What is acid reflux relief?

In medically oriented terms, antonyms of the word relief include pain, distress or damage. That links its meaning to both subjective and objective aspects. Subjective, denoting sensations experienced by the sufferer such as pain and objective, meaning physical findings detected by specialists which are either functional distress or organic damage. Actually relief is related to control measures and it quantitatively signifies removal of an unpleasant existence or reduction of its magnitude. The definition of relief, therefore encompasses alleviation of pain, relaxation of distress and healing of damage. Acid reflux on the other hand has two sides; the subjective side (symptoms) which reflects the symptom of heartburn and the objective side (signs) that reflects the functional and/or organic signs of esophageal changes. Acid reflux relief is therefore a broad term that covers all the measures used to control symptoms and signs of acid reflux disease. Normally, the lower esophageal sphincter remains closed except during swallowing. This prevents the passage of food and acid from the stomach into the esophagus. If the lower esophageal sphincter becomes weakened or relaxed, stomach acid may back up into the esophagus. Frequent acid reflux can irritate and inflame the lining of the esophagus, causing symptoms and signs of acid reflux. A better understanding of relief would thus entail knowledge of some aspects of normal structure and function, so that changes in the disease and its control could be easily considered. Actually acid reflux relief involves both preventive and curative measures, and in addition to treatment; orientation with the causes, symptoms and complications of acid reflux are essential for proper management. Acid reflux relief includes: dietary changes,lifestyle modifications, specific medications and surgical operations.Basic knowledge of the underlying causes and progression of acid reflux and answering frequently asked questions about its relief; add to the depth of understanding.

Friday, July 25, 2008

Acid Reflux Relief logoAcid Reflux Diet

Typically it has been presumed that there are two mechanisms that provoke heartburn via food intake. First, some foods with a more acidic pH, such as citrus fruits, have been shown to directly irritate the lining of the esophagus and produce heartburn, and, second, some foods have
been shown to decrease the lower esophageal sphincter (LES) pressure, thereby predisposing to gastroesophageal (GE) reflux. Data with regard to the effect of a high fat meal are conlicting; however, there appears to be a consensus that chocolate does decrease the LES pressure.
Peppermint, garlic, and onions are food constituents that clinically appear to induce heartburn
in many patients. These compounds have a similar derivation and are often categorized as carminatives. In a clinical study to directly test one of these constituents (ie, raw onions), and its effect on postprandial reflux. In this study, individuals had to eat a hamburger with and without a large raw onion. In the onion condition it was shown that there was a significant postprandial increase in esophageal acid contact. Peppermint has also been shown to induce GE reflux, but this may be confounded by the fact that dissolving a peppermint may have the salubrious effect of enhancing salivation, which will facilitate acid clearance. Chewing gum may also induce increased salvation with similar effects on esophageal acid clearance.
Heartburn and esophageal irritation are common experiences in individuals with an acid sensitive esophagus who ingest citrus fruit juices. A recently published survey showed a significant correlation between the acidity of the citrus juices and heartburn score.
On this basis, it would seem reasonable to advise patients to avoid chocolate, citrus fruits, and fruit juices, as well as carminatives, such as onions and garlic.
Data with regard to high fat content on LES pressure are equivocal, but it would seem rational to advise individuals to avoid high fat foods, at least with regard to their effect on delayed gastric emptying and GE reflux.
Carbonation and caffeine.
There's no differences between carbonated water, caffeine-free Pepsi, or regular Pepsi, the LES changes are due to gas rather than caffeine level or pH. The difference between regular coffee and decaffeinated coffee, It has been found that decaffeinated coffee indeed did reduce the per-
cent of acid contact time in the esophagus.
Gastric Distention
An obvious and inexorable effect of eating is gastric distention. Because evidence is now clear that gastric distention does induce transient lower esophageal sphincter relaxations (TLESR), it would seem that food ingestion alone would predispose to reflux via the mechanism of TLESR. Again, although no randomized control trial exists to document the efficacy of this measure, it would seem prudent to advise patients to avoid large volume meals as well as carbonation.