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What to Do and When to See a Doctor

Acid reflux, which can lead to gastroesophageal reflux disease (GERD), occurs when acid from the stomach gets into the esophagus and causes irritation. GERD occurs when acid reflux happens regularly, though many people without GERD can get acid reflux occasionally, also known as heartburn. Long term inflammation of the esophagus caused by acid reflux can lead to additional complications such as:

  • Narrowing of the esophagus that can lead to swallowing issues
  • The formation of open sores (or ulcers) in the esophagus which can bleed and cause difficulty swallowing
  • Precancerous changes in the esophagus such as changes in the lining of the lower esophagus

Heartburn and GERD are both common in the United States. Research has shown that about 20% of Americans have GERD. 

Treating acid reflux can be fairly simple if it’s not too severe and you’re only experiencing mild symptoms, like mild chest discomfort or difficulty swallowing. Here’s a look at some home remedies for this condition, and when you should see a doctor.

Remedies for Acid Reflux

Acid reflux can have a few different symptoms depending on diet and severity. Common symptoms are chronic cough, disrupted sleep because of discomfort, heartburn in the chest after eating, or a lump sensation in the throat. 

There are few things you can do at home to try to minimize symptoms and avoid acid reflux from occurring all together, though they may not work for everyone. 

Avoid Overeating

Because acid reflux is most commonly caused by the food we eat, focusing on your diet can reduce symptoms. Rule number one is to avoid overeating. Research has shown that most symptoms occur after a meal, and that the bigger the meal, the worse the symptoms.

Limit Alcohol Intake

Other studies have linked alcohol consumption with increased stomach acid, leading to increases in acid reflux symptoms, even in healthy individuals. Therefore, limiting the amount of alcohol you consume can help prevent heartburn.

Avoid Acidic Foods and Drinks

In addition to alcohol and overeating, there are other dietary causes of acid reflux that will help you avoid symptoms. Acidic foods that may make heartburn worsen include the following:

  • Citrus fruit juice
  • Tomato sauce
  • Fried food
  • Coffee
  • Carbonated beverages
  • Garlic and onion

Eat High-Fiber Foods

Foods that are high in fiber can help you avoid and reduce acid reflux symptoms. Try eating foods like whole grains, root vegetables like carrots and beets, and green veggies like broccoli. Nuts and fruits with high water content, like watermelon, can also help.

Don’t Eat Before Bed

One way to prevent acid reflux from impacting your sleep is to avoid eating at least three hours before bedtime. Studies have shown that people who eat closer to bedtime have increased GERD symptoms.

Avoid Tight Clothing

If you wear tight clothing around the stomach area, like a tight belt or restraining pants, it could contribute to acid reflux symptoms. Try wearing loose-fitting clothes to avoid extra pressure on your abdomen. 

When to See a Doctor

Sometimes home acid reflux remedies won’t be enough to reduce your symptoms. Or, you may be experiencing symptoms that are similar to acid reflux but are actually signs of a more severe condition. 

GERD symptoms, particularly chest pain and discomfort, can be signs of a heart issue or heart attack in some cases. If you have chest pain and are also experiencing shortness of breath or pain in the arm or jaw, seek medical care right away. 

If you experience severe heartburn or other acid reflux symptoms regularly, talk to a doctor about medication that can help you manage symptoms. Sometimes acid reflux could lead to damage in the esophagus that will need further treatment. Your doctor may order a chest exam or an upper endoscopy to check things out further and evaluate if damage has been done.

10 Ways to Prevent GERD

“You could drink a cup of coffee, and you could be fine. Someone else could [do the same] and be symptomatic.”

Top 10 Ways to Prevent GERD

Here are 10 tips you can try to prevent GERD.

1. Lose weight. Obesity is the leading cause of GERD, Dr. Vaezi says. Extra stomach fat places pressure on your abdomen, pushing gastric juices up into your esophagus. “Lose weight if you’re overweight, and don’t gain weight if you’re not,” he says.

2. Avoid foods known to cause reflux. If you’re at risk for GERD, avoid:

  • Fatty foods
  • Spicy foods
  • Acidic foods, like tomatoes and citrus
  • Mint
  • Chocolate
  • Onions
  • Coffee or any caffeinated beverage
  • Carbonated beverages

3. Eat smaller meals. Large meals fill the stomach and put pressure on the LES, making reflux and GERD more likely.

4. Don’t lie down after eating. Wait at least three hours before you lie down after a meal. Gravity normally helps keep acid reflux from developing. When you eat a meal and then stretch out for a nap, you’re taking gravity out of the equation. As a result, acid more easily presses against the LES and flows into the esophagus.

5. Elevate your bed. Raising the head of your bed six to eight inches can help gravity keep gastric acid down in your stomach. You could also use a wedge-shaped support. Don’t use extra pillows, as they only raise your head and will not help with GERD. You need your entire upper body elevated to get relief.

6. Review your medications. There are a number of medications that can increase your risk of GERD, either by relaxing the LES, interfering with the digestive process, or further irritating an already inflamed esophagus. These medications include:

If you are taking any of these medications, talk to your doctor about switching to another drug that does not have the same effect on the upper digestive tract. However, never stop taking a prescribed medication without first consulting your doctor.

7. Quit smoking. Some studies have found that nicotine can relax the muscles of the LES and can also interfere with your saliva’s ability to clear acid out of the esophagus.

8. Cut back on alcohol. As with smoking, alcohol can cause the LES to relax. Alcohol can also cause the esophageal muscles to spasm.

9. Wear loose-fitting clothes. Do not wear tight clothing or belts that can constrict your stomach.

10. Try a gluten-free diet. At least one study has found that gluten, a protein found in grains like barley, rye, and wheat, may cause or exacerbate GERD symptoms. Try eliminating gluten from your diet and see if it makes a difference.

If after trying the above tips, you are still experiencing GERD, see your doctor. There are medications you can take to ease the symptoms of GERD.

Here’s How I Fixed It (Without Drugs)

Note

This is about one author’s personal, anecdotal experience and should not substitute medical advice. If you’re having health concerns of any kind, we urge you to speak to a healthcare professional.


About six years ago, seemingly overnight, I developed a case of acid reflux so unpleasant that it felt like lava was perpetually bubbling up into my throat. I know that’s not the most pleasant image, but unfortunately, that is what it feels like to have the gastric contents of your stomach flow backward and up into your food pipe. While it can feel isolating, this internal roller coaster is more common than you may expect.

What Is GERD?

Gastroesophageal reflux disease is a chronic condition that occurs when stomach acid flows back into the esophagus, irritating its lining.

Gastroesophageal reflux disease (GERD) affects roughly 20 percent of Americans, most of whom treat the condition by popping over-the-counter antacid tablets like they’re Tic Tacs. But according to Rebecca Park, RN, a New York City–based nurse and founder of the natural treatments site Remedies for Me, coming at your GERD with drugs could be a big mistake. Luckily, I was able to remedy my acid reflux with a few simple diet and lifestyle changes, and Park says you can, too. With her help, plus the advice of Elizabeth Trattner, a doctor of Chinese and integrative medicine, we put together this list of natural remedies for acid reflux to try.

