10 Nuggets About Acid Reflux.
Acid reflux is common and increasing in the developed world. A Gollop Poll in USA reported that 44 had symptoms on a monthly basis. There is also a higher prevalence in people aged 60-70 years. It is rare in blacks. It is also lower in Eastern countries. It is suggested that this incidence will increase as these countries introduce Western diet higher in fats. Lifestyle change is an important aspect of treatment of acid reflux. Some patients show marked improvement after losing only a small amount of weight. Obesity increases abdominal pressure and affects the lower esophageal sphincter LES . Large meals distend the stomach and adds pressure on the LES. Certain foods affect the sphincter. Avoid or comsume in moderation, food such as fats, coffee and alcohol. Antacids neutralise acids in the stomach. This reaction raises the pH and is likely to relieve heartburn or other symptoms of reflux. Trials, however, show that antacids will not heal esophagitis. The antacids commonly used are magnesium hydroxide, magnesium trisilicate and aluminium hydroxide. Acid Suppressant drugs should be used if lifestyle changes and antacids are...