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clinical_notesDisease

acidity

Dr. Pradeep Kushwaha, M.D. schedule3 min read Playing…
acidity

What is Acidity?


Acidity, also known as acid reflux or gastroesophageal reflux disease (GERD), is a condition in which the stomach acid flows back into the esophagus, causing a burning sensation in the chest or throat. This occurs when the lower esophageal sphincter (LES), a ring of muscle that separates the esophagus from the stomach, fails to close properly, allowing stomach acid to leak upwards.


Causes of Acidity


• Diet: Consuming spicy, fatty, or acidic foods can trigger acid reflux.
 • Obesity: Excess weight can push stomach acid upwards.
• Pregnancy: Hormonal changes and growing baby can cause stomach pressure.
• Hiatal hernia: Protrusion of stomach through diaphragm facilitates acid flow back into esophagus.
 • Medications: NSAIDs can irritate stomach lining and increase acid production.


Symptoms of Acidity


• Heartburn: Burning sensation in chest or throat.
 • Regurgitation: Mouth sour or bitter taste due to stomach acid backflow.
 • Difficulty swallowing: Acid irritates esophagus, making swallowing painful.
• Coughing or wheezing: Acid reflux into lungs causes respiratory issues
. • Nausea or vomiting: Severe cases can cause nausea or vomiting.


Diagnosis of Acidity


• Medical history and physical examination.
 • pH monitoring using a sensor in the esophagus.
• Endoscopy to examine lining and detect damage.
• Barium swallow test to check for structural abnormalities.


Types of Acidity


• Occasional or intermittent acidity: Infrequent episodes related to diet or lifestyle.
• Chronic or persistent acidity: Frequent or ongoing acid reflux over two weeks.
 • Erosive esophagitis: Severe, prolonged acid reflux causing esophagus lining damage.

Adverse Effects of Acidity


• Esophageal damage: Prolonged exposure to stomach acid can cause inflammation, ulcers, and scarring.
 • Barrett's esophagus: A pretumorous condition causing changes in esophagus lining, increasing esophageal tumor risk.
• Respiratory complications: Acid reflux can irritate lungs and airways, leading to conditions like asthma, bronchitis, or pneumonia.
 • Tooth erosion: Frequent exposure to stomach acid can increase tooth decay and sensitivity.


Diet in Acidity


Acid Reflux Management Recommendations
• Avoid trigger foods: Avoid spicy, fatty, acidic, and fried foods, alcohol, and caffeine.
• Eat smaller, frequent meals: Large meals can increase acid reflux risk.
• Avoid lying down: Stand upright for 2-3 hours after meals for proper digestion.
 • Increase intake of high-fiber foods: Consume fruits, vegetables, and whole grains to neutralize stomach acid. 
• Stay hydrated: Drink plenty of water to dilute stomach acid.
 • Consider probiotic-rich foods: Consume fermented foods like yogurt and kefir for gut health improvement.
 • Consult with a healthcare professional for additional treatment options.
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