Meet the Expert

  • Rebecca Park is a registered nurse and founder of the holistic site Remedies for Me. Park believes that taking care of one’s body and understanding its functions are necessary for maintaining good health.
  • Elizabeth Trattner is a certified acupuncturist and doctor of integrative medicine. Taking a less traditional path to wellness with her female patients, Trattner has gone on to lend her voice to publications such as Nylon and Elle as well as medical journals.

Michela Buttignol/Byrdie

Keep scrolling for nine ways to relieve acid reflux naturally.

Watch Now: 6 Natural Remedies for Acid Reflux

Bottom line? If you’re experiencing acid reflux, take a trip to the grocery store before the pharmacy. These natural remedies can have multiple healing and soothing effects (and several are pretty tasty to boot). I’m pleased to share that these tips worked for me, and experts are confident they may help you, too.

Acid Reflux – American College of Gastroenterology

Your doctor or gastroenterologist may wish to evaluate your symptoms with additional tests when it is unclear whether your symptoms are caused by acid reflux, or if you suffer from complications of GERD such as dysphagia (difficulty in swallowing), bleeding, choking, or if your symptoms fail to improve with prescription medications. Your doctor may decide to conduct one or more of the following tests.

Upper GI Series

For the upper GI series, you will be asked to swallow a liquid barium mixture. The radiologist then takes a series of pictures and videos to watch the barium as it travels down your esophagus and into the stomach.

You will be asked to move into various positions on the X-ray table while the radiologist watches the GI tract. Permanent pictures (X-ray films) will be made as needed.

Endoscopy

This test involves passing a small lighted flexible tube through the mouth into the esophagus and stomach to examine for abnormalities. The test is usually performed with the aid of sedatives. It is the best test to identify inflammation of the esophagus and pre-cancerous conditions of esophagus (Barrett’s esophagus), or other complications of the esophagus.

Acid (pH) Testing

The diagnosis of GERD is often made based on physical and history alone. However occasionally direct measurement of the amount of acid/fluid refluxed into the esophagus is necessary to help diagnose and treat GERD. A pH test involves either placement of a small catheter through the nose into the esophagus or a small chip directly attached to the esophagus during endoscopy which can provide objective data about the the degree of acid reflux.

Atypical Symptoms

Besides heartburn and regurgitation, GERD can result in a number of other symptoms outside of the esophagus.

Chest Pain: Patients with GERD may have chest pain similar to angina or heart pain. Usually, they also have other symptoms like heartburn and acid regurgitation. If your doctor says your chest pain is not coming from the heart, do not forget about the esophagus. On the other hand, if you have chest pain, you should not assume it is your esophagus until you have been evaluated for a potential heart cause by your physician.

Asthma: Acid reflux may aggravate asthma. Recent studies suggest that the majority of asthmatics have acid reflux. Clues that GERD may be worsening your asthma include: 1) asthma that appears for the first time during adulthood; 2) asthma that gets worse after meals, lying down or exercise; and 3) asthma that is mainly at night. Treatment of acid reflux may cure asthma in some patients and decrease the need for asthmatic medications in others.

Ear, Nose, and Throat Problems: Acid reflux may be a cause of chronic cough, sore throat, laryngitis with hoarseness, frequent throat clearing, or growths on the vocal cords. If these problems do not get better with standard treatments, think about GERD.

Three Ways To Relieve Acid Reflux…

If you regularly suffer from heartburn or acid reflux, you know how uncomfortable it can be and how it can affect your daily life. Most people experience this uncomfortable burning sensation after eating, especially large meals. While it can seem like an easy solution to keep over-the-counter antacids on hand as a way of relieving the symptoms of acid reflux, it’s important to know that this isn’t a viable long-term solution to the problem. Over-the-counter medications are fine to use to get relief from time to time, but can actually have negative side effects if you take them for too long without proper doctor supervision. Rather than only medicating the symptoms, we prefer to teach our patients how to make lifestyle changes that will both lessen the frequency and intensity of your acid reflux.  

What Is Acid Reflux?

Acid reflux comes as a result of the lower esophageal sphincter (LES) malfunctioning. The LES is a small muscle that serves as a type of valve separating the esophagus from the stomach. When the lower esophageal sphincter is working properly, it closes after eating, allowing food to travel down into the stomach and be digested properly with stomach acid. When it malfunctions, it can open, letting your stomach contents, both food and acid, flow backward through the esophagus. This is what causes the burning sensation associated with acid reflux. 

For some, this reflux is a stand-alone issue that might only happen every now and then. For others, it might be a sign of a more significant health issue. Some people experience heartburn and acid reflux as a symptom of gastroesophageal reflux disease (GERD). GERD is a significantly more serious disease that is usually diagnosed once reflux occurs more than twice a week over a few week period of time. GERD affects around 20% of Americans and requires a doctor’s diagnosis. 

Who Experiences Acid Reflux Or GERD?

Anyone can suffer from acid reflux, but it is most common amongst overweight or obese people, can show up temporarily in pregnant women, is frequently seen in smokers, and can come as a side effect of certain medications.  

Now that you know what acid reflux is, here are three suggestions we give our patients to relieve the pain that comes along with it as well as lessen the frequency of the symptoms of acid reflux.  

1. Eat Regular Meals And Smaller Portions

One of the first places to tackle your acid reflux is in the kitchen. Following large meals is when you’re most likely to feel acid reflux symptoms. If you notice that large meals trigger your reflux, consider eating smaller meals more frequently throughout the day. Try to avoid citrus fruit, fatty food, greasy foods, and spicy foods. What you eat isn’t the only factor, either. You should finish your dinner at least three hours prior to going to bed. Your stomach acid produces the largest amount of stomach acid within three hours of eating, so if you lie down within that window, you’re more likely to experience heartburn. 

2. Take A Walk

Physical activity can help minimize the symptoms of acid reflux in several ways. For starters, light exercise aids in the digestive process and also helps keep your stomach contents in your stomach much better than laying down. It can also help you lose weight, which should also reduce reflux. 

3. Make Some Lifestyle Adjustments

If you’re a smoker or a drinker, you should consider quitting these habits. Stopping drinking and smoking is better for your overall health, but these two substances are known to aggravate heartburn symptoms, affect your stomach acid production, and irritate your lower esophageal sphincter. 

When To See A Doctor
You don’t need to come to see us if you’re experiencing the symptoms of heartburn infrequently and by themselves. If you do start to see an uptick in the frequency or intensity, or if you see more alarming symptoms like vomiting, unintended weight loss, chest pain, choking while eating, or red or black stools, make an appointment to see us here at Cary Gastroenterology Associates as soon as possible.

Acid Reflux & Gerd | Symptoms, Causes & Treatment Options

More than 60 million people experience heartburn from acid reflux at least once a month in the United States, according to the American College of Gastroenterology. More than 15 million Americans have symptoms daily. About 20 percent of Americans have GERD.

Acid reflux is common and it can come and go, especially after eating certain foods. Normal people may have acid reflux for an hour a day and not feel anything. It may disappear without the help of medication.


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But people with chronic heartburn need some form of treatment. If left untreated, GERD can lead to esophageal damage, cancer and other complications.

