Thursday, May 1, 2008

Acid Reflux and the Risk of Ulcers

You probably spend more time thinking about your stomach -- what to feed it, when to feed it, how to keep it from sticking out so much -- than any other organ. A minor problem with another part of your body might go unnoticed, but when there?s something wrong with your stomach, you know it immediately.

Consequently, ailments like acid reflux and ulcers get a lot of attention. They?re sort of ?Everyman? diseases, striking old and young, rich and poor, many times regardless of lifestyle (though some lifestyle choices can make them worse). Since both acid reflux and ulcers are caused by acid, it?s natural to think one will inevitably lead to the other. But that?s not necessarily the case.

You see, acid reflux is the result of acid from the stomach rising up into the esophagus. This can happen because the stomach is over-full and the acid is forced upward, or because there?s been some damage to the sphincter that separates the stomach from the esophagus. Contrary to popular belief, acid reflux does NOT happen because the stomach has produced too much acid. The amount of acid is irrelevant. It?s the fact that the acid is bubbling up into the esophagus, where it doesn?t belong, that?s the problem.

Ulcers, on the other hand, are usually caused by infection from a bacterium called H. pylori. It?s commonly believed that ulcers are the product of stress, but that?s a myth. Stress can make the symptoms worse, or make the sufferer more aware of the symptoms, but stress does not cause the ulcer out of nowhere. You could be the most stressed-out person in the world and you?d never get an ulcer if it weren?t for that H. pylori bacterium or some other specific ulcer-causing substance.

So while ulcers and acid reflux both involve stomach acid, their causes -- and thus their treatments -- are very different. Having acid reflux will not cause you to get an ulcer, too. If you have both, treating the ulcer infection will take care of that problem, but it will do nothing for the acid reflux. That?ll require its own separate treatment.

As with so many health problems, both ulcers and acid reflux can often be prevented through healthy diet and exercise. For acid reflux, it?s important to avoid over-eating and eating fatty foods. Don?t lie down right after a big meal, so eat meals early in the evening to give your food a chance to digest before bedtime. Remember that chocolate and peppermint (among other foods) can trigger reflux, as can alcohol, caffeine and tobacco. Losing excess weight and exercising regularly can also do wonders for preventing reflux.

Most of those precautions work for ulcers, too. In addition, aspirin and ibuprofen can cause ulcers, so taking those drugs as sparingly as possible may help prevent them. And get this: People with type O blood are 35 percent more likely to get ulcers than people with other types. So if you?re an O, you would do well to take extra precautions.

Ultimately, there is little connection between ulcers and acid reflux other than the fact that they both have to do with stomach acid. Luckily, a healthy lifestyle can reduce the chances of getting either ailment, and there are adequate treatments available in case your precautions fail. For the most part, if you take care of your stomach, your stomach will take care of you.

Kathryn Whittaker has an interest in Acid Reflux. For further information on Acid Reflux please visit Acid Reflux or Acid Reflux Symptoms

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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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Tuesday, March 18, 2008

Eosinophilic Esophagitis: The Difference Between Acid Reflux and Allergic Esophagus Explained

What is eosinophilic esophagitis?

Eosinophilic esophagitis, abbreviated EE or EoE, is an inflammation of the esophagus or feeding tube characterized by the presence of a type of white blood cell called eosinophil. It is a reddish appearing cell that is typically found in tissues of the body affected by allergic reactions and some parasite infections. The cell was named by Paul Erlich in 1879 after Eos, the Greek goddess of dawn. It is also called allergic esophagitis. Eosinophils, when activated, release chemicals that can cause intense swelling, itching, and tissue damage.

What are the symptoms of eosinophilic esophagitis?

The symptoms of EoE in adults is classically episodes of food sticking when swallowing that is called dysphagia in medical terms. Typically, a young man or teenage boy presents with an episode of food being lodged in the esophagus or feeding tube. Food that won?t go down and can?t be regurgitated up along with a history of difficulty swallowing foods (such as bread or dry meats like chicken and beef) is common, especially associated with a personal and/or family history of allergic conditions.

Failure of the food to go down (or up) causes a food impaction resulting in the inability to swallow even saliva, chest discomfort and usually sends the person to the emergency room. Sometimes, intravenous medication that relaxes the esophagus will allow the food to pass but usually it has to be removed by an endoscope. The classic patient has little or no heartburn though some people have moderate to severe heartburn symptoms. The tip off in this setting is that the heartburn symptoms frequently don?t improve with acid blocking medications.

