Acid reflux or Acidity is a frequently occurring health condition that many Indians experience. Acidity is characterised by heartburn that is felt in the lower chest region due to the stomach acid flowing back up into the oesophagus.
Acidity is a medical condition brought on by the overproduction of stomach acid. A pain or burning sensation in the lower chest cavity results due to the stomach acid flowing back into the food pipe in this situation.
In general, signs of Acidity in the stomach include nausea, stomach soreness, burning feeling, poor breath, etc.
Doctors and nutritionists claim that unhealthy eating practices and poor diet may be the main causes of Acidity. The symptoms of Acidity might occur in those who lead unhealthy lifestyles and consume junk food.
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Acidity and heartburn are very common experiences for many pregnant women, primarily for two reasons. First, hormonal shifts occur, including an increase in the hormone progesterone. This causes the valve that acts as a barrier between the stomach and the esophagus to relax. When this valve is loose, stomach acid can flow back up. Secondly, as the pregnancy advances, the physical pressure of the growing uterus pushes upward on the stomach, which can make this reflux worse.
Pregnant women should always consult their healthcare provider before beginning any new remedy. Often, simple lifestyle changes can bring meaningful relief — such as eating smaller, more frequent meals, avoiding oily or spicy foods, and sleeping with extra pillows to keep the head and shoulders elevated.
Children can also frequently experience acidity. Typical triggers can include eating large portions, consuming rich or sugary foods such as fried items or chocolate, or experiencing stress. Children often experience mild stomach discomfort from time to time, and most of the time it's nothing to worry about. However, if your child frequently mentions a burning sensation in the chest, complains of stomach pain after meals, or describes a sour taste in their mouth, these could be signs of something more than just a passing ache.
The stomach secreates a powerful acid named, hydroichloric acid. The things you eat will be digested by this acid. It also wakes up a special helper called pepsin, whose main job is to chop up the proteins in your food into smaller pieces. Of course, your stomach has a brilliant built-in defense against its own corrosive secretions: a robust mucosal lining. This protective layer acts as a shield, ensuring the stomach tissue remains safe. When this balance is disrupted, it can lead to the common symptoms of acidity in the stomach, such as a burning pain or discomfort.
The crucial barrier separating your acidic stomach from your delicate esophagus is a muscle called the Lower Esophageal Sphincter (LES). Think of it as a one-way valve. It’s designed to open briefly to let food pass into the stomach and then snap shut. The vast majority of acid reflux symptoms and other Acidity symptoms occur when this gatekeeper weakens or relaxes at the wrong times. This malfunction allows stomach acid to escape upward, irritating the unprotected lining of the esophagus and causing that classic burn.
While spicy food often takes the blame, many other factors can trigger this problem. Understanding these can be the first step toward finding effective acidity treatment.
The risk of Acidity increases in individuals who
Upper GI endoscopy helps examine the upper Gastrointestinal (GI) tract. This includes the oesophagus, stomach and duodenum.
The test is also referred to as esophagogastroduodenoscopy (EGD). It involves the use of an endoscope. There is a tiny camera at one end of this long, thin, flexible tube. The test aids in detecting tissues, including growths, infections or ulcers.
It can check for esophagitis, gastritis and Acidity. Biopsy (tissue sample) from the test subject may be obtained and examined for health issues.
MRI helps detect acidic reflux, and x-rays are helpful in visualising problems in the Upper GI tract.
Oesophageal manometry is a technique used to assess the efficiency of the oesophageal muscles.
An individual may suffer from symptoms like heartburn, difficulty swallowing, pain during swallowing, chest pain and regurgitation when the muscles don’t function as they should. This results in the food coming back up after swallowing.
Oesophageal pH monitoring is a test that quantifies how frequently and for how long stomach acid enters the oesophagus.
We all know that uncomfortable, burning feeling in the chest after a big or spicy meal. Most of us call it 'acidity' or 'heartburn' and wait for it to pass. But if this happens a lot, it's important to figure out what's really going on. Stomach acid issues can range from a once-in-a-while bother to a constant problem that needs a doctor's help.
This can be considered the stomach's way of grumbling after a troublesome meal. When consuming foods that are difficult to process, the stomach may respond by producing an excess of acid. The outcome is that familiar sensation of heartburn or a sharp, sour taste in the mouth.
