Acid Reflux and Heartburn Treatment
Acid reflux, often referred to as heartburn, stands as the most prevalent symptom of Gastroesophageal Reflux Disease (GERD). This chronic condition involves the regurgitation of stomach contents into the esophagus, which irritates the esophageal lining and results in a burning sensation in the chest, among other symptoms.
Statistics indicate that at least 40% of adults experience heartburn symptoms at some point in their lives, with up to 20% encountering heartburn weekly. As a result, GERD ranks among the most commonly diagnosed digestive disorders in the United States. In cases of frequent GERD symptoms, medical practitioners typically resort to proton pump inhibitors (PPIs) and lifestyle modifications to manage acid reflux. Nevertheless, many patients continue to experience symptoms beyond chest pain and regurgitation, often accompanied by other common digestive complaints such as dyspepsia (indigestion), Irritable Bowel Syndrome (IBS), and stomach ulcers. This necessitates further investigation and treatment.
Traditional Chinese Medicine (TCM) and acupuncture provide an alternative approach to address acid reflux and various other digestive disorders. Acupuncture has demonstrated superior efficacy in relieving heartburn compared to conventional medications. Acupuncture, combined with natural herbal remedies, offers lasting relief from GERD symptoms by addressing the root cause of the digestive disorder.
Symptoms of Acid Reflux
Gastroesophageal reflux disease primarily involves the backward flow of digestive fluids into the esophagus. When this happens frequently over time, it can lead to esophageal damage and various other complications. The sensation commonly known as “heartburn” is the most recognizable symptom of acid reflux, although some individuals with GERD may not experience this burning sensation. GERD can involve non-acidic digestive fluids and might not induce the pain associated with acidic stomach secretions. Typical GERD symptoms encompass:
- Chest burning, exacerbated after meals and when lying down
- Chest pain, even in the absence of recent meals
- Difficulty in swallowing
- Regurgitation of food or sour-tasting liquid
- Excessive salivation
- Sensation of a lump in the throat
- Abdominal bloating and excessive gas
- Intolerance of specific foods and beverages
- Persistent bad breath or a constant sour taste in the mouth
- Hoarse voice or laryngitis
- Frequent throat clearing
- Chronic dry, sore throat
- Burning sensation in the mouth
- Gum inflammation and other dental issues
Acid reflux symptoms can coincide with stomach discomfort, stomachache, and abdominal cramps. These symptoms might be indicative of stomach ulcers, gastritis, or dyspepsia, as it is common for multiple digestive problems to coexist.
Causes of Heartburn
While there is no single, distinct cause of GERD, it is frequently associated with the functioning of the lower esophageal sphincter (LES), a muscular ring that separates the esophagus from the stomach. Under normal circumstances, the LES permits the passage of chewed food into the stomach, subsequently closing to prevent stomach contents from flowing upward. However, when this sphincter is relaxed or weakened, stomach contents can breach this barrier. Factors contributing to LES dysfunction may involve pregnancy, excess abdominal weight exerting upward pressure on the organs, or a hiatal hernia, which results in the upper portion of the stomach and LES protruding through the diaphragm into the chest area.
Heartburn can be triggered by the consumption of spicy or acidic foods, smoking or exposure to second-hand smoke, as well as the use of aspirin, ibuprofen, or specific blood pressure medications. If avoiding these triggers does not yield results, patients may be referred to a gastroenterologist for diagnostic testing to identify the underlying issue. Endoscopy of the upper gastrointestinal tract can reveal the presence of a hiatal hernia, stomach ulcers, or esophageal damage.
Treatment for Acid Reflux
To alleviate heartburn, many individuals turn to over-the-counter antacids such as Tums, Rolaids, Maalox, or Mylanta. While these products can provide temporary relief from the burning sensation, excessive antacid use can paradoxically exacerbate the problem by increasing stomach acid production. Histamine-2 (H2) blockers such as Pepcid and Zantac reduce acid production, but they do not offer a universal solution. Proton pump inhibitors (PPIs) like Prevacid, Prilosec, and Nexium block the production of stomach acids. While they can promote ulcer healing and reduce acid reflux, they are associated with several downsides. PPIs are costly, leading to long-term daily usage for many individuals. They also inhibit specific enzymes, which may negatively interact with common heart disease medications. PPIs may diminish calcium absorption in the digestive tract, potentially leading to weaker bones and an increased fracture risk. These medications can affect kidney function and elevate stomach bacteria levels. If bacteria from the stomach reaches the chest area due to reflux, it can enter the lungs, heightening the risk of pneumonia and other respiratory infections.
