Game World!: can apple cider vinegar help with acid reflux?

Apple Cider Vinegar for Acid Reflux | Stomach Problems

Why am I suddenly getting acid reflux?

What are the common causes of acid reflux disease? Doctors aren't always sure. Triggered by an increase of acid in your esophagus, acid reflux disease may develop for a variety of reasons. Here are some of the common causes of acid reflux disease.

What Causes Acid Reflux Disease?

Several factors may increase your risk for acid reflux disease.

Stomach abnormalities. One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia, which can occur in people of any age. A hiatal hernia happens when the upper part of the stomach and LES (lower esophageal sphincter) move above the diaphragm. This is the muscle wall separating your stomach from your chest. When it works correctly, the diaphragm normally helps keep acid from rising into your esophagus. But if you have a hiatal hernia, it is easier for acid to move up into your esophagus.

Pregnancy. Many women experience acid reflux for the first time during pregnancy. This is caused by increasing levels of hormones combined with pressure from the growing fetus. Usually worst during the third trimester, the symptoms almost always go away after delivery.

Smoking.Smoking may contribute to acid reflux disease by doing any of the following:

Damaging mucus membranes

Impairing muscle reflexes in the throat

Increasing acid secretion

Reducing LES muscle function

Reducing salivation, which neutralizes the effect of acid

Smoking also increases the risk for cancer of the esophagus.

Acid reflux foods. Eating large meals or lying down right after a meal can trigger heartburn or other symptoms of acid reflux disease, such as a dry cough or trouble swallowing. These are some of the common acid reflux foods that trigger symptoms:

Alcohol

Carbonated beverages

Chocolate

Citrus fruits, such as oranges or lemons

Coffee or tea (regular or decaffeinated)

Fatty or fried foods

Foods containing tomato, such as spaghetti sauce, salsa, or pizza

Garlic and onions

Mint

Spicy foods, such as those containing chili or curry

Drinking alcohol also increases the risk of esophageal cancer. The more you drink , the greater the risk. When coupled with smoking, the risk is even greater than for using either alcohol or tobacco alone.

Other causes of acid reflux disease. Other common causes of acid reflux disease include:

Being overweight or obese

Eating a heavy meal and lying on your back or bending over at the waist

Snacking close to bedtime or lying down right after a meal

Taking aspirin or ibuprofen, some muscle relaxers, or certain blood pressure medications

Can acid reflux cause mucus?

In adults and children, irritating acidic juices may back up from the stomach into the esophagus (swallowing passage) and throat. This is frequently called gastroesophageal reflux disease or GERD. This condition may occur at any time, but it happens more often when you are laying down. A common anatomic condition known as a hiatal hernia predisposes people to acid reflux. The most commonly recognized symptom of acid reflux is “heartburn" due to irritation of the lining of the esophagus.

Most people do not know that acid reflux can also cause voice problems or symptoms in the pharynx (back of throat). This can happen to someone even if they are not aware of any heartburn and is sometimes called silent reflux, atypical reflux or laryngopharyngeal reflux.

The following information is intended to help you understand acid reflux and the steps you may take to reduce this problem. It is important to realize, however, that the healing of the irritated vocal folds, throat, or esophagus will take time, and you should not expect immediate results.

Symptoms in Adults

Symptoms of acid reflux may include:

Hoarseness

Excessive mucous or phlegm

Throat clearing

A sensation of a lump in the throat

Sore throat

Choking spells

Wheezing

A sense of post-nasal drip

Singers will often notice:

Increased warm-up time

Sluggish voice (particularly early in the day)

A sense of a “coating" on the vocal folds

In a small percentage of people, more serious problems result, including:

Pneumonia

Ulcers or granulomas of the larynx

Vocal fold scarring or a pouch (diverticulum) of the upper esophagus

There is also a small chance of developing cancer in the esophagus or throat due to long-term acid reflux.

Symptoms in Children

In children, the symptoms can be a little different and may include:

Persistent vomiting

Bleeding from the esophagus

Respiratory symptoms

Choking spells

Recurrent pneumonia

Asthma

Swallowing problems or anemia.

In some cases, unexplained fussiness and crying in children is due to acid reflux

Dietary Factors and Foods to Avoid

Dietary factors often contribute to acid reflux. Certain foods are acids or irritants themselves; others will bring out stomach acid in large amounts. Both should be avoided.

The following list of foods is especially known to be troublesome:

Coffee, tea, chocolate, carbonated beverages, alcoholic beverages, citrus beverages or highly spiced foods

Hard candies, gum, breath fresheners, throat lozenges, cough drops, mouthwashes, gargles, etc., may actually irritate the throat directly (many cough drops and lozenges contain irritants such as menthol and oil of eucalyptus) and will also stimulate the stomach to pour out acid.

Being overweight also contributes to acid reflux; if you are overweight, it would help to lose weight. Large meals at one time are troublesome, and so three or four equal, small feedings are preferable to one or two large meals. One should not eat for 2 or 3 hours before bedtime; it is advisable not to lie down right after eating.

Behavioral and Other Factors

As mentioned above, body weight is a significant factor in promoting reflux of stomach acid, and weight reduction is helpful.

Pregnancy will markedly increase symptoms of heartburn and sometimes throat symptoms as well. This is partly due to the space taken up by the growing infant. One should avoid clothing that fits tightly across the midsection of the body. It is helpful to practice abdominal or diaphragmatic breathing. This means you should concentrate on pushing out the stomach with each breath instead of expanding the chest. Avoid slumping when sitting down. Avoid bending or stooping as much as you can.

For many people, reflux occurs most often at night and sets up the irritation that continues to bother during the daytime. One of the most important things you can do is to elevate the head of your bed. To do this, use blocks, books or bricks underneath the legs at the head of the bed. The elevation should be 4-6 inches or so, but not high enough that you will slide down when sleeping. Professional singers with acid reflux should consider traveling with blocks in their suitcase for use in hotel rooms.

The use of multiple pillows to get the head up is not effective because it causes the body to curl unless the pillows are maintained under the shoulders in addition to the head. Wedge-shaped pillows can be helpful in this regard.

Medications

In addition to dietary and behavioral adjustments, medications are often part of an anti-reflux program. Some are available without a prescription, while others require a prescription. Antacids are commonly used for this problem, and they work by neutralizing stomach acid. Other medications work to decrease stomach acid secretion before it happens and are more effective at controlling symptoms. Medications should be discussed with your physician.

Several different medications that you might be taking for other medical problems may actually increase stomach acid. These include:

Alpha blockers (Dibenzyline), dopamine or calcium channel blockers (Procardia, Cardizem, Isotin, Calan)

Anticholinergics (Donnatol, Scopolamine, Probanthine, Bentil and others)

Aspirin or aspirin-containing compounds and other drugs used for pain or arthritis, especially the group called “non-steroidal anti-inflammatory" drugs or NSAID’s, are especially prone to aggravating this problem in some people

Beta blockers (Inderal, Tenormin, Corgard)

Progesterone (Provera, Ortho Novum, Orval and other birth control pills)

Theophyllin (Theodur and other products)

Vitamin C is also an acid and can cause stomach symptoms

Surgery

In some patients with severe symptoms or complications of acid reflux, surgery can be performed for treatment. If appropriate, your physician will discuss this option with you.

How can I get rid of acid reflux without medication?

A few lifestyle changes are worth trying before resorting to drugs for controlling gastroesophageal reflux.

If you are sounding a little hoarse and have a sore throat, you may be bracing for a cold or a bout of the flu. But if you've had these symptoms for a while, they might be caused not by a virus but by a valve—your lower esophageal sphincter. That's the muscle that controls the passage between the esophagus and stomach, and when it doesn't close completely, stomach acid and food flow back into the esophagus. The medical term for this process is gastroesophageal reflux; the backward flow of acid is called acid reflux.

Acid reflux can cause sore throats and hoarseness and may literally leave a bad taste in your mouth. When acid reflux produces chronic symptoms, it is known as gastroesophageal reflux disorder, or GERD. The most common symptom of GERD is heartburn—pain in the upper abdomen and chest.

Three conditions—poor clearance of food or acid from the esophagus, too much acid in the stomach, and delayed stomach emptying—contribute to acid reflux, says Dr. Jacqueline Wolf, a gastroenterologist and associate professor of medicine at Harvard Medical School and author of A Woman's Guide to a Healthy Stomach: Taking Control of Your Digestive Health.

How to get rid of acid reflux

If you've been having repeated episodes of heartburn—or any other symptoms of acid reflux—you might try the following:

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1. Eat sparingly and slowly

When the stomach is very full, there can be more reflux into the esophagus. If it fits into your schedule, you may want to try what is sometimes called "grazing"—eating small meals more frequently rather than three large meals daily.

2. Avoid certain foods

People with acid reflux were once instructed to eliminate all but the blandest foods from their diets. But that's no longer the case. "We've evolved from the days when you couldn't eat anything," Dr. Wolf says. But there are still some foods that are more likely than others to trigger reflux, including mint, fatty foods, spicy foods, tomatoes, onions, garlic, coffee, tea, chocolate, and alcohol. If you eat any of these foods regularly, you might try eliminating them to see if doing so controls your reflux, and then try adding them back one by one. The Foodicine Health website at www.foodicinehealth.org has diet tips for people with acid reflux and GERD as well as for other gastrointestinal disorders.

3. Don't drink carbonated beverages

They make you burp, which sends acid into the esophagus. Drink flat water instead of sparkling water.

4. Stay up after eating

When you're standing, or even sitting, gravity alone helps keeps acid in the stomach, where it belongs. Finish eating three hours before you go to bed. This means no naps after lunch, and no late suppers or midnight snacks.

5. Don't move too fast

Avoid vigorous exercise for a couple of hours after eating. An after-dinner stroll is fine, but a more strenuous workout, especially if it involves bending over, can send acid into your esophagus.

6. Sleep on an incline

Ideally, your head should be 6 to 8 inches higher than your feet. You can achieve this by using "extra-tall" bed risers on the legs supporting the head of your bed. If your sleeping partner objects to this change, try using a foam wedge support for your upper body. Don't try to create a wedge by stacking pillows. They won't provide the uniform support you need.

7. Lose weight if it's advised

Increased weight spreads the muscular structure that supports the lower esophageal sphincter, decreasing the pressure that holds the sphincter closed. This leads to reflux and heartburn.

8. If you smoke, quit

Nicotine may relax the lower esophageal sphincter.

9. Check your medications

Some—including postmenopausal estrogen, tricyclic antidepressants, and anti-inflammatory painkillers—can relax the sphincter, while others—particularly bisphosphonates like alendronate (Fosamax), ibandronate (Boniva), or risedronate (Actonel), which are taken to increase bone density—can irritate the esophagus.

If these steps aren't effective or if you have severe pain or difficulty swallowing, see your doctor to rule out other causes. You may also need medication to control reflux even as you pursue lifestyle changes.

Does GERD cause chest pain?

Chest pain

Chest pain can make you wonder if you’re having a heart attack. Yet, it can also be one of the many common symptoms of acid reflux.

Chest discomfort that’s related to gastroesophageal reflux disease (GERD) is often called noncardiac chest pain (NCCP), according to the American College of Gastroenterology (ACG).

The ACG explains that NCCP can imitate the pain of angina, which is defined as chest pain coming from the heart.

Learning ways to distinguish the different types of chest pain might put your mind at ease and help you to treat your acid reflux more effectively.

But it’s important to remember that the symptoms of a heart attack need to be taken very seriously. Because a heart attack requires immediate medical attention, seek help if you’re unsure about the reason for your chest pain.

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Location of chest pain

Cardiac chest pain and NCCP can both appear behind your breastbone, making it hard to distinguish between the two types of pain.

Chest pain involving the heart is more likely than reflux-related pain to spread to other parts of your body. These places include your:

arms, especially the upper part of your left arm

back

shoulders

neck

Chest pain stemming from GERD may affect your upper body in some cases, but it’s most often centered either behind your sternum or just underneath it in an area known as the epigastrium.

NCCP is usually accompanied by a burning behind your breastbone and may not be felt as much in the left arm.

Esophageal spasms are the tightening of the muscles around the food tube. They happen when acid reflux or other medical issues cause damage within the esophagus.

In turn, these spasms can cause pain in your throat and the upper area of your chest as well.

What does chest pain feel like?

You may be able to tell what type of chest pain it is by assessing the type of pain you’re feeling.

Common ways that people describe pain associated with heart disease include:

crushing

searing

tight like a vice

heavy like an elephant sitting on the chest

deep

NCCP, on the other hand, may feel sharp and tender.

People with GERD may have temporary, severe chest pain when taking a deep breath or coughing. This difference is key.

The intensity level of cardiac pain stays the same when you breathe deeply.

Reflux-related chest discomfort is less likely to feel like it’s coming from deep within your chest. It may seem like it’s closer to the surface of your skin, and it’s more often described as burning or sharp.

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How can body position affect symptoms?

Ask yourself if your chest pain changes in intensity or goes away completely when you change your body position to figure out the cause of the discomfort.

Muscle strains and GERD-related chest pain tend to feel better when you move your body.

The symptoms of acid reflux, including chest pain and heartburn, may get a lot better as you straighten your body to a sitting or standing position.

Bending and lying down can make GERD symptoms and discomfort worse, particularly right after eating.

Cardiac chest pain keeps hurting, regardless of your body position. But, it can also come and go throughout the day, depending on the severity of the pain.

NCCP associated with indigestion or a pulled muscle tends to be uncomfortable for a long period of time before going away.

Associated symptoms

Assessing other symptoms that occur with chest pain can help you distinguish one form of pain from another.

Pain caused by a cardiac issue can make you feel:

lightheaded

dizzy

sweaty

nauseous

short of breath

numb in the left arm or shoulder

Noncardiac, gastrointestinal causes of chest pain can include a variety of other symptoms, including:

trouble swallowing

frequent burping or belching

a burning sensation in your throat, chest, or stomach

a sour taste in your mouth caused by regurgitation of acid

Other types of chest pain

GERD isn’t the only cause of NCCP. Other causes can include:

a blood clot lodged in the lungs

inflammation of the pancreas

asthma

inflammation of the cartilage that holds the ribs to the breastbone

injured, bruised, or broken ribs

a chronic pain syndrome, such as fibromyalgia

high blood pressure

anxiety

shingles

Diagnosis

You should take chest pain seriously. Speak with your doctor about your symptoms.

Your doctor may perform an EKG or stress test. They may also draw blood for tests to rule out heart disease as the underlying cause if you don’t have a prior history of GERD.

Usually, a full medical history and testing can help your doctor find the reason for your chest pain and put you on the road to recovery.

The Healthline FindCare tool can provide options in your area if you need help finding a primary care doctor.

Treatment of chest pain

Chest pain that accompanies frequent heartburn can be treated with proton pump inhibitors (PPIs). A PPI is a type of medication that reduces acid production in your stomach.

A prolonged trial of PPI drugs can help relieve symptoms so that noncardiac-related chest pain will no longer be a part of your life.

Your doctor may also recommend cutting out certain types of food that can trigger symptoms, such as fried foods, spicy foods, and citrus fruits.

People can have different food triggers, so it can help to keep a record of what you ate before you experienced heartburn.

If you think your chest pain is heart-related, seek emergency care. Your individual treatment will depend on what your doctor determines is the cause.

1. What is Apple cider vinegar?

2. Does Apple cider vinegar help in weight loss?

3. What to know before consuming Apple cider vinegar for weight loss?

People often try to use Apple cider Vinegar for various digestive issues including reflux symptoms, weight loss and other general wellbeing such as better blood sugar control and to maintain skin health etc. Here is a logical discussion of the scientific facts behind the practice.

Isometric obesity unhealthy diet lifestyle

What is Apple cider vinegar?

Vinegar is obtained by fermentation of dilute alcohols such as beer, wine and cider. It contains acetic acid and tastes sour. It is one of the most commonly used acidic condiments across many civilizations since ancient times. Apple cider vinegar is obtained by adding bacteria and yeast to crushed apple juice. In the first step, the yeast converts sugars to alcohol. In the second step, bacteria convert alcohol into acetic acid.

Does Apple cider vinegar help in weight loss?

Many people take a small amount of apple cider vinegar for their reflux symptoms (Heartburn) with an assumption that it will reduce the amount of acid production by the stomach. There is no strong clinical research supporting the use of Apple cider Vinegar for Gastro oesophageal reflux (GERD). However, there is some published data to say it has plenty of antioxidants and helps in better sugar control, reduce fats, improve blood pressure and enhance immunity. But being an acid itself, it is not logical to assume that it will help in reducing acid-related reflux symptoms. Small clinical trials done on diabetic patients have clearly shown it to reduce gastric emptying time as well (time taken by ingested food to get emptied from the stomach), thereby leading to an imbalance of blood glucose levels. Delayed gastric emptying means more time for acid sitting in the stomach and thereby leading to more reflux into the oesophagus.

Apple cider vinegar help in weight loss

What to know before consuming Apple cider vinegar for weight loss?

Being acetic acid, apple cider vinegar can lead to caustic injury to the esophageal mucous lining if the concentration exceeds 20%. As the consumer market in this segment is poorly regulated, taking vinegar for the control of reflux symptoms can be counterproductive and prove to be dangerous.

Apple cider vinegar has no scientific basis to help reflux symptoms and is also not supported in any clinical research. On the other hand, it can be harmful if consumed in excess. Lifestyle modifications and minimum doses of antacids or PPIs (with doctor’s prescription) is a better way to keep a check on acid-related reflux symptoms or heartburn.

I’ve always thought it sounded counterintuitive to use an acid to alleviate indigestion, but the number of times I’ve heard people treat their symptoms of heartburn with apple cider vinegar is too large to count. So, I decided to look into whether this strategy works, and to do some investigation about the idea behind its use. To my surprise, there is no research published in medical journals that addresses using raw apple cider vinegar to treat heartburn, despite widespread use and recommendations from blogs and websites.

What is heartburn?

Heartburn is most commonly caused by stomach acid contents traveling up into the esophagus, the pipe that connects the mouth to the stomach. Unlike the stomach, the esophagus is not used to the presence of acid. The stomach acid irritates the esophagus, leading to several symptoms including throat clearing, burning sensation in the chest and neck, sour sensation in the mouth, cough, and bloating. It is not a pleasant feeling. It's what we call GERD, or gastroesophageal reflux disease.

