Saturday, May 11, 2013

Friday, May 10, 2013

Gastro-oesophagel reflux disease (GORD)

Gastro-oesophageal reflux disease (GORD) is a common condition where stomach acid leaks out of the stomach and into the oesophagus (gullet). The oesophagus is a long tube of muscle than runs from the mouth to the stomach.
Common symptoms of GORD include:
  • heartburn – burning chest pain or discomfort that occurs after eating
  • an unpleasant sour taste in the mouth – caused by stomach acid coming back up into the mouth (known as regurgitation)
  • dysphagia – pain and difficulty swallowing
Many people experience occasional episodes of GORD, but if people have persistent and reoccurring symptoms it is normally regarded as a condition that needs treatment.
Read more about the symptoms of gastro-oesophageal reflux disease.

Treatment

A step-by-step approach is usually recommended for GORD. This means that relatively uncomplicated treatments, such as changing your diet, will be tried first.
If this fails to help control symptoms then a person can be 'stepped up' to more complex treatments such as antacids, which help neutralise the effects of stomach acid.

In cases where medication fails to control symptoms, surgery may be required.
Read more about the treatment of gastro-oesophageal reflux disease.

Causes

It is thought that GORD is caused by a combination of factors. The most important factor is the lower oesophageal sphincter (LOS) muscle not working properly.
The LOS acts like a valve, opening to let food fall into the stomach and closing to prevent acid leaking out of the stomach and into the oesophagus. In cases of GORD, the LOS does not close properly, allowing acid to leak up, out of the stomach.
Known risk factors for GORD include:
  • being overweight or obese
  • being pregnant
  • eating a high-fat diet
Read more about the causes of gastro-oesophageal reflux disease.

Complications

A common complication of GORD is that the stomach acid can irritate and inflame the lining of the oesophagus, which is known as oesophagitis.
In severe cases of oesophagitis, ulcers (open sores) can form which can cause pain and make swallowing difficult.
A rarer and more serious complication of GORD is cancer developing inside the oesophagus (oesophageal cancer).
Read more about complications of gastro-oesophageal reflux disease.

Who is affected

GORD is a common digestive condition. It is estimated that one in five people will experience at least one episode of GORD a week, and that 1 in 10 people experience symptoms of GORD on a daily basis.
GORD can affect people of all ages, including children. However, most cases affect adults aged 40 or over. GORD is thought to affect both sexes equally, but males are more likely to develop complications.

Outlook

The outlook for GORD is generally good, and most people respond well to treatment with medication.
However, relapses are common, with around half of people experiencing a return of symptoms after a year. As a result, some people may require a long-term course of medication to control their symptoms.

