Chronic heartburn is one of the defining symptoms for GERD (gastroesophageal reflux disease), the third most common gastrointestinal disorder in the US. GERD is a condition in which stomach acids back up into the esophagus, causing irritation and inflammation (esophagitis). This often leads to a burning pain or discomfort in the upper abdomen and chest. If left untreated, GERD can cause scarring and precancerous changes of the esophagus (Barrett's syndrome) that can progress into esophageal cancer.
Although spicy foods are often associated with GERD symptoms, there is little evidence that spicy foods cause GERD. According to the GERD Information Resource Center, all foods can worsen GERD symptoms because food stimulates acid production in the stomach which can increase acid reflux into the esophagus. As a result, any large meal can worsen symptoms in some GERD sufferers. So avoiding spicy foods or other specific foods may or may not help reduce GERD symptoms. Instead, experts recommend that GERD patients avoid eating large meals. Eating smaller meals more frequently, perhaps four or five times daily, may help reduce symptoms. In addition, avoid eating for at least two or three hours before bedtime.
Another common misconception is that smoking can cause GERD symptoms. The GERD Information Resource Center writes that there is little evidence that smoking significantly worsens GERD, although it does recommend not smoking for other important health reasons. There is also conflicting advice whether or not to chew gum. Some experts say chewing gum should be avoided, believing it can lead to belching and possible reflux. However, others recommend chewing gum to boost the production of saliva, which can neutralize stomach acid.
Experts agree that lifestyle changes can help reduce the symptoms of GERD including:
- Avoid lying down within 3 hours of eating
- Avoid eating food for 2-3 hours before bedtime
- Elevate the head of the bed about 4 to 6 inches or lie on special wedge pillows to help keep the acid contents in the stomach
- Maintain a healthy weight
- Avoid medications that can worsen heartburn such as aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDS) - (Check with your doctor about alternative medications) -
Over-the-counter (OTC) medications such as antacids, H2 blockers (Tagamet), and proton pump inhibitors (Prilosec OTC) can also help relieve symptoms, although they will not prevent symptoms from recurring. In addition, supplementation with essential nutrients including licorice extract, digestive aids, and green tea extract can help prevent heartburn.
Posted by Kristopher Foster on May 11, 2006 08:29 PM
