Hi everyone, Today we are going to talk about one of the very common symptom, gastro esophageal reflux and its treatment. 

Now, just a brief overview of what is Gastroesophageal Reflux and Disease (Gerd). Acid reflux happens when content from your stomach move back up into your esophagus. This action is also called as acid regurgitation or gastroesophageal reflux. 

And having this once in a While is very common but if you are experiencing this more than twice a week or very often, then you might be having gerd. If it is left untreated it can sometimes cause serious complications. But most people can manage this discomfort of Gerd with lifestyle changes, and other over-the-counter medications. While some people with Gerd many stronger medications or surgery to ease symptoms.

So now let us see what are the symptoms of gerd. The main symptom of gastroesophageal reflux disease is acid reflux. Acid reflux can cause an uncomfortable burning feeling in your chest which can move up into your neck and throat. This feeling is often known as hardburn. So if you have acid reflux, you might develop a sour or bitter taste at the back of your mouth. It might also cause a regurgitation of food or liquid from your stomach into your mouth. There are also some other symptoms of GERD like nausea chest pain, pain while swallowing, difficulty, swallowing, chronic cough, a hoarse voice and a bad breath. So, if you have symptoms of acid reflux more than twice a week, you might have a condition known as gastro esophageal reflux disease also called as good.

Now talking about the treatment options to manage and reduce the symptoms of GERD, your doctor might advise you to make certain Lifestyle Changes. Like, maintaining a moderate weight in overweight individuals, quitting smoking. If you smoke avoid big heavy meals in the evening, waiting few hours after eating to lie down and elevating your head during sleep. Your doctor might suggest taking over-the-counter medications like those listed below. All of these medications can cause side effects. So talk to your doctor about which option is best for you. Antacids have been used for centuries in the treatment of patients with dyspepsia and acid reflux disease. It is typically used for occasional and Mild symptoms of acid reflux and GERD.

Antacids are weak bases that react with gastric hydrochloric acid to form salt and water. Their principal function is to reduce gastric acidity, a single dose of antacid taken one. And after meals can effectively neutralized gastric acid for up to two hours. 

So here are a few things that you should remember, if you're taking antacids, which contains magnesium hydroxide or aluminum hydroxide. Always take an antacid, which contains magnesium hydroxide or aluminum hydroxide together. This will reduce gastrique upset side effects, like, constipation and diarrhea.

If you have any real problem then avoid taking this agent for long-term as both magnesium and aluminum are absorbed and excreted by the kidney. One more thing, you should remember that antacids may affect the absorption of other medications, like tetracycline fluoroquinolone itraconazole and iron. There should be a gap of at least two hours between the antacid and other medications. Also, if you find that you're taking antacids almost everyday, then you may need stronger medication. H2 blockers like Cimetidine, Ranitidine, Famotidine and Nizatidine suppresses acid secretion. If you are experiencing heartburn or dyspepsia fewer than three times per week, then you can take antacids or H2 blockers. 

Antacids give faster relief as compared to H2 blocker. But the effect of antacids are short-lived, usually 1-2 hours while H2 blockers is effective, up to 6 to 10 hours. So if you need faster relief, then you can take antacids. But if you are traveling somewhere and you want to reduce acid secretion for longer time, then you should consider taking H2 blockers. But Here Comes the important point. When to take it, it should be taken 30 minutes before meal to be effective. If it is taken after the meal, then you will not get the required benefit from this medication. H2 blocker is also best for nighttime acid secretion and they're extremely safe medicines.

However, it's important to note that one type of H2, blocker, that is Ranitidine was recently required by the FDA for containing, the ingredient in nitroso dimethylamine, which is a known carcinogen. PPS, like omeprazole, pantoprazole, esomeprazole rabeprazole also lower the amount of acid your stomach makes. Because they tend to work better than H2 blockers. They are more helpful when it comes to Healing, the esophageal lining which becomes damaged when someone is dealing with GERD for a while. So, here are some important points you should know about ppis. If you take ppis with food, then the bioavailability decreases up to 50%. In simple words medicine will be 50% effective.