Wednesday, May 8, 2013

How to reduce Excess stomach acid

  1. Understand the causes of excess stomach acid. This is an important first step to complete before you attempt to regulate the acidity of your stomach by using natural methods or over the counter medication
    • Often, a lifestyle change can be enough to restore the proper acid levels in the stomach.
    • Dehydration is one of the leading causes of excess stomach acid. Water has a neutral pH, meaning it is neither an acid nor a base. When your body has sufficient amounts of water, it can naturally regulate the acidity of the stomach content.
    • Unnatural or forced losses of fluids can contribute to excess stomach acid. Eating disorders such as bulimia and anorexia can therefore also contribute to excess stomach acid buildup. When the body does not receive enough food or is forced to regurgitate ingested food, stomach acid can increase. Altering your lifestyle to deal with these issues is an effective way to combat excess stomach acid.
  2. Note the possible symptoms associated with excess stomach acid. Knowledge of the symptoms of an acidic stomach will help you identify whether the pH of your stomach is the culprit behind your symptoms.
    • Possible symptoms of excess stomach acid include heartburn, bloating, excess gas, indigestion, nausea, fullness or the presence of ulcers.
    • Other symptoms may include bad breath, hair loss, belching or nasal congestion.
    • All of these symptoms may be indications that the stomach acid of your stomach is disproportionate and should be regulated.
  3. Understand the contributing factors to excess stomach acid. The foods that you eat can increase stomach acid levels if the food is difficult to digest or highly acidic in content. Spicy foods and salty foods can also contribute to excess stomach acid buildup
  4. Eliminate bad habits related to your health which can contribute to excess stomach acid buildup. This includes:
    • Refraining from smoking, which can cause buildup of stomach acids and raise the acidic content of the stomach. This can result in prolonged heartburn and other stomach problems.
    • Refraining from or reducing alcohol consumption, which can also increase the acidic content of the stomach and lead to stomach acid issues and symptoms.
  5. Consume meals on a regular basis and try to eat a wide balance of healthy food items instead of junk food or foods with high sugar and salt contents. Foods that are high in fiber can help to regulate the digestive system and may decrease stomach acid levels.
  6. Drink a glass of whole milk to help combat the effects of excess stomach acid. For individuals who have only the occasional occurrence of excess stomach acid, a glass of milk may help to absorb the excess acid and reduce the symptoms of increased stomach acid levels.
  7. At your local Walmart or other store you may find various types of antacid solutions. You should choose the right one for your body type. The two primary kinds are calcium-based, and aluminum-hydroxide-based. Some people have sensitivities or other reasons to avoid excess calcium, while others are worried about excess aluminum intake. If you commonly have heartburn, you may want to ask your doctor which is right for you. Take one or two antacid tablets or a teaspoon of antacid liquid medication after a large meal, or a spicy meal, or a salty meal to help prevent the buildup of stomach acid. Antacid medication comes in flavored chewable tablets that have a chalky consistency. The active ingredients in over the counter antacid medications can help to reduce the occurrence of excess stomach acid. See Warnings below for precautions.
  8. If heartburn is a daily occurance, it could be that your esophagus lining has eroded over time from constant acid exposure. It can rebuild itself, but it will take time not being exposed to acid to do so. Consider taking a prescription antacid medication to help counteract the effects of consistent stomach acid issues. Over the counter antacid medication is used on a case by case basis. Prescription medication, on the other hand, is taken daily as a preventative measure against the buildup of stomach acid.
  9. Chew mint to soothe the acidic content of the stomach and help promote effective digestion and decreased symptoms associated with acid buildup.
  10. Eat meals slowly to avoid ingesting excess air. When the stomach fills with air, uncomfortable bloating and pressure can occur. When this air is expelled through belching, it may carry excess stomach acid into the esophagus and cause a burning sensation. By eating and drinking slowly, you can reduce the amount of air that is swallowed while eating.
  11. Avoid eating very large meals. Over-eating to "very full" makes the stomach pump out even more acid to digest all that food, and because the stomach is full, acid has an even better chance of splashing up on the esophagus
    • By eating slower in the previous tip, you'll recognize you are "actually full" sooner than you would be if you "ate until you were full".
    • For more ideas to help you slow down when eating, review How to eat slowly, How to eat slowly to avoid overeating and How to get started in the slow food movement.
  12. Avoid carbonated beverages and legumes which can also increase the amount of gas produced in the stomach. Increased gas levels may not contribute to acid overload, but this gas can deliver the acid to parts of the body that are sensitive to the high acidity of stomach fluids.
  13. Engage in relaxation techniques and stress relieving activities. Elevated stress levels can trigger an increase in stomach acid production. Ulcers, sores and lesions on the inner lining of the stomach and esophagus are often attributed to high stress levels
  14. Exercise regularly. Exercise is important for maintaining overall body health and will contribute to easing symptoms of indigestion, especially as a source of reducing stress buildup. Be sure to keep well hydrated when exercising.
  15. Heartburn could also be a result of a digestion-related health issue. Your stomach may be digesting foods slower, or struggling with certain foods you have eaten. Consider buying a full-spectrum "digestive enzyme" supplement (in pill form) and take 1-2 with a meal to help the food digest faster and more efficiently. (Full-Spectrum insinuates that it can break down fats, carbs and proteins alike. More expensive isn't always better, some brands raise the price by adding gluten-protein digestion enzymes and other more rare enzymes to justify a higher price. Check with your doctor, but a basic $10 for 60 day supply should be enough).

Excess Stomach Acid

Gastric acid is a digestive fluid, formed in the stomach. It has a pH of 1.5 to 3.5 and is composed of hydrochloric acid (HCl) (around 0.5%, or 5000 parts per million) as high as 0.1 M,[1] and large quantities of potassium chloride (KCl) and sodium chloride (NaCl). The acid plays a key role in digestion of proteins, by activating digestive enzymes, and making ingested proteins unravel so that digestive enzymes break down the long chains of amino acids.
Gastric acid is produced by cells lining the stomach, which are coupled to systems to increase acid production when needed. Other cells in the stomach produce bicarbonate, a base, to buffer the fluid, ensuring that it does not become too acidic. These cells also produce mucus, which forms a viscous physical barrier to prevent gastric acid from damaging the stomach. Cells in the beginning of the small intestine, or duodenum, further produce large amounts of bicarbonate to completely neutralize any gastric acid that passes further down into the digestive tract.
The presence of gastric acid in the stomach and its function in digestion was first characterized by United States Army surgeon William Beaumont around 1830. Beaumont was able to study the stomach action of fur trapper Alexis St. Martin due to the latter's gastric fistula.

