Acid reflux disease, the common name for gastroesophageal reflux disease
(GERD), occurs when the lower esophageal sphincter (LES) doesn’t
close all the way or opens too often. Stomach acid can move up the esophagus
and cause burning chest pain. Sometimes this is also referred to as Heartburn.
Causes of Acid Reflux
A common cause of acid reflux disease is a hiatal hernia. The diaphragm
is a muscle that separates the stomach from the chest, and helps keep
acid in the stomach. If your upper stomach and LES move above the diaphragm,
acid can irritate your esophagus. This migration of the stomach is known
as a hiatal hernia.
Other causes can include:
- Being overweight or obese
- Lying down after a meal
- Eating large meals
- Bending at the waist or lying on your back after a heavy meal
- Snacking before bedtime
- Eating citrus, tomato, chocolate, mint, garlic, onions, or spicy or fatty foods
- Pregnancy
- Smoking
- Drinking alcohol, carbonated drinks, coffee or tea
- Taking aspirin, ibuprofen, muscle relaxers, or blood pressure medications
Symptoms of Acid Reflux Disease
The common symptoms of acid reflux disease can include:
- Burning pain or discomfort that moves from your stomach to your chest
- Sour or bitter tasting acid in the back of your throat
- Bloating
- Bloody or black stools
- Vomiting blood
- Dysphagia, a narrowing of the esophagus
- Continuing hiccups
- Nausea
- Unexplained weight loss
- Wheezing, dry cough, chronic sore throat
These symptoms are typical of acid reflux disease, but many can indicate
more serious conditions. If you experience any of these symptoms, consult
your doctor.
Treating Acid Reflux Disease
If your doctor has diagnosed you with acid reflux disease, there are steps
you can take to manage your symptoms on your own. Small lifestyle changes,
such as avoiding food or beverages that trigger acid reflux, can help
keep you comfortable. Other steps you can take may be:
- Starting a weight loss program if you are overweight
- Sleeping in a chair or upright position for naps
- Raising the head of your bed 4-6 inches with blocks
- Eating smaller meals, and eating more frequently throughout the day
- Quitting smoking
- Refraining from eating for 2-3 hours before bed
You should also discuss with your doctor if any medications may be causing
your condition. They may also have suggestions about steps to take to
manage your acid reflux, and can recommend the best course of treatment.
Your doctor might decide to recommend medication for you. These medications
work to control acid reflux through a number of methods, and include:
-
H2 Blockers, such as Pepcid, Tagamet, and Zantac. These decrease acid production.
-
Proton Pump Inhibitors, such as Prilosec, Prevacid, Protonix, Aciphex, and Nexium. These reduce
acid production as well.
-
Foaming agents, such as Gavascon. These coat your stomach to prevent reflux.
-
Prokinetics, such as Reglan and Urecholine. These help strengthen the LES, empty your
stomach faster, and reduce the amount of acid produced.
-
Antacids, such as Alka-Seltzer, Maalox, Mylanta, Rolaids, or Riopan. These neutralize
stomach acid.
Your doctor might also refer you to a board-certified allergist if your
acid reflux disease is triggering other conditions.
Asthma can be worsened or triggered by acid reflux. An allergist can help treat
your breathing or
sinus problems. They may also test to see if your acid reflux is caused by
food allergies. A simple blood test can determine if there are certain foods which trigger
your acid reflux. Cutting these foods out of your diet can bring relief.
If your asthma or sinus problems are affected by acid reflux, we can help.
Our experienced, board-certified
Georgia allergists can determine if there is an allergy causing your acid reflux, and help
treat the respiratory symptoms.
Contact the
Center for Allergy and Asthma of Georgia today to learn more.