So the best time to take ppis is approximately one hour before mean, normally recommended dose is once daily it relieves. Gerd related Symptoms 85 to 90% of the patients in some people twice. Daily dose might be needed in case of Gerd symptoms can recover within 6 months after discontinuing the medications. In that case, a long-term medication therapy would be needed under doctor's guidance. PPIS are extremely safe drug, which has no serious side effects. Another available option is prokinetic Agent in healthy human esophagus, swallowing induces, primary peristalsis. These are the contractions that move your food down your esophagus and through the rest of your digestive system in turn gastroesophageal reflux provokes, a second wave of muscular contractions that clears. The esophagus pushing for down through the lower esophagus splinter and into the stomach.

However, in some people, the lower is of esophagus splinter either relaxes or open spontaneously allowing stomach contents, including assets to re-enter the esophagus broken. It takes helps to strengthen the lower esophagus pinto and prevent acid reflux, the most widely studied, agents include Bethany, call metoclopramide domperidone. And cisapride, it is used as a single agent or in combination therapy. Another useful agent is foam barriers foam barriers are tablets that are composed of an antacid and a foaming agent. As soon as the tablet reaches to the stomach, it disintegrates and turns into a foam that floats on top of the liquid, contents of the stomach, it is a kind of physical barrier, which prevents the reflux of liquid. At the same time, the antacid bound to the form. Neutralizes the acid that comes in contact with the foam. So it has a double effect. Tablets are best taken after meals when the stomach is distended and when lying down.

Both times when reflux is more likely to occur, foam barriers are usually used with other medications. In most cases lifestyle, changes and medications are enough to prevent and relieve symptoms of Gerd. But sometimes surgery is needed. For example, your doctor might recommend surgery, if lifestyle changes and medications are loan, haven't stopped your symptoms. They might also suggest surgery. If you develop complications of God, there are multiple types of surgery available to treat GERD including fund application. During which the top of your stomach is sown around your esophagus and bariatric Surgery is usually recommended when your doctor has concluded that your bird may be exacerbated by too much weight. Treating occasional occurrences of heartburn, with OTC antacids and some Lifestyle Changes, like waiting few hours to lie down after eating can usually provide relief. But if you are experiencing heartburn more than twice a week and small Lifestyle Changes don't seem to be fixing anything, then you might be dealing with good. So it's better to consult your doctor who will help you to come up with a treatment plan that works best for you.

In this post will be explaining you what all the natural remedies for gastritis and gastroesophageal reflux disorder foods, that may help to reduce your signs and symptoms of gastritis gerd.

Got to use aloe vera juice, around 10 mL of aloe vera juice in the morning in the evening before food. So the aloe vera juice is basically allow her. Packed with antioxidants minerals vitamins. So a little bit of Flesh can be turned directly although it's little bit bitter but once you get used to it so you don't feel it as bitter. So it's really one of the good treatment for controlling acidity gastritis and the GERD. 

You can no, add Ginger and turmeric, turmeric root into warm water or milk, boiling water, and just consume that water regularly so that will help to control acidity and gastritis eventually gerd. Like Views of Basil. Basically can be no washed properly and eat and directly. So kind of do a daily. Consumption of Basil will really help in controlling gastritis and acidity because it is packed with antioxidants packed with these anti-inflammatory agents there and Ash gourd or the winter.

Melon is one of the best juice that can be used to treat acidity or the gastritis. Because again, it has got that alkaline thing. It has vitamins minerals, all that. So this He's one of the really good food in terms of juice, or you can actually make food preparations using a hash guard or winter melon on use of yogurt.

Buttermilk yoga go curd, or buttermilk can be used. Sufficiently here in acidity and gastritis because it has got probiotics. So probiotics are kind of maintains our good bacteria in the intestine so we can use curd and buttermilk to control acidity.

Fennel seeds is like, more alkaline in nature, so you can use the final say, put the fennel seeds in boiling water, and soak that water, or like no filter it out and then drink that regularly, or you can just use fennel seeds directly as a mouth freshner, it is having good amount of fiber.

Non citrus fruits like banana apple pear. So these things can be used in your daily food. 

Green vegetables, always like, no leafy vegetable, or green vegetables. So which is packed with again, vitamins minerals. So it is more alkaline in nature. So that really helps to control acidity.

