Surprise! Your acid reflux might not be what you think it is. If you have been popping antacids and avoiding your favorite foods because of the burning sensation that creeps up your chest, you are not the only one. But the twist is, excess acid might not be the only reason behind your heartburn. It could be something entirely different going on under the surface.
@drautoimmune #reflux and #acidreflux is not and #acid problem - it’s a relaxation of the sphincter from #sibo and #dysbiosis ♬ original sound - drautoimmune
So What is Acid Reflux Really?
You know the feeling, you are lying down at night and boom, there it is! The discomfort, the sour taste that slowly creeps up your throat, is what most people call acid reflux. But, the real culprit? It is not just the acid; it’s the valve at the bottom of the esophagus, what they call the lower esophageal sphincter, that is not closing properly.
Picture this sphincter being like a security gate that is supposed to keep the contents in the stomach, right where they are supposed to be. Whenever the sphincter relaxes or weakens, acid is able to sneak back up, and that is what creates most of these awful symptoms.
What Causes the Valve to Malfunction?
Some of the more well-known causes of problems with the lower esophageal sphincter muscle include:
- Obesity and weight gain
- Chronic stress
- Alcohol
- Irritating foods like coffee
But the fact is, gut bacteria could be the most alarming culprit of all. Yes, abnormal gut bacteria can lead to fermentation, which triggers inflammation. The inflammation can squeeze the nerves that control the sphincter, resulting in an uncontrolled relaxation.
To illustrate, unwanted bacteria that settle in the small intestine create gas by feeding on the food, and they create pressure on the viscera and on the stomach, which pushes the acid upwards into the esophagus. It is the bacterial malady that is to be blamed and not the acid.
Why Antacids Might Be Making Things Worse
Here’s the thing. Antacids and other acid-reducing medications such as PPIs (proton pump inhibitors) are designed to suppress stomach acidity. But if your reflux problem was caused by fermentation and bacteria, then reducing acids would worsen the problem by allowing more bad bacteria to flourish.
Stomach acid is crucial to:
- Defend against invading pathogens
- Break down protein
- Absorb critical vitamins and minerals such as vitamin B12 and iron
So, constantly shutting off the acid faucet could be the reason behind your gut complications.
How to Actually Fix Acid Reflux Symptoms
Acid reflux is more complex than what’s assumed. Here’s what you can do to address the root cause rather than just manage symptoms with prescription medications:
- Balance gut bacteria: This might involve SIBO (small intestinal bacterial overgrowth) testing and gut support supplements.
- Reduce inflammation: Less stress, more sleep, and more whole foods promote health.
- Assist digestion: Things such as digestive enzymes or apple cider vinegar can work wonders, but always consult your doctor first.
- Burn excess fat: Even a small drop in weight can improve reflux symptoms significantly.
It’s not only a matter of comfort. Untreated chronic reflux has the potential to create serious conditions such as Barrett’s esophagus and even esophageal cancer. It’s better to address the root cause as early as possible.
Final Thoughts
Acid reflux is not simply an issue of an overly acidic environment. It often indicates a more serious issue, like inflammation and gut dysbiosis. It might make sense to explore underlying issues instead of remaining in the stagnant cycle of medication and misery.
Are you interested in learning more about inflammation, gut health, and the ways to regain control of your acid reflux and overall health? Reach out to Dr. Autoimmune today!