There are several reasons why gastric contents move up into the esophagus instead of going down to the bowel. The relaxation of the lower esophageal sphincter (LES), a valve that sits between the esophagus and the stomach, is the most common culprit. The LES is usually closed, creating a contained system to digest food. But it opens from time to time, to let air out in the form of belching. Reflux mostly happens when the valve relaxes too much, or too often. It allows not only gas but also gastric acid to move up, causing the discomfort.

There is a theory stating that what controls the LES is the stomach’s acidity. If for some reason the stomach is not producing enough acid, the muscles around the LES would relax, resulting in more reflux. However, the mechanism that controls this valve is much more complex than the level of gastric acidity. It involves a complex network of involuntary muscles and several different hormones and neurotransmitters.

Medications for heartburn

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The gold standard to treat heartburn is to take an over-the-counter class of medications called proton pump inhibitors (PPIs) that reduce stomach acidity. Using these drugs will not prevent reflux, but can reduce inflammation in the esophagus, allowing it to heal. Avoid taking these medications for more than a month, unless recommended by your doctor. It is not unusual to become used to PPIs. After taking them for a few weeks it may be hard to wean off of them, because stopping can cause rebound symptoms. PPI side effects are minimal, but long-term use can cause osteoporosis, infections, and a decrease in the absorption of nutrients.

Antacids and medications such as ranitidine and famotidine (H2 blockers) may work well and have fewer side effects, but if these strategies do not make you feel better within a few weeks, it is a good idea to consult with your doctor. Although rare, heartburn could be a sign of other serious illnesses.

Self-help measures for heartburn

Another approach that may be quite effective and free of side effects is to change specific behaviors:

Avoid foods known to cause heartburn: coffee, chocolate, alcohol, fatty foods, tomato, spicy foods, and acidic foods.

Avoid lying down for at least two to three hours after a meal.

Eat small meals.

Lose weight if you need to.

Don’t smoke, and if you already do, try to quit.

But what about taking apple cider vinegar for heartburn? Since we have no data to support the effectiveness or safety of its use for heartburn, it's probably a good idea to stick to drizzling this deliciousness on colorful salads for now.

Chronic acid reflux, also known as gastroesophageal reflux (GER), may be a sign of gastroesophageal reflux disease (GERD). Acid reflux occurs when the contents of your stomach come back up into the esophagus. This causes the esophageal lining to burn, and over time can result in severe damage to the organ.

Apple cider vinegar (ACV) is an acetic acid with other substances, such as lactic, citric, and malic acids, as well as bacteria. People add it to their diets because some believe that not enough acid can signal your brain to relax the lower esophagus sphincter (LES) valve.1 Adding acid from ACV may help balance stomach acids to optimal working levels.

People also claim raw apple cider vinegar offers probiotic benefits that can help with digestion.2

Making homemade apple cider vinegar drink

TARIK KIZILKAYA / Getty Images

What Causes Acid Reflux

There may be several reasons why you’re experiencing acid reflux, and all of them have to do with the LES valve weakening or loosening.3

All of the following can contribute to the loosening and weakening of the LES:1

Smoking

Alcohol

Medications

Increased abdominal pressure from obesity or pregnancy

A stomach hernia

Chronic acid reflux with GERD is more than acid reflux from time to time. It’s a frequent, even daily, ordeal.1

Some people experience acid reflux after eating or drinking:3

Spicy foods, which include minty foods

Acidic fruits and fruit juices, such as citrus and tomatoes

Coffee, chocolate, and other sources of caffeine

Fast food and fried foods

Carbonated beverages, such as soda and tonic water

Alcoholic drinks

Eating within three hours of bedtime may also cause acid reflux.

A Week's Worth of Acid Reflux-Friendly Breakfast Ideas

What the Science Says

There isn’t enough clinical research showing ACV is a good remedy for acid reflux or GERD,4 but one study notes that ACV may be useful when taken before meals with other dietary supplements, including magnesium citrate, probiotic supplementation, and deglycyrrhizinated licorice (DGL).5

In the study, participants saw significant improvement in their symptoms. However, they also also made dietary and lifestyle changes.5 Therefore, it’s not clear how much of the change was influenced by the apple cider vinegar.

How to Use Apple Cider Vinegar As a Home Remedy

If you want to try ACV for your acid reflux or GERD, dilute the ACV in warm water first:2

Add a teaspoon of apple cider vinegar to a mug of warm water.

Drink before or after a meal.

Alternatively, you can take a capsule of dehydrated apple cider vinegar. It is sometimes blended with other herbal remedies.

Talk to your healthcare provider before trying to manage your acid reflux with herbal remedies like ACV. Apple cider vinegar should never be used as a replacement for prescriptions or over-the-counter medications suggested by a medical professional.

Safety and Side Effects

While the risk of trying ACV for GERD is low, there are some potential side effects, especially if you have GERD. After all, apple cider vinegar is corrosive.

Drinking straight apple cider vinegar or large quantities of diluted ACV is never recommended. You should also not have APV when trying to heal an ulcer.6

Even diluted ACV can cause:6

Throat irritation, including the urge to cough or clear the throat

Tissue burning in the mouth, esophagus, or stomach

Tooth enamel erosion, which can promote cavities

You should talk to your healthcare provider about:7

Medication interactions like diabetes medications, laxatives, diuretics, blood thinners, and heart disease medicines

The delay in your stomach’s ability to empty, sometimes caused by ACV

Other Treatments for GERD

Other over-the-counter (OTC) drugs, prescription medications, and lifestyle changes may help with GERD.

Over-the-Counter Medications

OTC options to treat acid reflux or GERD include:8

Antacids such as Gaviscon (aluminum hydroxide magnesium) or Pepto Bismol (bismuth subsalicylate), which can neutralize stomach acid

H2 receptor blockers like Pepcid AC (famotidine) and Zantac 75 (ranitidine), which are stomach acid production blockers

Proton pump inhibitors (PPIs) like Prilosec (omeprazole) and Prevacid (lansoprazole), which prevent specific cells from pumping acid into the stomach

Natural Remedies for Acid Reflux

Prescriptions

If OTC options don’t work, your healthcare provider may prescribe treatments, including:9

Prokinetics: These help control acid reflux while strengthening the LES and causing the stomach contents to empty faster. Examples include Propulsid (cisapride) and Reglan (metoclopramide).

H2 receptor blockers: Prescriptions of these medications contain higher doses of active medication.

Proton pump inhibitors (PPIs): Prescriptions of these medications contain higher doses of active medication.

Higher doses of medication come with added risks, however, such as an increased bone fracture risk associated with prescription PPIs.10

Lifestyle Changes

Some lifestyle changes may help you manage your acid reflux or GERD:11

Avoid food and drink triggers, or consume in moderation.

Wait a few hours after eating to lie down.

Raise your head (elevate at one end) when you lie down to sleep or nap.

Keep your head elevated while sleeping to allow for proper airflow.

Sleep on your left side with your head elevated to reduce nighttime reflux.

Quit smoking, and avoid secondhand smoke.

Lose weight, if necessary.

12 Easy Ways to Rid Yourself of Acid Reflux

Summary

While there are many claims about apple cider vinegar’s health benefits, there isn’t enough research to support its use as a treatment for acid reflux or GERD. Consult your healthcare provider about possible side effects or potential interactions before taking apple cider vinegar.

A Word From Verywell

It’s good to take an interest in preventing and managing symptoms of acid reflux at home, but remember that ACV’s benefits are not yet proven. If you feel better after taking ACV with water or taking ACV pills before meals, that’s great. Just don’t rely on ACV to do all the work.

30 Days of Apple Cider Vinegar vs 15 years of GERD/Reflux

It’s probably best to make the appropriate lifestyle and dietary changes. And if that doesn’t help or acid reflux is becoming a chronic problem, talk to your healthcare provider about other treatment options, including OTC drugs and prescription medications.

Can acid reflux affect your lungs?

Acid reflux and gastroesophageal reflux disease (GERD) are closely related, but they are not the same thing. Acid reflux is the common name for gastroesophageal reflux (GER). Acid reflux/GER refers to stomach acid flowing back into the esophagus. GERD is diagnosed when mild acid reflux occurs two or more times per week, or moderate to severe acid reflux occurs one or more times per week.

Lifestyle changes and over-the-counter medications help many people with GERD, but some people may need prescription medications or surgery to manage GERD.

Gastroenterology Consultants of San Antonio - GERD & Acid Reflux

What is Acid Reflux?

Acid reflux, or gastroesophageal reflux, is when the liquids in the stomach flow back into the esophagus.

When you eat, food flows through the esophagus and into the stomach. In between the esophagus and stomach is a circular muscle called the lower esophageal sphincter (LES). During normal function, the LES relaxes to let food through and then contracts to prevent backflow into the esophagus.

Even in healthy people, stomach acid may occasionally wash back into the esophagus. These are normally brief periods without symptoms.

What is GERD?

Acid Reflux/GER becomes GERD (gastroesophageal reflux disease) when it causes injury to the esophagus or bothersome symptoms. Damage to the esophagus is more likely when acid reflux is frequent, happening 2 or more times per week.

GERD Symptoms

Heartburn – a burning sensation in your chest, most often after eating. Heartburn may be worse at night when you lay down.

Chest pain

Trouble swallowing

Regurgitating food or sour liquid

Feeling like there is a lump in your throat

Acid reflux at night may cause:

Coughing

Laryngitis

Asthma

Sleep disruption

When to see a doctor: If you have chest pain, shortness of breath, or pain in your jaw or arm – seek immediate care. These could be signs of a heart attack.

Schedule an appointment with a GERD specialist if you:

Have frequent or severe symptoms of GERD

Take over-the-counter heartburn medications two or more times per week

GERD Causes

Frequent acid reflux causes GERD.

The lower esophageal sphincter (LES) keeps stomach acid from washing back into the esophagus. If the LES is weakened, stretched, or abnormally relaxed, stomach acid can flow back into the esophagus (acid reflux).

The acidic fluid can irritate and damage the lining of the esophagus, often causing inflammation and over time, more serious conditions.

GERD Risk Factors

Conditions that increase the risk of GERD include:

Obesity

Hiatal hernia (weakening in the diaphragm, causing the stomach to slip through the diaphragm into the chest)

Pregnancy

Connective tissue disorders (e.g. scleroderma)

Gastroparesis (delayed stomach emptying)

Lifestyle factors can increase the risk of acid reflux and GERD:

Smoking

Eating large meals

Eating late at night or laying down after eating

Eating fatty or fried foods

Drinking alcohol or coffee

Taking certain medications (e.g. aspirin)

GERD Diagnosis

Your doctor may be able to diagnose GERD or acid reflux by examining your medical history, discussing your signs and symptoms, and performing a physical exam.

It’s important to rule out other conditions or complications while confirming the diagnosis of GERD.

To do this, your doctor may recommend:

Upper Endoscopy – This is a common procedure used to inspect and evaluate the esophagus. A small, flexible tube with a light and camera are passed through the esophagus, stomach, and small intestine. This allows your doctor to evaluate any damage to the esophagus caused by acid reflux or GERD. Your doctor may remove a small tissue sample (biopsy) for further testing.

Complications of GERD and Acid Reflux

Ulcers – Stomach acid in the esophagus can cause ulcers. These ulcers have the potential to bleed. To check for bleeding ulcers, your doctor may recommend a stool sample test called hemocult.

Stricture – Damage caused by acid reflux can cause the esophagus to scar and narrow. This is called stricture. Over time, stricture could cause a blockage of food and require treatment. The scar tissue is a result of ulcers that occur and heal over time.

Lung and throat problems – Acid reflux in the throat could lead to irritation or inflammation of the vocal cords or a sore throat. If the acid is inhaled into the lungs, it could cause aspiration pneumonia or symptoms of asthma. If the acid reflux is chronic, it could eventually cause permanent lung damage including pulmonary fibrosis or bronchiectasis.

Barrett’s esophagus – Barrett’s esophagus occurs when the cells in the lower esophagus transform. The transformation is usually caused by damage to the esophageal lining, most often from chronic acid reflux or GERD. There is a small chance these cells may develop into cancer. Patients with Barrett’s esophagus should have an upper endoscopy done periodically to look for early signs of cancer.

Esophageal cancer – Barrett’s esophagus is a major risk factor for developing esophageal cancer. The rate of esophageal cancer is on the rise, but relatively few people with GERD develop Barrett’s esophagus and even fewer people with Barrett’s esophagus develop esophageal cancer.

GERD Treatment

Reducing acid in the esophagus is the goal of treatment for GERD and acid reflux. Your doctor will likely recommend lifestyle changes and over the counter medications at first. If these do not work, your doctor may recommend prescription medications or surgery for GERD.

Antacids

Antacids may provide short-term relief from acid reflux. They are available over the counter and include products like Tums®, Maalox®, and Mylanta®.

Histamine antagonists

Histamine antagonists reduce acid production in the stomach, but may not be as effective as proton pump inhibitors.

Histamine antagonists available in the US include ranitidine (Zantac®), famotidine (Pepcid®), cimetidine (Tagamet®), and nizatidine (Axid®).

Lifestyle changes

Changes in diet and lifestyle may be effective for some people. You may decide to try these before seeking medical treatment for mild symptoms of acid reflux. If you have severe symptoms, you should be evaluated by a doctor for treatment.

Lose weight – Those who are overweight may see a reduction in acid reflux by losing weight. Weight loss has numerous other health benefits, including a reduced risk of diabetes and heart disease.

Raise the head of your bed 6-8 inches – Some people who experience nighttime acid reflux may benefit from elevating the head of their bed 6 to 8 inches. This may help keep stomach acid from entering the esophagus.

Avoid Smoking – Saliva helps neutralize stomach acid, but smoking can impact saliva production and the chemical balance. Smoking can also cause a pressure reduction in the muscle that stops stomach acid from entering the esophagus. This muscle is called the Lower Esophageal Sphincter, or LES.

Chew gum or use oral lozenges – These may help increase saliva production which may help clear the esophagus of stomach acid.

Avoid Fatty Foods – Fatty foods take longer to digest in your stomach and cause additional acid production. You can still enjoy lean meats, fish, poultry, etc.

Avoid Caffeine – Too much caffeine can relax the LES that keeps stomach acid from entering the esophagus.

Avoid Chocolate – The acidity in cocoa powder, caffeine content, and ingredients that may cause loosening of the LES make chocolate a triple threat. Many people may not see symptoms from eating chocolate in moderation. Chocolate may be more likely to cause issues when combined with other possible triggers like eating right before bed.

Avoid Peppermint – Peppermint candies, oil, and teas get much of their distinct flavor from their menthol content. The numbing/soothing effect of menthol can relax the LES and cause acid reflux. Try spearmint as an alternative, which has significantly less menthol content.

Avoid Overeating – When you’re stomach is overly full, your LES may have trouble closing completely, which could cause acid reflux.

Avoid Eating Before Bed – Eating while lying down or going to bed soon after eating can increase acid reflux. When upright, your body has gravity’s help to keep stomach acid from entering the esophagus. Lying down makes it easier for stomach acid to flow into the esophagus causing acid reflux. Try to eat two or three hours prior to bedtime.

Avoid Tight-Fitting Clothes – Tight clothing may cause acid reflux by constricting the stomach and forcing acid into the esophagus. Examples include belts, tight pants, shapewear (e.g. Spanx), or other constraining clothing.

Avoid Heavy-Lifting – Strenuous exercises that constrain the abdomen, including heavy lifting or stomach crunches, can cause acid reflux. In general, exercise and weight loss are good for controlling GERD and acid reflux. Your doctor can help recommend the best exercise routine for your goals.

Proton pump inhibitors

Most people with moderate to severe acid reflux are treated with proton pump inhibitors (PPIs). PPIs include omeprazole (Prilosec®), esomeprazole (Nexium®), lansoprazole (Prevacid®), dexlansoprazole (Kapidex®), pantoprazole (Protonix®), and rabeprazole (Aciphex®).

A typical PPI treatment lasts 8 weeks. Using the lowest possible dose of these medications that manage symptoms or prevents complications is the best strategy.

If your symptoms are not managed by a PPI, your doctor may recommend a different PPI or using a stronger dose. Additional testing may be necessary to determine the next course of treatment.

GERD Surgery

Surgery for GERD is often not necessary due to advances in medical therapy. However, if your condition does not respond to other therapies, your doctor may recommend a surgical option.

Typically, the goal of GERD surgery is repairing the hiatus hernia or strengthening the lower esophageal sphincter.

Laparoscopic Nissen fundoplication is the most common surgical treatment for GERD. This procedure wraps the lower part of the stomach around the lower end of the esophagus.

Your doctor will discuss the risks and complications of GERD surgery, which include a sense of bloating/gas, difficulty swallowing, and diarrhea.

Acid Reflux and GERD Testimonials

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What is GERD anxiety?

Overview

Gastroesophageal reflux disease (GERD) is a chronic condition in which stomach acid flows back up into your esophagus. It’s not uncommon to experience acid reflux on occasion, but acid reflux that occurs at least twice a week is considered GERD.

Anxiety is your body’s natural response to stress, but severe anxiety or anxiety that lasts a few months and interferes with your life may indicate an anxiety disorder.

Both conditions are on the rise. An estimated 18 to 28 percent of people in North America have GERD and 18.1 percent of adults in the United States have an anxiety disorder.

The two may seem completely unrelated, but researchers believe there may be link between GERD and anxiety, though the nature of that link is unclear.

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What causes GERD?

GERD is caused by frequent acid reflux, which occurs when stomach acid flows back up into your esophagus, irritating its lining and sometimes causing inflammation. There are certain conditions that can increase your risk of GERD, including:

obesity

hiatal hernia

delayed stomach emptying

pregnancy

Certain lifestyle factors may worsen acid reflux, including poor eating habits, such as eating large meals, lying down while — or shortly after — eating, or eating fried or fatty foods. Stress, which is closely linked to anxiety, is also known to worsen acid reflux.

GERD connection to anxiety

A 2015 studyTrusted Source found that anxiety and depression increase the risk of GERD, and other studiesTrusted Source have found that GERD’s negative effect on quality of life increases anxiety and depression, creating a vicious cycle. Yet there is no scientific evidence that positively links anxiety to increased stomach acid.