Young children may present with complaints of chest pain, abdominal pain, poor appetite, regurgitation or reflux, vomiting, or failure to grow (failure to thrive). Some may have unexplained low blood counts or iron deficiency from bleeding from the esophagus. People with these types of symptoms should be evaluated for possible allergic or eosinophilic esophagitis. Treatment is usually dietary avoidance of food allergens and swallowed nasal steroids but is reviewed in more detail in a separate article.

Eosinophilic esophagitis and food allergies are the focus of the doctor authored articles and website of Dr. Scot Lewey, the food doc. As a food allergy specialist-the food doc is an expert in food allergies, intolerance and sensitivities. The food doc website www.thefooddoc.com will soon include online help including an online symptom assessment and info wizard tool and a premium member online diet symptom diary and virtual office. Online consultation is already available by visiting the initial start up site while the premium site is being built.

Eosinophilic esophagitis and food allergies are the focus of the doctor authored articles and website of Dr. Scot Lewey, the food doc. As a food allergy specialist-the food doc is an expert in food allergies, intolerance and sensitivities. The food doc website http://www.thefooddoc.com will soon include online help including an online symptom assessment and info wizard tool and a premium member online diet symptom diary and virtual office. Online consultation is already available by visiting the initial start up site while the premium site is being built.

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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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Thursday, February 14, 2008

Acid Reflux Syndrome

ou are in an important meeting and are just about to close the biggest deal of your career. You should be somewhere up on cloud nine, but you only just manage to present a happy smiling face to your colleagues. It's not that you're not over the moon, and wouldn't like to celebrate with the rest of them, but you've got that burning feeling again that tells you that you shouldn't have had that burrito for lunch. You are suffering from heartburn. Or so you think. In actuality you could be suffering from Acid Reflux Syndrome.

It's not as bad as it sounds, or even looks like in print for that matter, but it is bad enough to keep you from enjoying your life. So, what exactly is acid reflux syndrome? Well, I can tell you what it's not. It's not indigestion, and it's not heartburn, the two main things that acid reflux syndrome get confused with everyday.

Since the simplest answer is always the best, most people will say they've got indigestion. Others will stick to, "it's simple heartburn, that's all I've got" as if their life depended upon it. But very few people realize that what they have might not be either of these two cases, but something else that closely mirrors them, like acid reflux syndrome.

Generally speaking, the guidelines for prevention are the same for all three disorders, as are the simpler treatment methods. Even the initial symptoms are the same, but with a few minor differences that can narrow down the field of diagnosis.

Some of the most common symptoms for acid reflux syndrome include, but are not limited to, intense heartburn, stomach problems, a consistent cough, a roughened voice, a sour or bitter taste in your mouth, and also a problem swallowing.

And that's just a few of the symptoms that sufferers from acid reflux syndrome will experience. As you can see however, heartburn is also a symptom, and not necessarily the cause of this syndrome.

If you think you might have acid reflux syndrome, you will need to consult your physician as soon as possible. If left untreated for any length of time, there is good chance that you will suffer from acid reflux syndrome for the rest of your life.

To give you a slight idea of what exactly acid reflux syndrome entails, it occurs when the liquids in your stomach (acids, foods etc.) come back up the esophageal pipe, in a reflux action. This damages the lining of the esophagus, and causes the burning sensation that you feel. That's why acid reflux syndrome needs to be treated promptly. Any delay on your part could result in the esophagus being damaged badly, thereby impairing it for your lifetime.

If you think you have acid reflux syndrome, then seek medical attention as soon as possible. Remember to never put off till tomorrow what you can do today. In this case it could prove to have serious and long term effects on your health.

Publisher of the web site on heartburn, what causes heartburn, how to prevent heartburn. Publisher of The Heartburn Cure Book: http://www.ultimateheartburntips.com Author for All Hawaii Weather http://www.allhawaiiweather.com

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Monday, January 28, 2008

Acid Reflux and Weight Gain

Acid reflux is a common disorder that affects more than 7 percent of the American population. The disease generates symptoms such as heartburn, throat inflammation and pain, difficulty swallowing and difficulty breathing. The symptoms of acid reflux have a pronounced recurrent character and they generally persist in time. Symptoms such as heartburn and chest discomfort tend to intensify at night or after meals.

Acid reflux involves regurgitation of the stomach's content inside the upper levels of the esophageal tract. The disorder is usually caused by acquired or genetically inherited physiological dysfunctions such as high pressure inside the abdomen or inappropriate activity of the lower esophageal sphincter (ring-shaped muscular valve that connects the esophagus to the stomach). Although inappropriate diet and unhealthy lifestyle greatly contribute to the occurrence of acid reflux, the disorder generally occurs on the premises of physiological abnormalities.