As a temporary issue, it typically resolves without intervention or with minimal aid from a simple remedy. It is essentially the body's natural response to indicate that a dietary item was overly demanding.
If that burning feeling shows up more than twice a week, it's probably not just simple acidity anymore. It's a chronic condition called GERD.
Imagine the little valve that keeps stomach acid in your stomach isn't working right. It's like a gate that's stuck open, letting acid splash up frequently. This constant acid can be more painful and damaging over time. When heartburn becomes a regular, unwelcome guest, it's time to see a doctor for a treatment plan that works long-term.
Now, here's the tricky one. What if you have reflux but no heartburn? That's called "Silent Reflux" (or LPR). With this, the stomach acid creeps all the way up into your throat and voice box without you feeling the classic burn.
Because your throat is much more sensitive than your esophagus, the symptoms are totally different and often seem unrelated to your stomach. Watch out for:
People with silent reflux often don't realize their throat problems are caused by stomach acid, so they might see a doctor for the wrong reason. If you have these symptoms, an ENT (Ear, Nose, and Throat) specialist can help.
Knowing the difference is key. If your symptoms are frequent or you have those "silent" signs, the best move is to talk to a doctor and get the right help.
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Antacids are medications that neutralise stomach acid. They are widely used in situations when neutralising stomach acid is essential. Heartburn is an example of acid reflux. Antacids help reduce the symptoms of Acidity or acid reflux.
Antacid usage is not known to cause any side effects. Antacids include magnesium carbonate, magnesium trisilicate and aluminium hydroxide. These are available in the form of tablets and liquids under various brand names.
Alginates are a class of medicines that are present in some forms of antacid medications. Alginates are added to help soothe the oesophageal lining from the effects of stomach acid. Alginates include things like alginate salts and alginic acid.
H2 receptor blockers work by lowering the amount of stomach acid secreted by glands in the stomach’s lining, which lessens heartburn sensations.
The H2 blocker class of medications includes ranitidine, cimetidine (Tagamet), famotidine (Pepcid), and nizatidine (Axid) (Zantac). The drugs that have the least negative interactions are famotidine and nizatidine.
Proton Pump Inhibitors (PPI) lessen the amount of acid the stomach produces. Acid reflux is frequently treated with these. The strongest type of medication now available for managing stomach acid is proton-pump inhibitors.
The following PPIs are available even without prescription and help treat Acidity.
Another over-the-counter medication is Zegerid (omeprazole with sodium bicarbonate. Rabeprazole and Pantoprazole are also proton pump inhibitors.
PPIs are ingested orally. They come in tablet or pill form. These medications are frequently given 30 minutes prior to the morning meal.
Excess weight is linked to Acid reflux. Therefore, losing or maintaining body weight helps treat Acidity.
Tight-fitting clothes put pressure on the stomach, known as intragastric or intra-abdominal pressure. This, in turn, triggers Acidity or acid reflux, causing stomach acid to flow back into the lower oesophagus. Avoiding tight clothes and jeans will help treat and prevent Acidity.
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Lying down immediately post-meal makes the stomach acid reflux into the oesophagus. Refraining from lying down after a meal, especially a heavy meal, will prevent Acidity.
Late meals, particularly at night, can trigger Acidity. It is therefore advisable to avoid having late meals.
Since sleeping upright makes the oesophagus stay above the stomach and makes it more difficult for stomach acid to escape, elevating the head is necessary. This helps lessen acid reflux.
Smoking increases stomach acid production, which raises the possibility of gastric juices getting refluxed into the oesophagus.
Alcohol may increase stomach acid production. Additionally, it may increase the tissue’s sensitivity to acid, resulting in heartburn and Acidity.
Avoiding alcohol and refraining from smoking can help lessen the effects of Acidity.
Overeating increases the acid production in the stomach to boost digestion. It may also cause acid to flow back into the oesophagus, resulting in Acidity. One of the simplest methods to reduce the risk of acid reflux is to avoid eating large meals.
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Acidity is a condition in which the gastric glands in the stomach secrete too much acid, which is usually triggered by eating spicy food.
While Acidity symptoms can happen anytime, 70% to 75% of persons with Acidity issues claim to experience nighttime heartburn.
Eating dinner 3 hours before going to bed, Elevating the head of the bed, choosing healthy snacks, refraining from smoking, quitting alcohol, smoking, and regular exercise can help treat Acidity. Over-the-counter medications are preferred for quick relief.
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