What can I do to treat my acid reflux?

Almost everyone occasionally experiences acid reflux, the backflow of acid from the stomach into the esophagus. It occurs when the muscular ring between the lower esophagus and upper stomach becomes weakened for reasons yet to be fully explained.

When it’s frequent and severe, it’s called gastroesophageal reflux disease (GERD), and you should see your doctor if you think you have it.

The most common conventional treatment is medication. Antacids neutralize stomach acid, and H2 blockers prevent the production of stomach acid to some degree, providing short-term relief.

Proton pump inhibitors (PPIs) are more effective because they’re potent suppressors of stomach acid production, but I urge you to avoid long-term use— especially if you are over age 50—because of the potential for side effects and heart disease. If you do take a PPI, ask your doctor if and when you can discontinue treatment.

Instead of long-term use of medications, try lifestyle changes such as giving up cigarettes, alcohol, and caffeine; practicing stress management such as breath work; not eating within 2 to 3 hours of bedtime; elevating the head of your bed; and maintaining a healthy weight.

If you must take something, use deglycyrrhizinated licorice to soothe irritated tissues. Chew two tablets slowly before or between meals, or take half a teaspoon of the powder before meals.

Source by: Andrew weIl, MD, is founder and director of the Arizona Center for Integrative Medicine and clinical professor of medicine at the University of Arizona.
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