Acid reflux can be aggravated by many different things, including lifestyle, medication, diet , pregnancy , weight gain, and certain medical conditions. The main treatment options for people who repeatedly experience acid reflux in GERD are either PPIs or H2 blockers , both of which are medications. Different people have different triggers. Your doctor may suggest you keep a food journal to find out what aggravates your acid reflux symptoms. any foods that aggravate the symptoms. Talk to your doctor about reflux symptoms that don’t get better with lifestyle and diet changes or over-the-counter antacids. The esophagus lies just behind the heart, so the term “heartburn” was coined to describe the sensation of acid burning the esophagus near where the heart is located.
Endoscopy can check for problems in your esophagus or stomach. This test involves inserting a long, flexible, lighted tube with a camera down your throat. First, the doctor will spray the back of your throat with anesthetic and give you a sedative to make you more comfortable. People with severe, chronic esophageal reflux or with symptoms not relieved by the treatments described above may need more complete diagnostic evaluation. Doctors use a variety of tests and procedures to examine a patient with chronic heartburn.
A small number of people with GERD may need surgery because of severe reflux and poor response to medical treatment. However, surgery should not be considered until all other measures have been tried. Fundoplication is a surgical procedure that increases pressure in the lower esophagus. Endoscopic procedures that involve making the LES function better or using full report electrodes to promote scarring of the LES are newer options in treatment. A ring of muscle, the gastroesophageal sphincter , normally acts as a valve that lets food into the stomach but not back up into the esophagus. When this valve fails, and stomach contents are regurgitated into the esophagus, the symptoms of acid reflux are felt, such as heartburn.
Gastroesophageal reflux disease ( GERD ) is diagnosed when acid reflux occurs more than twice a week. Normally, a ring of muscle at the bottom of the esophagus, called the lower esophageal sphincter, prevents reflux (or backing up) of acid. By slowing down your eating you will end up with less food in your stomach at any one time. If you’re someone who could stand to lose a pound or two, this practice can kill two birds with one stone. It takes time for the chemical messengers in our stomach to let the brain know we’re getting full. Give those messengers time to work, and your body will better tell you when you’ve had enough.
Doctors recommend lifestyle and dietary changes for most people needing treatment for GERD. Treatment aims at decreasing the amount of reflux or reducing damage to the lining of the esophagus from refluxed materials. Apple cider vinegar may even help people with diabetes manage blood sugar Ingesting vinegar can raise your body’s insulin sensitivity. This allows the insulin to move glucose through your body and decrease your blood sugar levels. Avoiding foods and beverages that can weaken the LES is often recommended. These foods include chocolate , peppermint, fatty foods, coffee, and alcoholic beverages. Foods and beverages that can irritate a damaged esophageal lining, such as citrus fruits and juices, tomato products, and pepper, should also be avoided if they cause symptoms.