Reflux: What is it and what helps against it?



Stomach acid reflux occurs when stomach acid flows back into the esophagus, causing discomfort. We go into the causes and what can be done to help.

What exactly is reflux?

The acidic contents of the stomach drain back into the esophagus excessively in reflux ("gastroesophageal reflux disease"), causing heartburn and other symptoms. Reflux affects around one in every five Germans nowadays. The most common reason is a problem with the esophageal sphincter, which no longer adequately shuts the esophagus from the stomach. With the help of medication and an adapted diet, the symptoms of reflux can often be well controlled.

Reflux is a condition in which our stomach acid abruptly causes us injury.

Actually, stomach acid serves a useful purpose: its low pH value of 1 to 4 aids in the breakdown and digestion of food. It also won't harm your stomach thanks to a specific protective coating. It targets the mucosal membrane in the esophagus and produces discomfort if it enters through reflux. When the esophageal sphincter no longer acts correctly, reflux is common, especially when bending over or lying down. If the condition is not treated, it might lead to inflammation with mucosal alterations, which is quite uncomfortable.

Causes and variants of reflux disease

There are different variants in reflux:

Reflux without mucosal changes (non-erosive gastroesophageal reflux disease = NERD).

Reflux with mucosal changes (erosive gastroesophageal reflux disease = ERD)

A distinction is also made between primary and secondary reflux:

The most frequent type of reflux is primary reflux. The cause is yet unknown, however, in this variation, the sphincter muscle can no longer or only partially perform its duty. Diet is well established to play a significant impact in the onset of symptoms. Primary reflux can also be exacerbated by diaphragmatic weakness or a hiatal hernia.

Secondary reflux: This is a less common type of reflux that happens as a result of physical changes (such as pregnancy) or other digestive system illnesses, such as a constriction of the stomach outlet or a stomach tumor.

What symptoms can reflux cause?

Because the esophagus can be permanently damaged by reflux, it is important to recognize typical symptoms of the disease and see a doctor promptly. These include:

  • Heartburn
  • Both the esophagus and the mouth are irritated by the burping of air or stomach acid.
  • Behind the breastbone, there is a feeling of pressure or pain.
  • Breath problems (when belching)
  • Swallowing problems
  • Cough
  • Injuries to the respiratory system
  • Tooth enamel deterioration

Symptoms in children under the age of two

Reflux can also affect babies and toddlers. They can be identified by the fact that they have trouble drinking or eating. Toddlers have to throw up more frequently after eating because babies are restless, cry a lot, and overstretch their heads.

Treatment: What helps against reflux?

Adjustments to one's lifestyle, in addition to drugs that limit acid production, can assist to treat reflux. The following are some relevant measures:

Clothing should sit loosely on the abdomen, whether it's slacks or skirts. They raise the pressure in the abdomen if they are overly tight, making it easier for stomach contents to enter the esophagus.

Exercise: We should exercise at least two to three times a week for at least 30 minutes each time.

If you're overweight, losing weight can help you feel better.

Sleeping position: Patients should sleep on their left side with their upper body slightly elevated to prevent reflux.

Reflux is frequently accompanied by gastrointestinal problems. A high-protein diet is beneficial because proteins increase the muscle tension of the esophageal sphincter by stimulating the production of the peptide hormone gastrin. In general, patients should have multiple small meals throughout the day, preferably low-carb and low-fat if possible. The last meal of the day should be consumed a few hours before bedtime. Stimulants like alcohol and nicotine should be avoided at all costs.

Chamomile tea: Chamomile has anti-inflammatory properties and can help to reduce stomach acid production.

Surgery to treat acid reflux

In certain circumstances, surgery can be helpful if pharmacological treatment for reflux does not work. This entails wrapping a sleeve around the lower end of the esophagus from the upper region of the stomach. This helps to keep the esophageal sphincter stable and prevent acid reflux.

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