Probiotics for Acid Reflux: Know the Facts

People with hypochlorhydria may experience digestive issues, nutritional deficiencies, and gastrointestinal infections, but prompt treatment can prevent serious complications. For people with GERD, making dietary changes could be the deciding factor in whether or not they experience symptoms. But eliminating or reducing processed foods, refined carbs, and other staples of the Standard American Diet isn’t an easy change to make. Health coaches support people who are facing those major lifestyle changes. To do this, health coaches tap into their skills-like facilitating change, asking powerful questions, and helping their clients understand their own motivations.

stomach acid lpr gut bacteria journal

I wish these problems were better understood. But what I can tell you is based on extensive self-experimentation and working with personal clients when someone reports any of the problems above, there is a high chance they have low stomach acid. Bloating and farting following a meal could be explained by several problems. One of these is bacterial overgrowth in the stomach or upper small intestine. Lower acid levels would contribute to this by allowing these bacteria to live in the stomach or upper intestine.

Tried another ppi that wasn’t as bad but still never felt great on it and had headaches. Finally got off the suppressor type meds and tried the hcl.

The extra acid causes the stomach to stop producing more stomach acid as a counter balance and helps to reduce the heartburn. 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. 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.


I have a lot of gut issues-bloating, gas, burping, etc. and my biggest problem is my rosacea. I have felt for a long time that it is linked to diet and digestion.

Body weight reduction and physical activity, quitting cigarettes and alcohol use are one of the first steps in lowering the intesity of symptoms in patients (11). Nutritional interventions with proper food choices and bowel movement regulation lead to lowering dyspeptic difficulties, but also lower the number of reflux episodes. Emptying of the bowels causes lower intra-abdominal pressure, which leads to lower possibility of stomach content reflux into the esophagus, larynx and pharynx.

stomach acid lpr gut bacteria journal

If the problem is a hiatal hernia, it may be fixed surgically with fundoplication, where you use stitches to prevent the stomach from going through the muscle wall, then wrap the upper part of the stomach around the bottom part of the esophagus. This creates pressure to prevent food and acid from flowing upwards and if successful, most patients will be able to stop taking reflux medication. If patients don’t have a hiatal hernia and are not excluded by certain other conditions, doctors may put a magnetic ring, which is actually a string of beads, around the bottom of the esophagus that can tighten up the lower esophageal sphincter so acid doesn’t move upward.

stomach acid lpr gut bacteria journal

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