A few studies, including a recent study published in the medical journal Gastroenterology, shows that many people with anxiety and GERD symptoms have normal esophageal acid levels.

However, several studiesTrusted Source have found that anxiety seems to increase symptoms associated with GERD, such as heartburn and upper abdominal pain. It’s believed that anxiety may make you more sensitive to pain and other symptoms of GERD.

Anxiety and other psychological distress may also impact esophageal motility and the functioning of your lower esophageal sphincter. Esophageal motility refers to the contractions that occur in your esophagus to move food toward your stomach.

Your lower esophageal sphincter is a ring of muscle around your lower esophagus that relaxes to allow food and liquid into your stomach and closes to prevent the contents of your stomach from flowing back up.

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Symptoms of GERD and anxiety

GERD and anxiety can cause a number of different symptoms, though there are a few that both conditions seem to have in common.

GI issues, such as heartburn, nausea, and stomach pain are common symptoms of both conditions. Another symptom common in both is globus sensation, which is the painless feeling of a lump in your throat or a tightening or choking sensation.

Apple Cider Vinegar vs Acid Reflux - 6 Months Later plus FAQ

People who experience globus sensation also often have hoarseness, a chronic cough, or a persistent need to clear their throat, which are also common symptoms caused by GERD and acid reflux.

Disrupted sleep is also a common symptom of both conditions. Acid reflux may be worse when lying down, which can cause you to wake up often. Anxiety affects your sleep pattern and can make it hard for you to fall asleep or stay asleep.

Other symptoms of GERD include:

chest pain

difficulty swallowing (dysphagia)

regurgitation of sour liquid or food

Other symptoms of anxiety include:

feeling restless or nervous

a sense of impending doom or danger

rapid heartrate

hyperventilation

difficulty controlling worry

chest tightening or pain

Both conditions can cause chest pain and other symptoms that are also symptoms of a heart attack. Call 911 if you have chest pain, especially if it is accompanied by shortness of breath or arm or jaw pain.

Treating GERD and anxiety

Treating GERD and anxiety may require a combination of medications for both conditions, though acid-suppressing drugs commonly used to treat GERD have been found to be less effective in people whose symptoms are related to anxiety.

Home remedies for GERD and anxiety may also help reduce your symptoms.

Medical treatments and medication for GERD and anxiety

A doctor may recommend a combination of the following to treat GERD and anxiety:

over-the-counter (OTC) antacids, such as Tums and Rolaids

H-2-receptor blockers (H2 blockers), such as famotidine (Pepcid) and cimetidine (Tagamet)

proton pump inhibitors (PPIs), such as esomeprazole (Nexium) and rabeprazole (Aciphex)

selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) and citalopram (Celexa)

benzodiazepines, such as alprazolam (Xanax) and lorazepam (Ativan)

serotonin-norepinephrine reuptake inhibitors (SNRIs), such as duloxetine (Cymbalta) and venlafaxine (Effexor)

psychotherapy, such as cognitive behavioral therapy (CBT)

At-home remedies

There are things that you can do at home that may help relieve symptoms of GERD and anxiety. A doctor may recommend that you try these before medication or in combination with medical treatment.

At-home remedies include:

eat a healthy diet

avoid foods that trigger acid reflux or heartburn

get regular exercise, such as going for walks

try relaxation techniques, such as yoga, tai chi, or meditation

avoid caffeine and alcohol

Takeaway

Even though researchers don’t yet fully understand the connection between GERD and anxiety, it’s known that anxiety and stress can trigger or worsen symptoms related to GERD.

You may be able to relieve many of your symptoms of both conditions using at-home remedies, but both conditions do warrant a visit to a doctor. Treatments are available that can help you manage or prevent both conditions.

GERD and anxiety can both cause chest pain, which is also a symptom of a heart attack. Get emergency medical care for any new chest pain, especially if you also have shortness of breath, or arm or jaw pain.

How do I get rid of mucus in my throat from acid reflux?

Phlegm is a type of mucus produced in the lungs and lower respiratory tract. It is most noticeable when a person is acutely sick or has a longstanding health condition.

Mucus forms a protective lining in certain parts of the body, even when a person is well. Mucus keeps these areas from drying out and helps to defend against invaders, including viruses and bacteria.

Though a healthy body requires some mucus, too much can be uncomfortable. Excess may be caused by:

infections, such as the common cold or flu

allergies

irritation of the nose, throat, or lungs

digestive conditions, such as gastroesophageal reflux disease

smoking tobacco products

lung diseases, such as pneumonia, lung cancer, cystic fibrosis, or chronic obstructive pulmonary disease

How to get rid of phlegm and mucus

Drinking fluids, keeping the head elevated, and using nasal sprays may help to get rid of phlegm and mucus.

Taking the following actions can help to eliminate excess mucus and phlegm:

1. Keeping the air moist. Dry air irritates the nose and throat, causing more mucus to form as a lubricant. Placing a cool mist humidifier in the bedroom can promote better sleep, keeping the nose clear and preventing a sore throat.

2. Drinking plenty of fluids. The body needs to stay hydrated to keep mucus thin. When a person is sick with a cold, drinking extra fluids can thin the mucus and help the sinuses to drain. People with seasonal allergies may also find that staying hydrated helps to avoid congestion.

3. Applying a warm, wet washcloth to the face. This can be a soothing remedy for a pounding sinus headache. Inhaling through a damp cloth is a quick way to return moisture to the nose and throat. The heat will help to relieve pain and pressure.

4. Keeping the head elevated. When the buildup of mucus is particularly bothersome, it may help to sleep propped up on a few pillows or in a reclining chair. Lying flat can increase discomfort, because it may feel as though mucus is collecting at the back of the throat.

5. Not suppressing a cough. It may be tempting to use suppressants when experiencing a nagging, phlegm-filled cough. However, coughing is the body’s way of keeping secretions out of the lungs and throat. Use cough syrups sparingly, if at all.

6. Discreetly getting rid of phlegm. When phlegm rises from the lungs into the throat, the body is likely trying to remove it. Spitting it out is healthier than swallowing it.

A saline nasal spray or rinse may help to clear out mucus.

7. Using a saline nasal spray or rinse. A saline spray or irrigator can clear out mucus and allergens from the nose and sinuses. Look for sterile sprays that contain only sodium chloride, and be sure to use sterile or distilled water when irrigating.

8. Gargling with salt water. This can soothe an irritated throat and may help to clear away residual mucus. One teaspoon of salt in a glass of warm water can be gargled several times per day.

9. Using eucalyptus. Eucalyptus products have used to subdue coughs and reduce mucus for years. They are usually applied directly to the chest. A few drops of eucalyptus oil can also be added to a diffuser or a warm bath to help clear the nose.

10. Not smoking and avoiding secondhand smoke. Smoking and secondhand smoke cause the body to produce more phlegm and mucus.

11. Minimizing the use of decongestants. While they dry secretions and can alleviate a runny nose, decongestants may make it harder to get rid of phlegm and mucus.

12. Taking the right medicine. Medications known as expectorants can help to thin mucus and phlegm, making them easier to cough or blow out. However, check to make sure that these medications do not also contain decongestants.

13. Keeping allergies in check. Seasonal allergies can lead to a runny or stuffy nose, as well as excess mucus and phlegm.

14. Avoiding irritants. Chemicals, fragrances, and pollution can irritate the nose, throat, and lower airways. This causes the body to produce more mucus.

15. Keeping track of food reactions. Some foods can cause reactions that mimic seasonal allergies. They may cause the nose to run and the throat to itch, leading to excess mucus. Make a record of any foods that trigger an increase in phlegm or mucus.

16. Avoiding alcohol and caffeine. Both substances lead to dehydration if consumed in excess. When mucus and phlegm are an issue, drink plenty of warm, non-caffeinated beverages.

17. Taking a hot bath or shower. Time spent in a steam-filled bathroom will help to loosen and clear mucus in the nose and throat. Allowing hot water to pulse on the face can also bring relief from sinus pressure.

18. Blowing the nose gently. It may be tempting to keep blowing until thick mucus comes out. However, doing so too forcefully may hurt the sinuses, leading to pain, pressure, and possibly infection.

19. Eating plenty of fruit. One study found that a diet rich in fiber from fruit, and possibly soy, may lead to fewer respiratory problems linked to phlegm.

20. Avoiding foods that cause acid reflux. Acid reflux can lead to an increase in phlegm and mucus. People prone to heartburn should avoid trigger foods and ask a doctor about proper management.

When to see a doctor

Antibiotics should not be taken to treat mucus unless prescribed by a doctor.

Mucus is not usually a serious concern.

Many believe that colored mucus coming from the nose indicates a bacterial infection. However, it may instead show that the immune system is fighting a virus, or that a person is merely dehydrated.

Because yellow or green mucus from the nose does not necessarily signal a bacterial infection, the Centers for Disease Control and Prevention (CDC) warn that a person does not need antibiotics based on this symptom alone. Antibiotics cannot treat viruses, and overuse may cause other health problems.

Outside research has confirmed that the color of phlegm is not a good indicator of bacterial infection in otherwise healthy adults who have acute coughs.

However, coughing colored phlegm from the lungs can indicate a bacterial infection or other illness, and may need to be evaluated by a doctor.

Takeaway

Most causes of phlegm and mucus are minor illnesses that must be allowed to run their course.

Occasionally, excess phlegm and mucus can indicate a more serious condition. See a doctor if the problem is severe, persistent, or does not improve with rest and home remedies.

The essential oils listed in this article are available for purchase online.

Does Coke help acid reflux?

A person with acid reflux or heartburn might feel a burning, often painful sensation in their throat and chest. They may need to exclude certain foods or drinks from their diet.

Acid reflux occurs when the valve that connects the stomach to the esophagus, or food pipe, is weakened. When this happens, stomach acid flows back into the food pipe.

Because stomach acid is an irritant, the lining of the food pipe also becomes inflamed, and this can cause discomfort.

Acid reflux or heartburn is one of the most common symptoms of a more chronic, yet common, disease of the digestive system called gastroesophageal reflux disease (GERD).

This article explains the drinks that people who experience acid reflux should not consume, as well as beverages that can serve as a replacement.

Drinks to avoid

Caffeine can aggravate acid reflux symptoms.

Certain beverages pose a particularly high risk when it comes to triggering acid reflux.

Managing the symptoms of acid reflux mainly involves learning and avoiding the triggers. Certain foods and drinks are much more likely to cause acid reflux.

As acid reflux tends to occur quite soon after eating the trigger food, it is usually easy to narrow down the exact cause of the symptoms.

Alcohol

Alcohol further relaxes the valve between the stomach and the food pipe, and it stimulates the stomach to produce more acid.

Carbonated beverages

The bubbles in carbonated beverages expand in the stomach. This puts pressure on the sphincter and can push stomach acid and contents back into the food pipe.

Caffeinated beverages

Coffee, tea, and soda contain caffeine, and this chemical aggravates acid reflux. Switching to decaffeinated versions of these drinks can help minimize the symptoms.

Chocolate

Chocolate contains both caffeine and cocoa, and both of these increase the symptoms of acid reflux. Hot cocoa or chocolate milk can, therefore, act as a trigger.

Citrus juices

Juices made from citrus fruits, like oranges or grapefruits, are highly acidic. This can worsen acid reflux.

What to drink

There are a limited range of foods that can treat acid reflux.

Avoiding the triggers and foods that cause the symptoms is the best way to soothe the effects of the condition. However, some drinks can help reduce symptoms.

Ginger tea

Ginger tea can help soothe the stomach.

Ginger naturally soothes the stomach and can help reduce the production of stomach acid. Caffeine-free ginger tea, with a little honey added as a sweetener, is the best way to consume ginger tea for a person with reflux.

There is an excellent range of different ginger teas available to buy online from a source with thousands of customer reviews. Click here to learn more.

Ginger ale is unlikely to help, because it is carbonated and may contain caffeine. Most commercial ginger ale sodas also do not contain enough ginger to have an effect.

Yogurt

Dairy products can sometimes reduce the symptoms of acid reflux. People with acid reflux can try a plain yogurt and add some honey for sweetness if needed.

Click here to choose from a wide range of plain yogurts online.

Milk

Low-fat or fat-free varieties of milk can help, but fat content can worsen symptoms. Almond milk can also be effective, as it is alkaline and can neutralize acidity.

Drinking best practices

The way that a person drinks beverages can also worsen acid reflux or heartburn.

Here are some effective methods for reducing symptoms:

Drink throughout the day to stay hydrated, and avoid drinking large quantities in one sitting.

Do not consume beverages late at night.

Stay in an upright position after having something to drink.

More tips

Other self-care measures can help to manage acid reflux and other symptoms of GERD include:

managing body weight

quitting smoking

elevating the head of the bed while sleeping

avoiding clothes with a tight fit

Medications

A number of medications are available over the counter (OTC) for heartburn and other symptoms of GERD.

These include:

antacids that neutralize stomach acid, such as Gaviscon or Tums. Various antacid brands are available to buy online

H-2-receptor blockers that can decrease acid production in the stomach for up to 12 hours

proton pump inhibitors (PPIs) that block acid production for long enough to enable the food pipe to heal

H-2 receptor blockers and PPIs are available from a doctor in a stronger, prescription-only form if OTC medications are not effective. Long-term use may increase the risk of bone fracture, vitamin B-12 deficiency, and certain infections, such as pneumonia and Clostridium difficile.

Symptoms

Symptoms of GERD include:

Apple Cider Vinegar (ACV) vs Acid Reflux / GERD - The One Year Update and FAQ

acid reflux or heartburn, which is a burning sensation in the throat or chest

a sour taste in the mouth

difficulty swallowing

chest pain

a sore throat

a hoarse voice

dry cough

a feeling as if there is a lump in the throat

regurgitating of food or acid

Acid reflux is usually a mild but uncomfortable symptom of GERD.

Pregnancy can cause acid reflux.

Other people have more serious symptoms of GERD that interfere with daily function.

Some medical conditions increase the risk of severe GERD symptoms, including:

obesity

pregnancy

nicotine use

dry mouth

diabetes

certain connective tissue disorders

hiatal hernia, where the stomach bulges through an opening of the diaphragm

If a person experiences regular and severe episodes of acid reflux or heartburn, they should see a doctor, as it might develop into a more serious condition.

When to see a doctor

Acid reflux, though uncomfortable, is highly treatable.

Some cases can be easily managed at home with some lifestyle changes and the avoidance of triggers. Severe symptoms of GERD may require the use of medication, or in rare cases, surgery.

If an individual has severe or frequent symptoms of acid reflux, they should visit their doctor to rule out other conditions. However, people with occasional or mild reflux can usually keep the condition in check with simple lifestyle changes, home remedies, and OTC medications.

The doctor may want to examine the food pipe to check for any more serious damage to the tissue.

It is especially important to seek medical attention if someone thinks they are experiencing acid reflux or any other symptoms of GERD, but has other symptoms including chest pain, shortness of breath, jaw pain, or right arm pain.

These signs may indicate a more serious health problem, such as a heart attack.

Can I drink alcohol, soda, and caffeine if I have reflux?

Some foods can weaken the lower esophageal sphincter and make reflux worse. The most common culprits are alcohol, soda, and caffeine. It is, therefore, best for a person with reflux to avoid these drinks as much as possible.

How should I sit if I have acid reflux?

If you are one of the millions who suffer from gastro esophageal reflux disease (GERD), you have most likely have tried many of the recommended meds and dietary restrictions to reduce those nasty symptoms. If making those changes hasn’t really helped much, it might be time to look at the connection between posture and GERD.

To Slouch Or Not To Slouch

Mothers are always telling teens to sit or stand up straight. As usual, moms give beneficial advice, but they might not know why sitting up straight is so important other than how we look.

With computers, handheld devices, and smartphones “forward head posture” is on the rise. We slouch as we work, as we eat, and even as we relax. Nothing could be worse for our body and digestion. It can change the normal position of our body and can even play havoc with the functions of our vital organs.

woman with indigestion problem, acid reflux or gerd symptoms

The Power Of Gravity

We experience GERD when the digestive process is disrupted. If you are hunched over while eating or afterward, the stomach acid which breaks down your food becomes blocked since this position compresses your chest and stomach. Consequently, the acid flows backward into your esophagus. In addition, some evidence suggests slouching slows down transit in your intestines.

Just as you know NOT to lie down right after a meal, you always want to keep your esophagus above your stomach. This is another reason why raising the head of your bed at night helps reduce symptoms. If you sit upright during and after meals, the symptoms of GERD will be reduced.

Tips To Improve Your Posture And GERD

It seems that only models have perfect posture, but we can all find ways to improve. If you get heartburn frequently, you have even more of an incentive to work on your posture.

Try to be conscious of your posture. If you do this regularly, you will correct your position when you notice yourself slouching.

Strive to keep your shoulders down and back with your head aligned over your shoulders and directly over your spine, not in front.

Ask Digestive Health Services for a recommendation to a physiotherapist who can develop exercises and stretches just for you.

Here is a deep breathing exercise you can do several times daily. Lie flat on your back with knees slightly bent. Put one hand on your chest and the other on your stomach. Breathe very deeply from your diaphragm. You should see the hand on your stomach move as you inhale, but the hand on your chest should be still. Exhale deeply.

Can acid reflux last for weeks?

When is it GERD?

Gastroesophageal reflux disease (GERD) is a condition that causes the contents of your stomach to wash back up into your esophagus, throat, and mouth.

GERD is chronic acid reflux with symptoms that occur more than twice a week or that last for weeks or months.

Let’s look at GERD symptoms that adults, babies, and children experience, and what you can do about it.

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Symptoms of GERD in adults

I’ve got a burning pain in my chest

The most common symptom of GERD is a burning feeling in the middle of your chest or at the top of your stomach. Chest pain from GERD, also called heartburn, can be so intense that people sometimes wonder if they’re having a heart attack.

But unlike the pain from a heart attack, GERD chest pain usually feels like it’s just under your skin, and it may seem to radiate from your stomach up to your throat instead of down your left arm. Find out the other differences between GERD and heartburn.

Some people find they can get relief from heartburn by:

loosening belts and waistbands

chewing over-the-counter antacids

sitting up straight to reduce pressure on the lower end of the esophagus

trying natural remedies such as apple cider vinegar, licorice, or ginger

I’ve got a bad taste in my mouth

You could also have a bitter or sour taste in your mouth. That’s because food or stomach acid may have come up your esophagus and into the back of your throat.

