acid reflux

Understanding Acid Reflux: Causes and Solutions

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About 20% of people in the U.S. suffer from acid reflux, also known as gastroesophageal reflux disease (GERD). This condition can really affect how you live your life1. This article will look into the reasons, signs, problems, diagnosis, and ways to treat this ongoing issue.

Acid reflux happens when stomach contents, including acid, go back up into the esophagus. This can cause pain and harm the esophagus lining2. Being overweight, pregnant, or having certain habits can make GERD worse1. It’s important to know the causes and find ways to deal with it.

Key Takeaways

  • Acid reflux, or GERD, affects about 20% of people in the U.S1..
  • Smoking, eating big meals, and some medicines can make acid reflux worse1.
  • Being overweight, pregnant, or having certain health issues can also lead to GERD1.
  • Food like high-fat and spicy dishes, and drinks like coffee and soda can trigger acid reflux1.
  • Managing acid reflux might mean changing your lifestyle, taking medicine, or even surgery in some cases3.

What is Acid Reflux?

Acid reflux, also known as gastroesophageal reflux disease (GERD), happens when stomach acid flows back into the esophagus. This can cause discomfort and even damage4. The acid can irritate the esophagus, leading to heartburn, regurgitation, and trouble swallowing4.

It happens when the lower esophageal sphincter (LES) relaxes too much. This muscle acts as a valve between the esophagus and stomach4. Acid reflux is common and affects many people worldwide, impacting their life quality if not treated5.

Occasional acid reflux is normal, especially after eating a big or spicy meal5. But if it happens often or doesn’t go away, it could be GERD. GERD is a chronic acid reflux that can cause serious problems like esophagitis, esophageal stricture, and Barrett’s esophagus. This last one is a precancerous condition that raises the risk of esophageal cancer4.

Understanding the Causes of Acid Reflux

Many things can lead to acid reflux and GERD, like a hiatal hernia, being overweight, pregnancy, and certain habits6. Knowing what causes acid reflux helps in managing and preventing it.

  • Hiatal hernia: This is when part of the stomach bulges through the diaphragm, weakening the LES and making acid reflux more likely6.
  • Obesity: Being overweight puts pressure on the stomach and weakens the esophageal sphincter, raising the risk of acid reflux6.
  • Pregnancy: Hormonal changes and the growing baby can press on the stomach, relaxing the LES and causing acid reflux6.
  • Lifestyle factors: Smoking, some foods and drinks, and eating habits can make acid reflux worse6.

Knowing what causes acid reflux helps people manage their symptoms and lower the risk of serious problems5.

“Acid reflux is a common condition that can be managed with a combination of lifestyle changes and medical treatment.”

Symptoms of Acid Reflux

Acid reflux, also known as gastroesophageal reflux disease (GERD), shows up in many ways7. Common signs include heartburn, a sour taste, regurgitation, nausea, and bloating7. Other signs are a dry cough, throat clearing, hoarseness, and even tooth enamel erosion7.

It can be a tough condition, with8 over 60 million American adults having heartburn at least once a month8. For pregnant women, it’s common by the third trimester due to hormonal changes8.

Don’t ignore acid reflux, as it can turn into a serious condition, gastroesophageal reflux disease (GERD)9. If not treated, GERD can cause inflammation, bleeding, and make swallowing hard9.

Recognizing the Symptoms

Acid reflux symptoms can be mild or severe and often include a burning chest sensation, known as heartburn7. Other signs are a sour taste, regurgitation, and chest pain at night7.

If these symptoms don’t go away or get worse, see a doctor9. Understanding acid reflux symptoms helps people take steps to manage it and find relief.

“Acid reflux is a common condition that can significantly impact an individual’s quality of life. Recognizing the symptoms and seeking appropriate treatment is crucial for managing this condition and preventing potential complications.”

Causes of Acid Reflux

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common issue. It happens when stomach contents, including acid, flow back into the esophagus10. This can be caused by a hiatal hernia, obesity, pregnancy, certain foods, and some medicines.

A hiatal hernia is a common cause of acid reflux11. Pregnancy can also lead to acid reflux, especially in the third trimester, and it goes away after giving birth11.

Certain foods and drinks can make acid reflux worse. These include alcohol, carbonated drinks, chocolate, citrus fruits, coffee, fatty or fried foods, tomatoes, garlic, onions, mint, and spicy foods1112. Smoking also raises the risk by harming the mucus membranes and making the LES muscle work less well1112.

Being overweight or obese is a big risk factor for acid reflux1112. Eating a big meal and then lying down can also cause acid reflux. Snacking before bed and some medicines like aspirin or ibuprofen can make it worse1112.

“Certain foods and drinks can trigger heartburn and acid reflux, like coffee, tomatoes, alcohol, chocolate, and fatty or spicy foods.”12

Knowing what causes acid reflux helps in finding the right treatment. By avoiding these triggers, people can reduce or prevent acid reflux symptoms.

Hiatal Hernia and Acid Reflux

A hiatal hernia happens when part of the stomach bulges through the diaphragm. This can lead to acid reflux13. It can weaken the muscle at the bottom of the esophagus, letting stomach acid flow back up13. Symptoms include heartburn, chest pain, fatigue, and trouble swallowing13.

Small hiatal hernias might not cause any symptoms and are often found by accident during check-ups13. But bigger ones can cause food and acid to flow back up, leading to discomfort14. Sometimes, surgery is needed to fix these problems14.

