartburn symptoms (12Trusted Source).

However, it’s not entirely clear how citrus juices can cause heartburn (13Trusted Source).

SUMMARYCitrus juices like orange or grapefruit juice may cause acid reflux and heartburn. However, it’s not entirely clear how this happens.

4. Chocolate

Chocolate is another common trigger for heartburn.

Like high-fat foods, chocolate can relax the lower esophageal sphincter (14, 15Trusted Source).

This may allow stomach acid to escape into the esophagus and cause heartburn.

In addition, chocolate is made of cocoa, which contains the “happy hormone” serotonin.
Unfortunately, serotonin may relax the lower esophageal sphincter, as well (16Trusted Source, 17Trusted Source).

Lastly, chocolate also contains the compounds theobromine and caffeine. Both can stimulate the lower esophageal sphincter to relax (18).

SUMMARYChocolate may cause heartburn by relaxing the lower esophageal sphincter. This may be due to its fat content, serotonin levels or other naturally occurring compounds.

5. Spicy Foods

Spicy foods are notorious for causing heartburn.

They often contain a compound called capsaicin, which may slow the rate of digestion. This means food will sit in the stomach longer, which is a risk factor for heartburn (19).

For example, one study showed that consuming chili that contained chili powder slowed the rate of digestion (20Trusted Source).

In addition, spicy foods may irritate an already inflamed esophagus, and this can worsen heartburn symptoms (21Trusted Source).

Therefore, it’s best to reduce your intake of spicy foods if you have heartburn.

SUMMARYThe capsaicin in spicy foods may cause heartburn by slowing the rate of digestion. Spicy foods may also irritate your esophagus, further worsening heartburn symptoms.

6. Salt

Consuming table salt or salty foods may increase reflux, a risk factor for heartburn.

For instance, one study found that people who added table salt to their meals had a 70% higher risk of reflux than people who never added salt.

The same study also found that people who consumed salted foods at least three times a week had a 50% higher risk of reflux than people who never ate salted foods (22Trusted Source).

However, it’s not completely understood how salt intake might increase the risk of reflux.

It’s possible that people who consume salty foods also eat more fried and fatty foods.
In that case, those foods are a more likely trigger for heartburn than salt alone.

SUMMARYConsuming table salt and salty foods has been linked with heartburn. However, its influence on the condition is not fully understood.

7. Onions

Onions, especially raw onions, are a common trigger for heartburn.

Like other foods on this list, onions may relax the lower esophageal sphincter, which may cause acid reflux and symptoms of heartburn (23Trusted Source).

In one study, people with heartburn ate a plain hamburger on one day, followed by an identical hamburger with onions on another day. Eating the burger with onions significantly worsened heartburn symptoms, compared to eating the burger with no onions (24Trusted Source).

In addition, onions are a rich source of fermentable fiber, which may cause belching. Belching can aggravate acid reflux symptoms (25).

The fermentable fiber onions contain is made up of FODMAPs, a group of compounds that may trigger digestive issues.

SUMMARYOnions, especially raw onions, may cause acid reflux and heartburn symptoms by relaxing the lower esophageal sphincter. In addition, onions are high in fermentable fiber, which may promote acid reflux symptoms.

8. Alcohol

Moderate to excessive alcohol intake can also cause heartburn symptoms (26Trusted Source).

Alcohol can do this in many ways. For example, it can relax the lower esophageal sphincter, which may allow stomach acid to escape into the esophagus and trigger heartburn (27Trusted Source).

In addition, alcoholic beverages, especially wine and beer, can increase your amount of stomach acid, which can increase the risk of heartburn (28Trusted Source).

Lastly, excessive alcohol intake may directly damage the lining of the esophagus. Over time, this can make the esophagus more sensitive to stomach acid (27Trusted Source).

SUMMARYAlcohol may cause heartburn in several ways. It may relax the lower esophageal sphincter, increase stomach acid or directly damage the lining of the esophagus.

9. Coffee

Some people may experience heartburn when drinking coffee.

Coffee has been shown to relax the lower esophageal sphincter, which can increase the risk of acid reflux and heartburn (29Trusted Source).

Some studies suggest that caffeine is the culprit. However, other studies have looked at the effects of caffeine alone and discovered that it may not trigger reflux symptoms. If this is the case, then other compounds found in coffee may be responsible (30Trusted Source, 31Trusted Source).

Nevertheless, other studies have found no link between coffee and reflux symptoms (32Trusted Source).

Though the research remains inconclusive, if you tolerate coffee, then there is no need to avoid it. Yet if coffee gives you reflux and heartburn, it is best to avoid it or limit your intake.

SUMMARYSome people may experience heartburn when drinking coffee, though the link between coffee intake and heartburn is not very clear. If coffee gives you heartburn, then it’s best to avoid it or reduce your intake.

10. Sodas and Carbonated Beverages

Sodas and carbonated beverages are also common culprits of heartburn.

