Thursday, March 27, 2008

Living at the Edge - Can Bulimia Cause Acid Reflux?

Bulimia (bulimia nervosa) is a psychological eating disorder whereby the subject will eat large quantities of food and then purge what they have eaten from their bodies. This desire to be rid of the food they have just eaten stems from a persons self-image of themselves being either overweight or simply not thin enough. First recognized as a serious medical condition in 1979 bulimia continues to plague many people (mostly young women) all over the world. In severe cases bulimia can prove to be fatal.

So how are bulimia and acid reflux related?

Well when a bulimic wants to purge the food from their stomach they resort to either vomiting or using powerful laxatives. The vomiting reflex is far more common as it provides them with an immediate way to get rid of the food. This then allows them to binge again shortly afterwards and then continue the purging process several times in a row.

The Potential For Damage

What most bulimics never stop to consider is the damage they are doing to their body. When a person vomits food is not the only thing forced through the esophagus - stomach acid is also present. Some bulimics can binge and purge several times per day which means that their esophagus is exposed to strong stomach acid over and over again. This continued exposure to stomach acid can leave the esophagus raw and worn down. This can then lead to one of the more serious diseases caused by acid reflux such as Barrets Esophagus.

How Bulimia Can Cause Heartburn

Another issue is that if you continually force the body to produce extra stomach acid during these binge/purge phases then this can form a "pattern" for the body. Your body can "learn" to expect certain situations to occur and if you get it into the habit then it will produce more stomach acid than it actually needs on an ongoing basis. This will then lead to acid reflux which, of course, will just make a bulimics life far worse. Vomiting will then become extremely painful.

Other Complications

Acid reflux is not the only problem that can arise from bulimia. If the body is starved of proper nutrients then organs can start to slow down and malnutrition can set in. This leads the bulimic into a further psychological downward spiral whereby the bingeing/purging process can actually increase in frequency and severity. Severe bulimia can result in death but this is often very hard to explain to anybody with an eating disorder.

Is There Hope?

Bulimia can be treated but it's a two-part process. Firstly medication will need to be prescribed to prevent vomiting and promote a healthy and constant appetite in the sufferer. Far more serious are the emotional issues that cause bulimia in the first place. Any person with an eating disorder should also receive psychological therapy as part of their healing process. Trained counsellors can get to the root of the problem if you will let them. Bulimics who do not take part in the psychological healing process often run the risk of simply getting into the same old habits all over again.

If you can categorize yourself as a bulimic then it's time to stop and take a quick review of your life. Do you really want to cause harm to your body? Why would you deliberately go about causing yourself potentially permanent pain? With the right help you can have a second chance at life and really enjoy your life too.

Jill Seimer and her passion for helping others shares healthy lifestyle tips at RefluxLife.com She recently published Natural Healing for Heartburn with her own experiences on natural cures for acid reflux.

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Monday, March 10, 2008

Acid Reflux. Will lifestyle change make a difference?

With major improvement in the understanding, diagnosis and management of acid reflux, family doctors and gastro-enterologists have a greater variety of options for treatment of acid reflux.

The acid suppressant drugs available today are extremely effective. Drugs such as omeprazole and other proton pump inhibitor have become the mainstay of treatment. These drugs are now available over the counter and easy for patients to obtain. It is therefore so easy for practitioners and patients to ignore the simple basic ways to control acid reflux disease.

A simple and effective part of treatment is lifestyle modification and reassurance. This includes changing the types of food consumed, avoiding certain medication, stopping smoking, losing weight, elevating the head of the bed and sensible use of antacids and alginates . The most important foods to avoid are fatty foods. In this group are whole milk, butter, chocolate and some fast foods. In time a patient will know what foods to consume and what to avoid. Peppermint oil relaxes the lower oesophageal sphincter and can cause reflux. If it is used for IBS, be aware of this important side effect. If in doubt consult your GP or stop if you develop reflux symptoms. Smoking has a similar effect on the lower oesophageal sphincter. Give up smoking if you have acid reflux. It is making it worse.

Certain foods should be taken in moderation. Decide for yourself if citric foods, spicy foods or caffeine containing foods are problematic. Avoid these foods if they aggravate acid reflux . Obesity causes increased abdominal pressure and as a result produces increased pressure on the lower oesophageal sphincter. This pressure can result in acid reflux. Losing weight will reduce this pressure. It is very surprising how losing a small amount of weight can make a significant difference.

In nocturnal acid reflux, lying down at night causes refluxate to track up the oesophagus. Raising the head of the bed will help reduce this. In addition it reduces sensitisation overnight which leads to problems during the day. Evidence shows that extra pillows make no difference. Wearing tight clothes will increase intra abdominal pressure and stimulate reflux. Wearing loose clothes will avoid this.

