The Basics of Acid Reflux

Are you one of the 15 million people who suffers from acid reflux ? Symptoms range from an acidic taste in the mouth and burping, to abdominal and chest pains. Luckily, there are many ways to treat reflux symptoms, so it doesn't have to become a debilitating disease.

Some heartburn remedies simply involve a change in habits. One cause of this malady is over-eating, which makes it a big problem around holidays. "The holiday season is clearly one of the worst times of the year for patients with GERD," says William Chey, M.D., a University of Michigan gastroenterologist. "The large amounts of food we eat during the holidays, and the types of food served during the holidays especially fatty and caffeinated foods can be a recipe for disaster for chronic heartburn sufferers." When we eat large amounts of food, the stomach stretches and the Lower Esophageal Sphincter naturally relaxes. Instead of three big meals or one big meal, try eating smaller meals continuously throughout the day to keep acid production normalized.

If you're a chronic sufferer, there are some basic foods you should avoid as much as possible. Fatty, greasy food can be a big problem, since the stomach needs to produce more acid to break down these substances. You know where that excess acid winds up coming back up the oesophagus! Less obvious culprits are caffeine in drinks, ice cream and chocolate, which may also exacerbate heartburn acid reflux. Red wine is a frequent cause of heartburn too, as are spicy foods, citrus fruits, tomatoes, spearmint and pepper.

The time of day and post-eating rituals have a significant impact on heartburn and acid reflux. Dr. William Chey adds, "Gravity actually serves as an important barrier for acid reflux during the day. So when you lie down at night after eating a meal, you no longer have that gravity barrier to prevent acid reflux." It's recommended that you try to remain relatively upright for two or three hours after eating. People who try lifting and bending immediately after eating a big meal typically have trouble with too. Avoid tight clothing that may worsen symptoms. Smoking also causes the oesophagus valve to relax.

The good news is that people with GERD symptoms can find quick, over the counter relief. For the occasional sufferer, Tums, Alkaseltzer and Maalox can all neutralize stomach acid quickly and effectively. Likewise, Histamine 2-Receptor Antagonists like Pepcid or Zantac can be effective, longer-lasting medications that fight acid reflux. However, those with chronic heartburn will want something stronger like Prilosec or Nexium Proton Pump Inhibitors that suppress acid production. Reglan speeds up the digestion process and a drug like the over the counter Gaviscon neutralizes acid and creates a foam barrier to prevent acid from seeping back up again.

Acid reflux is a particularly unpleasant problem, but it doesn't have to be a debilitating one. Ask your doctor about preventative, over-the-counter and prescription reflux treatment options. WebMD.com provides a wealth of information for the curious. Find the relief you need today!

What are the Symptoms of Uncomplicated GERD ?

The symptoms of uncomplicated GERD are primarily heartburn, regurgitation, and nausea. Other symptoms occur when there are complications of GERD and will be discussed with the complications.

Heartburn

When acid refluxes back into the esophagus in patients with GERD, nerve fibers in the esophagus are stimulated. This nerve stimulation results most commonly in heartburn, the pain that is characteristic of GERD. Heartburn usually is described as a burning pain in the middle of the chest. It may start high in the abdomen or may extend up into the neck. In some patients, however, the pain may be sharp or pressure like, rather than burning. Such pain can mimic heart pain (angina). In other patients, the pain may extend to the back.

Since acid reflux is more common after meals, heartburn is more common after meals. Heartburn is also more common when individuals lie down because without the effects of gravity, reflux occurs more easily, and acid is returned to the stomach more slowly. Many patients with GERD are awakened from sleep by heartburn.

Episodes of heartburn may occur infrequently or frequently, but episodes tend to happen periodically. This means that the episodes are more frequent or severe for a period of several weeks or months, and then they become less frequent or severe or even absent for several weeks or months. This periodicity of symptoms provides the rationale for intermittent treatment in patients with GERD who do not have esophagitis. Nevertheless, heartburn is a life-long problem, and it almost always returns.

Regurgitation

Regurgitation is the appearance of refluxed liquid in the mouth. In most patients with GERD, usually only small quantities of liquid reach the esophagus, and the liquid remains in the lower esophagus. Occasionally in some patients with GERD, larger quantities of liquid, sometimes containing food, are refluxed and reach the upper esophagus.

At the upper end of the esophagus is the upper esophageal sphincter (UES). The UES is a circular ring of muscle that is very similar in its actions to the LES. That is, the UES prevents esophageal contents from backing up into the throat. When small amounts of refluxed liquid and/or foods breach (get through) the UES and enter the throat, there may be an acid taste in the mouth. If larger quantities breach the UES, patients may suddenly find their mouths filled with the liquid or food. What's more, frequent or prolonged regurgitation can lead to acid-induced erosions of the teeth.

Nausea

Nausea is uncommon in GERD. In some patients, however, it may be frequent or severe and may result in vomiting. In fact, in patients with unexplained nausea and/or vomiting, GERD is one of the first conditions to be considered. It is not clear why some patients with GERD develop mainly heartburn and others develop mainly nausea.

The above information thankfully comes from the Medicinenet.com at the following link.