How to Overcome Acid Reflux, IBS and other GI Problems
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There can be many symptoms associated with acid reflux including heartburn, nausea and a sore throat, but did you know that there is also an acid reflux IBS connection? This may sound surprising considering acid reflux is a condition that affects the esophagus, while irritable bowel syndrome (IBS) is a condition that tends to be related to the intestines. However, many people who suffer from IBS often complain of symptoms that occur in their upper gastrointestinal (GI) tract including stomach pain, nausea, and acid reflux/heartburn.
It is thought that the upper GI symptoms an IBS sufferer experiences is related to the rate that the stomach empties its acid and food contents. If the stomach environment is ‘unbalanced’, it can effectively try to expel partially digested contents from both of its openings – the small intestine and the lower esophageal sphincter (LES). This can lead to acid reflux IBS symptoms occurring simultaneously.
In some cases, the imbalance in the gastric environment related to acid reflux and GI problems is the result of not enough stomach acid for proper food digestion. When the stomach is deficient in acid, food cannot be broken down and easily digested. This can not only lead to heartburn because food isn’t being moved into the small intestine fast enough, but it can allow bad bacteria that are usually kept in check by stomach acid to flourish. This may lead to fungal overgrowths and nutrient deficiencies, which can lead to chronic conditions such as IBS. Furthermore, it is now widely believed that bacterial infections within the GI tract may cause ulcers.
For this reason, many acid reflux and IBS sufferers may in fact be making both conditions worse if they take antacids to treat their heartburn if their stomach does not produce enough acid. Antacids are designed to neutralize stomach acid, and frequent use may put an individual at a greater risk of bacterial infection. However, keep in mind that if your doctor has prescribed you medication for your heartburn or acid reflux/GERD (gastroesophageal reflux disease) symptoms, you should not stop taking prescription antacid medication without first notifying your doctor.
Many GI issues including acid reflux can be by controlled through your diet and lifestyle choices. Here are some tips to help you bring your symptoms under control:
Friendly foods and beverages. Knowing what foods you should eat and avoid is very important for controlling acid reflux, IBS or other GI symptoms. The first step is to know what foods trigger your acid reflux (I.E. fatty foods, spicy food, tomatoes, citrus fruits and juices, caffeine, and alcohol) and avoid them. The next step is to find out what foods cause your IBS symptoms (I.E. bloating, stomach pain and cramping, gas, constipation, diarrhea, etc.).
Keeping a food diary to find out what specific foods cause your symptoms is a great way to stay on top of your food choices. By removing potential trigger foods from your diet and reintroducing them one food at a time to your diet can help you identify those items which cause symptoms to flare.
Foods that many IBS sufferers report make their symptoms worse include: foods high in fat, caffeine, and milk and milk products. In fact, a large number of IBS sufferers are actually lactose intolerant.
Essentially, when it comes to creating a diet for acid reflux, IBS, or other GI issues you will want to ensure you are drinking plenty of water, and are providing your body with as much healthy food variety as possible.
Change eating habits. Eat smaller portions and more frequent meals, and avoid lying down directly after eating. You should also wear comfortable clothing, and sit down and relax while you eat your meals slowly. This will allow your body the time it needs to properly digest the food you’ve eaten.
Reduce stress. Stress can wreak havoc on the GI tract and make symptoms worse. Learn how to relax and deal with your stress through exercise, meditation, or enjoying activities that make you happy such as reading, going shopping, and so on.
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I’ve heard before that sometimes the problem is not enough acid in the stomach. My niece, a chiropractor, told me this is usually the case with older people. How do you know if you’re producing too much or not enough acid?
I had a Nissen operation to cure my GERD but still have the pain. Anyone else have the same?
That was really interesting to know that IBS & acid reflux can come together, as I have had both for a few years now, but no where near as bad as my partner has his acid reflux, he has cut right down his drinking wine/lemonade to about twice a week, but wont cut it out altogether, doesnt smoke at all at work all day, but does at home.
Angel - perhaps you could persuage your partner to do without his wine/lemonade and cigarettes for a month to see if his acid reflux improves. Once he experiences some relief he may be tempted to make it a permenant change.
Judy - hopefully other people will post replies to your question.
Barb - you’re right when you say that not enough stomach acid can cause acid reflux and taking meds like antacids only worsen the symptoms.
The most reliable test for stomach acid is the The Heidelberg capsule test.
This is a test carried out by physicians that measures the stomach’s ability to produce gastric acid.
You swallow a small plastic capsule containing electronic monitoring equipment. The capsule can measure the pH of the stomach, small intestine, and large intestine and transmit a signal, which is received by an antennae the patient wears. From this your doctor can tell if your stomach is producing sufficient acid or not.
The cost for this test varies but it’s around $500 - $700.