Understanding GERD: Exploring Symptoms, Treatments, and Natural Approaches
Gastroesophageal reflux (GERD) is a condition characterized by heartburn, indigestion, abdominal pain, and related symptoms, occurring when stomach contents flow upwards into the esophagus. Other terms like functional dyspepsia (FD) and non-ulcer dyspepsia (NUD) are also used to describe indigestion.
Common Approaches to GERD
Despite being common complaints in the US, review articles suggest that “the efficacy of current drugs on the market is limited at best.” Acid blockers, especially proton-pump inhibitors (PPIs), are popular drugs that work by inhibiting the stomach’s secretion of hydrochloric acid (HCl). However, these drugs don’t address the root cause of GERD—malfunctioning sphincter valves.
Acid-Reducers and GERD
One drawback of acid-blocking drugs is their impact on the digestive process. Stomach acid plays a crucial role in protein digestion, mineral ionization, and protection against infections. Blocking acid secretion can lead to digestive issues and an increased risk of infections.
Causes of GERD
Common dietary causes of GERD/NUD include the consumption of sugar, refined carbohydrates, coffee, tomatoes, citrus fruit, chocolate, fried foods, carbonated beverages, and alcohol. Overeating and tobacco use are also contributing factors.
Dietary and Lifestyle Approaches to GERD
Addressing GERD involves eliminating foods and lifestyle factors that relax the esophagus-sphincter. Tips include reducing portion size, chewing food thoroughly, eating leisurely, avoiding bedtime meals, and adopting a left-side sleeping position. Mindfulness-based stress reduction can also alleviate symptoms.
Foods for GERD
Certain foods support digestive health and help with GERD. The Mediterranean Diet, probiotics, prebiotics, berries, pomegranate, oats, mastic gum, and turmeric show health-promoting effects. Alkaline water, aloe vera juice, gluten elimination, and sugar-free gum after meals can also be beneficial.
HCL Supplement Digestive Benefits
Supplementing with hydrochloric acid (HCL) can aid digestion, especially when symptoms occur within 15–30 minutes after eating. HCL triggers pancreatic enzyme secretion, further improving digestion. Digestive enzyme supplements are recommended for cases involving insufficient pancreatic enzyme secretion.
Supplements to Benefit Digestion and Ease Heartburn and Acid Reflux
Several natural solutions may help with indigestion, heartburn, and acid reflux:
- Curcumin: The active compound in turmeric has shown benefits comparable to acid-blocking drugs.
- DGL Wafers: Licorice root extract aids in healing the gastrointestinal tract.
- Mastic Gum: Derived from the mastic tree, it has shown improvements in heartburn and indigestion symptoms.
Alginate Raft Therapy
For acid reflux due to mechanical factors, alginate raft therapy may be helpful. Alginate, a gel-forming fiber, reacts with gastric acid to form a floating raft in the stomach, acting as a barrier against reflux. Proven effective, it has no known side effects or drug interactions.
In conclusion, a holistic approach that considers dietary, lifestyle, and supplemental factors can be valuable in managing GERD and promoting overall digestive health.