With the right treatment, the body may be able to heal. Depending on the severity of symptoms, a health care provider may recommend lifestyle changes, medications, surgery or a combination of these.

Symptoms

The most common symptom of acid reflux is heartburn. It feels like a burning pain that people feel mid-chest below the sternum. Sometimes, a person may taste food or stomach acid in the back of the mouth. It can get worse at night, when a person lays down or after meals.

Did You Know?

The most common symptom of acid reflux and GERD is heartburn.

When heartburn happens regularly two or more times a week, a person may have GERD. But not all adults with GERD have heartburn, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

Some symptoms of GERD come from its complications. These include Inflammation of the esophagus and breathing problems. These symptoms alone may be caused by other conditions and aren’t sufficient to diagnose GERD.


Other Symptoms of GERD in Adults

  • Difficult or painful swallowing

  • Foul breath

  • Nausea

  • Pain in the upper abdomen or chest

  • Problems with teeth wearing away

  • Respiratory problems

  • Vomiting

When to Call Your Doctor

If you have persistent symptoms that don’t go away with a change in diet or over-the-counter acid reducers, see your doctor right away.


Some serious symptoms include:

  • Blood in vomit

  • Difficulty breathing after vomiting

  • Difficulty swallowing

  • Green or yellow vomit

  • Large amounts of vomit

  • Pain in the mouth or throat when eating

  • Pain when swallowing

  • Projectile or forceful vomiting

  • Vomit that looks like coffee grounds

Causes and Risks of Acid Reflux

Acid reflux is caused by a weak or improperly closed lower esophageal sphincter — the muscle that closes the opening between the esophagus and the stomach. When people eat, the sphincter opens to allow food into the stomach. When people are not eating, this muscle stays closed.

When the muscle is weak or becomes relaxed when it isn’t supposed to, the contents of the stomach —including stomach acid, digestive juices and food — flow up into the esophagus, causing heartburn.


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Acid reflux and GERD occur when contents of the stomach flow up into the esophagus, causing heartburn.

Risk Factors

Most risk factors for acid reflux and GERD are related to lifestyle and are preventable.


Preventable risks for acid reflux:

  • Being overweight or obese

  • Smoking

  • Inhaling cigarette smoke

  • Sedentary lifestyle

  • Drinking too much alcohol

  • Eating too many large, fatty meals

  • Eating large meals too close to bed time

One unpreventable cause of acid reflux is a hiatal hernia. A hiatal hernia causes the upper part of the stomach to move into the chest. This causes the esophageal sphincter to relax and let stomach contents flow up into the esophagus.

Pregnant women also have an increased risk of reflux and GERD because being pregnant increases the pressure in the abdomen.

Some medications such as antidepressants, painkillers, sedatives, blood pressure medications and antihistamines may weaken or relax the esophageal sphincter and lead to reflux.

Diagnosing GERD

A primary health care provider or gastroenterologist — a doctor that specializes in digestive disorders — may recommend a few tests to diagnose GERD.

Upper GI Series

In an upper GI series, the patient swallows a liquid called barium. Then a radiologist takes x-rays of the barium as it travel down the esophagus and into the stomach.

Esophageal Manometry

After using a spray anesthetic on the throat, the health care provider passes a flexible tube in through the nose. The tube travels down the esophagus and into the stomach. It measures the pressure and function of the esophagus.

Esophageal pH

This test is the most accurate for detecting acid reflux, according to the National Institute of Diabetes and Digestive and Kidney Diseases. It monitors the amount of acid that passes into the esophagus when a person is sleeping, eating or performing other activities over a 24-hour period.

A gastroenterologist will place a thin tube through the nose or mouth and into the stomach. The other end attaches to a monitor. It’s removed after 24 hours.

Doctors may also use another type of temporary device called a Bravo Capsule. The doctor will place it on the wall of the esophagus to measure acid reflux for about 48 hours. The data goes to a receiver the patients wears on their waistband or belt.

Endoscopy

An endoscopy involves passing a flexible tube with a lighted tip and camera through the mouth, down the esophagus and into the stomach. Health care providers can see abnormalities in the stomach or esophagus, especially if the provider suspects the patient has Barrett’s esophagus. Patients are usually sedated for the procedure. Sometimes the doctor may perform a biopsy and take a small piece of the tissue to examine in the lab.

Complications of GERD

If left untreated, GERD can cause a number of complications. It can cause bleeding and scarring in the esophagus. The most serious complication is an increased risk of esophageal cancer.

Esophagitis

Esophagitis is inflammation of the esophagus. If it persists for many years, it increases the risk for precancerous changes in the esophagus.

Narrowing of the Esophagus

Narrowing of the esophagus or esophageal stricture can lead to problems swallowing or food getting stuck in the throat.

Barrett’s Esophagus

This condition makes the lining of the esophagus resemble the lining of the intestine. It is more likely to affect adult men. Researchers estimate it affects up to 6.8 percent of people. People with this condition are more likely to get esophageal cancer.

Respiratory Problems

Stomach acid may enter the lungs of people with GERD. It can irritate tissues in the lungs and throat. This can cause wheezing, pneumonia, chest congestion, asthma, chronic throat clearing or cough and laryngitis.

Treatment

Treatment options for acid reflux and GERD include lifestyle changes, medications, surgery or a combination of these. In cases where symptoms are not too severe, a health care provider may recommend lifestyle changes and over-the-counter acid reducers such as such as Prevacid, Rolaids or Tums. Zantac made with ranitdine was a popular choice until it was withdrawn from the market in April 2020. After the market withdrawal, Sanofi made a new Zantac 360 over-the-counter formula made with famotidine which is available in the United States.

In more serious cases, treatments may include prescription medications such as proton pump inhibitors including Nexium or Prevacid. If all non-invasive recommendations fail, a patient may consider surgery to strengthen the natural barrier between the stomach and esophagus.

Surgery and proton pump inhibitors scored the highest for suppressing acid, healing esophagitis, managing complications and maintaining remission of acid reflux, according to the American College of Gastroenterology.

According to an article by the Institute for Quality and Efficiency in Health Care in Germany published in the U.S. Library of Medicine, 45 out of 100 people had an improvement in their acid reflux symptoms. In contrast, 14 out of 100 people who took h3 blockers saw improvement.

Learn More About The Zantac Recall


Medications for Acid Reflux

Drug ClassBrand Name (generic)
AntacidsMaalox, Mylanta, Riopan, Rolaids
h3 BlockersTagamet HB (cimetidine), Pepcid AC (famotidine), Axid AR (nizatidine), Zantac (ranitidine) (withdrawn from the market)
Proton Pump Inhibitors (PPIs)Nexium (esomeprazole), Prevacid (lansoprazole), Prilosec (omeprazole), Protonix (pantoprazole), AcipHex (rabeprazole)
ProkineticsUrecholine (bethanechol), Reglan (metoclopramide)

PPI Information

Proton pump inhibitors, or PPIs, treat serious, gastric acid related conditions, like GERD. Learn more about the different brands of PPIs and how they work.

Learn More

Home Remedies for Acid Reflux

A common home remedy recommended for acid reflux is apple cider vinegar, and several people online claim it works. But there is no scientific evidence that supports this claim, Dr. Marcelo Campos wrote in an article for Harvard Medical School.