Obesity is a common risk factor of acid reflux disease. Due to increased abdominal pressure, overweight people are commonly confronted with acid reflux. However, recent studies have revealed the fact that even the slightest gain in weight can facilitate the occurrence of acid reflux. Medical scientists claim that people who experience difficulties in maintaining a constant weight are very likely to suffer from acid reflux.

Until recently, the connection between acid reflux and body weight was vague and in the absence of conclusive evidence, medical scientists could only speculate upon this matter. However, latest studies in the field have confirmed the existent theories regarding the involvement of weight gain in causing acid reflux disease.

In order to reveal clear links between acid reflux and body weight, researchers have calculated the incidence of the disease in women, judging by the BMI (body mass index) of the subjects. More than 10.000 women that participated to the study had to complete a questionnaire which asked if they have been confronted with acid reflux in the past. The women that participated to the study were also asked about the intensity, the frequency and the duration of their symptoms. Around 20 percent of the participants stated that they have suffered from acid reflux in the past. A smaller number of participants were still confronted with the disease at the date of the study. More than 50 percent of the participants claimed to have experienced moderate or intense symptoms of acid reflux disease.

The study revealed very interesting facts, as the incidence and the seriousness of the disease increased gradually according to body weight ratios. The women who had a BMI under 20 were 30 percent less likely to be affected by acid reflux disease than those who had a BMI above 20. Thus, the risk of acid reflux has proved to increase proportionally with BMI. Although medical scientists have disregarded aspects such as the age factor, the study clearly suggests the implication of weight gain in causing acid reflux disease.

If you want to find great information 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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Friday, December 14, 2007

Acid reflux chokes me awake at night

by Drew Harris http://www.acid-refluxsite.com

Acid reflux has forced me to suddenly wake up countless times, in a state of panic, choking on my own acid and gasping for breath.

Nothing can really describe the burning bile feeling, or the taste it leaves in your mouth as you try not to gag and throw-up. I have had to stick a pinch of toothpaste into my mouth and leave it there to try and cut the bile taste.

I was diagnosed with a hiatal hernia as a teenager, which may contribute to acid reflux. The burning acid had left me alone for most of my 20's. However, a high stress job and a subsequent gain in weight and lack of exercise brought the acid reflux back on with a vengeance in my 30's.

When I started having almost constant waves of heartburn and acid indigestion, sitting upright at my desk, I knew it was time to see the doctor.

At that time, I had never heard of acid reflux.

He told me that more than 60 million people suffer from frequent heartburn, acid indigestion or GERD (Gastroesophogeal Reflux Disease).

Acid reflux describes the regurgitation of acid back up the throat. It can also lead to more serious medical conditions that may require hospitalization.

My doctor explained this happens when the lower esophageal sphincter (LES) does not close properly and stomach contents leak back, or reflux, into the esophagus. The LES is a ring of muscle at the bottom of the esophagus that acts like a valve between the esophagus and stomach. The esophagus carries food from the mouth to the stomach.

When refluxed stomach acid touches the lining of the esophagus, it causes a burning sensation in the chest or throat called heartburn. The fluid may even be tasted in the back of the mouth, which is called acid indigestion. Heartburn that occurs more than twice a week may be considered GERD, and it can eventually lead to more serious health problems.

When I finally went and saw my doctor, I was having almost constant heartburn and acid indigestion.

He further explained that symptoms are usually worse at night when the person is lying flat and acid flows easily from the stomach back up the esophagus.

Anyone, including infants, children, and pregnant women, can have GERD.

I was told to make some lifestyle and dietary changes. They included:

1. Using a wedge pillow to elevate my body at bedtime 2. Eating plenty of fiber and drinking lots of fluids. 3. Eating small meals and eating slowly. 4. Not lying down for at least 1-2 hours after eating. 5. Losing extra pounds. Added weight causes extra pressure on your stomach and can irritate symptoms. 6. Wearing loose clothing. Tightly fitting clothes put extra pressure on your stomach. 7. Not exercising for at least one hour after eating. 8. Avoiding the following: alcohol, tobacco, caffeine, chocolate, carbonated beverages, spices, fried and fatty foods, tomato products, citrus, and peppermint.

I am a non smoker and I don't drink that much. I do drink a fair bit of coffee however. The real culprit for me though has been drinking fruit juice of any kind before bed. When I have, my acid reflux has been significantly worse.

As I have made many of these changes to my lifestyle, I have seen some relief.

The elevated pillow works wonderfully. I have also started taking proton pump inhibitor medication, which reduces acid production in my stomach. I have been told surgery may be an option down the road.

Drew Harris owns and operates Acid-refluxsite.com, a one-stop-shop directory for those looking for information on acid reflux and its related issues. Multiple pages of resources, referrals and expert articles. http://acid-refluxsite.com

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