Chronic Acid Reflux

The elderly patient being tested for chronic acid reflux

Chronic acid reflux, also known as gastroesophageal reflux disease (GERD), is a digestive disorder in which stomach acid flows back into the esophagus, causing irritation and inflammation. It can lead to various symptoms, including heartburn, regurgitation, and difficulty swallowing.

Some common causes of chronic acid reflux include:

  • Weak or relaxed lower esophageal sphincter (LES), the muscle that acts as a valve between the stomach and esophagus

  • Hiatal hernia is a condition in which a portion of the stomach protrudes through the diaphragm into the chest cavity

  • Obesity or being overweight

  • Pregnancy

  • Smoking

  • Certain foods and drinks, such as fatty or fried foods, caffeine, alcohol, and acidic foods like tomatoes and citrus fruits

Treatment for chronic acid reflux typically involves a combination of lifestyle changes and medications. Lifestyle changes may include:

  • Avoiding trigger foods and drinks

  • Eating smaller, more frequent meals

  • Not eating within two to three hours of bedtime

  • Elevating the head of the bed while sleeping

  • Losing weight if necessary

  • Quitting smoking

Medications for chronic acid reflux may include:

  • Proton pump inhibitors (PPIs), which reduce the amount of acid the stomach produces

  • H2 blockers, which reduce the amount of acid the stomach produces

  • Antacids, which neutralize stomach acid

Surgery may sometimes be recommended for chronic acid reflux that does not respond to other treatments. It is essential to consult with a healthcare provider for proper diagnosis and treatment of chronic acid reflux.

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