You can regularly use oatmeal for breakfast because it is rich in fiber. So it helps in neutralizing, the acidity so thereby, controlling refluxes and all that.

The healthy fats can be used in our food. Like Noah can be avocados can be Walnut flax seeds all these things because.

Fact, they give you our essential fatty acids, which are really needed for anti inflammatory process and all that.

You can be used, especially not using onion or green chillies.

No plain egg. Omelet can be made and can be incorporated into our food.

Lean meat and fish without adding much of spiciness into that. So can be a good food for acidity or the gastritis.

So what are the foods that you must avoid. So, the foods that we must avoid is

Fried foods, anything that is a fried, so don't touch that for acidity and gas jets because fried foods are the known trigger for religion, gastric acid. So make sure you avoid anything that is fried. It can be no Fried Chicken. It can be anything that is fried. It may be chips, it can be any Bakery items.

So make sure you avoid that tabloid spicy food. Like too much of spiciness, too much of like no green chillies or the Dry Chilli flakes.

So make sure that you avoid that and also avoid citrus fruits, it can be orange. It can be pineapple, it can be lime, lemon, anything that is Citrus in nature.

Make sure you avoid that onion and garlic need to be avoided. Those who have acidity and castrate, is must avoid, use of onion and garlic.

The triggering foods for acidity tea and coffee need to be avoided. Because tea and coffee has this caffeine, and caffeine is Of the trigger for acidity, Gastric acid Put. So make sure you avoid tea and coffee. Those who have acidity and gastritis good.

So, you got tea and coffee and also avoid chocolate as caffeine. So make sure you over chocolate, so that no, you are, acidity is controlled.

Some of the lifestyle changes that we must do is to come maintain healthy weight, because overweight, and obesity can be disposed someone for gastroesophageal reflux Disorder. So it we, it is Important that we maintain the healthy weight and don't eat too much.

This is another important thing because like if we filled stomach completely, like, know, whatever 100% capacity is there and if you pack it 100%, it won't be much space in the stomach for digestion. So that means food will stay in the stomach for a long time and that can increase. Gastric pressure, there and thereby it can actually weaken the lower esophageal sphincter, thereby leading to reflux disorder gastroesophageal reflux disease,

So don't eat too much of food and make sure that you eat a small amount of food but the slowly eat slowly. So they because you will you give time sufficient time for the digestion process to go on. So that food don't stay in the stomach for a long time. 

Thereby avoiding the reflux process do not sleep immediately after meals but only two to three hours after meals. So, sleeping immediately after meals. What happens is they'll that we actually put pressure on the like, no lower eyes. Faisal Sprinter and thereby, it can predispose someone for reflux or disorders and also sleep on your left, side are sleep in the Supine position sleeping on the left side is recommended because that can decrease the pressure on the lower esophageal, sphincter decrease, the gastric pressure thereby. It will help in decreasing, the reflux is during night time and also it's ripping on the Supine position and make sure. So you're you keep the pillow. Is sufficiently know, the sufficient height of the pillow so that head is raised. So that is another important thing to refer to prevent reflux or acid coming into the mouth.

Wearing tight clothes can put pressure on the stomach. Gastric pressure can build up and that can actually lead to an increase in the pressure on the lower esophageal, sphincter there by, you know, lower esophageal, sphincter can open up and can predispose for Gaston is a Visual reflux disorder 

So smoking can cause smoking can cause increase in acidity gastritis. So make sure you either stop smoking or decrease the numbers as you go on there by stop smoking eventually and stop.

Alcohol is again one of the gastric triggering agent so it will increase the acidity so make sure you stop taking alcohol there by your acidity gastritis and give you a gastroesophageal reflux. Disorders can be He taken care. So if you want to follow all these instructions, your gastritis and good that is gastroesophageal reflux. Disease will. Surely improve from what you have been previously got to do this.

Along with antacids proton, pump inhibitors or H2 blockers, or triple antibiotics, and even kill as the control goes, like, you slowly withdraw from the tablets and the incorporate, all these natural remedies and continue this. For a lifelong because these are the healthy things that we really need to follow. So that's all for today. Hope you comment & share this article.