Lifestyle Modification

Lifestyle modifications can have a great impact on GERD symptoms. Diet recommendations include avoiding foods that trigger symptoms. Common culprits include acidic foods, such as tomatoes, coffee, tea, and citrus foods. Additionally, avoidance of foods that decrease LES pressure, such as high-fat foods, chocolate, peppermint, and alcohol, may be necessary. Research has shown that diets high in the antioxidant vitamin C are associated with less risk of GERD symptoms, Barrett's esophagus, and esophageal adenocarcinoma.55 In addition, a small study showed that very-low-carbohydrate diets reduce GERD symptoms and decrease lower esophageal acid exposure in obese individuals with GERD. In fact, this study showed that diets containing less than 20 g of carbohydrates per day significantly reduced symptoms in less than six days.56 Another study demonstrated that chewing sugar-free gum for one half-hour after a meal reduced postprandial esophageal reflux possibly by increasing the frequency of swallowing.57 A study with children who had GERD symptoms that were unresponsive to treatment showed that feeding an elemental formula reduced or resolved all patients' GERD symptoms as well as improving histologic changes in the esophagus.58 Commonly, it is suggested to patients to sleep with the head of the bed elevated as well as sleeping in the left-lateral decubitus position.59 Numerous studies have investigated the effect of weight loss on GERD symptoms. Research has indicated that weight loss and decreased visceral fat mass correlated significantly with decreased esophageal-acid exposure.60 Smoking cessation is also recommended.

Alternative Supplements for Treating GERD

Vitamin C

Glycyrrhiza glabra (licorice)

Melatonin

Digestive enzymes

Fish oil

Atropa belladonna (belladonna)

D-limonene

Calcium

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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