Eating small regular meals is better than having a few big meals. Large volume of food will distend the stomach and affect the efficiency of the sphincter. Similarly do not lie down soon after a meal. Make sure your last meal before retiring is at least three hours earlier.

A review of the medical literature and the few placebo controlled trials suggests that most patients with gastro-oesophageal disease (GERD) can be reasonably controlled by reassurance and lifestyle modification.

Chronic and relapsing acid reflux, however, will need more than lifestyle changes and reassurance. Management should incorporate the use of effective dosage of acid suppressant drugs to gain satisfactory control of acid reflux symptoms.

If your symptoms are persistent in spite of the changes you make, see you family doctor. The thought of having an endoscopy may be daunting but persistent acid reflux can cause long term problems. Acid in the lower oesophagus can cause inflammation leading to oesophagitis. Recurrent oesophagitis can cause bleeding, strictures and Barrett's oesophagus. 3 to 5 % of Barrett's Oesophagus develops adenocarcinoma. This condition is diagnosed by biopsy at endoscopy. Bear these facts in mind if your symptoms persist.

Dr. Phil Hariram has spent 27 years in General Practice. He has seen the significant changes that has transformed Acid Reflux treatment. His blog http://www.acidrefluxguru.com provides up to date information on all aspects of Acid Reflux. Dr. Phil Hariram. http://www.acidrefluxguru.com

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Tuesday, March 4, 2008

Prevent acid reflux with the acid reflux diet

Acid reflux occurs when the acids that can be found in the stomach get into the esophagus because the valve that separates the esophagus from the stomach cannot close properly. These acids are very strong, and they can severely damage the esophagus' walls. They do not damage the stomach's walls because it is protected by a special membrane.

Acid reflux is pretty serious, it can cause pain in the chest area, and if it is left untreated the esophagus will become very erroded and gastric acid will also reach the lungs, where is can cause coughing and asthma, and the mouth, where it corrodes the teeth.

Diet has an important role in both treating and preventing acid reflux, and an acid reflux diet is not expensive or hard to follow. The idea is to reduce the acids inside the stomach and to keep it from filling, which can cause the food and acid inside it to reach the esophagus.

Here is what you can eat and what you should avoid:

You can eat all the cereals and vegetables you want. They contain a lot of vitamins and nutrients that help the body fight not only acid reflux, but other illnesses too.

You should definitely stop smoking, because tobacco smoke damages the esophagus' walls and weakens it. You should also avoid chewing gum, because when you chew the stomach starts to produce acids that it won't use and that can get into the esophagus.

If you are overweight you should try to loose some of your weight, and avoid fatty food, because at overweight people the levels of gastric acid are higher.

The foods that are know to help acid reflux advance by stimulating the acid production are: chocolate, milk, chewing gum, fatty foods, spicy foods, alcohol and garlic. Coffee can irritate the esophagus so try not to drink any.

Also try to avoid wearing tight clothing that can press the stomach, because this way the acid inside it is almost forced to leave the stomach. Furthermore, if you lie down right after you eat you help the content of your stomach came back, so try sitting on a chair for a few minutes, depending on how damaged the valve that separates the stomach from the esophagus is.

If you follow the advises mentioned above you can prevent acid reflux, and your treatment will be more effective, but also consult your doctor and take the medication that he prescribes you if you want to be fully cured.

For more resources about many acid reflux subjects like acid reflux symptoms, acid reflux treatment or many more please visit us at http://www.acid-reflux-info-guide.com

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Thursday, December 27, 2007

Acid Reflux Disease in Infants

Some medical conditions have no respect for age; the young or the old, and Acid Reflux, also known in medical terms as Gastroesophageal Reflux Disease (GERD) seems to be one of them. The lower end of the esophagus is protected by a valve called the Lower Esophageal sphincter (LES). This valve opens to allow food from the esophagus into the stomach and then closes up to protect the esophagus from the acid content of the stomach. Several conditions can compromise this valve, allowing gastric content into the esophagus. As in adults, infants also suffer from heartburn on occasions. This is mainly attributed to the fact that infants consume essentially liquid and soft foods, which tend to be rich in diary proteins. The most unfortunate part of infant acid reflux disease is that, unlike in adults, it is very difficult to determine if an infant has developed chronic gastroesophageal reflux disease. An infant is most unlikely to be able to complain of heartburn or any symptoms of the disease.

