![]() Galmiche JP, Hatlebakk J, Attwood S, et al. Adverse effects of drugs on the esophagus. Obesity is an independent risk factor for GERD symptoms and erosive esophagitis. Obesity: a challenge to esophagogastric junction integrity. Pandolfino JE, El-Serag HB, Zhang Q, Shah N, Ghosh SK, Kahrilas PJ. Relationship between body mass and gastro-oesophageal reflux symptoms: The Bristol Helicobacter Project. Gastro-esophageal reflux and esophageal motility disorders in morbidly obese patients before and after bariatric surgery. Pathophysiology and implications for treatment. Gastroesophageal reflux disease and obesity. Herbella FA, Sweet MP, Tedesco P, Nipomnick I, Patti MG. Meta-analysis: obesity and the risk for gastroesophageal reflux disease and its complications. Pathogenesis of gastroesophageal reflux and Barrett esophagus. Esophageal peristaltic dysfunction in peptic esophagitis. Kahrilas PJ, Dodds WJ, Hogan WJ, Kern M, Arndorfer RC, Reece A. Outpatient physiologic testing and surgical management of foregut motility disorders. Effect of the diaphragmatic contraction on lower oesophageal sphincter pressure in man. Characteristics of transient lower esophageal sphincter relaxation in humans. Sphincteric action of the diaphragm during a relaxed lower esophageal sphincter in humans. Sleep symptoms and gastroesophageal reflux. Surgery for reflux disease: reflections of a gastroenterologist. Heartburn Across America: A Gallup Organization National Survey. Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. 104 suppl 2:S10-6.ĭeVault KR, Castell DO. Proton pump inhibitor use and enteric infections. Overutilization of proton pump inhibitors: a review of cost-effectiveness and risk. Proton pump inhibitor failure-what are the therapeutic options?. Management of heartburn not responding to proton pump inhibitors. Medical therapy for gastroesophageal reflux disease in 2007. Management strategy for patients with gastroesophageal reflux disease: a comparison between empirical treatment with esomeprazole and endoscopy-oriented treatment. They make you burp and may bring acid up along with the gas.Giannini EG, Zentilin P, Dulbecco P, Vigneri S, Scarlata P, Savarino V. Elevate the head of your bed: Elevating your entire top half of your body, not just your head, 6 to 8 inches means that gravity is reintroduced, resolving backflow of stomach acid into the esophagus.Limit alcohol: Like smoking, alcohol can relax the LES.Quit smoking: Nicotine relaxes the esophageal sphincter allowing for acid to enter.Eating smaller meals and small portions can decrease acid reflux. Eat food slowly and chew thoroughly: More food in the stomach can mean more acid buildup.When you lie down gravity is negated making it more likely for acid to backflow from the stomach through the esophageal sphincter and into the esophagus. Don’t lie down after eating: Gravity is a major contributor to food digestion.Avoid trigger foods: Spicy foods, onions, chocolate, caffeine, and junk food have all been shown to increase the prevalence of GERD.Lose weight: Extra abdominal fat places pressure on your abdomen, pushing gastric juices up into your esophagus. ![]() Anything that pushes on the belly or interferes with keeping your food (and stomach acid) down can cause or worsen your heartburn. Never lie down after you eat, and wear loose-fitting clothing.Smoking reduces saliva production, thereby increasing the production of stomach acid. This means it is the perfect food to counter the stomach acid that is irritating your esophagus. Bananas are high in potassium, making them a fairly alkaline food. Eat a banana (or another high alkaline food).Saliva production can provide a soothing effect and help decrease the production of acid in the stomach. Like baking soda, taking a spoonful of apple cider vinegar with some water is thought to help neutralize acid in the stomach and serve as a digestive aid.Combine a pinch of baking soda with water to create an alkaline solution that may help neutralize acid in the stomach.Take herbs such as ginger, chamomile, aloe juice, and licorice, which serve as a digestive aid.
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