It’s also possible you have laryngopharyngeal reflux instead of, or at the same time as, GERD. In this case, symptoms involve your throat, larynx and voice, and nasal passages.

It’s worse when I lie flat

It may be hard to swallow and you may cough or wheeze after eating, especially at night or when you lie down. Some people with GERD also feel nauseated.

I don’t have heartburn, but my dentist noticed a problem with my teeth

Not everyone with GERD experiences digestive symptoms. For some people, the first sign might be damage to your tooth enamel. If stomach acid comes back up into your mouth often enough, it can wear away the surface of your teeth.

If your dentist says your enamel is eroding, there are things you can do to keep it from getting worse.

These steps may help protect your teeth from reflux:

chewing over-the-counter antacids to neutralize acid in your saliva

rinsing out your mouth with water and baking soda after you have acid reflux

using a fluoride rinse to “remineralize” any scratches on your teeth

switching to a nonabrasive toothpaste

chewing gum with xylitol to increase the flow of your saliva

wearing a dental guard at night

What are GERD symptoms in babies?

My baby spits up a lot

According to doctors at the Mayo Clinic, healthy babies could have normal reflux several times daily, and most outgrow it by the time they’re 18 months old. A change in how much, how often, or how forcefully your baby spits up could indicate a problem, especially when they’re older than 24 months.

My baby often coughs and gags while eating

When the contents of the stomach comes back up, your baby could cough, choke, or gag. If the reflux goes into the windpipe, it could even lead to difficulty breathing or repeated lung infections.

My baby seems really uncomfortable after eating

Babies with GERD may also show signs of discomfort while they’re eating or right afterward. They might arch their backs. They might have colic — periods of crying that last longer than three hours a day.

My baby has trouble staying asleep

When babies lie flat, the backflow of fluids can be uncomfortable. They may wake up in distress throughout the night. There are steps you can take to alleviate these sleep disturbances, such as raising the head of their crib and changing their schedule.

My baby is refusing food, and it’s leading to weight concerns

When eating is uncomfortable, babies may turn away food and milk. You or your doctor might notice that your baby isn’t gaining weight at the right pace or is even losing weight.

There are several things you can do to help your baby with these symptoms.

Treatment tips for GERD in babies:

feeding smaller amounts more often

switching formula brands or types

eliminating some animal products, such as beef, eggs, and dairy, from your own diet if you breastfeed

changing the size of the nipple opening on the bottle

burping your baby more often

keeping your baby upright for at least a half hour after eating

If these strategies don’t help, ask your doctor about trying an approved acid-reducing medicine for a short period.

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What are GERD symptoms for older children?

GERD symptoms for older kids and teens are just like those in babies and adults. Children may have abdominal pain or discomfort after eating. It may be hard for them to swallow, and they may feel nauseated or even vomit after they eat.

Some children with GERD may belch a lot or sound hoarse. Older children and teenagers may also have heartburn or trouble breathing after they eat. If children start associating food with discomfort, they may resist eating.

When should you get help from a doctor?

The American College of Gastroenterology recommends that you see a doctor if you use over-the-counter medications to help with GERD symptoms more than twice a week.

You should also go see your doctor if you begin vomiting larger amounts, especially if you’re throwing up liquid that’s green, yellow, or bloody, or that has small black specks in it that look like coffee grounds.

What can your doctor do?

Your doctor might prescribe:

H2 blockers or proton pump inhibitors to lower the amount of acid in your stomach

prokinetics to help your stomach empty more quickly after you eat

If those methods don’t work, surgery may be an option. Treatments for children with GERD symptoms are similar.

Ways to avoid triggering GERD symptoms

To keep GERD symptoms to a minimum, you can make some simple changes. You may want to try:

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eating smaller meals

limiting citrus, caffeine, chocolate, and high-fat foods

adding foods to improve digestion

drinking water instead of carbonated drinks and alcohol

avoiding late-night meals and tight clothing

keeping upright for 2 hours after eating

raising the head of your bed 6 to 8 inches using risers, blocks, or wedges

What complications can GERD cause?

The acid produced by your stomach is strong. If your esophagus is exposed to it too much, you could develop esophagitis, an irritation of the lining of your esophagus.

You could also get reflux laryngitis, a voice disorder that makes you hoarse and leaves you feeling that you have a lump in your throat.

Abnormal cells could grow in your esophagus, a condition called Barrett’s esophagus, which can, in rare cases, lead to cancer.

And your esophagus could be scarred, forming esophageal strictures that limit your ability to eat and drink the way you used to.

How GERD happens

At the bottom of the esophagus, a muscular ring called the lower esophageal sphincter (LES) opens to let food into your stomach. If you have GERD, your LES doesn’t close all the way after the food passes through it. The muscle stays loose, which means food and liquid can flow back into your throat.

A number of risk factors can increase your chances of getting GERD. If you’re overweight or pregnant, or if you have a hiatal hernia, the extra pressure on your stomach area could cause the LES not to work correctly. Certain medications can also cause acid reflux.

StudiesTrusted Source have shown that smoking can lead to GERD and stopping smoking can greatly reduce reflux.

The takeaway

The symptoms of GERD can be uncomfortable for those of all ages. If left unchecked, they can even lead to long-term damage to parts of your digestive system. The good news is that you may be able to manage the symptoms by changing some basic habits.

If these changes don’t fully relieve your or your child’s symptoms, your doctor may be able to prescribe medication to reduce acid reflux or surgically repair the ring of muscle that’s allowing the backflow into your esophagus.

What damage can acid reflux cause?

Q. I have had acid reflux for many years, but it is well controlled with a proton-pump inhibitor. However, I am concerned about long-term damage from my reflux, even though I feel fine now. Should I have an upper endoscopy to look for possible damage?

A. Long-term acid reflux can damage the esophagus and may lead to a condition known as Barrett's esophagus, which is a precursor to esophageal cancer. Barrett's affects about 3% to 10% of older men, but within this group the risk of developing esophageal cancer is only about four in every 1,000 cases. Over all, men with Barrett's are more likely to die from another cause.

An upper endoscopy is used to diagnose Barrett's. A long, flexible tube with a tiny camera attached to the end is inserted into your mouth and passed down your throat to enable a doctor to examine your upper digestive tract. (You are given a sedative to help you relax.) There is no consensus regarding who should have an upper endoscopy to look for Barrett's in the absence of worrisome symptoms, such as food sticking in your throat, weight loss, or pain from swallowing. In fact, most gastroenterology societies believe there is no definitive evidence that a screening endoscopy can help you live a longer, healthier life. However, men with multiple risk factors for Barrett's may consider an endoscopy to rule out this condition. These include age (over 50), race (Caucasians are at a higher risk), daily or nighttime reflux, hiatal hernia, and obesity.

Protect yourself from the damage of chronic inflammation.

Does burping help acid reflux?

Passing gas, while potentially awkward, is generally normal and not a cause for concern. Acid reflux, however, cannot only be uncomfortable, but it can lead to health complications if left untreated. Both conditions involve the digestive tract, but is there really a link between acid reflux and gas? It’s possible that the two are related. Certain treatments may relieve symptoms for both.

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What is acid reflux?

Gastroesophageal reflux disease (GERD), also known as acid reflux disease, affects about 20 percent of people in the United States, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Trusted Source. It’s a more serious form of the common condition known as gastroesophageal reflux (GER). GER occurs when the lower esophageal sphincter (LES) either relaxes spontaneously or doesn’t tighten properly. The LES is a ring of muscles located in the esophagus that works as a valve between the esophagus and stomach. With GER, the acidic contents of the stomach go back up into the esophagus. The LES relaxes in an inappropriate manner. Digestive juices rise up with the food, causing the most common symptom: a frequent, burning pain known as acid indigestion or heartburn located in the middle abdomen and chest.

You’re considered to have GERD when reflux symptoms are persistent and chronic, occurring more than twice per week. People of all ages may experience GERD. Complications from GERD can be serious and may include the following:

scarring

ulcers

precancerous changes known as Barrett’s esophagus

cancer

It’s unclear why some people develop acid reflux and others don’t. One risk factor for GERD is the presence of a hiatal hernia. A larger-than-normal opening of the diaphragm allows the upper part of the stomach to move above the diaphragm and into the chest cavity. Not all people with hiatal hernias will have GERD symptoms.

Other factors that make acid reflux more likely are:

drinking alcohol

smoking

obesity

pregnancy

connective tissue diseases

Several medications can contribute to acid reflux as well. These include:

anti-inflammatory medications and NSAIDs, such as ibuprofen (Advil), aspirin (Bayer), and naproxen (Naprosyn)

certain antibiotics

beta-blockers, which are used for high blood pressure and heart disease

calcium channel blockers, which are used for high blood pressure

medications for osteoporosis

some birth control

sedatives, which are used for anxiety or insomnia

antidepressants

Gas

Whether we admit it or not, everyone has gas at some point. Your digestive tract produces gas and eliminates it either through the mouth, via belching, or the rectum, via flatulence. The average person passes gas about 13 to 21 timesTrusted Source per day. Gas is made up mostly of carbon dioxide, hydrogen, nitrogen, oxygen, and methane.

Gas in the digestive tract is caused by either swallowing air or from the breakdown of foods by bacteria in the colon. Foods that cause gas in one person may not do so in another. This is because common bacteria in the large intestine can eliminate the gas that another type of bacteria produces. It’s a delicate balance, and researchers believe that the small differences in this balance cause some people to produce more gas than others.

Most foods are broken down in the small intestine. However, some people cannot digest certain foods and substances, such as lactose, due to a lack or absence of certain enzymes that help digestion. Undigested food moves from the small intestine to the colon, where it’s worked on by harmless bacteria. The unpleasant smell associated with flatulence is caused by sulfurous gases released by these bacteria.

Foods that are notorious gas producers include:

apples

asparagus

beans

broccoli

Brussels sprouts

cabbage

cauliflower

onions

peaches

pears

some whole grains

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The acid reflux and gas connection

So, can acid reflux cause gas? The short answer is maybe. Many of the things that contribute to gas also lead to acid reflux. Making lifestyle changes to treat acid reflux may help reduce excessive gas. For instance, you can eliminate carbonated beverages such as beer to relieve symptoms. Eating smaller meals more often may reduce the symptoms of both conditions, too.

The reverse also can be true — attempting to release gas may trigger acid reflux. Belching both during and after meals to release air when the stomach is full is normal. However, some people belch frequently and swallow too much air, releasing it before it enters the stomach. Many people mistakenly believe that belching will relieve the symptoms of acid reflux, but they may be doing more harm than good. Studies have shown that swallowing air increases stretching of the stomach, which triggers the LES to relax, making acid reflux more likely.

A small number of people who’ve had fundoplication surgery to correct GERD may develop a condition known as gas-bloat syndrome. The surgery prevents normal belching and your ability to vomit. Gas-bloat syndrome usually resolves on its own within two to four weeks of surgery, but sometimes it persists. In more serious cases, you may need to change your diet or receive counseling to help break your belching habit. In the most serious cases, additional surgery may be required to correct the problem.

Learn more: Acid reflux/GERD surgery options »

Talk to your doctor

Although the connection between acid reflux and gas isn’t completely clear, lifestyle changes may be helpful in reducing the symptoms of both. Keeping a record of foods that cause acid reflux and gas can help you and your doctor figure out the right dietary changes to make.

Getting treatment for acid reflux may also help you avoid swallowing more air, which can reduce gas and bloating.

Many of my favorite fruits and vegetables have been shown to increase gas. What are some healthy foods that won’t increase gas? Should I simply take anti-gas medicine when I eat beans and broccoli?

Anonymous patient

You can eat beans and broccoli and take gas medicine, but you may have some abdominal pain and breakthrough flatulence despite the medicine. Your best bet is to try to avoid foods that are likely to cause gas.

The following are examples of foods that are less likely to cause gas:

Low-carbohydrate vegetables: bok choy, carrots, eggplant, endive, greens, lacto-fermented vegetables such as kimchi, mushrooms, scallions, sea vegetables, tomatoes

Veggies that are a bit higher in carbohydrates, but are still viable options: celeriac, chives, dandelion greens, peppers (except green, which are difficult to digest), snow peas, spaghetti squash, yellow or green summer squash, yellow wax beans, zucchini

Low-sugar fruits: apples, apricots, berries, grapefruit, kiwis, lemons, limes, melons, nectarines, papayas, peaches, pears, plums, rhubarb

Non-gassy proteins: beef (lean), cheese (hard), chicken (white meat), eggs, fish, peanut butter, turkey (white meat)

Low flatulence wheat alternatives: cereal grains (corn, millet, rice, teff, and wild rice); non-cereal grains (quinoa flour); nut meal; pasta in rice, corn, and quinoa varieties; rice bread

Non-flatulence producing dairy substitutes: soy and tofu cheese, almond milk, oat milk, rice milk, soy milk, soy yogurts, yeast flakes

What does a damaged esophagus feel like?

Esophagitis (uh-sof-uh-JIE-tis) is inflammation that may damage tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach.

Esophagitis can cause painful, difficult swallowing and chest pain. Causes of esophagitis include stomach acids backing up into the esophagus, infection, oral medications and allergies.

Treatment for esophagitis depends on the underlying cause and the severity of tissue damage. If left untreated, esophagitis can damage the lining of the esophagus and interfere with its normal function, which is to move food and liquid from your mouth to your stomach. Esophagitis can also lead to complications such as scarring or narrowing of the esophagus, and difficulty swallowing.

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Symptoms

Common signs and symptoms of esophagitis include:

Difficult swallowing

Painful swallowing

Chest pain, particularly behind the breastbone, that occurs with eating

Swallowed food becoming stuck in the esophagus (food impaction)

Heartburn

Acid regurgitation

In infants and young children, particularly those too young to explain their discomfort or pain, signs of esophagitis may include:

Feeding difficulties

Failure to thrive

When to see a doctor

Most signs and symptoms of esophagitis can be caused by a number of different conditions affecting the digestive system. See your doctor if signs or symptoms:

Last more than a few days

Don't improve or go away with over-the-counter antacids

Are severe enough to make eating difficult

Are accompanied by flu signs and symptoms, such as headache, fever and muscle aches

Get emergency care if you:

The Real Reason You're Getting Acid Reflux or Indigestion (Apple Cider Vinegar Benefit) Dr. Mandell

Experience pain in your chest that lasts more than a few minutes

Suspect you have food lodged in your esophagus

Have a history of heart disease and experience chest pain

Experience pain in your mouth or throat when you eat

Have shortness of breath or chest pain that occurs shortly after eating

Vomit large amounts, often have forceful vomiting, have trouble breathing after vomiting or have vomit that is yellow or green, looks like coffee grounds, or contains blood

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Causes

Esophagitis is generally categorized by the conditions that cause it. In some cases, more than one factor may be causing esophagitis.

Reflux esophagitis

A valve-like structure called the lower esophageal sphincter usually keeps the acidic contents of the stomach out of the esophagus. If this valve opens when it shouldn't or doesn't close properly, the contents of the stomach may back up into the esophagus (gastroesophageal reflux). Gastroesophageal reflux disease (GERD) is a condition in which this backflow of acid is a frequent or ongoing problem. A complication of GERD is chronic inflammation and tissue damage in the esophagus.

Eosinophilic esophagitis

Eosinophils (e-o-SIN-o-fils) are white blood cells that play a key role in allergic reactions. Eosinophilic esophagitis occurs with a high concentration of these white blood cells in the esophagus, most likely in response to an allergy-causing agent (allergen) or acid reflux or both.

In many cases, this type of esophagitis may be triggered by foods such as milk, eggs, wheat, soy, peanuts, beans, rye and beef. However, conventional allergy testing does not reliably identify these culprit foods.

People with eosinophilic esophagitis may have other nonfood allergies. For example, sometimes inhaled allergens, such as pollen, may be the cause.

Lymphocytic esophagitis

Lymphocytic esophagitis (LE) is an uncommon esophageal condition in which there are an increased number of lymphocytes in the lining of the esophagus. LE may be related to eosinophilic esophagitis or to GERD.

Drug-induced esophagitis

Several oral medications may cause tissue damage if they remain in contact with the lining of the esophagus for too long. For example, if you swallow a pill with little or no water, the pill itself or residue from the pill may remain in the esophagus. Drugs that have been linked to esophagitis include:

Pain-relieving medications, such as aspirin, ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, others)

Antibiotics, such as tetracycline and doxycycline

Potassium chloride, which is used to treat potassium deficiency

Bisphosphonates, including alendronate (Fosamax), a treatment for weak and brittle bones (osteoporosis)

Quinidine, which is used to treat heart problems

Infectious esophagitis

A bacterial, viral or fungal infection in tissues of the esophagus may cause esophagitis. Infectious esophagitis is relatively rare and occurs most often in people with poor immune system function, such as people with HIV/AIDS or cancer.

A fungus normally present in the mouth called Candida albicans is a common cause of infectious esophagitis. Such infections are often associated with poor immune system function, diabetes, cancer, or the use of steroid or antibiotic medications.

Risk factors

Risk factors for esophagitis vary depending on the different causes of the disorder.

Reflux esophagitis

Factors that increase the risk of gastroesophageal reflux disease (GERD) — and therefore are factors in reflux esophagitis — include the following:

Eating immediately before going to bed

Dietary factors such as excess alcohol, caffeine, chocolate and mint-flavored foods

Excessively large and fatty meals

Smoking

Extra weight, including from pregnancy

A number of foods may worsen symptoms of GERD or reflux esophagitis:

Tomato-based foods

Citrus fruits

Caffeine

Alcohol

Spicy foods

Garlic and onions

Chocolate

Mint-flavored foods

Eosinophilic esophagitis

Risk factors for eosinophilic esophagitis, or allergy-related esophagitis, may include:

A history of certain allergic reactions, including allergic rhinitis, asthma and atopic dermatitis

A family history of eosinophilic esophagitis

Drug-induced esophagitis

Factors that may increase the risk of drug-induced esophagitis are generally related to issues that prevent quick and complete passage of a pill into the stomach. These factors include:

Swallowing a pill with little or no water

Taking drugs while lying down

Taking drugs right before sleep, probably due in part to the production of less saliva and swallowing less during sleep

Older age, possibly because of age-related changes to the muscles of the esophagus or a decreased production of saliva

Large or oddly shaped pills

Infectious esophagitis

Risk factors for infectious esophagitis often relate to medications, such as steroids and antibiotics. People with diabetes also are at increased risk of candida esophagitis in particular.

