Get the basics about acid reflux, heartburn, and GERD. Summary: Acid reflux might be caused by poor carb digestion and bacterial overgrowth in the small intestine. Low-carb diets appear to be an effective treatment, but further studies are needed. Fatty foods, fried foods, and some acidic foods (oranges, grapefruits, tomatoes) as well as spicy foods can cause heartburn. Summary: There is limited evidence that chocolate worsens reflux symptoms. A few studies suggest it might, but more research is needed. One observational study found that carbonated soft drinks were associated with increased acid reflux symptoms ( 39 ).
Several observational studies show that extra pounds in the abdominal area increase the risk of reflux and GERD ( 9 ). Food control: Avoid foods that trigger heartburn (see previously). Consider keeping a food journal to alert you to foods that make your heartburn worse. Decrease the amount of food you eat. Pro-motility drugs are most effective when taken 30 minutes before meals and again at bedtime. They are not very effective for treating either the symptoms or complications of GERD. Therefore, the pro-motility agents are reserved either for patients who do not respond to other treatments or are added to enhance other treatments for GERD.
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. What Is Heartburn? Heartburn is an irritation of the esophagus that is caused by stomach acid. Antacids can help neutralize acid in the esophagus and stomach and stop heartburn. Many people find that nonprescription antacids provide temporary or partial relief. An antacid combined with a foaming agent helps some people. These compounds are believed to form a foam barrier on top of the stomach that prevents acid reflux from occurring.
Capsule pH testing is expensive. Sometimes the capsule does not attach to the esophagus or falls off prematurely. For periods of time the receiver may not receive signals from the capsule, and some of the information about reflux of acid may be lost. Occasionally there is pain with swallowing after the capsule has been placed, and the capsule may need read full article to be removed endoscopically. Use of the capsule is an exciting use of new technology although it has its own specific problems. However, if you have too much belly fat , the pressure in your abdomen may become so high that the lower esophageal sphincter gets pushed upward, away from the diaphragm’s support. This condition is known as hiatus hernia.