The Relationship between Gastroesophageal Reflux Disease and Chronic Periodontitis

Several changes in eating habits can be beneficial in treating GERD. Reflux is worse following meals.

So does sleeping on your stomach. Nocturnal reflux is very common and extremely damaging since hydrochloric acid and the enzymes of the stomach, especially pepsin, stay in contact with the esophagus and oral cavity for hours.

When the wave of contraction is defective, refluxed acid is not pushed back into the stomach. In patients with GERD, several abnormalities of contraction have been described. For example, waves of contraction may not begin after each swallow or the waves of contraction may die out before they reach the stomach. Also, the pressure generated by the contractions may be too weak to push the acid back into the stomach. Such abnormalities of contraction, which reduce the clearance of acid from the esophagus, are found frequently in patients with GERD.

Mint tea and after-dinner mints may relax digestion but they exacerbate reflux, Wolf says. “Mint eases that high-pressure zone between the esophagus and the stomach,” she says. “And hence, you have more acid reflux.” Apple cider vinegar won’t hurt but likely won’t ease acid reflux, either. Although apple cider vinegar is often touted as a home remedy for GERD, it doesn’t work, Wolf says.

You can lower your risk of acid reflux by eating smaller meals, staying upright after eating and cutting out smoking and alcohol. Changing your diet can also help. Trigger foods and drinks include tomatoes, citric fruits, chocolate, coffee, garlic, onions and meals that are spicy, acidic or high in fat. Losing weight, especially in the abdominal area, can also go a long way in reducing GERD.

Switching to low-fat dairy may help to reduce heartburn symptoms

Chewing gum stimulates saliva production, which helps to neutralize stomach acid. Gum chewing also encourages frequent swallowing, which clears irritating acid from the esophagus more quickly. Just make sure to choose non-mint flavors, since peppermint and spearmint can relax the LES and exacerbate symptoms.

Some foods may be the culprits, and bad habits may be to blame. Treat your body right with these simple nutrition tips on how to deal with with diarrhea, gas, reflux, and more digestive ailments.

This effect continues for at least 6 hours after the last cigarette. Several different abnormalities of the LES have been found in patients with GERD. Two of them involve the function of the LES. The first is abnormally weak contraction of the LES, which reduces its ability to prevent reflux. The second is abnormal relaxations of the LES, called transient LES relaxations.

For the acid perfusion test, a thin tube is passed through one nostril, down the back of the throat, and into the middle of the esophagus. A dilute, acid solution and a physiologic salt solution (similar to the fluid that bathes the body’s cells) are alternately poured (perfused) through the catheter and into the esophagus. The patient is unaware of which solution is being infused.

Best Gum Brands For Acid Reflux Symptoms

If complications of GERD, such as stricture or Barrett’s esophagus are found, treatment with PPIs also is more appropriate. However, the adequacy of the PPI treatment probably should be evaluated with a 24-hour pH study during treatment with the PPI. (With PPIs, although the amount of acid reflux may be reduced enough to control symptoms, it may still be abnormally high. Therefore, judging the adequacy of suppression of acid reflux by only the response of symptoms to treatment is not satisfactory.) Strictures may also need to be treated by endoscopic dilatation (widening) of the esophageal narrowing. With Barrett’s esophagus, periodic endoscopic examination should be done to identify pre-malignant changes in the esophagus. Despite the development of potent medications for the treatment of GERD, antacids remain a mainstay of treatment.

This approach, however, has the same problems as discussed above, that result from using the response to treatment to confirm GERD. Biopsies of the esophagus that are obtained through the endoscope are not considered very useful for diagnosing GERD. They are useful, however, in diagnosing cancers or causes of esophageal inflammation other than acid reflux, particularly infections.

A downside to chewing gum in general is that it can cause gas. I suppose it depends upon your chewing style. Over the years, because I’m allergic to the proton pump inhibitors (and some people think they’re not a good idea, anyway) I’ve reduced my acid reflux by taking no medicines and eating smaller portions of non-acidic healthy foods. It works just fine.

Making just a few, simple modifications to your current diet is often enough to help reduce the discomforts of GERD. The goal is to create a diet based on a healthy variety of foods that include fruits and vegetables, lean sources of protein, complex carbohydrates, and healthy fats. Chew gum.

“The effect of chewing sugar-free gum on gastro-esophageal reflux.” National Center for Biotechnology Information, U.S. National Library of Medicine, Journal of Dental Research, November 2005. If you experience chronic heartburn, you should seek the advice of your doctor to determine the cause of your heartburn and treatment options.

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