5 Common Causes of Heartburn and GERD

It's feels heavy, uncomfortable and burns

Heartburn, or Gastroesophageal Reflux Disease (GERD) accounts for one out of three primary care visits, and has been increasing quite dramatically over the last two decades. It's now estimated that 18-27% of adults in North America experience heartburn at least once weekly, and many experience it daily. Which it crazy.

More common among obesity people, and is more common smokers and with age.

Common symptoms include:

• sensation of hoarseness or lump in your throat

• dry cough or throat clearing, last longer than 8 weeks

• burning in esophagus, throat or chest

• bitter or sour taste in mouth

• nausea and regurgitation

• feeling worse at nigh

• difficult or pain with swallowing

(*most common symptoms, not all need to be present)

Heartburn typically stems from one of five causes:

1. low stomach acid - acid within the stomach isneeded to properly break down food and protect against illness. Stomach acid production tends to be weakening with age. However, having adequate stomach acid actually stimulates the LES to stay closed. In absence of enough acid,

2. abnormal oesophageal movements - the esophagus carry food down to your stomach, via gentle muscular squeezes called peristalsis. Sometimes, these movements can become clumsy, resulting in spasms.

3. weak lower esophageal tone - the Lower Esophageal Sphincter is one way valve from the esophagus down to the stomach. the LES will stay shut, unless there is pressure from above (like dinner) for it to relax and open. Once food passes, it should close up tightly again. But, if the sphincter is weakened from too much pressure within the stomach (like too much carbonation, laying down after meals, overeating, extra weight, pregnancy etc.) it may open, causing heartburn. foods, like, spicy foods, alcohol, coffee, peppermint can tend to aggravate and weaken the LES as well, but are not the cause.

4. hiatal hernia - a physical condition where the upper part of the stomach and LES sit above the diaphragm, which can tighten the passage of food, weaken LES tone and produce a pocket of trapped acid

5. delayed gastric emptying - longer retention of food in the stomach more common in women and in people with either Type 1 or Type 2 Diabetes, it increases pressure within the stomach and thus weaken the LES. This occurs in about 40% of GERD cases.

Through my experience I realised most of the cause of heartburn. Rather, combination of low stomach acid, over-eating and a weak lower esophageal sphincter.

your stomach is probably not too acidic (I’m sure you thought it over acid…lol). Something is going on, making your stomach uncomfortable. Don't you want to fix it?

If you are experiencing heartburn ,

would you want to fund the cause and get rid of it?

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HAPPY TUMMY =HAPPY YOU!!

Chana Nichtburg

Naturopathic Nutrition

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