Acid reflux in infants is always as a result of a lot of factors, however, most of the causative factors tend to be aggravated by the fact that infants, spend a great deal of their days lying on their back or in a supine position and consume mostly liquid food. The tendency for liquid food to cause regurgitation, when combined with the pressure lying in a supine position exerts on the lower esophageal sphincter (LES) constitutes a greater risk of reflux acid incidence in infants. The incidence, however, could also be attributed to some other factors like, the anatomy of the infant's stomach, improper or incomplete development of the lower esophageal sphincter during fetal growth, poor diet, overweight, food allergies and a host of other factors.

Because infants, unlike adults, cannot complain of symptoms or explain how they feel, it is always very difficult to know when an infant is suffering from acid reflux. The best bet is to consult a pediatrician. Nevertheless, there are signs and clues that you may look out for in your infant that could suggest the presence of the disease. Some of these clues are:

- Sleeping problems
- Coughing
- Weight loss
- Lack of appetite
- Spitting up frequently
- Apnea
- Unusual irritability
- Chest pain
- Sore throat
- Bad breath
- Crying

Acid reflux disease can also cause respiratory problems including pneumonia, strictures and ulcerations on the esophageal wall, and malnourishment. Although, these signs don't always mean your infant is suffering from acid reflux disease, but they constitute a good enough reason to go see your pediatrician.

Of course, there are a few things you could do to help your child avoid acid reflux. Simple things like changing the child's food, keeping him/her upright for some time, especially after eating, keeping a eye on the child for any sign of chest pain or heartburn and a host of others. This extra attention could be all your child really needs.

Michael Russell

Your Independent guide to Acid Reflux

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Sunday, December 9, 2007

How to Calm the Raging Inferno of Acid Reflux

More than 60 million people suffer with acid reflux disease every week of their life. Acid reflux is a very unpleasant and annoying condition. It is not considered to be a severe condition such as acid reflux, unless it occurs over twice a week over a time span of several months. If acid reflux disease goes untreated for a prolonged period of time, it can cause permanent damage to the esophagus.

Acid reflux disease is caused by acid from the stomach washing back up into the esophagus repeatedly. This happens when the lower esophageal sphincter becomes weak and relaxed. The main cause of the relaxed esophageal sphincter muscle is high fat foods which have been shown in studies to temporarily weaken the esophageal sphincter muscle.

The most common symptoms of acid reflux disease are a burning sensations in the chest, a sour acidic taste in your mouth, sore throat, and bad breath. Usually laying down right after eating will make symptoms worsen. Many people suffering from acid reflux have found relief in positioning their bed in an upright position. They usually do this by putting 4 to 6 inch blocks under the 2 bedposts at the head of the bed.

The answer to most people who suffer with acid reflux disease is to reach for an antacid. These are o.k. for short term use, but reducing the acid in the stomach is not the answer. In recent research, results indicated that reducing the acid in the stomach can cause several other diseases. So, what can you do? When you have acid reflux you absolutely have to have relief- and the quicker the better.

To start with, you can use these tips to help wean yourself off of the antacids for good. Lifestyle changes can go a long way in helping keep the flames at bay. Things such as quitting smoking, drinking, and reducing stress will set you on the right road. Then, making changes in your diet is the best thing you can do to keep acid down in the stomach where it belongs.

The first thing to do is start eating foods that are high in fiber. Then make sure that you eat smaller meals so you wont overfill the stomach, causing sloshing of the fluids in the stomach up into the esophagus.

Eat more complex carbohydrate foods and lay off of the fried fatty foods. Last of all, but not least it will help you tremendously if you can start an exercising program.

The most common foods that are known for causing acid reflux are fried foods, caffeine, and alcohol. Smoking also causes the esophageal muscle to relax causing a problem for acid reflux sufferers.

There are even some medications that can cause problems for some patients with acid reflux disease.

Be sure to consult with your physician concerning interactions of medications he has prescribed. A physician administering an acid reflux treatment usually prescribes various drugs as a first line of defense.

The stomach is designed to be very acidic with a pH of 3.0 or less. When your stomach has the proper pH, it digests your food so that it is broken down into vitamins, minerals, and amino acids that are absorbed. When the acid is reduced greatly in the stomach by antacids, it leaves too little acid for the functions in which it was designed for. Vitamins and minerals are severely depleted in cases where the patient continues over long periods of time to consume antacids.

Herbal supplements have rapidly gained popularity over the past decade because they are safe and affordable solutions for chronic health problems. Herbal supplements are a natural and effective solution for revitalizing your health. There are several herbs that are well known for alleviating heartburn. One of my favorites is a very refreshing drink- ginger tea. As always, consult your physician before taking any treatment of any kind.

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