People who want to try and control acid reflux without medication or surgery are better off trying lifestyle changes.


Natural ways to reduce acid reflux include:

  • Don’t overeat

  • Try not to eat two to three hours before bedtime

  • Wear lose-fitting clothes that don’t squeeze your abdomen

  • If you are overweight, lose some weight

  • Quit smoking

  • Stay upright for 3 hours after meals and don’t slouch or recline when sitting

  • Try raising the head of your bed by six to eight inches to sleep at an incline

  • Avoid foods or drinks that trigger reflux such as high fat or spicy foods, carbonated beverages and alcohol

  • Avoid vigorous exercise right after eating

  • Check medications for any side effects that might increase risk of reflux

Acid Reflux and GERD in Babies

Even children and babies can have acid reflux. Babies with acid reflux usually spit up food. Acid reflux and GERD are common in babies because the valve that separates the stomach from the esophagus isn’t fully developed yet. Once it develops, babies typically stop having reflux.


Symptoms of acid reflux in babies include:

  • Back arching during or right after feeding

  • Coughing

  • Crying lasting for more than 3 hours a day, also called colic

  • Difficulty breathing

  • Infections in the lungs such as pneumonia

  • Irritability after feeding

  • Low weight, weight loss

  • Not wanting to feed

  • Trouble swallowing

  • Vomiting

  • Wheezing while breathing

Treatment for infant reflux typically involves feeding changes, medications and in rare instances, surgery. For the first 3 months of their lives, most babies regurgitate or spit up many times a day. It typically goes away by the time they are one year old. Only 10 percent of babies have GERD after their first birthday.

GERD Diet

There is no official diet for GERD or acid reflux, but most health providers recommend some foods that could help control symptoms.

“Diet plays a major role in controlling acid reflux symptoms and is the first line of therapy used for people with GERD,” according to Dr. Ekta Gupta, a gastroenterologist with Johns Hopkins Medicine.

This list of foods is high in fiber and water and higher on the pH scale (foods high on the scale are less acidic) which may help control acid.


Foods that help control acid reflux:

  • Whole grains

  • Root vegetables

  • Green vegetables

  • Bananas

  • Nuts

  • Fennel

  • Cauliflower

  • Melons

  • Celery

  • Cucumber

  • Lettuce

  • Watermelon

  • Herbal tea

  • Broth-based soups

  • Ginger

Bharat Pothuri, MD, FACG: Gastroenterologist

For those who suffer, acid reflux is no picnic. If you’re prone to the condition, you know how its effects can spoil your impressions of a great meal. If acid reflux is chronic – called gastroesophageal reflux disorder, or GERD – you may deal with the burning pain several times a week. The problem traces back to a valve at the top of your stomach, called the esophageal sphincter, which leaks stomach contents backward into your esophagus.

There are ways to treat acid reflux with medication, or with surgery in extreme cases when the esophageal sphincter becomes too weak. However, if you suffer from mild to moderate, occasional reflux, you can make relatively minor changes to your lifestyle that, in turn, reward you with big results. Take a moment to look at these eight ways you may be able to reduce the effects of acid reflux without resorting to medication.

Quit smoking

Acid reflux is yet another reason to give up the nicotine habit. Smoking may cause the esophageal sphincter to relax when it should seal tightly. The old myth about cigarettes helping digestion is just that – a myth.

Lose weight

Whether you’re carrying a little or a lot of excess baggage, working to achieve a healthy weight is a gift to yourself that keeps on giving. The muscles that support your esophageal sphincter may be spread out when you’re overweight, reducing the pressure necessary to hold your sphincter closed.

Choose wisely

Certain foods tend to be acid reflux triggers, and these may vary between sufferers. Once, only the blandest of diets was recommended to combat reflux, but that’s not the case anymore. Identifying your triggers is far more effective, and it keeps eating pleasurable. Among the most common food triggers are:

  • Mint
  • Spicy foods
  • Tomatoes, onions, and garlic
  • Coffee, tea, and other caffeinated beverages
  • Fatty foods
  • Alcohol
  • Chocolate

Burst bubbles

Carbonated beverages exert pressure on the esophageal sphincter, causing you to burp when sufficient pressure builds. Guess what? That’s the sphincter opening to let the carbon dioxide out. If you’ve ever had a “wet burp,” you’ll know the leakage isn’t always restricted to gas. If you’re a big fan of fizzy drinks, try choosing non-carbonated drinks to get a break from reflux.

Slow down

The fast pace of modern society creates a need for rushed eating to such an extent that some of us forget how to truly enjoy the foods we eat. It’s very easy to eat faster than our hunger urges respond, and therefore easy to overstuff our stomachs. Too much food may create back pressure on the esophageal sphincter. Avoid overfilling by chewing slowly and reducing portion sizes.   

Keep upright

Perhaps there’s no greater pleasure than lying down on the sofa after a large and delicious meal. That pleasure comes to a quick end, however, if acid reflux flares up. Get an assist from gravity and remain upright immediately after eating. Avoid eating before bed, and if you wake during the night, skip the midnight snack.

Heads up

When it comes to sleep, keeping your head about six to eight inches higher than your feet is another way you can avoid undue strain on your esophageal sphincter. Add height to the head of your bed or use foam wedges designed for this purpose. Building a ramp made of pillows won’t give you reliable support.

Watch your meds

There’s a chance that lifestyle choices aren’t contributing to acid reflux as much as some prescription and non-prescription medications. Some medications known to relax the esophageal sphincter include:

  • Estrogen for postmenopausal hormone therapy
  • Anti-inflammatory pain relief
  • Bone density medications such as alendronate, ibandronate or risedronate
  • Tricyclic antidepressants

If acid reflux persists despite trying any or all these suggestions, or if you have difficulty swallowing due to chronic irritation in your throat, don’t hesitate to call or request an appointment online to see me at GastroDox, PLLC. Together, we can make mealtime pleasant again.

Laryngopharyngeal reflux: treatment of the disease | Clinic Rassvet

Fast passage

Laryngopharyngeal reflux (LFR) is the reflux of gastric contents (acid and enzymes such as pepsin) into the larynx, resulting in hoarseness, a lump in the throat, difficulty swallowing, coughing, and a feeling of mucus in the larynx.

Reflux as the cause of the above symptoms without gastroesophageal reflux disease (GERD) is constantly questioned.The guidelines issued by the specialized societies for laryngology and gastroenterology represent different points of view. Both groups acknowledge that the interpretation of existing studies is difficult due to ambiguous diagnostic criteria for LFR, varying rates of response to treatment, and the significant placebo effect on treatment.

There are relatively limited data on the prevalence of LFR: about 30% of healthy people may have episodes of reflux on a daily pH-meter or detect characteristic changes in the larynx.

LFR can directly or indirectly cause laryngeal symptoms. The direct mechanism includes irritation of the laryngeal mucosa with caustic substances – refluxates (acid, pepsin). An indirect mechanism involves irritation of the esophagus, which leads to laryngeal reflexes and symptoms.

Helicobacter pylori infection may also contribute. The prevalence of H. pylori among patients with LFR is about 44%.

