> the reflux of gastric juice (HCl, bile, pepsin) back into the oesophagus. > most common symptom is heartburn. > associated with transient lower oesophageal sphincter (LOS) relaxation episodes and a decreased lower oesophageal sphincter pressure. > often due to low HCl which reduces digestion and leads to fermentation of undigested food => creates gas and increases LOS pressure. > around 20 percent of all adults experience these symptoms on a regular basis.
Risk factors: 1/ obesity / pregnancy => increased intra-abdominal pressure. 2/ hiatus hernia (stomach protrudes through diaphragm into thoracic cavity) 3/ fatty foods (acid in stomach longer) 4/ smoking, alcohol, coffee. Peppermint, tomatoes and chocolate relax the LOS. 5/ Some medications such as calcium channel blockers, nitrates, NSAIDS, diazepam. 6/ stress and anxiety 7/ family history
Nutritionist’s advice may include:
Mediterranean diet – high fibre, low fat, high protein
bone broths
parsley, ginger, fennel
berries, melon, apple
leafy greens
sauerkraut and kimchi
avocado, coconut milk
avoid trigger foods / drinks
chew thoroughly and do not drink while eating
do not eat within 3 hrs of bed
sleep with head elevated or on LHS.
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