Does your morning coffee cause you pain? Are you frustrated when a night out dining with friends ends in discomfort instead of relaxed conversation? Do you carry antacids with you every day?
Heartburn is more than just a nuisance. It can detract from enjoying a meal, force you to change your routine and hang over your every decision - what to eat, what to drink, when to lay down.
What is this monkey on your back and how can you find relief?
WHAT CAUSES HEARTBURN?
Heartburn occurs when the acid content of the stomach makes its way back into the esophagus. A burning sensation and even a bitter taste are experienced by heartburn sufferers.
If you are suffering more than twice a week you may have acid reflux disease - also known as GERD. Why is this important?
Not all heartburn is caused by GERD (Gastroesophageal reflux disease). Occasional heartburn can be caused by a variety of factors but if you have regular episodes there are things you can do to help.
WHAT CAN I DO?
If you have regular heartburn the first thing you should do is stay away from regular use of antacids. Antacids can relieve the pain of occasional heartburn, but because they are designed to neutralize the acids in your stomach they can cause the stomach to create MORE acid - a cycle called 'acid rebound'. Some medications can also cause diarrhea or constipation or even increase the risk of food poisoning by inhibiting the growth of good bacteria.
Watch out for trigger foods such as caffeine, alcohol, citrus, chocolate, minty, spicy or tomato-based foods as well as fatty or fried foods, onions or garlic.
Being overweight or smoking also increases the risk of GERD and lifestyle changes may help to control the symptoms.
Activities such as lying down after a meal, bending forward, lifting heavy items or eating large meals can bring acid reflux on. Avoiding these activities after a meal, eating smaller portions and raising the head of your bed several inches may help.
Some natural products such as orange peel extract are being researched for their abilities to curb heartburn.
WHO IS AT RISK?
Anyone. But it should be noted that pregnant women, children, overweight individuals and smokers are all likely candidates.
Young babies have immature digestive systems. National Digestive Diseases (NDDIC) says that most children outgrow GERD by the time they are one year old. However, because the symptoms are painful precautions like frequent burping and keeping the infant upright for 30 minutes after eating can reduce the occurrence.
Older children may have to take similar precautions in diet and activity as adults. You should always consult your doctor when you suspect GERD to avoid future complications.
Being overweight or pregnant increases the pressure in the abdomen. 25% of pregnant women experience heartburn at some time during their pregnancy.
If you suspect GERD it is important to contact your doctor as there can be harmful side effects of persistent heartburn including scaring of the esophagus, asthma, erosion of the teeth and even increased risk of esophageal cancer. Frequent, persistent heartburn can also be a symptom of other serious conditions and should be checked on by a professional.
Showing posts with label acid reflux disease. Show all posts
Showing posts with label acid reflux disease. Show all posts
Monday, January 28, 2008
Monday, February 5, 2007
Gastroesophageal Reflux Disorder (GERD)
Gastroesophageal reflux disorder (GERD) or more commonly referred to as ‘acid reflux’ disease is a painful and common disorder in adults of all ages, particularly in people 40 and over. The disorder is caused by the juices of the stomach backing up into the esophagus, causing a burning sensation and sometimes damaging the lining of the esophagus itself. The burning sensation is also referred to as ‘heart burn’, since it is often felt in about the same place the heart rests in the chest cavity.
Many of the digestive enzymes of the stomach, such as pepsin, work best at an extremely low pH, or in other words a very acidic environment. It is for this reason that ‘parietal’ cells of the stomach lining produce and pump large quantities of the chemical hydrochloric acid into the stomach. Stomach fluids are therefore highly acidic, reaching pH’s as low as 1, which is about ten times more acidic than common battery acid, and a million times more acidic than water. It is this acid that causes the discomfort and damage associated with acid reflux disease.
The disorder can develop for a number of reasons. There is a lot of evidence suggesting that a likelihood to develop the disease can be genetic. Also, any trauma or injury to the esophageal sphincter, the circular muscle responsible for keeping stomach fluids out of the esophagus, can lead to the disorder. Such injury can be caused by frequent vomiting, or by a hiatal hernia.
The bad news is that once you develop acid reflux disease, you are going to have it for life. The good news is there are a wide variety of excellent treatments for the disorder that are now available, some by prescription and some over the counter. There are also a number of measures people can take to reduce the symptoms of acid reflux in addition to the use of medication.
There are three basic medication types popularly used for acid reflux. The first and most famous being the ‘antacids’, which all use some kind of strong base such as calcium carbonate, or magnesium carbonate to neutralize the acid of the stomach. Though fast acting, these treatments only last a short period and are not recommended for use in treating reoccurring heart burn. Some examples of antacids include Tums, Rolaids, and Alka-Seltzer.
Like antacids, ‘acid reducers’ are available over the counter but they work by actually lowering the amount of acid produced by the stomach and are usually effective for a longer period of time. The more popular acid reducers include Zantac, and Pepcid AC.
Acid reducers are often enough to counter milder forms of acid reflux disorder, but more moderate forms of the disease may require a doctor prescribed ‘proton pump inhibitor’ (PPI). PPI’s also function by lowering the amount of acid produced by the stomach, though by a different mechanism than acid reducers. For this reason they can be safely be used in conjunction with acid reducers. Some PPI’s include Prilosec, Prevacid, and Aciphex. Prilosec has recently been made available over the counter, though its continued use should be only be done under the advice of a medical professional.
Many of the digestive enzymes of the stomach, such as pepsin, work best at an extremely low pH, or in other words a very acidic environment. It is for this reason that ‘parietal’ cells of the stomach lining produce and pump large quantities of the chemical hydrochloric acid into the stomach. Stomach fluids are therefore highly acidic, reaching pH’s as low as 1, which is about ten times more acidic than common battery acid, and a million times more acidic than water. It is this acid that causes the discomfort and damage associated with acid reflux disease.
The disorder can develop for a number of reasons. There is a lot of evidence suggesting that a likelihood to develop the disease can be genetic. Also, any trauma or injury to the esophageal sphincter, the circular muscle responsible for keeping stomach fluids out of the esophagus, can lead to the disorder. Such injury can be caused by frequent vomiting, or by a hiatal hernia.
The bad news is that once you develop acid reflux disease, you are going to have it for life. The good news is there are a wide variety of excellent treatments for the disorder that are now available, some by prescription and some over the counter. There are also a number of measures people can take to reduce the symptoms of acid reflux in addition to the use of medication.
There are three basic medication types popularly used for acid reflux. The first and most famous being the ‘antacids’, which all use some kind of strong base such as calcium carbonate, or magnesium carbonate to neutralize the acid of the stomach. Though fast acting, these treatments only last a short period and are not recommended for use in treating reoccurring heart burn. Some examples of antacids include Tums, Rolaids, and Alka-Seltzer.
Like antacids, ‘acid reducers’ are available over the counter but they work by actually lowering the amount of acid produced by the stomach and are usually effective for a longer period of time. The more popular acid reducers include Zantac, and Pepcid AC.
Acid reducers are often enough to counter milder forms of acid reflux disorder, but more moderate forms of the disease may require a doctor prescribed ‘proton pump inhibitor’ (PPI). PPI’s also function by lowering the amount of acid produced by the stomach, though by a different mechanism than acid reducers. For this reason they can be safely be used in conjunction with acid reducers. Some PPI’s include Prilosec, Prevacid, and Aciphex. Prilosec has recently been made available over the counter, though its continued use should be only be done under the advice of a medical professional.
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