Acid Reflux: Can it be cured?
Acid reflux or GERD is a common health issue. It can affect both women and mens health. It is regurgitation of stomach content high in acid into the esophagus. Reflux is prevented by the lower esophageal sphincter (LES) which remains tightly closed and opens when peristaltic waves herald the imminent arrival of swallowed food. When the lower esophageal sphincter becomes faulty acid reflux will result. This is called GERD or gastro-esophageal reflux disease.
Is it possible to cure your acid reflux? If it is due to true LES incompetence, then there is no cure. In LES incompetence, you need maintenance acid suppressant treatment such as omeprazole, or if very severe or you develop secondary problems then surgical surgical intervention with fundoplication will relieve your symptoms.
There are, however, various factors that can affect the efficiency of the LES and acid reflux. Consider eliminating these factors that may impact on GERD before seeing your doctor or taking over the counter acid suppressants. A change in lifestyle is sometimes all you need.
Obesity can cause or contribute to acid reflux. It is more likely in the apple type distribution of weight. The increased bulk in the abdomen makes it difficult for the esophagus to discharge food effectively into the stomach. In addition obese individuals are prone to developing hiatus hernias. The LES can be weakened by a hiatus hernia. An important aspect of GERD treatment is losing weight.
Acid reflux can be caused by wearing tight fitting clothes especially if it is two sizes too small. The pressure exerted on the stomach may trigger back flow into the gullet. Wear loose clothes and your reflux symptoms may go away.
Large volume of food in the stomach will put pressure on the LES and can cause acid reflux. It has happened to us all at some time or other. The large volume also increases gastric clearance time allowing more opportunity for reflux. Eating smaller portions more frequently will counter this problem.
Certain foods can affect GERD. Cow’s milk protein intolerance can cause esophagitis. It is called Allergic Eosinophilic Esophagitis. This is controlled by removing cow’s milk protein from the diet. Other foods that can affect the LES include fats, coffee, tea, alcohol, and some spices.
The lower esophageal sphincter can be affected by some drugs and cause acid reflux. These drugs include broncho-dilators such as theophylline, non-steroidal anti-inflammatory drugs (NSAID), tri-cyclic antidepressants ie amitryptilline and drugs for Parkinson’s disease.
GERD symptoms are affected by female hormones. Women on hormones, in a Scandinavian Study had increased risk of GERD. These drugs include the contraceptive pill and hormone replacement therapy (HRT). Sedatives and tranquillisers can slow down peristaltic waves in the esophagus affecting proper discharge of food from the esophagus.
If you have GERD and you are on medication, opt for liquid medication. Certain drugs ie tetracycline are corrosive to the lining of the esophagus. Tablets and capsules (gelcaps) can get stuck in the esophagus. Make it a habit to drink a glass of water to wash the medication down. Avoid taking medication while lying down. It is best for GERD patients to take medication sitting up or standing and avoid lying down immediately after.
Nicotine in corrosive to the esophageal lining and also relaxes the LES. Stop smoking and your GERD might improve.
GERD risk is increased by certain exercises. This is the case in competitive weightlifting and cycling. Joggers can develop GERD symptoms.
If you have acid reflux symptoms, look at all the potential risk factors and eliminate them. If by doing so, your symptoms disappear, you have actually cured your acid reflux. However, if the symptoms persist, the next step is a visit to your doctor.
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