Dr Shamsher Singh Chauhan

Acidity

Acidity, or acid reflux, occurs when stomach acid flows back into the esophagus, causing discomfort. It is a common condition that affects people of all ages and can range from mild irritation to severe pain.

Symptoms

The most common symptoms of acidity include:

  • Heartburn: A burning sensation in the chest or throat, especially after meals or at night.
  • Regurgitation: Sour or bitter-tasting acid backing up into the mouth.
  • Indigestion: Feeling of fullness, bloating, or nausea after eating.
  • Belching and Flatulence: Excessive burping and passing gas.
  • Sore Throat and Cough: Irritation due to acid reaching the throat.
  • Difficulty Swallowing: A sensation of food being stuck in the throat.

Causes

Acidity is primarily caused by lifestyle factors and medical conditions. Common causes include:

  • Diet: Spicy, fried, or fatty foods, caffeine, carbonated drinks, and alcohol.
  • Overeating: Eating large meals or lying down soon after eating.
  • Stress: Increased stress levels can exacerbate acidity.
  • Smoking: Weakens the lower esophageal sphincter, allowing acid reflux.
  • Obesity: Excess weight puts pressure on the stomach.
  • Medical Conditions: Hiatal hernia, peptic ulcers, and gastroparesis.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics can irritate the stomach lining.

Treatment

Treatment for acidity involves lifestyle changes, medications, and in rare cases, surgery:

Lifestyle Modifications:

  • Avoid trigger foods and beverages.
  • Eat smaller meals at regular intervals.
  • Maintain a healthy weight.
  • Avoid lying down for at least two hours after meals.
  • Elevate the head of the bed to prevent nighttime reflux.

Medications:

  • Antacids: Provide quick relief by neutralizing stomach acid.
  • H2 Blockers: Reduce acid production (e.g., ranitidine, famotidine).
  • Proton Pump Inhibitors (PPIs): Stronger acid reducers (e.g., omeprazole, pantoprazole).
  • Prokinetics: Improve stomach emptying and reduce reflux.

Surgical Intervention (for severe cases): Fundoplication, where the top of the stomach is wrapped around the esophagus to strengthen the sphincter.

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