Gastroesophageal Reflux Disease (GERD)

What Happens in GERD?

In GERD, the lower esophageal sphincter (LES) - a valve that separates the esophagus from the stomach - becomes weakened or relaxed, allowing stomach acid to flow upward into the esophagus. This acid exposure can irritate and damage the sensitive esophageal tissue, leading to inflammation and symptoms like burning pain, sour taste, or difficulty swallowing. If left untreated, chronic acid exposure may result in more serious complications, including esophagitis, esophageal ulcers, and in severe cases, an increased risk in esophageal cancer. 

 

Common Symptoms of GERD 

• Heartburn: A burning sensation in the chest or throat, especially after eating or lying down, is one of the most common symptoms of GERD. 

• Acid Regurgitation: A sour or bitter taste in the mouth from acid reaching the throat. 

• Chest Pain: Often mistaken for heart-related pain, GERD-induced chest pain usually worsens when bending over or lying down. ​​

• Difficulty Swallowing: Known as dysphagia, GERD may cause food to feel "stuck" in the throat. 

• Chronic Cough or Sore Throat: Persistent acid exposure can lead to respiratory symptoms, particularly if acid reaches the throat or lungs. 

 

Naturopathic Approach for Leaky Gut Syndrome 

Addressing GERD from a naturopathic perspective involves dietary modifications, lifestyle changes, digestive support, and reducing inflammation to heal and protect the esophagus. 

Dietary Modifications for Acid Control

• Avoid Trigger Foods: Common triggers like caffeine, alcohol, chocolate, peppermint, citrus, spicy foods, and fatty meals relax the LES or increase acid production. Eliminating these foods help reduce reflux episodes. 

• Implement Smaller, Frequent Meals: Large meals can increase pressure on the LES. Opt for smaller, nutrient-dense meals throughout the day. 

• Alkaline-Rich Foods: Adding vegetables, melons, and leafy greens can balance stomach acidity and soothe the digestive tract, reducing inflammation and irritation. 

• Mindful Eating: Eating slowly, chewing thoroughly, and avoiding late-night meals allows for optimal digestion holistically is essential. 

Supporting Digestive Function

Contrary to popular belief, low stomach acid is often a cause of GERD, leading to improper digestion and reflux. Supporting digestion holistically is essential:

• Betaine HCL Supplementation: Supplementing with hydrochloric acid (HCL) may be beneficial for those with low stomach acid to aid digestion. Introducing HCL supplements should be done carefully and with guidance. 

• Digestive Enzymes: Adding enzymes, especially those targeting protein digestion, aids in breaking down food thoroughly, reducing undigested food particles that may contribute to reflux. 

• Herbal Bitters: Bitters stimulate natural stomach acid production and promote bile release, enhancing digestion and reducing the likelihood of reflux. 

Strengthening the LES and Soothing Inflammation 

Supporting the structural integrity of the LES and healing inflamed tissues can alleviate GERD symptoms and prevent complications: 

• DGL (Deglycyrrhizinated Licorice): Licorice root, particularly in DGL form, has soothing and anti-inflammatory effects on the esophagus. It protects the mucous lining from acid and promotes healing. 

• Aloe Vera Juice: Aloe vera has anti-inflammatory properties that help soothe and repair the esophageal lining, relieving heartburn and irritation. 

• Slippery Elm and Marshmallow Root: These herbs are rich in mucilage, which coats and soothes inflamed tissues, providing a natural barrier against acid irritation. 

Lifestyle Adjustments for Long-Term Relief

Implementing lifestyle changes plays a crucial role in managing GERD, reducing the frequency and intensity of symptoms:

• Elevate the Head of the Bed: Sleeping with the head slightly elevated (about 6-8 inches) helps prevent acid from rising into the esophagus while lying down. 

• Weight Management: Maintaining a healthy weight can reduce abdominal pressure on the LES, decreasing reflux episodes. 

• Stress Reduction Techniques: Chronic stress can exacerbate GERD by disrupting digestion and increasing stomach acid production. Techniques such as deep breathing, yoga, and mindfulness practices support digestive health and reduce GERD severity. 

• Avoid Tight Clothing: Clothing that constricts the waist can add pressure to the stomach, contributing to reflux. 

Natural Supplementation and Herbal Support

In addition to diet and lifestyle changes, specific supplements and herbs may offer relief from GERD symptoms and support digestive function:

• Calcium and Magnesium: These minerals may help neutralize stomach acid and relieve heartburn. Magnesium, in particular, can aid in relaxing the LES and supporting muscle tone. 

• Probiotics: A balanced microbiome supports digestion and reduces bloating and gas, which can place extra pressure on the LES, worsening GERD symptoms. 

• Melatonin: Studies suggest melatonin's potential to strengthen the LES and provide antioxidant support, reducing acid reflux, especially at night. 

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GERD requires a multifaceted approach that not only alleviates symptoms but also addresses the root causes of digestive imbalance. Feel free to book a free discovery call to discuss next steps to becoming a patient.