Laryngophangeal reflux and GERD

Although gastric acid is common to both LFR and GERD, there are many differences that make LFR a distinct clinical entity.

  • A prerequisite for GERD is heartburn, which is reliably observed in only 40% of patients with LFR.
  • Most patients with GERD show signs of esophagitis on biopsy, while patients with LFR in only 25% of cases.
  • GERD is thought to be a problem of the lower esophageal sphincter and occurs primarily in the supine position. In contrast, LFR is seen primarily as a problem of the upper esophageal sphincter, and occurs primarily in an upright position during exercise.
  • For the formation of LFR, much less acid exposure is required than with GERD.

There are significant differences between the lining of the esophagus and the larynx.

  • The upper limit of the norm for acid reflux into the esophagus is considered to be up to 50 episodes per day, while 4 episodes of reflux into the larynx is no longer a normal option.
  • In the larynx, in contrast to the esophagus, which removes acid during peristalsis, refluxate lasts much longer, causing additional irritation.
  • The epithelium of the larynx is thin and poorly adapted to deal with caustic chemical damage from the same pepsin and acid.

Laryngopharyngeal reflux symptoms

  • Dysphonia or hoarseness;
  • cough;
  • sensation of a lump in the throat;
  • discomfort and sensation of mucus in the throat;
  • dysphagia (swallowing disorder).

Some researchers believe that chronic irritation of the larynx can lead to the development of carcinoma in patients who do not drink alcohol or smoke, although there is no evidence to support this.

Symptoms specific to LFR can also be caused by the following conditions:

  • postnasal syndrome;
  • allergic rhinitis;
  • vasomotor rhinitis;
  • 90,017 upper respiratory tract infections;

  • habitual coughing;
  • use of tobacco or alcohol;
  • excessive use of voice;
  • temperature or climate change;
  • 90,017 emotional problems;

  • environmental irritants;
  • vagus neuropathy.

Diagnostics

There is considerable disagreement about the appropriate method for diagnosing LFR.

Most patients are diagnosed clinically based on symptoms associated with LFR.

With laryngoscopy (examination of the larynx), there is swelling and hyperemia (redness) of varying degrees. However, the relatively weak correlation between symptoms and endoscopic findings is an argument against the use of endoscopic diagnostic methods.

The Reflux Sign Scale and Reflux Symptom Index are well suited for both diagnosis and monitoring of response to therapy.

Daily Ph-metry with a dual probe probe, despite its excellent sensitivity and specificity, is questioned, since the results of this diagnostic method often do not correlate with the severity of symptoms.

Another diagnostic option may be the empirical prescription of PPI therapy.

Treatment of laryngopharyngeal reflux

Lifestyle changes and diet are the main approaches in the treatment of LFR and GERD.The role of drug therapy is more controversial. It is not known whether asymptomatic patients with incidental signs of LFR need treatment. There are theoretical concerns that LFR may increase the risk of malignant neoplasms, but this has not yet been proven. In any case, dieting is recommended for patients with asymptomatic LFR.

Patients are advised to quit smoking, alcohol, exclude foods and drinks containing caffeine, chocolate, mint. Prohibited foods also include most fruits (especially citrus fruits), tomatoes, jams and jellies, barbecue sauces and most salad dressings, and spicy foods.Fractional meals are recommended.

Avoid exercise for at least two hours after eating, and refrain from eating and drinking three hours before bedtime.

Drug therapy usually includes proton pump inhibitors (PPIs), h3 blockers, and antacids. PPIs are recommended for six months for most patients with LFR. This figure is based on the results of endoscopic studies (this is the time required to reduce laryngeal edema), as well as a high relapse rate in the case of a three-month course of therapy.Discontinuation of therapy should be carried out gradually.

If PPI therapy and H2 blockers have been unsuccessful, treatment with tricyclic antidepressants, gabapentin and pregabalin should be considered, as one of the possible mechanisms for the development of reflux is an increased sensitivity of the larynx.

How is laryngopharyngeal reflux treated at the Rassvet clinic?

All patients with complaints of hoarseness, a feeling of a lump in the throat, difficulty swallowing, cough, a feeling of mucus in the laryngopharynx are examined by an otorhinolaryngologist and a gastroenterologist.

An endoscopic examination of the nasal cavity, nasopharynx and larynx is performed to exclude other diseases that, in addition to LFR, can provoke these symptoms. The gastroenterologist also prescribes the entire necessary range of examinations, including the exclusion of H. Pylori infection.

The key to successful therapy is the joint management of the patient by an otorhinolaryngologist, a gastroenterologist, in some cases a psychiatrist and a psychotherapist.

Authors:

Chekaldina Elena Vladimirovna
otorhinolaryngologist, Ph.M.Sc.

Diaphragmatic hernia – REFLUX CENTER MUNICH

Severe, disturbing heartburn for many years is often caused by anatomical abnormalities. The esophagus penetrates the diaphragm and is tightly surrounded by it. A diaphragmatic hernia is a change in which the esophagus causes the opening of the diaphragm to widen. If the covering muscle (sphincter) at the end of the esophagus is intact, a diaphragmatic hernia usually does not cause complaints. The resulting severe acid reflux requires therapy. The goal of treatment is, first of all, to reduce pain, as well as to prevent changes in the esophagus, inflammation, scarring, tissue changes up to the development of cancer.

TYPES OF TREATMENT

1. General activities

Certain improvements are achieved by using the following measures. With mild complaints, they are often an effective treatment method:

  • Weight loss with obesity
  • Refusal of late meals
  • Sleep with headboard raised
  • Drinking alcohol only in small amounts
  • Quitting smoking
  • Do not drink coffee
  • Do not consume chocolate
  • Avoid fatty foods

2.Drug treatment

There are no medications that prevent the return of stomach contents into the esophagus. The available medications only prevent the formation of acid in the reflux fluid. Medicines have two main mechanisms of action: they bind the already formed acid or reduce its production. If inflammation of the esophagus is detected, it is necessary to carry out medical treatment.

3. Surgical treatment

The advantage of surgical treatment for reflux disease is that it removes the cause of the disease.The use of a minimally invasive technique of intervention allows you to maximize the protection of organs. The operation consists of two parts:

  1. Diaphragmatic hernia repair
  2. Formation of a valve mechanism at the end of the esophagus to prevent backflow (reflux).

The operation is performed laparoscopically, that is, an abdominal incision is not required. Through 5 skin incisions, ranging in size from 5 to 12 millimeters, operating instruments and an operating monitor are inserted into the area of ​​the operation.

SCOPE OF OPERATION

Minimally invasive surgery for reflux disease requires a five-day hospital stay in our clinic.

  • Day 1: Appointment, preliminary conversation, gastric endoscopy, if it has not been performed within the last six months, ECG, blood test, if necessary, chest x-ray, conversation with anesthesiologist (doctor giving anesthesia)
  • Day 2: Operation, afternoon tea
  • Day 3: X-ray control, restoration of normal diet
  • Day 4: Further restoration of normal diet
  • Day 5: Check out

RESULTS

Since 1992, I have operated on about 800 patients according to the method described above. As part of my dissertation work in 2002, 51 operated patients underwent thorough follow-up examinations.
Based on the results of this work, 91% of patients rated the surgery as very good or good, 94% of patients would undergo such an intervention to improve their quality of life again. More than 90% of patients believe that they no longer have restrictions on the quality of life, the same number of patients, thanks to the operation, were able to completely or significantly abandon drugs that block acidity.

