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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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In the United States alone, Gastro Esophageal Reflux Disease affects nearly one third of the adult population at least once a month. Where did we go so wrong? Are we eating poorly? Is the obesity epidemic the root cause of acid reflux disease? Are we just a medication-loving society? Like anything else, the answer is complicated, but acid reflux treatment is available.

GERD symptoms (Gastro Esophageal Reflux Disease) generally increase with age. By 65, we’re no longer able to produce as much digestive acid as we used to. This lack of acid makes it harder to digest our food. Dr. Reza Shaker, Director of MCW’s Digestive Disease Center, remarks, “Aging takes its toll on the delicate functions of the mouth, throat and esophagus during the swallowing process. In addition, older adults are more likely to suffer from disease processes that affect the swallowing apparatus, including the esophagus, pharynx, larynx and their controlling nerves.” In fact, a similar disorder — Dysphagia (difficulty swallowing) — affects up to 30% of the elderly population in general hospital wards and perhaps twice that in nursing homes.

Another cause for this disease is diet choices. As previously mentioned, when you eat a lot of fatty foods or enormous meals all at once, the body has trouble breaking down the proteins, which putrefy in your stomach as a result. Other times, too many spicy foods, citrus fruits, caffeine, garlic, onions, peppers, fried food, alcohol, red wine and mint simply exacerbates our system.

It’s not always what you eat but when you eat as well. People who eat two or three hours before bedtime often suffer tremendous, heartburn and acid reflux symptoms. They may be up coughing all night from breathing in the acid, they may snore and feel congested or they may have an asthmatic reaction, unable to breathe, let alone fall asleep! Nearly three-fourths of patients with heartburn acid reflux suffer nighttime effects as well. Another common mistake people make is quite the opposite - bending, lifting and working right after dinner. All the moving around could help push food back from where it came.

Believe it or not, some medications you’re already on may be upsetting your stomach. Calcium channel blockers, Theophylline (Hydrophed, Marax, Bronchial, Quibron), Nitrates and Antihistamines can all relax the Lower Esophageal Sphincter, which is the valve that keeps food and fluids down after swallowing. If you’re taking medication for asthma, high blood pressure, seizures, angina, pain, urinary tract disorders or allergies, check with your doctor to see if acid reflux is one of the side effects.

Are you pregnant? Increased hormone levels naturally relax ligaments in your body at this time, including the LES. Since more pressure is shifted around your midsection, it’s natural for food or stomach acids to get pushed back up.

In rare instances, acid reflux disease can lead to esophageal cancer, ulcers, lactose intolerance and other issues in one’s life. Sometimes it may be hard to sleep or even eat, without fear of getting sick. The good news is that there are supplements of amino acids or antacids you can take to alleviate your symptoms of acid reflux, at least for now. Other medication aims for longer lasting effects or preventative measures, so be sure to ask your doctor about your options.

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