Other causes of infectious esophagitis may relate to poor immune system function. This may be due to an immune disorder, HIV/AIDS or certain cancers. Also, certain cancer treatments and drugs that block immune system reactions to transplanted organs (immunosuppressants) may increase the risk of infectious esophagitis.

Complications

Left untreated, esophagitis can lead to changes in the structure of the esophagus. Possible complications include:

Scarring or narrowing (stricture) of the esophagus

Tearing of the esophagus lining tissue from retching (if food gets stuck) or during endoscopy (due to inflammation)

Barrett's esophagus, characterized by changes to the cells lining the esophagus, increasing your risk of esophageal cancer

Why did I get acid reflux all of a sudden?

At the entrance to your stomach is a valve, which is a ring of muscle called the lower esophageal sphincter (LES). Normally, the LES closes as soon as food passes through it. If the LES doesn't close all the way or if it opens too often, acid produced by your stomach can move up into your esophagus. This can cause symptoms such as a burning chest discomfort called heartburn. If acid reflux symptoms happen more than twice a week, you may have acid reflux disease, also known as gastroesophageal reflux disease (GERD).

What Causes Acid Reflux Disease?

One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia. This occurs when the upper part of the stomach and LES move above the diaphragm, a muscle that separates your stomach from your chest. Normally, the diaphragm helps keep acid in our stomach. But if you have a hiatal hernia, acid can move up into your esophagus and cause symptoms of acid reflux disease.

These are other common risk factors for acid reflux disease:

Eating large meals or lying down right after a meal

Being overweight or obese

Eating a heavy meal and lying on your back or bending over at the waist

Snacking close to bedtime

Eating certain foods, such as citrus, tomato, chocolate, mint, garlic, onions, or spicy or fatty foods

Drinking certain beverages, such as alcohol, carbonated drinks, coffee, or tea

Smoking

Being pregnant

Taking aspirin, ibuprofen, certain muscle relaxers, or blood pressure medications

What Are the Symptoms of Acid Reflux Disease?

Common symptoms of acid reflux are:

Heartburn: a burning pain or discomfort that may move from your stomach to your abdomen or chest, or even up into your throat

Regurgitation: a sour or bitter-tasting acid backing up into your throat or mouth

Other symptoms of acid reflux disease include:

Bloating

Bloody or black stools or bloody vomiting

Burping

Dysphagia -- the sensation of food being stuck in your throat

Hiccups that don't let up

Nausea

Weight loss for no known reason

Wheezing, dry cough, hoarseness, or chronic sore throat

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How Is Acid Reflux Disease Diagnosed?

It's time to see your doctor if you have acid reflux symptoms two or more times a week or if medications don't bring lasting relief. Symptoms such as heartburn are the key to the diagnosis of acid reflux disease, especially if lifestyle changes, antacids, or acid-blocking medications help reduce these symptoms.

If these steps don't help or if you have frequent or severe symptoms, your doctor may order tests to confirm a diagnosis and check for other problems. You may need one or more tests such as these:

Barium swallow (esophagram) can check for ulcers or a narrowing of the esophagus. You first swallow a solution to help structures show up on an X-ray.

Esophageal manometry can check the function and movement of the esophagus and lower esophageal sphincter.

pH monitoring can check for acid in your esophagus. The doctor inserts a device into your esophagus and leaves it in place for 1 to 2 days to measure the amount of acid in your esophagus.

Endoscopycan check for problems in your esophagus or stomach. This test involves inserting a long, flexible, lighted tube with a camera down your throat. First, the doctor will spray the back of your throat with anesthetic and give you a sedative to make you more comfortable.

A biopsymay be taken during endoscopy to check samples of tissue under a microscope for infection or abnormalities.

Can Acid Reflux Disease Be Treated With Diet and Lifestyle Changes?

One of the most effective ways to treat acid reflux disease is to avoid the foods and beverages that trigger symptoms. Here are other steps you can take:

Eat smaller meals more frequently throughout the day and modify the types of foods you are eating..

Quit smoking.

Put blocks under the head of your bed to raise it at least 4 inches to 6 inches.

Eat at least 2 to 3 hours before lying down.

Try sleeping in a chair for daytime naps.

Don't wear tight clothes or tight belts.

If you're overweight or obese, take steps to lose weight with exercise and diet changes.

Also, ask your doctor whether any medication could be triggering your heartburn or other symptoms of acid reflux disease.

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Can Acid Reflux Disease Be Treated With Medications?

In many cases, lifestyle changes combined with over-the-counter medications are all you need to control the symptoms of acid reflux disease.

Antacids, such as Alka-Seltzer, Maalox, Mylanta, Rolaids, or Riopan, can neutralize the acid from your stomach. But they may cause diarrhea or constipation, especially if you overuse them. It's best to use antacids that contain both magnesium hydroxide and aluminum hydroxide. When combined, they may help counteract these gastrointestinal side effects.

If antacids don't help, your doctor may try other medications. Some require a prescription. Your doctor may suggest more than one type or suggest you try a combination of medications such as these:

Foaming agents (Gaviscon) coat your stomach to prevent reflux.

H2 blockers (Pepcid, Tagamet) decrease acid production.

Proton pump inhibitors (Aciphex, Nexium, Prilosec, Prevacid, Protonix) also reduce the amount of acid your stomach makes.

Prokinetics (Reglan, Urecholine) can help strengthen the LES, empty your stomach faster, and reduce acid reflux.

Don't combine more than one type of antacid or other medications without your doctor's guidance.

Is Acid Reflux Disease Ever Treated With Surgery?

If medications don't completely resolve your symptoms of acid reflux disease and the symptoms are severely interfering with your life, your doctor could recommend surgery. There are two types of surgical treatment used to relieve symptoms of GERD if daily use of medication isn't effective.

The most recently approved procedure involves surgically placing a ring known as a LINX device around the outside of the lower end of the esophagus, the tube that connects the mouth to the stomach. The ring consists of magnetic titanium beads held together by titanium wires. The device helps reflux by preventing stomach contents from backing up into the esophagus. In one study, patients were able to stop taking medicine or cut down the amount they took. You shouldn't get the LINX device if you're allergic to certain metals, and once you have a LINX device you shouldn't get any type of MRI test.

Another surgical procedure called a fundoplication can help prevent further acid reflux. It creates an artificial valve using the top of your stomach. The procedure involves wrapping the upper part of the stomach around the LES to strengthen it, prevent acid reflux, and repair a hiatal hernia. Surgeons perform this procedure through either an open incision in the abdomen or chest or with a lighted tube inserted through a tiny incision in the abdomen.

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These procedures are done only as a last resort for treating acid reflux disease after medical treatment has proven to be inadequate.

What happens if acid reflux goes untreated?

Acid reflux occurs when the contents of your stomach rise up your esophagus, the tube that connects your mouth to your stomach.

Most people experience mild reflux from time to time. The risk of complications is generally low when the reflux is minor.

In contrast, frequent acid reflux can be a sign of a condition known as gastroesophageal reflux disease (GERD).

Although GERD itself isn’t a life threatening condition, it can lead to more serious health issues and complications if it’s left untreated.

Read on to find out about the more serious complications of GERD.

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What to know about acid reflux and GERD

Mild or occasional acid reflux isn’t usually cause for concern. While it may cause temporary discomfort, it doesn’t present any major health risks.

People who experience acid reflux more than twice a week may have GERD, a condition that’s associated with more symptoms and complications.

Common symptoms of GERD include:

bad breath

chest pain

cough

difficulty swallowing (dysphagia)

heartburn

indigestion

nausea

regurgitation

sore throat

What types of complications can be caused by GERD?

In some cases, GERD may lead to complications. Some of them can be serious, especially if they’re left untreated. Many of these complications are related to each other.

Let’s take a closer look at some of the more serious health issues that can arise due to GERD.

Esophagitis

Frequent acid reflux can trigger inflammation in the esophagus, a condition known as esophagitis.

Esophagitis makes swallowing difficult and sometimes painful. Other symptoms include:

sore throat

hoarse voice

heartburn

Chronic, untreated esophagitis may cause esophageal ulcers and strictures. It may also increase your risk for esophageal cancer.

Esophageal ulcers

Stomach acid can damage the lining of the esophagus, causing a painful ulcer. This type of peptic ulcer is known as an esophageal ulcer.

It may cause symptoms, such as:

a burning sensation in your chest area

indigestion

pain when swallowing

nausea

heartburn

bloody stools

However, not everyone who has an esophageal ulcer has symptoms.

If left untreated, an esophageal ulcer can lead to more serious complications, such as an esophageal perforation (a hole in the esophagus) or a bleeding ulcer.

Esophageal stricture

When GERD is left untreated, it can trigger inflammation, scarring, or abnormal tissue growth (neoplasia) in your esophagus. As a result, your esophagus can become narrower and tighter.

This condition, known as esophageal stricture, often makes it difficult or painful to swallow. It can also make it harder for food and liquids to pass from your esophagus to your stomach, and breathing can feel constricted.

In some cases, solid or dense foods can get lodged in the esophagus. This may increase your risk for choking. Plus, if you can’t easily swallow foods and liquid, it may lead to malnutrition and dehydration.

Aspiration pneumonia

Stomach acid that rises to your throat or mouth can be inhaled into your lungs. This can lead to aspiration pneumonia, a lung infection that causes symptoms like:

fever

deep cough

chest pain

shortness of breath

wheezing

fatigue

blue discoloration of the skin

death

Aspiration pneumonia can become serious and even fatal if left untreated.

Treatment usually involves antibiotics and, in more severe cases, hospitalization and supportive care for breathing.

Barrett’s esophagus

Ongoing damage to the esophagus caused by stomach acid can trigger cellular changes to the lining of the esophagus.

With Barrett’s esophagus, the squamous cells that line the lower esophagus are replaced by gland cells. These cells are similar to the ones that line your intestines.

Barrett’s esophagus develops in about 10 to 15 percentTrusted Source of people who have GERD. It tends to affect men almost twice as often as women.

There’s a slight risk that these gland cells can become cancerous and cause esophageal cancer.

Esophageal cancer

People who have GERD are at a slightly increased risk of a certain type of esophageal cancer known as adenocarcinoma of the esophagus.

This cancer affects the lower part of the esophagus, causing symptoms like:

difficulty swallowing

weight loss

chest pain

coughing

severe indigestion

severe heartburn

Esophageal cancer often doesn’t cause symptoms in its early stages. People usually only notice symptoms once the cancer has reached a more advanced stage.

Besides GERD, other factors that may increase your risk for esophageal cancer include:

being male

being older than 55

using tobacco products

drinking alcohol regularly

being overweight or obese

having had radiation treatment to your chest or upper abdomen

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How to prevent complications from acid reflux

You may be able to reduce acid reflux and prevent complications by adopting the following habits:

Avoid certain foods. Greasy, fatty, acidic, and spicy foods are more likely to lead to reflux. Other foods, such as peppermint, tomato sauce, garlic, onions, citrus, and dark chocolate are also known to trigger reflux.

Change your eating habits. Try to eat meals at least 2 to 3 hours before you go to bed or lie down. This will give your stomach time to digest the food you’ve eaten. Also, eating smaller portions and chewing slowly may help prevent excess reflux.

Lose excess weight. Carrying excess weight around your middle can push your stomach upward, making it easier for acid to rise into your esophagus.

Limit alcohol and caffeine. Both alcohol and caffeine can increase acid reflux.

Quit smoking. Smoking makes it more difficult for the sphincter that separates your esophagus from your stomach to close properly after food enters your stomach.

Sleep on an incline. If acid reflux and heartburn strike at night, place some blocks under the head of your bed so that your upper body is slightly higher than your stomach. You can also look into special wedge pillows that are made for people with GERD.

Wear looser clothing. Tight-fitting pants can put additional pressure on your abdomen, forcing the contents of your stomach upward.

When to see a doctor

You should see a doctor if you experience GERD symptoms more than a couple times a week, even if your symptoms are mild.

You should also see your doctor if you regularly take over-the-counter antacids or medication for heartburn. These drugs can help neutralize stomach acid, but they won’t heal inflammation in the esophagus.

Also, overuse of these medications may cause side effects.

Treatment for acid reflux

There are a range of treatments for acid reflux caused by GERD. Your doctor may suggest a combination of lifestyle changes and medication.

Common medications used to treat acid reflux include:

antacids

H2 blockers

proton pump inhibitors

prokinetics

If these treatments don’t help, your doctor might recommend surgery.

There are a few different types of procedures used to control GERD. Most are focused on improving the function of the sphincter that keeps stomach acid from rising up the esophagus.

Apple Cider Vinegar… For Acid Reflux?

The bottom line

Occasional acid reflux isn’t usually associated with long-term or serious complications.

However, when acid reflux occurs frequently and is left untreated, it can lead to conditions such as esophagitis, ulcers, strictures, aspiration pneumonia, and Barrett’s esophagus.

People who have frequent episodes of acid reflux are also at a slightly increased risk for developing esophageal cancer.

Seeking treatment for acid reflux can help decrease the likelihood of developing serious or life threatening complications.

Can acid reflux make you pass out?

Heartburn & Indigestion: When To Seek Emergency Medical Attention

Acid reflux, heartburn and indigestion are all terms used to describe that GI discomfort that everyone gets from time to time. A bout of acid reflux usually occurs after a big meal, eating too close to laying down for bed, or after eating or drinking something that does not settle right.

While uncomfortable, most of the time it is something temporary that can be managed at home with over-the-counter antacids or other medication. However, there are certain symptoms that can either accompany or be mistaken for acid reflux that require immediate medical care.

Woman With Serious Symptoms Of Acid Reflux In Texas

Telling The Difference Between a Heartburn & a Heart Attack

Acid reflux occurs when stomach acid backs up into the esophagus. Many people experience a feeling of burning in their lower esophagus–close to the entrance of their stomach–before it moves up into the chest. That can be cause for concern, especially since heartburn is also a potential symptom of a heart attack.

If the pain is not relieved shortly after taking antacids, or is accompanied by these symptoms, seek emergency medical care:

Squeezing/tightening in the chest

Feeling out of breath

Pain, aching or discomfort radiating from the chest to the arms, back or neck

Sudden fatigue, dizziness or feeling lightheaded

Cold sweat

Shortness of breath

Arm pain

Even if it is not a heart attack, it could be angina or another issue that needs to be addressed quickly.

When Should You Go To An ER For Acid Reflux?

Some people who experience acid reflux may think that other symptoms that might occur at the same time as reflux are simply part of the body’s reflux response. However, symptoms that go beyond regular heartburn are probably not just incidental and could be a sign of something more serious.

These symptoms accompanying acid reflux (or any time) should always mean a trip to the emergency room:

Feeling confused or sudden weakness

When the reflux moves/relocates from how you typically experience it

Fainting/loss of consciousness, even briefly

Vomit that has blood in it or is black

Stool that is black and/or accompanied by blood

What To Do If You’re Experiencing a Heartburn

When in doubt about acid reflux, it is always better to be cautious and get it checked out at The Emergency Center, which has the tools and experts needed to determine the right diagnosis and start treatment.

The Emergency Center has diagnostic capabilities like ECG and advanced CT imaging to diagnose or rule out heart attack. Additionally, with an onsite lab and pharmacy, patients can find answers without the wait and get needed prescriptions before leaving. Whether it ends up being just a bad case of heartburn or something more serious, going to get evaluated is the first step in finding both care and something equally as important: peace of mind.

Enjoy life. We’ll be here for the bumps along the way.™

How do you cure GERD permanently?

There are four approaches for gastroesophageal reflux disease (GERD) treatment, including medication and surgery. Often, patients respond well to a combination of lifestyle changes and a medication regimen.

Some patients do not find satisfactory relief from those methods and require surgical intervention. Other patients may choose surgery as an alternative to a lifetime of taking medication.

Treatment Approaches for GERD

Lifestyle and dietary changes

Medication

Endoscopic therapy

Surgery

GERD Treatment: Lifestyle and Dietary Changes

Dietary and lifestyle changes are the first step in treating GERD. Certain foods make the reflux worse. Suggestions to help alleviate symptoms include:

Lose weight if you are overweight — of all of the lifestyle changes you can make, this one is the most effective.

Avoid foods that increase the level of acid in your stomach, including caffeinated beverages.

Avoid foods that decrease the pressure in the lower esophagus, such as fatty foods, alcohol and peppermint.

Avoid foods that affect peristalsis (the muscle movements in your digestive tract), such as coffee, alcohol and acidic liquids.

Avoid foods that slow gastric emptying, including fatty foods.

Avoid large meals.

Quit smoking.

Do not lie down immediately after a meal.

Elevate the level of your head when you lie down.

GERD Treatment: Medication

If lifestyle and dietary changes do not work, your doctor may prescribe certain medications. There are two categories of medicines for reflux. One decreases the level of acid in your stomach, and one increases the level of motility (movement) in the upper gastrointestinal tract.

Antacids

Over-the-counter antacids are best for intermittent and relatively infrequent symptoms of reflux. When taken frequently, antacids may worsen the problem. They leave the stomach quickly, and your stomach actually increases acid production as a result.

Histamine blockers

Histamine 2 (H2) blockers are drugs that help lower acid secretion. H2 blockers heal esophageal erosions in about 50 percent of patients.

Proton pump inhibitors

Proton pump inhibitors (PPIs) are drugs that block the three major pathways for acid production. PPIs suppress acid production much more effectively than H2 blockers. PPIs heal erosive esophagitis in many patients, even those with severe esophageal damage.

Prokinetic agents

Prokinetic agents are drugs that enhance the activity of the smooth muscle of your gastrointestinal tract. These drugs are somewhat less effective than PPIs. Your doctor may prescribe them in combination with an acid-suppressing drug.

TIF and Other Endoscopic Therapy

Transoral incisionless fundoplication (TIF) is an option to address GERD. TIF can mean a shorter treatment time, less pain and faster recovery compared to laparoscopic surgery. The procedure involves using a special TIF device to create a passageway for a flexible, tube-like imaging instrument called an endoscope. The procedure allows the physician to use preloaded tweezers and fasteners to repair or recreate the valve that serves as a natural barrier to reflux.