90,000 Heartburn: The 5 Best Home Remedies for Reflux

Acid Reflux Can Cause Discomfort / Pixabay

Acid reflux occurs when stomach acid enters the esophagus, causing chest and throat pain. This is a common condition – one in five people in the world experiences acid reflux.

Acid reflux can be uncomfortable, but lifestyle changes and home remedies can help relieve symptoms without medication. Here are some steps you can take to treat acid reflux at home.

What is acid reflux?

Normally, when you eat or drink, food travels down the esophagus to a muscle known as the esophageal sphincter, which opens to allow food to enter the stomach.

Read also Eaten – a felt boot was taken out of the stomach of a 12-year-old girl

Acid reflux occurs when this sphincter becomes weak or relaxes at the wrong time, allowing acid from the stomach to re-enter the esophagus. This can cause symptoms such as:

  • Chest pain or burning
  • Throat pain or discomfort
  • Spitting up acidic fluid in your mouth or throat

Although you may be more likely to experience acid reflux if you are pregnant or are obese, this can happen for many reasons.Some of the more common causes of acid reflux include:

  • Eating abundant food
  • Eating overnight
  • Certain foods or beverages such as spicy foods, fried foods, alcohol, or coffee
  • Smoking

“Lifestyle changes are the first treatment if acid reflux bothers you, “says Jacqueline Wolf, MD, gastroenterologist and professor at Beth Israel Deaconess Medical Center. This may include preventing some of the causes listed above, but there are also several proven home therapies that can help control acid reflux.

1. Lift your upper body while sleeping

Acid reflux is often worse at night because stomach acid can more easily enter the esophagus when you lie down. You can improve nighttime symptoms by tilting your body while sleeping.

In particular, it is helpful to raise the head and shoulders above the abdomen and keep the esophagus tilted downward. For example, you can raise the head of the bed or lean against a reclining pillow. “This allows gravity to clear anything that enters the esophagus at night,” says Wolf.

A small 20-person study published in 2011 in the Journal of Gastroenterology and Hepatology found that people who raised the head of the bed for one week experienced significant improvements in heartburn symptoms and had less sleep disturbance.

And a 2016 review of four studies found that even for people already taking acid reflux medications, elevated sleeping positions can help relieve symptoms more than just taking the medication alone.

2. Try deglycyrrhizinate licorice (DGL)

Licorice is an herb that has long been used to relieve stomach ailments. DGL is a modified type of licorice from which the glycyrrhizin compound has been removed, as this can raise blood pressure.

DGL helps treat acid reflux because it helps reduce inflammation in the esophagus. Inflammation, a reaction of the immune system, can be helpful when you need to heal a wound or fight an infection, but in some people it can also exacerbate health problems such as acid reflux.This is because your immune system secretes inflammatory cells called cytokines that can damage the lining of the esophagus.

Although DGL has been shown to work in combination with other treatments for acid reflux, more research is needed to see how it works on its own.

DGL is usually available as a chewable tablet and may have several flavors for people who dislike the taste of licorice. To use DGL for acid reflux, you must take one 400 mg tablet 20 minutes before meals, or 20 minutes before bed if you have nighttime symptoms.

Other herbs that may also help with acid reflux are:

  • Ginger
  • Chamomile
  • Marshmallow Root

3. Eat smaller meals

Eating more food puts more pressure on the sphincter that separates the esophagus from the stomach … This increases the likelihood that the sphincter will open and allow acid to flow up into the esophagus. Replacing large meals with more frequent meals with smaller meals can relieve symptoms.

For example, instead of three large meals, try dividing those servings into five smaller meals.

4. Limit your coffee intake

If you drink coffee, cutting back or avoiding daily cups can help reduce acid reflux. This is because when you drink coffee, your stomach produces more stomach acid, which can accumulate and go up the esophagus. The caffeine in coffee also relaxes the esophageal sphincter, allowing stomach contents to move upward.

5. Avoid trigger foods

Certain foods can increase acid reflux. You should avoid foods that slow down digestion and stay in the stomach longer.

Some foods that can cause acid reflux:

  • Cheese
  • Fried foods
  • Processed snacks, such as potato chips
  • Fatty meats, such as bacon
  • Chocolate
  • Chili powder
  • Pizza
  • When to contact Doctor

If home remedies are not sufficient to control your acid reflux symptoms, you should see your doctor for medical attention.Over time, untreated acid reflux can lead to more serious conditions, such as Barrett’s esophagus, in which damage to the esophagus makes it difficult to swallow food. In rare cases, even esophageal cancer can develop.

description, properties, method of administration, daily rate and effect of lysine

L-Lysine

Useful properties:

  • Formation of carnitine, which is responsible for the condition of hair and skin;

  • Collagen synthesis, which helps to avoid wrinkles;

  • Reducing cholesterol levels;

  • Improving the absorption of calcium.

Lysine is an essential amino acid that cannot be synthesized by the body and is only available through food and supplements. Lysine has a wide range of biological effects and, above all, lysine is vital as a component of body proteins. This amino acid is found in large quantities in collagen, which provides strength to muscles, cartilage, ligaments and tendons. Indirectly, lysine strengthens bones, as it promotes the absorption of calcium from the intestines, with a lack of it, osteoporosis (increased fragility of bones) can develop.Lysine plays an important role in the immune system as it is required in large quantities for the production of antibodies (immunoglobulin). Lysine is part of hormones and enzymes that regulate the metabolic processes of the body.

Some studies have shown that l-lysine can reduce the incidence of the herpes virus.

The way the substance affects the herpes virus is unknown, but there is a version that lysine affects another amino acid – arginine.In turn, the effect of arginine on the acceleration of cell division was found to be infected with the herpes virus. The less arginine, the slower herpes develops, and l-lysine reduces the activity of arginine.

In 2007, an account from the University of Florida (FSU) found the effect of “lysine conjugates” to identify individual DNA lesions. The research was carried out by Igor Alabugin, professor of biochemistry at FSU. For the treatment of cancer, it has been proposed to use lysine conjugates under the influence of phototherapy.Such a complex effect allows you to destroy 90% + of diseased cells, while not damaging healthy ones. Professor Alabugin’s invention has already been patented and is being tested.

The use of lysine to treat cancer was tested in mice in colorectal cancer in 2014. During the study, 0 animals died, including animals in the advanced stages of the disease.

Studies have shown the effective effect of l-lysine even on such types of diseases as leukemia, which gives rise to additional hope for the speedy deliverance of mankind from such a terrible disease.

Along with eating food rich in B vitamins, magnesium and omega-3, you can take l-lysine to treat psychological problems. Lysine improves the absorption of calcium and other substances, thereby restoring the normal state of the body. This amino acid is used to relieve anxiety syndrome and can relieve depression harmlessly for the body.

L-lysine acts as a serotonin receptor antagonist.It binds to receptors and partially prevents feelings of anxiety. Moreover, the substance affects stress-induced responses, including the treatment of diarrhea.

