If you suffer from acid reflux you likely think it means you have too much acid. That's a myth.
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Most reflux happens due to pressure in your belly pushing stomach contents up, not because you're making too much acid.
Think of your stomach like a balloon that's partially filled with water. If you squeeze the balloon, what happens? Water squirts out the top. That's exactly what happens with your stomach.
Your body has 3 anti-reflux barriers to prevent reflux from occurring. But when pressure builds and your stomach elevates, those barriers are compromised, allowing reflux to occur.
Calling the problem "too much acid" is an oversimplification and frankly it's inaccurate. It's more about exposure to acid than it is overproduction. Your esophagus is not designed to be bathed in acid. If you've ever vomited you know exactly how it feels when stomach contents flow into your esophagus. It's very irritating. This is the same situation with reflux. Any acid moving up into your esophagus is going to burn.
Fix the source of the pressure and you've fixed the root cause of the reflux. This is possible to be done without medications. Unfortunately, acid reducing medications have many side effects, many that worsen the cause of acid reflux.
Solutions
Some are easy and can make a big difference. Don't wear tight pants or belts, especially around meal times. Don't bend over post-meal. Take a stroll after eating to help your digestion.
The rest will likely involve you finding a clinician to help:
1. Get to the root cause of why you have bloating, gas or constipation.
2. You'll also need assistance balancing your microbiome to eliminate bad bacteria that can cause pressure, along with balancing overall gut motility.
3. Finding someone who knows how to address root causes of hiatal hernia naturally is important considering acid reflux and hiatal hernia have a 70 to 100% common occurrence rate.
4. Getting assistance to lose excess abdominal fat will also decrease chronic pressure in your abdomen.
Postural support and strengthening can also help.
If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.
References:
Sugerman HJ. (2007). “Increased intra-abdominal pressure and GERD/Barrett’s esophagus.” Gastroenterology 133(6):2075; author reply 2075–2076.
PubMed
Tack J, Pandolfino JE. (2018). “Pathophysiology of Gastroesophageal Reflux Disease.” Gastroenterology 154(2):277–288.
PubMed
Mitchell DR, Derakhshan MH, Wirz AA, Ballantyne SA, McColl KEL. (2017). “Abdominal Compression by Waist Belt Aggravates Gastroesophageal Reflux, Primarily by Impairing Esophageal Clearance.” Gastroenterology 152(8):1881–1888.
Siboni S, Bonavina L, Rogers BD, Egan C, Savarino E, Gyawali C, DeMeester T. Effect of Increased Intra-abdominal Pressure on the Esophagogastric Junction: A Systematic Review. Journal of Clinical Gastroenterology 2022.
ResearchGate
“Effect of Increased Intra-abdominal Pressure on the …” (PMC article) — describes how increased IAP is a major force that can overwhelm or disrupt the sphincter barrier. (Published recently)
PMC
Mittal RK, Rochester DF, McCallum RW. Human lower esophageal sphincter pressure response to increased intra-abdominal pressure. American Journal of Physiology 1989 Jan;256(1 Pt 1):G139-44.
Andrews WG, Louie BE. The relationship of hiatal hernia and gastroesophageal reflux symptoms — two-sphincter hypothesis: a review. Annals of Laparoscopic and Endoscopic Surgery 2021;6:41.
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