Dealing with Heartburn or Gerd
(From: Making Healthy Choice Newsletter; Issue Number: 27, 2005, Tuesday, May 24, 2005) Heartburn occurs when the sphincter at the bottom of the esophagus does not close properly and stomach contents (high in acid) leak back or reflux into the esophagus causing irritation and burning. Medically, this is called gastroesophageal reflux disease or GERD. It is a common symptom, especially in older people who are overweight. Other factors contribute to GERD:
. Alcohol use (an irritant to the stomach and esophagus . Pregnancy (due to the extra pressure on the stomach)
. Certain foods loosen the esophageal sphincter allowing reflux. These include: chocolate, peppermint, alcohol, caffeinated beverages, and fried and fatty foods
. Acidic foods such as orange juice, wine, tomatoes, and spicy foods may irritate an already inflamed esophagus . Certain medications such as aspirin, ibuprofen, oral contraceptives, osteoporosis drugs, certain antidepressants, and calcium-channel blockers can contribute to heartburn If you have heartburn regularly you should see your doctor for further evaluation. If needed, there are several medications that can help. Here are some simple home tips that may also help and reduce your need for those expensive medications:
. If you smoke, stop
. Do not drink alcohol
. If needed, lose weight . Eat small meals (avoid overeating)
. Avoid trigger foods. Don't exercise too soon after eating - allow 2-3 hours after eating before exercising vigorously . Wear loose-fitting clothes - avoid pressure on the stomach
. Avoid frequent and late night snacks . Allow 3 hours after a meal before lying down.
. Raise the head of your bed 6 to 8 inches by putting blocks of wood under the bedposts (don't try just elevating your head with pillows, it won't work)
. Keep a food diary to find out your trigger foods References:
The American College of Gastroenterology. 2005
The National Digestive Diseases Information Clearinghouse. 2005