Research suggests that these beverages may relax the esophageal sphincter and increase the acidity of stomach acid — two risk factors for heartburn (33Trusted Source, 34Trusted Source).

In one study, scientists observed the sleeping patterns of more than 15,000 people, finding that approximately 25% experienced nighttime heartburn.

After further investigation, the researchers found that nighttime heartburn was strongly linked to several factors, including drinking carbonated soft drinks (35Trusted Source).

Another study found that people who consumed carbonated beverages had a 69% higher risk of developing reflux symptoms like heartburn (36Trusted Source).

SUMMARYSodas and other carbonated beverages may cause heartburn by relaxing the lower esophageal sphincter. If sodas or other carbonated beverages give you heartburn, consider cutting back or avoiding them completely.

11. Milk

People commonly consume milk to treat heartburn. However, drinking whole milk may actually cause symptoms, not relieve them (11Trusted Source).

In fact, research suggests that whole milk may increase stomach acid production, which is a risk factor for heartburn (12Trusted Source).

In one study of almost 400 people with heartburn, approximately 38% reported heartburn symptoms after drinking whole milk.

Researchers from the study suggested that the link between whole milk and heartburn was related to the fat content of whole milk (12Trusted Source).

If drinking milk gives you heartburn, it’s best to avoid it or reduce your intake.

SUMMARYWhole milk has been linked to heartburn, which may be due to its fat content. If whole milk gives you heartburn, it’s best to reduce your intake or avoid it.

Foods That May Help Relieve Heartburn

While many foods can make your heartburn worse, there are several foods that may help relieve symptoms.

Here are some foods that may help relieve heartburn:

• Ginger: This is a natural remedy for nausea and vomiting. While there is limited evidence about ginger’s effects on heartburn, it may help reduce reflux (37Trusted Source).
• Bananas and melons: These fruits are naturally low in acid and are often recommended to reduce reflux (38Trusted Source).
• Green veggies: Naturally low in fat, acid and sugar, green veggies include green beans, broccoli, spinach and celery (39Trusted Source).
• Oatmeal: Oatmeal is packed with fiber, which is linked to a lower risk of acid reflux. This fiber does not contain FODMAPs, so does not cause belching or reflux (25, 40Trusted Source).
• Grains and potatoes: Research has found that consuming grains and potatoes is linked to a 42% lower risk of gastroesophageal reflux disease (41Trusted Source).

SUMMARYWhile many foods can make your heartburn symptoms worse, there are plenty of foods that may ease heartburn symptoms. These include ginger, bananas and melons, veggies, oatmeal, grains and potatoes.

The Bottom Line

Heartburn is a symptom of acid reflux. It affects millions of Americans every month.

Many foods can cause heartburn by relaxing the lower esophageal sphincter, a ring-like muscle that acts as a barrier between the esophagus and stomach.

If you experience heartburn frequently, try removing some of the foods in this list from your diet to see if your symptoms improve.

It’s a good idea to keep a food diary so you can track which foods give you heartburn.

You can also try adding foods to your diet that help relieve heartburn, such as bananas, melons, oatmeal, grains, potatoes, ginger and green veggies.

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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.
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‌‌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.

Acid Reflux: Prevention and Treatment

You bring your child to the dentist expecting good-natured smiles and confirmation that your child’s oral cavity is perfectly healthy. Instead, you are told that the child’s teeth are dangerously carious and dental treatment will be costly. You are a good mother: brush your child’s teeth conscientiously and feed him healthy food. How could this happen?

The answer to this question may be acid reflux. A University of California, San Francisco study found that children with acid reflux were six times more likely to have tooth decay than healthy children.

As the child gets older, the drug used to treat acid reflux may not be as effective. Many children stop taking antireflux medication around the age of 1 year, the time when their first teeth appear. However, some older children suffer from acid reflux. At the same time, the child may not notice him and stop complaining about his condition to you. Fortunately, there are a number of steps you can take to minimize the effects of acid reflux.

Frequent dental visits

If your child has acid reflux, make sure to visit the dentist as soon as teeth appear. A good pediatric dentist will be able to identify the effects of acid reflux early and help you develop a treatment plan. Children with severe acid reflux may need a dental checkup every three months instead of every six. When it comes to acid damage, prevention is much more economical than waiting for a crisis.

Fluoride tooth saturation

All children need fluoride, but this condition is of particular importance for children with acid reflux. Since the teeth of these children are constantly exposed to harmful effects, they need additional protection in the form of fluorides. Whenever possible, make your child drink fluoridated water, so that his teeth will be saturated with fluoride throughout the day. If you have well water or use a water filter that removes fluoride from your water, talk to your dentist or pediatrician, they can prescribe fluoride liquids or tablets.

Maintaining a healthy diet

Avoiding sugary foods and drinks is not enough for children with acid reflux. If you want to protect your child’s teeth, you need to reduce the amount of acid in your mouth.