Currently, there are clinical trials testing the efficacy of endoscopic therapy for GERD. One form of therapy uses an endoscopic sewing machine to place sutures in the stomach and increase the anti-reflux barrier.

TIF Procedure for GERD | Frank's Story

Surgery for GERD

If your symptoms did not improve with lifestyle changes or drug therapy, you may be a candidate for surgery. Some patients prefer a surgical approach as an alternative to a lifetime of taking medications. The goal of surgery for reflux disease is to strengthen the anti-reflux barrier.

During a procedure known as a Nissen fundoplication, your surgeon wraps the upper part of your stomach around the lower esophagus. This enhances the anti-reflux barrier and can provide permanent relief from reflux. Your surgeon may perform this surgery laparoscopically, which means a less invasive procedure with a shorter recovery time.

Extra-esophageal Manifestations

Reflux may affect more than just the esophagus. Reflux can lead to inflammation of the pharynx (part of the throat right behind the mouth) and larynx (voice box). It may also cause bronchitis, asthma or pneumonia. If there are no obvious causes for the inflammation, your doctor may suspect reflux. The goal of treatment is to improve the symptoms through medication.

Does water help acid reflux?

The inside of your stomach is a highly acidic environment; at rest, it hovers around a pH of 2. When this acid escapes into the esophagus, the result is painful heartburn. Can a drink of water put out the fire?

PROPER HYDRATION FOR GOOD HEALTH

Our bodies are between 55 and 60% water. When you don’t drink enough to keep well hydrated, you can experience headaches, dry mouth, sleepiness, and lack of alertness. Not getting enough to drink can also impede proper digestion, which can lead to constipation and poor nutrition. But, water has to be consumed at the right times to help with GERD symptoms.

WILL WATER EASE YOUR GERD SYMPTOMS?

Sometimes, when heartburn symptoms set in, a few sips of water will bring relief. This can be the result of water neutralizing acids and washing them out of the esophagus. Water has a pH that, at 7, is neutral. This dilutes the more acidic stomach fluids, bringing relief.

But when you have had a meal that is too large, drinking water at the same time or immediately after can make GERD symptoms worse. Be cautious about overeating and sip water slowly with a meal instead of gulping down large quantities. Too much volume can make the stomach distended, leading to more pressure on the lower esophageal sphincter.

Drinking water during the later stages of digestion can reduce acidity and GERD symptoms. Often, there are pockets of high acidity, between a pH or 1 and 2, just below the esophagus. By drinking tap or filtered water a little while after a meal, you can dilute the acid there, which can result in less heartburn.

In general, you can best control GERD symptoms by sipping small amounts with your meal; just enough to make eating comfortable. Save larger glasses for between meals to keep you well-hydrated and healthy.

How long does acid reflux take to heal?

Your Care Instructions

Esophagitis (say "ih-sof-uh-JY-tus") is irritation of the esophagus, the tube that carries food from your throat to your stomach.

Apple Cider vinegar for GERD. How to use it.

Acid reflux is the most common cause of this condition. When you have reflux, stomach acid and juices flow upward. This can cause pain or a burning feeling in your chest. You may have a sore throat. It may be hard to swallow.

Other causes of this condition include some medicines and natural health products. Allergies or an infection can also cause it.

Your doctor will ask about your symptoms and past health. They might do tests to find the cause of your symptoms.

Treatment depends on what is causing the problem. Treatment might include changing your diet or taking medicine to relieve your symptoms. It might also include changing a medicine that is causing your symptoms.

If you have reflux, medicine that reduces the stomach acid helps your body heal. It might take 1 to 3 weeks to heal.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

If you have acid reflux, your doctor may recommend that you:

Eat several small meals instead of two or three large meals. After you eat, wait 2 to 3 hours before you lie down.

Avoid chocolate, mint, alcohol, and spicy foods.

Don't smoke or use smokeless tobacco. Smoking can make this condition worse. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good.

Raise the head of your bed 15 cm (6 in.) to 20 cm (8 in.) if you have symptoms at night.

Lose weight if you are overweight.

Take an over-the-counter antacid, such as Mylanta or Tums. Be careful when you take over-the-counter antacid medicines. Many of these medicines have aspirin in them. Read the label to make sure that you are not taking more than the recommended dose. Too much aspirin can be harmful.

Take stronger acid reducers. Examples are famotidine (such as Pepcid) and omeprazole (such as Losec). Be sure to tell your doctor if you're already taking these.

If your condition is caused by infection, allergy, or other problems, use the medicine or treatments that your doctor recommends.

Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

You have new or worse belly pain.

You are vomiting.

You vomit blood or pass blood in your stool.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

You have new or worse symptoms of reflux.

You have trouble or pain swallowing.

You are losing weight.

You do not get better as expected.

What are the 4 types of acid reflux?

What is acid reflux?

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common stomach issue. The four types of acid reflux are mild, moderate, severe and the type that can lead to esophageal cancer.

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common stomach issue. The four types of acid reflux are mild, moderate, severe and the type that can lead to esophageal cancer.Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common stomach issue. There are four different acid reflux types that are differentiated by how severe your acid reflux is.

Acid reflux is a chronic condition, meaning it comes and goes with time and is difficult to cure completely. When stomach acid makes its way into your esophagus, the tube that links your mouth and stomach, this is acid reflux.

Depending on how intense your reflux is, you could experience this multiple times a week, have long episodes of reflux, and start to feel like your esophagus is constantly irritated. As periods of reflux get longer and more frequent, the esophagus becomes more and more damaged.

Even though GERD is a common issue, many don't recognize that they have it. In these situations, it goes untreated and can result in serious complications.

Mild acid reflux

This is the first stage of gastroesophageal reflux disease. If you have GERD, it's likely that you have this kind. With mild acid reflux, the lower part of your esophagus will be mildly inflamed.

Symptoms

If you have stage 1 acid reflux, you might experience:

Heartburn

Pain in your chest

Feel a lump in the back of your throat

Regurgitate food and liquid

Treatment

At this stage, treatment mostly revolves around making lifestyle choices that fight reflux. You can avoid the symptoms above if you don’t consume irritating food and drinks, like coffee, alcohol, spicy foods, and fatty foods. In addition to keeping a healthy diet, you can buy over-the-counter antacids and stop eating at least three hours before you go to bed. If you try these things and you still have symptoms of GERD at night, you can try raising your head with extra pillows while you sleep.

Moderate acid reflux

About a third of people with acid reflux fall into stage 2. The main difference between mild and moderate acid reflux is that your symptoms will happen multiple times a week, resulting in more irritation and inflammation in your esophagus.

Moderate GERD, if you don’t treat it, can affect your day-to-day activities. You’ll likely need to take acid-suppressive medicines daily.

Symptoms

The symptoms of moderate GERD are similar to stage 1 GERD:

Heartburn

Pain in your chest

Feeling a lump in the back of your throat

Regurgitating food and liquid

Treatment

Although the symptoms are similar to less serious cases of acid reflux, they’re not so easily controlled. Over-the-counter solutions won’t be as effective. Ask your healthcare provider about antisecretory therapy via proton pump inhibitors or histamine 2 receptor blockers. You’ll need a prescription for both of these treatments. At this point in your reflux journey, you may want to start seeing a specialist who can help you mitigate these more intense symptoms.

Severe acid reflux

If you have stage three acid reflux, you’re probably already taking prescription medication and dealing with extreme symptoms every day. It’s likely that you’ll have erosive esophageal inflammation.

About 15% of people with acid reflux fall into this third stage.

Symptoms

If you have severe acid reflux, you might experience:

Heartburn

Regurgitating food and liquid

Sore throat

Hoarseness

Coughing that doesn’t get better

Treatment

You need medication to control your reflux at this stage. You’re at high risk for developing serious complications. If you haven’t already found a reflux specialist, now is the time to do so. At their recommendation, you might undergo thorough testing in order to make sure your treatment is correct.

Esophageal cancer

After many years of untreated stage three acid reflux, you could develop precancerous lesions or esophageal cancer. Around 10% of people who have GERD for a long period of time make it to this type of acid reflux. Also known as Barrett’s esophagus, this condition can turn into cancer if it remains untreated.

Symptoms

If you have stage four reflux, you might have:

Heartburn

Regurgitate food and liquid

Sore throat

Hoarseness

Coughing that doesn’t get better

Food getting stuck in your esophagus while you eat

Treatment

During stage four of GERD, a reflux specialist will perform tests and conduct surveillance to determine if you have a precancerous condition or cancer. You might have to undergo surgery or cancer treatments.

Finding the right treatment

In order to properly treat your acid reflux type, you need to know how severe your case is. Work with your healthcare provider to establish a plan for treatment that properly aligns with the stage of GERD you have. Remember that you might never be completely free of symptoms, but you can take measures to manage them.

What does acid reflux feel like in throat?

What is gastroesophageal reflux disease?

Gastroesophageal reflux disease (or GERD, for short) is what happens when liquids and food in your stomach go “the wrong way,” or back up into your throat. When this happens, the foods and liquids can irritate your throat.

Your esophagus isn't made to handle the acid in your stomach. This acid may also irritate your throat.

What are the common signs of GERD?

The most common sign is heartburn. Heartburn is a pain in the middle of your chest. The pain from heartburn can be very strong. Sometimes the pain can be so strong that you think you're having a heart attack.

GERD can cause other signs, too. You can even have GERD without having heartburn.

Sometimes GERD can cause problems in your throat. It can make you feel like you have a lump in your throat or like you always have to clear your throat. It can also cause hoarseness. You might be more hoarse when you first get up in the morning.

GERD can give you a burning feeling in your mouth. It can cause you to have a sore throat or to have trouble swallowing. You may feel like food is sticking in your throat. GERD may also make you feel like you're choking or that your throat is tight. A dry cough is another sign. GERD can also cause bad breath. It can even cause pain in your ears.

How I Eased My Heartburn/GERD Symptoms

If you have any of these signs, you may have GERD. Be sure to tell your doctor about any of these signs.

How is GERD diagnosed?

Your doctor will ask you questions about your signs and do an exam. Many times, doctors can be fairly certain a person has GERD just by the signs. If your doctor thinks your signs are caused by GERD, medicine may help. If the medicine helps, you and your doctor will know that GERD was the cause of your problems. You may not need to have any special tests.

How is GERD treated?

Medicines can help stop the food and liquids from going back up into your throat. But you also have to make changes in your diet and your lifestyle.

How should I change my diet?

If you don't eat certain foods, your throat problems may get better. Here's a list of foods you should try not to eat (or only eat them once in a while and eat just a few bites):

Tomato-based foods, like spaghetti sauce, chili and pizza

Spicy foods

Garlic and onions

Mint flavoring, like peppermint and spearmint

Citrus fruits, like oranges and grapefruit

Drinks with caffeine, like coffee, tea and cola

Chocolate

Fatty (and fried) foods, like french fries and donuts

What lifestyle changes help GERD?

Here is a list of lifestyle changes that may help your GERD:

Stop smoking if you smoke.

Don't drink alcohol.

Lose weight if you're overweight.

Eat smaller meals.

Wear loose-fitting clothes.

Avoid eating and drinking about four hours before going to bed.

Avoid lying down within three hours of a meal.

Raise the head of your bed by putting blocks of wood under the bedposts (just using extra pillows won't help).

What medicines help GERD?

One kind of medicine that helps includes cimetidine (brand name: Tagamet), ranitidine (brand name: Zantac), famotidine (brand name: Pepcid) and nizatidine (brand name: Axid). You take this medicine two times a day.

Proton pump inhibitors also help; they include omeprazole (brand name: Prilosec) and lansoprazole (brand name: Prevacid). You take them once a day.

Another medicine that helps is sucralfate (brand name: Carafate). You take it four times a day.

Can't I just take over-the-counter drugs for heartburn?

The amount of medicine in the over-the-counter drugs for heartburn (like Pepcid, Zantac and Tagamet) is lower than the amount in the prescription form of these medicines. And before you try an over-the-counter medicine, it's important to see your doctor. Your doctor will help you get a medicine that works well for you.

This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

How often should I drink apple cider vinegar for acid reflux?

Home remedies often serve the purpose of healing digestive problems and are fairly effective most of the time. Among them, apple cider vinegar has been rapidly gaining popularity. Known for its role in treating diabetic conditions like neuropathy, and helping with weight loss, ACV may also be capable of dealing with gastrointestinal dysfunctions like acid reflux. But, does it work?

Apple Cider Vinegar for Acid Reflux

The form of vinegar produced by crushing, distilling, and fermenting apples is called apple cider vinegar. This low-calorie drink is high on acetic acid and is often credited for its numerous health benefits. ACV is considered an effective detox and cleanse solution for the body and is useful in the fields of skincare, haircare, weight loss, and as a potential natural remedy for gout and gallstones.

Are Acid Reflux, GERD, Heartburn the Same Thing?

Each time you research a digestive issue, you see terms like acid reflux, GERD, and heartburn all floating around in the same context. Possibly, you even think of them as a single digestive disease. However, these digestive diseases are different and should not be used interchangeably. (1)

To understand the relationship between apple cider vinegar and acid reflux, you must first be able to identify the differences in these conditions.

What is Acid Reflux?

The food you eat reaches the stomach through a muscular tube called the esophagus. It extends down the throat connecting to the stomach by a valve called the lower esophageal sphincter. The LES opens the passage for food and remains closed otherwise. Acid reflux occurs when it opens without need, causing the stomach contents (acids, digestive juices, food) to flow backward into the esophagus.

Acid Reflux vs Heartburn

If acid reflux is the disease, heartburn is the symptom. When stomach acid reaches up to the esophagus, the acid tends to irritate other body organs. As the esophagus separates from the chest by merely a thin line, stomach acids cause a burning sensation in the mid-chest, below the sternum. This is called heartburn.

Frequent heartburns indicate a possibility of acid reflux. Recurrence of the reflux, in turn, could progress to GERD. This is how the three terms tie together. (2)

Acid Reflux vs GERD

If the condition of acid reflux persists for a long time, it changes to the more serious gastroesophageal reflux disease (GERD). A frequently occurring acid reflux may cause inflammation in the esophagus, making it too weak to function. This causes heartburn, which is often a symptom of GERD. (3)

Acid Reflux vs Indigestion

Indigestion is no disease or symptom. It is a sign of a problem building up in your digestive system, like acid reflux or GERD. Indigestion causes a feeling of discomfort in the upper abdomen, sometimes accompanied by recurrent pain. Unless the pain is frequent and intolerable, simple changes in the diet can cure indigestion. (4)

Learn about apple cider vinegar and keto

Is Apple Cider Vinegar Good for Acid Reflux?

There is not enough research and clinical analysis on whether apple cider vinegar works for treating acid reflux. No studies directly claim the advantage, and very few speak in favor of it with other gastrointestinal dysfunctions. (5)

However, one study aimed towards understanding gastrointestinal distress in patients with Parkinson’s disease found positive results. An ACV diet accompanied with deglycyrrhizinated licorice produced a 50% acid reflux improvement after five days. (6)

On the flip side, patients with GERD often experience a 10-33% delay in gastric emptying. A clinical trial aimed towards diabetic gastroparesis concluded an even larger delay in the gastric emptying rate when drinking ACV. Therefore, apple cider vinegar for GERD did not prove effective in this case. (7, 8)

A thesis presentation by a student of Arizona State University is one of the few pieces of evidence that demonstrates the positive effects of ACV on treating gastroesophageal reflux disease. While a student may not be as credentialed as some would like, the study was thorough and impressive nonetheless, indicating the need for further investigation. (9)

More Reading: Apple Cider Vinegar for UTI

Possible Advantages

ACV has a high acetic and malic acid quotient. It speeds up the breakdown of food in the stomach. In theory, this helps the food pass into the small intestine before it can cause digestive issues. This is the primary reason why people view apple cider vinegar for heartburn as an effective home remedy.

ACV also contains prebiotics from fermented apples. Pectin, a fiber found in fruits, plays a key role here. It helps preserve the bacteria in the gut which promotes healthy digestion. Thus, apple cider vinegar for indigestion is also commonly used.

The Bottom Line

Even if its benefits are largely anecdotal—if it others, it may help you. Science may not back up all the claims regarding ACV for acid reflux, but it does not condemn them either. It comes down to individual body needs, dietary habits, and knowing when to drink apple cider vinegar.

The acetic acid from the ACV is infamous for causing burning throats. If you frequently experience throat issues or an irritating food pipe, vinegar might be the worst possible choice. On the contrary, if you have previously consumed ACV, your body will likely not experience side effects if you’re familiar with drinking apple cider vinegar shots.

Safety Tips for an ACV Diet

If you have decided to take up ACV for acid reflux, make sure you do it the right way.

A raw, unfiltered ACV is the way to go. Avoid store-bought drinks with added sugars and preservatives.

Always consume a small ACV dosage at a time. A teaspoon or two a day is generally advisable.

Always dilute the ACV with water before using it. Its high level of acidity is known to damage tooth enamel and irritate the throat with direct exposure.

Only treat mild reflux with an ACV drink. Always report severe acid reflux, heartburn, or indigestion pain to a medical professional.

Keep the ACV in your mouth for a few seconds before swallowing. This will accelerate the production of digestive acid from the saliva.

Apple Cider Vinegar for Acid Reflux Drink Recipe

Esteemed nutritionists and dieticians often suggest apple cider vinegar tonics as they are a great way to enjoy the vinegar in a diluted form. There are many ways to create a tonic, but a basic acid reflux drink recipe goes something like this:

Choose your ingredients. You can always go for the sourness of lemon, the warm kick of turmeric, or a couple of healthy greens. Keep any possible food intolerances in mind.

Choose your sweetener. Many people opt for artificial sweeteners to avoid weight gain, but honey is a healthier substitute for natural sugar.

Take up an adequate amount of apple cider vinegar. Mix it with all your ingredients and water.

Alternatively, you can take ACV supplements in pill form if the taste of drinking vinegar is too much to handle. Even better, the recent market trend of apple cider vinegar gummies is an excellent way to avoid the harsh reality of drinking vinegar.