What is Excess Stomach Acid?

When we eat food, our body needs to break it down into usable nutrients and vitamins. The process of this breakdown starts off in the stomach. The stomach secretes an acid that is essential in the digestive process, as this acid helps in breaking down the food during digestion.
Usually, protective mechanisms in the stomach and proximal intestine make sure that the acid levels are in balance. However, when the stomach produces too much acid, it results in a condition known as Acidity, or APD. Excess gastric acid is more prevalent in the morning when the stomach is empty.
Excess stomach acid levels can contribute greatly to:
  • Heartburn
  • Dyspepsia (often described as a feeling of indigestion, fullness, bloating, flatulence or nausea)
  • Duodenal ulcer
  • Gastric ulcer
  • Peptic ulcer
  • Non-ulcer dyspepsia
  • Acid Reflux

Causes of excess stomach acid:

  • Pregnancy
  • Eating disorders (e.g. Bulimia)
  • Dehydration
  • Diabetes


Symptoms of Excess Stomach Acid:

  • Hair Loss
  • Bad Breath (Halitosis)
  • Belching
  • Nasal Congestion and Phlegm
  • Abdominal Pain
  • Throat Pain

Excessive Stomach Acid During Pregnancy

There are a couple reasons why pregnant women suffer with excessive stomach acid. One of the main reasons is due to raised hormone levels. When hormones are constantly changing the digestive tract muscles are affected and therefore can result in the way different foods are tolerated. Secondly, a growing baby also crowds the abdomen, pushing acids upwards.
As with many pregnant women, heartburn can be a result of excessive stomach acid. Pregnancy hormones cause the lower esophageal sphincter to relax which allows stomach acid to seep back up into the esophagus, causing acid reflux.

Excessive Stomach Acid in Babies and Children

Just like adults babies and children can suffer from excessive stomach acid too. For growing babies, stomach acid is part of normal digestive system growth. When stomach acid is in excess it can lead to acid reflux in which the stomach acids start to travel up the esophagus thereby resulting in "spitting up" or vomiting. Though many babies suffer from reflux symptoms it can be painful for the child and troubling to parents.
Older children who suffer from excess stomach acid often complain of an upset stomach. Frequently, children who overeat unhealthy foods such as cookies or candy develop excessive stomach acid. Alternatively, nervousness or anxiousness can create tummy acid.

Help for Excess Stomach Acid

Natural Remedies

Many herbal and homeopathic remedies have been formulated with specific ingredients to assist the body in keeping excess gastric acid levels in balance. Mentha Piperita is an herb from the mint family that has been used for many hundreds of years for relief of indigestion, nausea and heartburn. Its calmative properties relax the muscles of the digestive tract and stimulate the flow of natural digestive juices and bile, thereby assisting healthy digestion. Nat.Sulph. Is a tissue salt and is known as the 'cell cleanser.' This tissue salt regulates body fluids and helps to promote healthy functioning of the digestive system, thereby preventing nausea as well as the bitter taste in the mouth often associated with acid reflux and regurgitation.

How to Avoid Excess Stomach Acid

  • Try to identify foods that contribute to excess stomach acid. Foods that are spicy, salty and acidic should be avoided.
  • Smoking and alcohol consumption should be stopped to keep stomach acid levels in the stomach and esophagus in harmony.
  • Avoiding stress and moderating your lifestyle to include relaxing techniques can go a long way to prevent excess stomach acid and ulcers, particularly if you are a nervous and emotional person or involved in a high-stress job.
  • Avoid non-steroidal anti-inflammatory drugs (NSAIDs). These drugs may predispose a person to excess stomach acid.
  • Try to eat regular meals and follow a healthy diet.
  • Take extra care when lifting weights, as this puts the abdominal area under added strain and may result in digestion problems.
  • If you have a bout of excess stomach acid, try having an organic glass of fat-free or low-fat milk to help normalize the pH in your stomach.