L-lysine supplementation has been linked to improved calcium absorption, which is extremely important for people at risk of developing osteoporosis. To date, there are no studies that support a link between osteoporosis treatment and lysine intake, but the importance of calcium’s effects on bone health suggests that lysine may be beneficial.

Calcium affects not only your bones, but also affects your weight, protects against serious diseases, reduces PMS symptoms, improves dental health, affects the functioning of the nervous system and muscles, and prevents diabetes.

Most of the inhabitants of our planet experience problems related to gut health. Many people are not even aware of these problems, but they have a significant impact on their health. It’s not just about direct problems like acid reflux or diarrhea, but many others.For example, a violation of the intestinal microflora can affect the condition of the skin, hair and bones, due to the fact that the necessary substances are not absorbed by the body.

One form of l-lysine known as poly-l-lysine has anti-inflammatory effects and relieves many gut problems.

American scientists have gone far, experimenting with lysine, their experiments have proven that the use of lysine can stop hair loss in androgenic alopecia and iron deficiency anemia.There is an American patent for the use of Lysine in the treatment of various hair loss problems, including baldness. Lysine blocks 5-alpha reductase. Lysine deficiency adversely affects protein synthesis, which leads to fatigue, fatigue and weakness, poor appetite.

Lysine is widely used in bodybuilding, it is added to sports nutrition and dietary supplements. This amino acid can help speed up muscle recovery after strength training. The modulating effect of lysine supports positive nitrogen metabolism and the building of muscle proteins.

Muscle protection and nutrition are the two main functions of lysine in sports. In addition, lysine strengthens the tendon corset and the skeletal system, which reduces the risk of injury, and also speeds up recovery.

The average person needs to get 800 to 3000 mg of l-lysine daily. The dosage for the treatment of herpes can increase from 1 to 3 grams of the substance.

Lysine can be used as a cream to speed up the relief of herpes symptoms.

Lysine in recommended doses is absolutely safe and does not cause any side effects. In extremely high doses (more than 20 g once), abdominal cramps, diarrhea, flatulence may occur.


Literature
1. Ronald Klatz, Robert Goldman “The era of youth (Anti-aging revolution), publishing house Moscow, St. Petersburg,” Ost “, 2007
2. US Patent No. 5678617.

Effective treatment of heartburn with laparoscopic fundoplication

The branch of the clinic 100med in Lyubertsy provides qualified surgical assistance to everyone who needs to diagnose gastroesophageal reflux disease.Modern European equipment allows for accurate diagnostics, and treatment does not require long-term recovery. In the future, there will be no complications.

Etiology, pathogenesis

Gastroesophageal reflux disease (GERD) is an inflammation of the lower esophagus that occurs in response to reflux (reflux) of stomach and duodenal contents. GERD among all pathologies of the gastrointestinal tract is often diagnosed and has a predisposition to complications.

The main mechanism of development is closely associated with a violation of the obturator function of the sphincter. This pathology is combined with the following changes:

  • short esophagus;

  • hernia of the esophageal opening of the diaphragm;

  • violation of the balance of protective and aggressive factors of the esophagus.

Constant casting occurs due to the greater pressure in the stomach than in the esophagus.15 minutes after eating, the so-called “acid pocket” is formed. It is a small volume of gastric juice (reservoir of acidic content) with high acidity. It is this composition that is thrown into the esophagus. In case of illness, the content has a larger volume, casts are carried out more often. The position of the “pocket” affects the occurrence of heartburn immediately after eating or after a long time.

The following factors contribute to the development of the disease:

  • stress;

  • diaphragmatic hernia;

  • bad habits;

  • obesity;

  • certain medications, for example, beta-blockers, nitrates, etc.

Symptoms and effects

For a typical clinical picture of the disease, the signs are:

  • heartburn, which worries more when the trunk is tilted, physical exertion, in the supine position, after a plentiful feast;

  • belching with a bitter or sour taste;

  • nausea, vomiting;

  • difficulty swallowing a food lump, which occurs against the background of changes in motility or as a result of esophageal stenosis;

  • less often pain after eating, increased production of saliva, heaviness in the epigastrium may bother.

In parallel, the above symptoms may accompany frequent pneumonia, laryngitis, otitis media. A particular danger is a disease that proceeds without the manifestation of symptoms.

Complications of the disease include:

  • ulceration;

  • bleeding from the esophagus, which can lead to the development of posthemorrhagic anemia;

  • metaplasia of squamous epithelium with subsequent degeneration into a cancerous tumor;

  • changes in the configuration of the esophagus, in particular, narrowing of its lumen.

Treatment methods

Gastroesophageal reflux disease restricts a person in eating, exercising, and the quality of life is significantly reduced. A competent comprehensive approach to treatment will help change the situation for the better.

Traditional measures aimed at eliminating the disease include the following activities.

  1. Prescription of drugs of the following groups: adsorbents, proton pump inhibitors, alginates, antacids, etc.

  2. Weight normalization.

  3. Diet therapy.

  4. Rejection of bad habits.

The above actions are often temporary. Inaccuracies in drug use or lifestyle contribute to the manifestation of symptoms of the disease. Then the question arises about surgical intervention that will help eliminate anatomical changes.The only reliable method is laparoscopic fundoplication.

Laparoscopic fundoplication is a reliable method of treatment

Fundoplication is an operation that strengthens the gastroesophageal sphincter. In this case, subsequently, the walls of the stomach, like a cuff, surround the esophagus. The stomach is sutured to the diaphragm, the diaphragmatic opening is sutured. The laparoscopic method implies minimal blood loss, since the intervention is performed through small punctures.

The operation is easily transferred. It is carried out by experienced qualified specialists. Subsequently, the clinic provides comfortable wards in which patients stay for several days. The condition of each person is monitored and taken care of. After the operation, a person gets rid of heartburn and other symptoms that cause discomfort forever.

The rehabilitation period lasts 1.5 months. During this time, the doctor who performed the operation performs the appointment and gives valuable recommendations.Before performing the operation, the doctor conducts a conversation, gives answers to exciting questions. The price for the upcoming procedures is specified on the spot.

The cost of services includes:

  • diagnostics;

  • specialist consultation;

  • surgical intervention;

  • anesthetic aid;

  • being in the hospital after surgery;

  • rehabilitation measures carried out in the next six months;

  • consultations, doctor’s recommendations during the recovery period.

The operation in our clinic is a guarantee of complete recovery, no further relapses. We look forward to your visit to the clinic. Before coming for a consultation, call or sign up via the Internet.

90,000 ACID REFLUX BELCH: CAUSES, REMEDIES, TREATMENT, PREVENTION – HEALTH

Contents:

Acid reflux occurs when acid from the stomach returns through the esophagus to the mouth.Frequent episodes of acid reflux can be a sign of a condition known as gastroesophageal reflux disease (GERD).

GERD is very common. According to the National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK), about 20 percent of people in the United States are affected.

Symptoms of GERD include heartburn, nausea, and a sour taste in the mouth. Belching has also been linked to acid reflux and GERD. In particular, people with GERD often report frequent belching.

Let’s see how acid reflux and belching are related, the causes and what you can do to get rid of belching.