Asthma and GERD are frequently interconnected conditions, as acid reflux can irritate tissues triggering asthma attacks. In turn, asthma attacks can weaken the LES, causing reflux. Some asthma medications, such as theophylline, may also provoke heartburn. Patients with both GERD and asthma need to manage both conditions simultaneously.
Prokinetics, a category of prescribed medications, can expedite stomach emptying, reducing the likelihood of reflux. However, they may introduce side effects like nausea, diarrhea, fatigue, anxiety, and depression, while also posing contraindications with other medications.
Conventional treatments predominantly target stomach acids as the cause of heartburn, with no established approach to restore the normal LES function. Research suggests that acupuncture treatment, in addition to regulating gastric secretions, may help strengthen the motor function of the LES.
Acupuncture and Herbs for GERD
Traditional Chinese Medicine (TCM) is a holistic healthcare system based on over 3,000 years of documented research and practice. TCM views health problems as imbalances stemming from blocked Qi (life force energy) in the body. Disorders of the organ systems often result from emotional disturbances. According to TCM, acid reflux and other digestive issues are influenced by stress and anxiety. Persistent feelings of worry, frustration, and anger affect the liver, spleen, and stomach, elevating acidity and inflammation within these organ systems.
An unsettled stomach and chest pain are the results of Qi rising inappropriately, leading to acid reflux. Acupuncture treatment for GERD concentrates on reducing anxiety and reestablishing the downward flow of Qi while enhancing the function of the stomach and LES.
TCM employs herbal formulations, developed over centuries, to support the healthy function of internal organs on a deep nutritional level. Herbal remedies in TCM work to increase healthy mucus in the esophagus, soothing and healing damage caused by stomach acids.
Additionally, acupuncturists typically inquire about dietary habits, as certain foods can contribute to the problem. Collaborating with a qualified TCM practitioner to devise personalized lifestyle adjustments is crucial for resolving heartburn, stomach pain, and indigestion.
TCM for Heartburn During Pregnancy
Many pregnant women experience acid reflux due to hormonal changes that relax the LES, preventing it from closing completely. As pregnancy progresses, the uterus exerts pressure on the digestive organs and diaphragm. In TCM, pregnancy-related heartburn may be attributed to “stomach fire,” characterized by an intense thirst for cold beverages. Digestive stagnation can result in belching and bloating. Acupuncture treatments can be tailored to address these conditions, enhancing digestive flow and hormone balance. Acupuncture can also provide relief if a baby shows signs of colic or infant reflux.
Top 10 Tips for GERD Diet and Lifestyle
- Embrace a high-fiber diet, including oatmeal and cruciferous vegetables like cauliflower and broccoli.
- Avoid citrus fruits, such as oranges, lemons, limes, grapefruits, and favor melons, bananas, apples, and pears. Acidic foods like tomatoes and pineapple, along with onions and garlic, should be avoided. Citric acid, a common food additive, is best omitted.
- Consume multiple small meals throughout the day to prevent stomach distention.
- Steer clear of fatty foods, particularly fried foods, dairy products, and marbled meats, as they linger in the stomach for extended periods.
- Minimize alcohol consumption, especially red wine.
- Avoid caffeinated beverages, including coffee, tea, and soda, as they can trigger heartburn.
- Opt for ginger or chamomile tea, both of which are soothing for the stomach. Green tea can stimulate the lower esophageal sphincter positively.
- Refrain from lying down immediately after eating and allow at least two hours before going to bed after a meal.
- Exercise caution with workout positions that affect the abdomen, as they may trigger reflux. These positions include crunches, sit-ups, leg lifts, headstands, and downward dog poses. Additionally, it is best to avoid exercising with a full stomach.
- Elevate your head above your feet while sleeping. A wedge-shaped foam lift offers superior support compared to stacking pillows or attaching risers to the bed’s headrest.
Seeking Acupuncture for Heartburn Relief
Acupuncture is a secure and effective remedy for heartburn. If you or someone you know is struggling with GERD, acid reflux, stomach pain, or ulcer symptoms, consider consulting an acupuncturist in your vicinity to schedule an initial consultation.
Contact Urban Acupuncture Center in Columbus, OH For More Information
For more information about how acupuncture, massage therapy and other alternative healing treatments can help you, please contact the Urban Acupuncture Center Board Certified Licensed Acupuncturist’s team at Indianola Ave, Columbus, Ohio (Clintonville) (614) 725-2488 or click here. Taking new patients in and around greater Columbus, Ohio.