Learn about Kidney Stones and Apple Cider Vinegar

Other Natural Remedies for Acid Reflux

You may be on the opposing side of the argument in this apple cider vinegar for acid reflux debate. That’s alright because we’ve got you covered with a few other natural home remedies. Try making these basic lifestyle changes as precautionary measures to avoid digestive discomfort.

Quit Tobacco if you haven’t already. Studies show tobacco and smoking are some of the most prevalent factors contributing to acid reflux and GERD. (10)

Avoid Trigger Foods. Many researchers have pointed out certain foods that ultimately contribute to acid reflux. Caffeine, meat, chocolates, and alcohol are good foods to avoid if you’re having stomach problems. (11)

Change your food habits. Practice eating small amounts of food at a time and chewing each bite properly. Moreover, never lay down immediately after a large meal as it triggers the food to rise back from the esophagus.

Position yourself high. As gravity can greatly help control reflux, laying down on elevated surfaces is suggested. Place a triangular wedge beneath the bed so that the esophagus always remains above the stomach. (12)

Lose weight to achieve a healthy body. Excess body fat can pressurize the stomach to work twice as hard, which can easily lead to acid reflux.

Final Thoughts on ACV for Acid Reflux

To sum it up, apple cider vinegar and acid reflux have a complex relationship, but ACV can provide some benefits depending on the individual. Simply keep all the factors and side effects in mind and make a wise decision on whether or not you’d like to consume ACV to assist with your digestive problems.

What can I drink for acid reflux?

Though uncomfortable, acid reflux is a common condition that affects more than 15 million Americans daily.

It occurs when stomach acid or bile flows into the food pipe and irritates the lining, causing heartburn and sometimes additional bothersome symptoms.

Thankfully, there are many ways to treat and soothe the symptoms of acid reflux, including over-the-counter (OTC) medications and drinks you can take at home.

However, not all drinks will help acid reflux.

In fact, some can make the symptoms worse.

Learn more about what to drink and what to avoid for managing acid reflux.

What is Acid Reflux?

Acid reflux refers to the condition when stomach acid flows back up into the mouth through the esophagus (food tube).

This occurs when the valve at the end of the esophagus doesn’t close properly when food enters the stomach.

Gastrointestinal reflux disease (GERD), on the other hand, refers to chronic acid reflux which leads to irritation and inflammation of the lower portion of the esophagus.

Symptoms of Acid Reflux

The main symptoms of acid reflux can include:

Say Goodbye to GERD (Seth Miller, MD)

Heartburn (a burning or painful feeling in the chest, experienced usually after eating)

Regurgitation

Chest pain or burning that worsens when lying down or bending over

Bitter, hot, sour, acidic, or unpleasant taste in the mouth

Sore throat

Hoarseness

Pain or discomfort that appear after a large or spicy meal

Additional symptoms that are often a sign of chronic acid reflux, or GERD, are:

Difficulty swallowing

Throat pain

Causes of Acid Reflux

For many, acid reflux is triggered by lifestyle and diet habits.

You are more at risk for developing acid reflux if you:

Eat large portions of food in one sitting

Eat spicy, fatty, or greasy foods

Eat acidic foods such as tomatoes or citrus fruits

Eat close to bedtime

Drink large amounts of caffeinated, alcoholic, or carbonated drinks

Experience stress

Smoke

Wear tight-fitting clothes

However, acid reflux can also be caused by other conditions, including:

Too much acid in the stomach

Delayed stomach emptying

Poor clearance of food or acid from the esophagus

Anxiety or depression

Pregnancy

Hiatal hernia

Though everyone can get acid reflux from time to time, GERD is a chronic condition that can lead to more serious problems if not treated.

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What to Drink

There are some drinks that you can take at home to try and soothe your heartburn and acid reflux.

However, some of these drinks don’t have enough evidence behind them to demonstrate their efficacy at soothing or treating acid reflux.

So keep in mind that it may take some trial and error to find the right drink that works for your symptoms.

And in some cases, you may want to speak to a provider who can recommend over-the-counter (OTC) or prescription medications.

Herbal tea

There are many herbal remedies that have been used to treat heartburn, but there is little scientific evidence to confirm the effectiveness of most.

In fact, tea consumption, due to its caffeine content, has been reported to be associated with higher levels of acid reflux and GERD in some communities.

However, some non-caffeinated herbs used in herbal teas may be calming to the digestive tract, specifically chamomile and ginger.

Several studies have also shown licorice to be effective in increasing the mucous coating of the esophageal lining, which can counteract the irritating effects of stomach acid.

Low-Fat Milk

Research shows that food high in fat and calcium is associated with a higher risk of acid reflux and GERD.

Because regular milk is both high in fat and high in calcium, this suggests it could be a triggering food what to drink for acid refluxfor acid reflux.

However, research also shows that a low-fat diet probably helps decrease symptoms of acid reflux.

So if milk is an essential part of your daily diet, switching to low-fat milk may help to reduce your risk of developing heartburn symptoms.

Fruit Juice

Acidic foods and drinks should be avoided if you suffer from acid reflux, including orange and grapefruit juices.

There’s little evidence that non-acidic fruit juices will help acid reflux, but if juice is part of your regular diet, switching to non-acidic options like carrot or watermelon juice may help to reduce the risk of developing acid reflux and the severity of symptoms.

Smoothies

There’s little to no evidence that drinking smoothies will soothe or treat acid reflux.

However, eating smaller portions as well as balanced meals that include vegetables, proteins, and fruits is recommended for people who experience acid reflux.

What’s more, drinking non-caffeinated smoothies without citrus fruits may help to slow down digestion, which could help to prevent future acid reflux.

Water

In general, drinking water can help balance the pH of a particularly acidic meal, which may help to lower the risk of acid reflux.

Studies show that drinking mineral water with a high hydrogen carbonate content can help to alleviate the frequency and severity of acid reflux.

Coconut Water

Studies have shown that drinking alkaline water, including coconut water, can have therapeutic benefits in people with acid reflux.

Drinks to Avoid

Understanding which drinks can trigger or exacerbate acid reflux can help you avoid its uncomfortable symptoms.

Alcohol

Several studies show that drinking alcohol, even in moderate amounts, can worsen symptoms of indigestion by increasing stomach acid and overly relaxing the lower esophageal sphincter.

Citrus juices

Research suggests that citrus juice, including the juice of oranges, lemons, and grapefruit, irritates the lining of the esophagus.

One study found that orange or grapefruit juice worsened the acid reflux symptoms of 72% of GERD patients.

Coffee

Unfortunately, coffee and other caffeinated drinks are one of the most common triggers of acid reflux.

Sodas and Carbonated Drinks

Similarly to coffee and caffeinated drinks, sodas and other carbonated beverages are known to trigger acid reflux in many people.

Over-the-Counter Acid Reflux Treatments

If at-home drinks don’t work to keep your acid reflux at bay, there are some over-the-counter (OTC) treatments that can help.

Keep in mind that it may take a little trial and error to figure out what works best for you, and for severe or more frequent symptoms, prescription medication may be necessary.

OTC acid reflux treatment options include:

Antacids

OTC antacids are usually the first-line recommendation for acid reflux and heartburn.

They work by neutralizing acids in your stomach and can provide fast, short-term relief.

Antacids are available in multiple forms—chewables, dissolving tablets, and liquids. Some examples of antacids include calcium carbonate (Tums), simethicone (Mylanta), and sodium bicarbonate (Alka-Seltzer).

Like most medicines, antacid medications may cause side effects.

Though rare, the most commonly reported side effects of antacids and acid-reducing medications are:

Headaches

Nausea

Constipation

Diarrhea

If you experience one or more of the above side effects while taking an antacid or acid-reducing medication, they will likely go away on their own.

If side effects persist, reach out to your provider.

Histamine-2 (H2) Blockers

These medicines, available both by prescription and OTC, help reduce the amount of acid your stomach produces, which can help alleviate heartburn.

H2 blockers don’t work as quickly to reduce heartburn as antacids, but the effect can last longer.

Examples of H2 blockers include famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75).

Proton Pump Inhibitors (PPIs)

PPIs are especially effective at reducing stomach acid.

Your provider may recommend PPIs if antacids or H2 blockers have failed to resolve your symptoms.

Recently, some PPIs have become available OTC, including esomeprazole (Nexium) and omeprazole (Prilosec). Other PPIs, like rabeprazole (AcipHex), are only available with a prescription.

Side effects of proton pump inhibitors (PPI) may be more serious.

Research shows that long term use of PPIs can lead to kidney problems, including kidney failure.

Experts recommend using PPIs only when necessary and, and PPIs are not intended for long-term or chronic use.

Importantly, you should not take PPIs if you are elderly, immunocompromised, postmenopausal, or have been treated for a Clostridium difficile (C. diff) infection in the past.

Talk to your healthcare provider before taking any OTC heartburn medication.

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When to See a Doctor

Many cases of mild acid reflux can be managed at home or with OTC medication.

But if you experience any of the below symptoms, reach out to your health care provider for customized medical advice:

Unintentional weight loss or loss of appetite

Bloody vomit

Frequent vomiting

Black, tarry stool

Severe, constant stomach pain

Difficulty swallowing that gets progressively worse

Fatigue or weakness

Shortness of breath, sweating, or chest pain that radiates to the neck, jaw, or arm

Chest pain with stress or exertion

Yellowing of the skin or eyes

Heartburn or acid reflux symptoms that last longer than two weeks

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How much apple cider vinegar should I take for acid reflux?

As many as 20% of Americans suffer from acid reflux, which occurs when stomach acid or bile flows into their esophagus (food pipe), irritating the lining and causing symptoms like heartburn.

There are many things that can help soothe the symptoms of acid reflux, including over-the-counter (OTC) medications and some home remedies.

Some sufferers swear by certain at-home remedies—but not all of them work.

In this article, I’ll talk about apple cider vinegar and acid reflux.

🚫STOP Taking ANTACIDS & Try APPLE CIDER VINEGAR If You Have ACID REFLUX, GERD or HEART BURN

I’ll explain more about what acid reflux is and why it happens, whether apple cider vinegar can help, and outline some other home remedies.

I’ll also talk about when you should speak to your doctor about your acid reflux.

What is Acid Reflux?

When the valve at the end of the esophagus doesn’t close properly, stomach acid can flow back up the esophagus and into the throat and mouth.

This condition is called acid reflux.

Symptoms of acid reflux

The main symptom of both acid reflux and gastroesophageal reflux disease (GERD) is heartburn, which is an uncomfortable burning feeling in your chest that can move up into your throat and down into your upper abdomen.

Other symptoms of acid reflux include:

Regurgitation, or the feeling of fluid or food coming up into the chest

Chest pain or burning, especially felt when lying down or bending over

Unpleasant taste in the mouth (including bitter, sour, or acidic tastes)

Sore throat

Hoarseness

Pain or discomfort that appears after a large or spicy meal

Additional symptoms that are often a sign of chronic acid reflux, or GERD, are:

Difficulty swallowing

Pain that can move into your throat, but doesn’t usually radiate to your shoulders, neck and arms

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Causes of acid reflux

Lifestyle and diet habits can trigger acid reflux in some people.

You are more at risk for developing acid reflux if you:

Eat large portions of food in a sitting

Eat spicy, fatty, or greasy foods

Eat a lot of acidic food, such as tomatoes or citrus fruits

Eat close to bedtime

Drink large amounts of caffeinated, alcoholic, or carbonated drinks

Experience stress

Smoke

Wear tight-fitting clothes

Acid reflux can also be caused by medical or natural conditions, including:

Too much acid in the stomach

Delayed stomach emptying

Poor clearance of food or acid from the esophagus

Relaxation of the lower esophageal sphincter

Anxiety or depression

Pregnancy

Hiatal hernia

Though everyone can get acid reflux from time to time, GERD is a chronic condition that can lead to more serious problems if not treated.

What is Apple Cider Vinegar?

Apple cider vinegar is apple juice that has been fermented twice.

During the first fermentation process, the juice is mixed with yeast, sugar, or another carbohydrate, and then left for a time to allow natural bacteria and yeast to transform the carbohydrates into alcohol.

During the second fermentation process, the alcohol is converted into acetic acid.

Apple cider vinegar has been used as a tonic for centuries, and has recently gained popularity as a natural remedy for acid reflux, weight loss, and more.

Because of its high acetic acid content, many people use apple cider vinegar to aid digestion and help break down food. However, the studies researching the health benefits of vinegar contain either small samples, or were conducted only on rats.

Unfortunately, there is little to no evidence that it is a safe and effective treatment for acid reflux.

Can Apple Cider Vinegar Help With Acid Reflux?

What the research says

Apple cider vinegar contains natural probiotics and antioxidants, two properties that could be beneficial for your health.

But there are very few scientific studies to support the claims that apple cider vinegar can treat or relieve acid reflux.

The risks of taking apple cider vinegar are low, however.

If your provider says it’s OK to try, apple cider vinegar is a simple remedy you can try at home.

How to use apple cider vinegar

Though there’s limited evidence that using apple cider vinegar can improve acid reflux, there are several ways you can incorporate it into your diet, including:

Diluting a teaspoon of apple cider vinegar into a glass of warm water before drinking

Adding a teaspoon (per serving) of apple cider vinegar to salad dressing

Adding a teaspoon (per serving) of apple cider vinegar to soups or stews

Using apple cider vinegars in jarring and pickling

Side effects of drinking apple cider vinegar

Apple cider vinegar has a high acidity content that can cause problems when ingested in excessive amounts.

These side effects include:

Eroded tooth enamel

Lower potassium levels

Interactions with certain medicines, including insulin and diuretics

Nausea

Vomiting

Other Home Remedies and OTC Options for Acid Reflux

Home remedies and over-the-counter (OTC) options can sometimes soothe heartburn and acid reflux.

It may take some trial and error to find a remedy that works for your symptoms.

Talk to your doctor or primary care provider before trying any at-home remedy, and also ask whether over the counter or prescription medications may be good options for you

Here are some home remedies and OTC options that may help to soothe your acid reflux:

Baking soda mixed with water: Baking soda can neutralize stomach acid and temporarily relieve some symptoms of indigestion and acid reflux. In fact, some safe and effective OTC antacids, like Alka-Seltzer, contain baking soda (also known as sodium bicarbonate). To use this remedy at home, just add ½ teaspoon to at least four ounces of water and drink the solution. Be careful not to use too much, though. One study found that adults should have no more than seven half-teaspoons of baking soda in one day, and no more than three half-teaspoons if over the age of 60.

Herbal teas: While there has been little scientific study of the effects of herbal teas specifically on acid reflux, some herbs have properties that could help with acid reflux symptoms. Ginger, for example, has been shown to help the stomach empty faster—and slow gastric emptying has been tied to acid reflux. In an animal study, licorice extract was shown to have similar anti-inflammatory properties to famotidine, a popular heartburn medication. Neither of these teas has been studied specifically for acid reflux, though. Talk to your doctor or primary care provider before adding new herbs or herbal supplements to your daily routine.

Eating a healthy diet: Diet and lifestyle changes that can help prevent acid reflux, including eating a diet high in healthy, unsaturated fats as opposed to saturated fats. You should also try to limit or avoid food that can worsen acid reflux, including caffeine, spicy, and fatty foods.

Antacids: OTC antacids are usually the first-line recommendation for acid reflux and heartburn because of their availability and low risk of side effects. They work by neutralizing acids in your stomach and can provide fast, short-term relief. You can find them in a variety of forms—including chewables, dissolving tablets, and liquids. Some examples of antacids include calcium carbonate (Tums), simethicone (Mylanta), and sodium bicarbonate (Alka-Seltzer).

Histamine-2 (H2) Blockers: H2 blockers are available by prescription and OTC. They can reduce the amount of acid your stomach produces to help alleviate heartburn. H2 blockers don’t work as quickly to reduce heartburn as antacids, but the effect can last longer. Examples include famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75).

Proton Pump Inhibitors (PPIs): PPIs also work to reduce stomach acid. They can be especially effective when antacids or H2 blockers haven’t worked. Recently, some PPIs have become available OTC, including esomeprazole (Nexium) and omeprazole (Prilosec). Other PPIs, like rabeprazole (AcipHex), are only available with a prescription. Research shows that long-term use of PPIs can lead to kidney problems, including kidney failure. Experts recommend using PPIs only when necessary and for a limited period of time, and PPIs are not intended to be a chronic medication.

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When to See a Doctor

Many cases of mild acid reflux can be managed at home or with OTC medication.

If you experience any of the below symptoms, reach out to your healthcare provider for personalized medical advice:

Severe headache

Unintentional weight loss or loss of appetite

Bloody vomit or vomit that resembles coffee grounds

Frequent vomiting

Frequent urge to urinate

Black, tarry stool

Severe, constant stomach pain

Difficulty swallowing that gets progressively worse

Fatigue or weakness

Shortness of breath, sweating, or chest pain that radiates to the neck, jaw, or arm

Chest pain with stress or exertion

Yellowing of the skin or eyes

Heartburn or acid reflux symptoms that last longer than two weeks

How do you get rid of acid reflux in your throat fast?

If you experience heartburn, you know the feeling well: a slight hiccup, followed by a burning sensation in your chest and throat.

Apple Cider Vinegar is DANGEROUS for acid reflux

It may be triggered by the foods you eat, particularly spicy, fatty, or acidic foods.

Or perhaps you have gastroesophageal reflux disease (GERD), a chronic condition with many potential causes.

Whatever the cause, heartburn is uncomfortable and inconvenient. What can you do when heartburn strikes?

We’ll go over some quick tips to get rid of heartburn, including:

wearing loose clothing

standing up straight

elevating your upper body

mixing baking soda with water

trying ginger

taking licorice supplements

sipping apple cider vinegar

chewing gum to help dilute acid

staying away from cigarette smoke

trying over-the-counter medications

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Loosen clothing

Heartburn happens when the contents of your stomach rise up into your esophagus, where stomach acids can burn the tissue.

In some cases, you might be having an episode of heartburn because tight clothing is compressing your stomach.

If that’s the case, the first thing to do is loosen your belt — or your pants, dress, or whatever else is holding you tight.

Stand up straight

Your posture can also contribute to heartburn. If you’re sitting or lying down, try standing up. If you’re already standing, try standing up more straightly.

An upright posture puts less pressure on your lower esophageal sphincter (LES). Your LES is a ring of muscle that helps stop stomach acid from rising into your esophagus.