Can acid reflux cause belching?

Belching occurs when swallowed air is expelled from the upper gastrointestinal tract. This is completely normal and helps rid the stomach of excess air.

According to a 2020 survey, a healthy person can regurgitate up to 30 times a day. But acid reflux can cause you to burp more often.

One reason for increased belching is that acid reflux increases swallowing. People with acid reflux and heartburn tend to swallow more air more frequently, leading to belching.

In addition to acid reflux, your diet and lifestyle, as well as certain medical conditions and medications, can also affect how much you regurgitate.

Diet

Certain foods are known to induce belching.

These include sodas, beer, caffeine and foods high in fiber, starch or sugar, such as:

  • beans and lentils
  • Certain vegetables, including peas, onions, mushrooms, cabbage, broccoli and cauliflower
  • Certain fruits, e.g. bananas
  • Whole grains

Lifestyle

Your daily habits can also cause belching.Habits associated with excessive belching include smoking, sucking on hard candy, and chewing gum.

Talking with meals, eating quickly, and using a drinking straw can also increase belching. Wearing the wrong dentures is another cause of excessive belching.

Anxiety and hyperventilation, which can cause increased breathing, can also lead to more frequent belching.

Medical conditions

If you frequently regurgitate without acid reflux or heartburn, another gastrointestinal condition may be the cause.

Some conditions associated with frequent belching include:

  • aerophagia
  • celiac disease
  • constipation
  • gastritis
  • gastroparesis
  • Helicobacter pylori (H. pylori) infection
  • indigestion) (dyspepsia) irritable bowel syndrome (IBS)
  • lactose intolerance
  • peptic ulcers
  • chewing disorder

These conditions are usually accompanied by symptoms other than belching.

If you have other symptoms besides belching, make an appointment with your doctor so that he makes the correct diagnosis and prescribes the correct method of treatment.

Medications

Some common medications, including laxatives and non-steroidal anti-inflammatory drugs (NSAIDs), may indicate gas and belching as side effects.

Home Remedies for Burping

If you find yourself frequently belching after eating, the following home remedies can help relieve or reduce it:

  • Go for a walk after your meal. After eating, light physical activity can help move food through the digestive tract.
  • Take an antacid. If belching is accompanied by acid reflux or heartburn, over-the-counter antacids may help.
  • Try gas preparations. OTC drugs such as Gas-X and Mylanta Gas contain simethicone, which helps the gas bubbles in the stomach bind together. As a result, you may not burp as often.
  • Chew fennel seeds. In some cultures, people chew fennel seeds after meals to aid digestion. Although not scientifically proven, fennel seeds do not carry a serious risk of side effects.
  • Drink tea. Certain herbal teas, such as chamomile and ginger tea, may reduce belching associated with indigestion and acid reflux.

How to prevent belching

The key to reducing belching frequency is to limit the amount of air you swallow, especially when you eat and drink.

The following tips will help you to reduce the frequency of belching:

  • Take your time while you eat and drink.
  • Don’t talk while you chew your food.
  • Avoid swallowing drinks or using a straw.
  • Eat less.
  • Try to cut back on chewing gum and hard candy.

In addition to paying attention to your eating and drinking habits, the following can also help reduce the frequency of belching:

  • Try to reduce the number of foods and drinks that cause acid reflux and belching.
  • Quit smoking. When you inhale cigarette smoke, you also swallow air.
  • Try to focus on slower breathing. Treatments such as diaphragmatic breathing, alternating nostril breathing, rectangular breathing, and meditation can help.

Reducing stomach acid levels have been found to reduce belching. A 2012 study found that famotidine, a medication for acid reflux, also reduced the frequency of belching.

When to seek help

Belching on its own is usually not a cause for concern.However, if it starts to interfere with your daily life, you can talk to your doctor about it.

You should definitely talk to your doctor if frequent belching is accompanied by other symptoms such as heartburn, abdominal pain or nausea. This could indicate an underlying gastrointestinal problem.

For acid reflux burps, your doctor will likely recommend a combination of medications, diet, and lifestyle changes to reduce excess acid levels.Common medications for acid reflux include antacids, h3 blockers, and proton pump inhibitors (PPIs).

Bottom Line

Acid reflux can cause increased belching. This is because acid reflux increases swallowing. This, in turn, can lead to the fact that you will swallow air more often and in large quantities.

Treating acid reflux with over-the-counter antacids can help reduce belching. You can also reduce the frequency of belching by making lifestyle and dietary changes.

If over-the-counter antacids do not work, or if your belching is accompanied by other symptoms, it is recommended that you consult with your doctor to find out if your belching is caused by some other medical condition.

90,000 11 Amazing Foods That Can Reduce Acid Reflux

Reduce Acid Reflux Is Easy All You Need Is A Healthy Diet And If You Practice It Every Day Avoiding Heartburn Is Not That Hard

So, we will name you 11 products that, thanks to their variety presented here, will help you realize this deliverance.This will turn the body into a heartburn-free zone.

This is why we present you with these amazing 11 products:

1. Oatmeal

First, it’s breakfast for everyone, but you can also consume it whenever you want. This will completely fill your stomach and will not cause reflux. You can even mix it with raisins, thanks to the acidity absorption properties of the oatmeal itself.

2. Ginger

Today, ginger is one of the worst enemies of acid reflux.Ginger is also known for its anti-inflammatory properties and has been used to treat a condition that affects the gastrointestinal tract. You can peel it, you can not peel it, you can cut it into pieces or even grate it with a grater. You can use it in almost every dish that isn’t sweet, or better yet, try using it in a cocktail.

3. Aloe Vera

Aloe Vera is a natural healing agent that amazingly treats acid reflux.You can find it in its natural state, you can buy its leaves, or you can find it in liquid form. It is most commonly used as a thickener for solidifying liquids.

4. Salads

The best advice we can give you is to consume salad every day. This so-called food is essential for fighting acid reflux. You can use any kind of vegetables or fruits. But remember to avoid: onions, tomatoes, cheese and toppings that are high in fat.

5. Bananas

They are an ideal snack with a pH of 5.6 and are very beneficial for people with acid reflux.

But we must warn you that this fruit does not work for all people, and it may not have the same effect on your body.

6. Fennel

This crunchy vegetable has a special flavor. Fennel is a great choice for fighting acid reflux, and it can also improve your stomach function. Cut it into thin strips and toss it into the spinach and arugula salad, or you can serve it or cook it in any chicken dish.

7. Turkey, chicken and seafood

You can boil, bake in the oven or grill. But don’t forget to consume skinless poultry because their skin is high in fat.

You can also use: lobster, shrimp, shellfish, etc.

8. Greens and roots

This group includes: broccoli, green beans, cauliflower, etc. Any green and root vegetarian is highly recommended for those wanting to follow this diet.

9. Celery

Very low calorie celery is low in water, which is good for you if you experience acid reflux.

10. Parsley

Parsley has been used as an herb to stabilize the stomach and to aid digestion. They are great for garnishing and seasoning.

11. Rice and KUKU (a type of North African semolina in granulated durum wheat)

Seed and Bulgarian wheat and rice are foods with amazing properties for fighting acid reflux.