- A painful or burning sensation in the upper abdomen or
chest, sometimes radiating to the back (heartburn).
- The acid reflux may reach the pharynx (throat) and
mouth. It is sour and may burn.
- A small number of patients have difficulties breathing
and suffer from hoarseness because the refluxed fluid irritates the larynx
and respiratory tract.
- Excess belching is common.
- Symptoms typically occur after eating a large or fatty
meal or drinking alcohol.
- Lying down, bending over or bending and lifting can all
- It is made worse by smoking.
- Reflux symptoms may have no apparent cause.
- The frequency with which the symptoms occur varies. For
most people, they are rare but weekly and daily episodes of refluxes are
more the stomach is stretched by food, the higher the tendency to reflux.
The tendency is also increased by eating fatty meals as fat delays gastric
to avoid large rich meals, particularly in the evening and this will
reduce the tendency to reflux.
peppermint, coffee, fruit juices and alcohol prevent the oesophageal
sphincter from working properly.
prevents the oesophageal sphincter from working properly, reduces the rate
at which the stomach empties and increases stomach acid production.
increases the tendency to reflux by raising pressure inside the stomach
tendency to reflux increases when you are lying down. This is just due to
gravity. A simple way to change that is to use a pillow under the mattress
or to raise the head of your bed by 10cm (4 inches) with blocks or a house
brick under the bed frame.
the person is overweight the excessive fat in the abdominal cavity
increases the pressure inside it. This causes the contents of the stomach
to travel up into the gullet.
of weight reduces stomach acid reflux.
the uterus increases in size during pregnancy, it presses on the stomach,
creating higher pressure inside it, which increases the tendency to
addition, hormonal changes lead to relaxation of the oesophageal sphincter
stomach pokes through the diaphragm, preventing the muscle fibres of the
diaphragm from closing the lower end of the oesophagus. The oesophagus
remains wide open which allows stomach acid to get into the oesophagus.
- try to lose weight if you are overweight
- avoid large, high-fat meals and bedtime snacks
- limit coffee intake
- reduce alcohol consumption
- stop smoking.