Elevate your upper body

Lying down can make heartburn worse. When it comes time for bed, adjust your sleeping surface to raise your upper body.

According to the Mayo Clinic, lifting your head with extra pillows isn’t usually enough. Instead, the goal is to elevate your body from the waist up.

If you have an adjustable bed, set it at a suitable angle to provide relief. If your bed isn’t adjustable, you can change the angle of your sleeping surface by using a wedge pillow.

Mix baking soda with water

You might have a heartburn remedy at hand in your kitchen without even knowing it. Baking soda can calm some episodes of heartburn by neutralizing your stomach acid.

To do this, dissolve a teaspoon of baking soda in a glass of water and drink it slowly. In fact, you should drink everything slowly when you have heartburn.

Try ginger

Ginger has been used as a folk remedy for heartburn for centuries. Ginger can help relieveTrusted Source nausea, so some believe it may be worth trying for heartburn, too.

Consider adding grated or diced ginger root to your favorite stir-fry recipes, soups, and other foods. To make ginger tea, steep raw ginger root, dried ginger root, or ginger tea bags in boiling water.

It’s probably best to avoid ginger ale, though. Carbonated beverages are a common heartburn trigger, and most brands of ginger ale are made with artificial flavoring rather than the real thing.

Take licorice supplements

Licorice root is another folk remedy that’s been used to treat heartburn. It’s believed that it might help increase the mucous coating of your esophageal lining, which may protect your esophagus from damage caused by stomach acid.

Deglycyrrhizinated licorice (DGL) is a supplement that contains licorice that’s been processed to remove much of its glycyrrhizin, a compound that can cause adverse side effects.

Eating too much licorice or DGL mayTrusted Source raise your blood pressure, lower your potassium levels, and interfere with certain medications. Always talk to your doctor before taking licorice or DGL supplements.

Sip apple cider vinegar

Apple cider vinegar is another home remedy that some people use to treat heartburn, believing that it may neutralize stomach acid.

One researcher suggested that drinking diluted apple cider vinegar after a meal may help alleviate heartburn for some people. However, these effects didn’t reach the level of statistical significance so more research is needed.

If you decide to try this remedy, dilute the apple cider vinegar with water and drink it after your meal.

Chew gum

According to research published in the Journal of Dental Research, chewing gum for half an hour after meals may also help reduce heartburn. However, mint flavored gums may have the opposite effect.

Chewing gum stimulates saliva production and swallowing. This might help dilute and clear stomach acid from your esophagus.

Avoid cigarette smoke

You probably already know that smoking is bad for your health. But did you know that smoking can contribute to heartburn? If you’re a smoker and you get an attack of heartburn, don’t light up.

Smoking might be a go-to coping strategy when you’re uncomfortable, but it’s not going to make that burning feeling go away.

Take over-the-counter heartburn medication

There are plenty of over-the-counter (OTC) heartburn medications that are available for use. These medicines come in three classes:

antacids

H2 blockers

proton pump inhibitors (PPIs)

PPIs and H2 blockers reduce how much acid your stomach secretes, which can help prevent and reduce heartburn symptoms. Antacids neutralize stomach acid.

The takeaway

When heartburn hits, many over-the-counter treatments, home remedies, and lifestyle adjustments may provide relief.

Adjusting your daily habits can also help prevent heartburn symptoms from developing in the first place. For example, try to:

avoid common heartburn triggers, such as fatty and spicy foods

eat at least three hours before bedtime

avoid lying down after eating

maintain a healthy weight

If you experience heartburn more than two or three times a week, talk to your doctor. In some cases, they might prescribe medications or other treatments.

Is apple cider vinegar good for acid reflux?

Apple cider vinegar and acid reflux

Apple cider vinegar is generally made from crushed apples. Bacteria and yeast are added to ferment the liquid. At first, the liquid is similar to a hard apple cider because of the alcohol content. More fermentation changes the alcohol into vinegar.

Organic and raw apple cider vinegar are both allowed to ferment naturally. These liquids are unfiltered and typically take on a brownish, cloudy appearance. This process leaves behind the “mother” of the apple.

The mother is a cobweb-like substance found at the bottom of all bottles of organic apple cider vinegar. Nonorganic apple cider vinegar is pasteurized, and the mother of apple is removed.

It’s thought that the mother is rich in enzymes, proteins, and pectin. Because of this, organic varieties are considered the gold standard when used to treat health conditions, such as acid reflux.

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What are the benefits of apple cider vinegar?

The acetic acid found in apple cider vinegar may provide several health benefits.

For some people, acid reflux may be a result of too little stomach acid. Proponents of this remedy claim apple cider vinegar might be beneficial because it introduces more acid into the digestive tract. This acid is also effective against several types of bacteria and acts as an antimicrobial agent.

Apple cider vinegar may also help people with diabetes manage blood sugar. Ingesting vinegar can raise your body’s insulin sensitivity. This allows the insulin to move glucose through your body and decrease your blood sugar levels.

Benefits

Raw or unfiltered apple cider vinegar contains the “mother” of the apple, which is thought to be high in protein.

Apple cider vinegar may introduce more acid into the digestive tract. If your acid reflux is the result of too little stomach acid, this might be beneficial.

The acetic acid found in the vinegar fights against bacteria and other foreign bodies.

What the research says

Apple cider vinegar might improve acid reflux in people not taking medications and with minimal risk. But although there’s a lot of anecdotal evidence, there’s very limited research.

In fact, no research supporting this claim has been published in a medical journal. A graduate thesis did find that raw or unfiltered apple cider vinegar may prevent heartburn, though.

More research is needed to determine whether apple cider vinegar is a consistent and reputable way to treat acid reflux.

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Will Apple Cider Vinegar Help With Reflux? | Dr Mark Fernandes

How to use apple cider vinegar to treat acid reflux

You may try using apple cider vinegar to relieve acid reflux symptoms, but there’s no guarantee it’ll work. It’s thought this home remedy helps balance your stomach pH by balancing stomach acid.

It’s generally accepted as safe to consume a small amount of apple cider vinegar. Dilute it with water. This should relieve any burning sensation caused by the acid in the vinegar.

Diluting it may also help prevent the acid from damaging the enamel on your teeth. To further avoid this, drink it through a straw, if possible.

Many people find the taste of apple cider vinegar to be sharp or sour. You may consider adding honey to the solution to taste.

Risks and warnings

Some people may experience side effects after consuming apple cider vinegar. They can include:

tooth erosion

blood thinning

throat irritation

decreased potassium

These side effects may be worse if you use undiluted or large amounts of apple cider vinegar.

Risks

Apple cider vinegar may interact with certain medications, including diuretics, laxatives, and heart disease medications.

Don’t use apple cider vinegar if you have an ulcer, as it can aggravate your symptoms.

Drinking vinegar, even when diluted in water, can also wear down your teeth enamel.

Other acid reflux treatment options

Conventional treatments for acid reflux include prescription and over-the-counter medications and lifestyle changes.

Medications used to treat reflux include:

antacids to help balance stomach acid

H2 receptor blockers, such as famotidine (Pepcid), to block the receptors in the stomach that release acid

proton pump inhibitors, such as omeprazole (Prilosec), to reduce acid production

Lifestyle changes that may help acid reflux include the following:

Eat smaller meals.

Avoid foods and beverages that trigger heartburn.

Quit smoking.

Don’t lie down after eating.

Elevate the head of your bed several inches.

Sometimes conventional treatments aren’t enough. Serious complications from acid reflux can include esophageal scarring or ulcers.

To avoid these complications, your doctor may recommend a surgery called fundoplication. In this procedure, the upper part of your stomach is wrapped around the lower esophagus. This strengthens the esophageal sphincter to prevent reflux.

What you can do now

Although anecdotal evidence suggests apple cider vinegar may be a useful remedy, there isn’t a firm medical basis for this treatment. If you do explore this option, remember to:

Consume apple cider vinegar in small quantities.

Dilute the vinegar with water.

Speak with your doctor if your symptoms don’t improve or worsen with use.

Shop for apple cider vinegar.

Work with your doctor to create a treatment plan that’s best for you, whether it’s lifestyle changes, medications, or a home remedy.

“One teaspoon to one tablespoon is a t

Can apple cider vinegar make your acid reflux worse?

Apple cider vinegar, a fermented vinegar that people make from crushed apples, is a popular natural remedy for acid reflux and heartburn.

Many home remedies can successfully alleviate the symptoms of acid reflux, heartburn, and other symptoms of gastroesophageal reflux disease (GERD).

Some people claim that apple cider vinegar can relieve these symptoms. For others, however, it may make acid reflux worse.

In this article, we look into the research on using apple cider vinegar for acid reflux and detail potential side effects of its use.

Does apple cider vinegar soothe acid reflux?

Some people believe that apple cider vinegar can relieve acid reflux.

Acid reflux occurs when acid from the stomach flows upward. This causes a sour taste in the mouth and a burning sensation in the chest.

There are many anecdotal stories on the Internet to suggest that apple cider vinegar is an effective cure for acid reflux. Proponents say that the acidity of the tonic as well as the beneficial bacteria within can improve digestion and alleviate reflux.

One theory is that many people with acid reflux have too little stomach acid in a condition called hypochlorhydria. People can develop this condition from taking proton pump inhibitors.

These are common medications for acid reflux that can reduceTrusted Source stomach acid to very low levels. So, drinking apple cider vinegar may help these people increase the acidity of the stomach.

However, scientists have not carried out enough research into the effects of apple cider vinegar on the gut to support these claims.

In fact, there are no studies in medical journals that investigate the effects of apple cider vinegar on reflux and heartburn.

Is it safe to use apple cider vinegar for acid reflux?

In general, the risk of using apple cider vinegar for acid reflux is minimal. Many people drink it daily for blood sugar control, weight loss, and more without experiencing adverse effects. That said, no research confirms that it is safe to use in the long-term.

For some people, apple cider vinegar makes heartburn worse. Those who have a very irritated food pipe may experience further burning and irritation after drinking vinegar.

People who wish to try apple cider vinegar for mild reflux can mix between a teaspoon and a tablespoon of the vinegar into a glass of water. Taking this before or after meals may reduce acid reflux symptoms in some people.

It is not advisable to drink apple cider vinegar for moderate to severe acid reflux, heartburn, or GERD.

Side effects of drinking apple cider vinegar

Aside from the risk of making heartburn worse, apple cider vinegar has the potentialTrusted Source to erode tooth enamel. To protect the teeth, always dilute the vinegar and take it with a meal. Follow up apple cider vinegar tonics with a mouth rinse or use a straw.

Apple cider vinegar may interact with medications such as diuretics and insulin. People who take any medications or supplements should consult their doctor before regularly drinking apple cider vinegar.

Other home remedies for acid reflux

A person with acid reflux should avoid eating citrus fruit.

In many cases of mild to moderate reflux, home remedies and lifestyle modifications provide significant symptom relief.

Lifestyle changes that can help people reduce acid reflux symptoms include:

Achieving a healthy weight. People who are overweight or obese are at greater risk of acid reflux, according to the findings of several studiesTrusted Source. This may be due to the extra pressure on the stomach, which may push acid up into the food pipe.

Avoiding tobacco use. According to a 2016 review paperTrusted Source, smoking contributes to acid reflux by relaxing the muscle between the esophagus and stomach. This allows acid to rise.

Elevating the head of the bed. The International Foundation for Gastrointestinal Disorders recommend that people with acid reflux use blocks or wedges to raise up the head of their beds. Gravity can help control reflux.

Wearing loose clothing. Tight clothing, especially around the stomach area, can push acid from the stomach into the food pipe.

Practice good eating habits. Practice portion control and eat slowly to encourage healthy digestion. Avoid lying down while eating or within 3 hours of mealtimes.

Avoiding certain foods and drinks may improve the symptoms of acid reflux. Although food triggers vary from one person to another, some foods and drinks that may cause reflux include:

alcohol

caffeine

chocolate

citrus fruits, such as oranges, lemons, and grapefruit

fried or fatty foods

garlic and onions

mint

spicy foods

tomatoes and tomato-based products, including pasta sauces and soups

If acid reflux continues after removing these foods from the diet, people can try keeping a food diary to track their food intake and symptoms. This can help a person identify their individual reflux triggers.

Ancient Chinese Technique Reduces Acid Reflux | Dr. Mandell

When to see a doctor

People with severe acid reflux, especially reflux that does not get better with home remedies, may need to take medications. In rare cases, they may require surgery.

A person should see a doctor if acid reflux continues for more than a few weeks, or if it gets worse. A person should seek prompt medical treatment if they experience reflux along with:

black or red stool

chest pain during activities

difficulty swallowing or eating

vomiting of blood or granules that resemble coffee grounds

weight loss

Summary

Apple cider vinegar is a popular natural remedy for acid reflux and heartburn. Many people claim that it relieves their symptoms.

However, there are currently no scientific studies to say that apple cider vinegar is effective for acid reflux. There is also no research to suggest that drinking apple cider vinegar is safe.

For these reasons, it may be best to try some proven home remedies for acid reflux, such as avoiding food triggers, maintaining a healthy weight, and changing the position of the bed.

People who have continuing or severe reflux or heartburn should see their doctor to discuss medications or other treatments that can relieve symptoms.

As many as 20% of Americans suffer from acid reflux, which occurs when stomach acid or bile flows into their esophagus (food pipe), irritating the lining and causing symptoms like heartburn.

There are many things that can help soothe the symptoms of acid reflux, including over-the-counter (OTC) medications and some home remedies.

Some sufferers swear by certain at-home remedies—but not all of them work.

In this article, I’ll talk about apple cider vinegar and acid reflux.

I’ll explain more about what acid reflux is and why it happens, whether apple cider vinegar can help, and outline some other home remedies.

I’ll also talk about when you should speak to your doctor about your acid reflux.

What is Acid Reflux?

When the valve at the end of the esophagus doesn’t close properly, stomach acid can flow back up the esophagus and into the throat and mouth.

This condition is called acid reflux.

Symptoms of acid reflux

Other symptoms of acid reflux include:

Regurgitation, or the feeling of fluid or food coming up into the chest

Chest pain or burning, especially felt when lying down or bending over

Unpleasant taste in the mouth (including bitter, sour, or acidic tastes)

Sore throat

Hoarseness

Pain or discomfort that appears after a large or spicy meal

Additional symptoms that are often a sign of chronic acid reflux, or GERD, are:

Difficulty swallowing

Pain that can move into your throat, but doesn’t usually radiate to your shoulders, neck and arms

EXPERIENCING SYMPTOMS OF ACID REFLUX? CHAT WITH A DOCTOR TODAY FOR JUST $29

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Causes of acid reflux

Lifestyle and diet habits can trigger acid reflux in some people.

You are more at risk for developing acid reflux if you:

Eat large portions of food in a sitting

Eat spicy, fatty, or greasy foods

Eat a lot of acidic food, such as tomatoes or citrus fruits

Eat close to bedtime

Drink large amounts of caffeinated, alcoholic, or carbonated drinks

Experience stress

Smoke

Wear tight-fitting clothes

Acid reflux can also be caused by medical or natural conditions, including:

Too much acid in the stomach

Delayed stomach emptying

Poor clearance of food or acid from the esophagus

Relaxation of the lower esophageal sphincter

Anxiety or depression

Pregnancy

Hiatal hernia

Though everyone can get acid reflux from time to time, GERD is a chronic condition that can lead to more serious problems if not treated.

What is Apple Cider Vinegar?

Apple cider vinegar is apple juice that has been fermented twice.

During the second fermentation process, the alcohol is converted into acetic acid.

Apple cider vinegar has been used as a tonic for centuries, and has recently gained popularity as a natural remedy for acid reflux, weight loss, and more.

Unfortunately, there is little to no evidence that it is a safe and effective treatment for acid reflux.

Can Apple Cider Vinegar Help With Acid Reflux?

What the research says

Apple cider vinegar contains natural probiotics and antioxidants, two properties that could be beneficial for your health.

FIX Reflux/GERD Naturally

But there are very few scientific studies to support the claims that apple cider vinegar can treat or relieve acid reflux.

The risks of taking apple cider vinegar are low, however.

If your provider says it’s OK to try, apple cider vinegar is a simple remedy you can try at home.

How to use apple cider vinegar

Though there’s limited evidence that using apple cider vinegar can improve acid reflux, there are several ways you can incorporate it into your diet, including:

Diluting a teaspoon of apple cider vinegar into a glass of warm water before drinking

Adding a teaspoon (per serving) of apple cider vinegar to salad dressing

Adding a teaspoon (per serving) of apple cider vinegar to soups or stews

Using apple cider vinegars in jarring and pickling

Side effects of drinking apple cider vinegar

Apple cider vinegar has a high acidity content that can cause problems when ingested in excessive amounts.

These side effects include:

Eroded tooth enamel

Lower potassium levels

Interactions with certain medicines, including insulin and diuretics

Nausea

Vomiting

Other Home Remedies and OTC Options for Acid Reflux

Home remedies and over-the-counter (OTC) options can sometimes soothe heartburn and acid reflux.

It may take some trial and error to find a remedy that works for your symptoms.

Talk to your doctor or primary care provider before trying any at-home remedy, and also ask whether over the counter or prescription medications may be good options for you

Here are some home remedies and OTC options that may help to soothe your acid reflux:

EXPERIENCING SYMPTOMS OF ACID REFLUX? CHAT WITH A DOCTOR TODAY FOR JUST $29

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When to See a Doctor

Many cases of mild acid reflux can be managed at home or with OTC medication.

If you experience any of the below symptoms, reach out to your healthcare provider for personalized medical advice:

HOW APPLE CIDER VINEGAR cures Acid Reflux, Gerd, Heartburn: STEP BY STEP REMEDY

Severe headache

Unintentional weight loss or loss of appetite

Bloody vomit or vomit that resembles coffee grounds

Frequent vomiting

Frequent urge to urinate

Black, tarry stool

Severe, constant stomach pain

Difficulty swallowing that gets progressively worse

Fatigue or weakness

Shortness of breath, sweating, or chest pain that radiates to the neck, jaw, or arm

Chest pain with stress or exertion

Yellowing of the skin or eyes

Heartburn or acid reflux symptoms that last longer than two weeks

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Tuesday, 26 April 2022

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