Gastroesophageal reflux (GERD) disease is a condition affecting approximately 20% of adults wherein stomach acid repeatedly flows back up the esophagus. Symptoms of GERD include a burning sensation in the chest, backwash, upper stomach pain, trouble swallowing, sore throat, the feeling of a lump in the throat, ongoing cough, inflammation of the vocal cords and nausea.
GERD flare-ups can cause discomfort, interrupt sleep, disrupt appetite and gradually damage the esophagus. Let’s take a look at a few ways you can calm and prevent GERD flare-ups to promote comfort.
Watch Out for Food Triggers
Foods and drinks aren’t usually the leading cause of GERD but can contribute to your flare-ups. Common triggers include:
- Alcohol
- Acidic fruits
- Coffee or caffeinated tea
- Spicy food
- Mint
- Garlic and onions
- Fatty foods
If you notice GERD symptoms after consuming one or more of these foods or beverages, try eliminating them from your diet one at a time. If eliminating them from your diet doesn’t improve your symptoms, slowly add them back.
Eat Smaller Meals
Large meals can cause the stomach to expand temporarily, increasing the likelihood of backwash. Try eating four smaller meals rather than three big ones.
Eat Earlier
Lying down too soon after a meal can result in increased GERD symptoms. Give yourself a few hours between eating and bedtime to allow your body time to digest your last meal.
Take Medication
Some medications are highly effective for managing GERD. Two effective over-the-counter options include:
- Antacids. Antacids fight back stomach acid when reflux occurs. You can take antacids from time to time but should avoid using them too frequently.
- Alginates. Alginates float on top of acids, creating a physical barrier between the acid and the esophagus. Alginates may come by themselves or in combination with antacids.
If over-the-counter medications do not provide sufficient relief, your ENT specialist may prescribe H2 blockers, proton pump inhibitors or baclofen (muscle relaxant) to manage your symptoms.
Surgery
If GERD is severe, your ENT specialist may recommend surgical options, including:
- Nissen fundoplication. Fundoplication is a common GERD surgery wherein a surgeon wraps the top of your stomach around your lower esophagus and secures it with stitches to tighten the connection between them, thereby preventing fluid backwash.
- LINX device. A LINX device is a ring with tiny magnets that close the junction between the stomach and esophagus to prevent backwash.
By avoiding GERD triggers where possible and seeking the help of an ENT specialist, you can stop flare-ups in their tracks. Contact Palmetto ENT & Allergy to make an appointment with one of our specialists today.