Is there a cure for Acid Reflux?
Saturday, November 14th, 2009
Acid reflux or GERD is an important health issue. It can affect both women and mens health. In this condition, there is reflux of acidic contents from the stomach into the esophagus. The lower esophageal sphincter (LES), which remains tightly closed, prevents reflux and opens when peristaltic waves herald the imminent arrival of swallowed food. When the LES becomes incompetent acid reflux will result. This is called gastro-esophageal reflux disease or GERD.
So can you cure your acid reflux? If there is true lower esophageal 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. Eliminating these factors may avoid a trip to your doctor or taking over the counter medication. Sometimes all you need is a change of lifestyle.
Obesity can cause or contribute to acid reflux. It is more likely in the apple type distribution of weight. The extra weight increases bulk in the upper abdomen and makes effective discharge of food from the esophagus into the stomach difficult. In addition hiatus hernia is more common in obese individuals. A hiatus hernia can weaken the LES. Losing weight is an important aspect of GERD treatment.
Wearing tight fitting clothes can cause acid reflux especially if it is two sizes too small. The increased pressure on the stomach may force acid back up into the gullet. Your acid reflux will improve if you wear loose clothes.
A large meal entering the stomach will increase the pressure on the LES and can trigger acid reflux. We all experience this at some time or other. Gastric clearance time is also increased by large volume allowing more opportunity for reflux. Eating smaller portions more frequently will counter this problem.
Certain foods can affect acid reflux. Cow’s milk protein intolerance can cause esophagitis. It is called Allergic Eosinophilic Esophagitis. Removing cow’s milk protein from your diet will control this. Other foods such as fats, coffee, alcohol, tea and some spices can affect the lower esophageal sphincter.
The lower esophageal sphincter can be affected by some drugs and result in acid reflux. Broncho-dilators such as theophylline, non-steroidal anti-inflammatory drugs (NSAID), tri-cyclic antidepressants ie amitryptilline and drugs for Parkinson’s disease are in this list.
Female hormones can affect acid reflux. Women on hormones, in a Scandinavian Study had showed a greater risk. 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.
Opt for liquid medication if you have GERD and need treatment. Certain drugs ie tetracycline are corrosive to the lining of the esophagus. Tablets and capsules (gelcaps) can lodge in the esophagus. Make it a habit to drink a glass of water after medication to wash it down. Avoid taking medication while lying down. GERD patients should always take medication sitting up or standing and avoid lying down immediately after.
Smoking relaxes the LES and nicotine is corrosive to esophageal lining. Stop smoking and your GERD might improve.
Acid Reflux risk is increased by certain exercises. This is the case in competitive weightlifting and cycling. Joggers can develop acid reflux symptoms.
If by eliminating all the risk factors, your symptoms disappear, then you have actually cured your acid reflux. However, if the symptoms persist, the next step is a visit to your doctor.