Hiatal hernias can be caused by age, being overweight, or previous surgeries14. People over 50 are more likely to get one due to aging14. Being overweight also increases the risk because it puts pressure on the stomach muscles14.

Certain activities and health issues can also raise the chance of getting a hiatal hernia15. Activities like coughing a lot, straining during bowel movements, or lifting heavy can put pressure on the stomach muscles15. People born with a big hiatus are more likely to get a hiatal hernia too14.

If you have ongoing symptoms, see a doctor right away14. Not all hiatal hernias need treatment right away, but getting help can prevent serious problems like chronic acid reflux15.

hiatal hernia

“Hiatal hernias are a common condition, and while many people with this condition may not experience any symptoms, it is important to be aware of the potential risks and seek medical attention if necessary.”

Obesity and Acid Reflux

Being overweight is a big risk for acid reflux and GERD16. It puts pressure on the stomach, which can weaken the LES. This makes it relax too much, letting stomach acid flow back up17. Even a little extra weight can increase the risk of GERD17.

Fat tissue makes estrogen, which relaxes the LES more. This can cause a hiatal hernia and more acid reflux16. Carrying extra weight around the stomach puts more pressure. This can lead to a hiatal hernia and more acid reflux18. Obesity can also mean higher levels of pancreatic enzymes and bile, making stomach acid irritation worse18.

The Link Between Obesity and GERD

Studies show a strong link between obesity and GERD18. A 2003 study from Scandinavia found being overweight or obese makes GERD six times more likely18. Higher obesity levels are linked to more severe acid reflux symptoms18.

Even a bit of weight gain can up the risk of GERD18. A study in the New England Journal of Medicine found a clear link between BMI and GERD risk18.

Losing weight can really help with acid reflux17. Just a few pounds lost can ease heartburn and GERD symptoms17. Bariatric surgery, like Roux-en-Y gastric bypass, can also help those with a BMI of 35 or higher and diabetes lose weight and reduce GERD symptoms17.

Not all bariatric surgeries work the same for GERD. Gastric sleeve surgery might not be best for those with GERD or Barrett’s esophagus17. Choosing the right surgery can lead to fewer GERD symptoms after17.

Along with weight loss, quitting smoking and avoiding certain foods and drinks can also help manage GERD symptoms171618.

Pregnancy and Acid Reflux

Pregnancy often leads to acid reflux, also known as GERD during pregnancy. This happens due to hormonal changes and increased pressure on the stomach from the growing fetus192021.

The growing uterus puts pressure on the stomach, making stomach contents flow back up into the esophagus20. The hormone progesterone also relaxes the muscles in the body. This includes the muscle that separates the stomach from the esophagus, letting acid reflux21.

Acid reflux symptoms often start in the second trimester of pregnancy19. Women may feel heartburn, regurgitation, and a sour taste in their mouth, especially after eating big or fatty meals1920.

  • Symptoms of indigestion and heartburn during pregnancy are more common from 12 weeks onwards19.
  • Indigestion may be more likely if you are very full while pregnant19.
  • Smoking while pregnant can lead to indigestion, low birth weight, premature birth, and SIDS19.
  • Alcohol consumption during pregnancy can cause indigestion and long-term harm to the baby19.

To manage acid reflux during pregnancy, women may use over-the-counter medications like antacids and alginates19. But, it’s crucial to talk to a healthcare provider before taking any medication. Some may not be safe with prenatal vitamins or could have other risks20.

Acid reflux during pregnancy can be tough, but it usually goes away after the baby is born21. Until then, pregnant women can try to ease their symptoms by avoiding large meals, eating slowly, and raising the head of their bed21.

Lifestyle Factors Contributing to Acid Reflux

Some medical conditions can make acid reflux worse, but lifestyle choices can also play a big role. Smoking, eating certain foods, and poor eating habits can all make acid reflux symptoms worse. It’s important to know how these factors affect you to manage acid reflux better.

Smoking and Alcohol Consumption

Smoking is a big risk factor for acid reflux. It relaxes the muscle that keeps stomach acid down, letting it flow back up22. Smoking also lowers saliva production, which helps neutralize stomach acid. Drinking alcohol can also weaken this muscle and make more stomach acid, making reflux worse22.

Dietary Triggers

Some foods and drinks can make acid reflux worse. Citrus fruits, tomatoes, chocolate, mint, garlic, onions, and coffee are common culprits23. A vegetarian diet might lower the risk of acid reflux, but eating more protein and fat can increase it23. It’s key to find out which foods make your reflux worse and avoid them.

Eating Habits

How you eat can also affect acid reflux. Eating big meals, eating before bedtime, and lying down right after can make reflux worse23. Drinking a lot of liquids, coffee, and strong tea can also make reflux worse, while vitamins and nutrients can help23.

Changing your lifestyle can help manage acid reflux. This includes losing weight, quitting smoking, drinking less alcohol, and changing your diet22. By making these changes, you can reduce the impact of acid reflux on your health.

“Lifestyle changes are now seen as a first step in treating GERD because of the side effects of long-term PPI use.”23

Lifestyle Factor Impact on Acid Reflux
Smoking Relaxes the lower esophageal sphincter and increases stomach acid production22.
Alcohol Consumption Weakens the esophageal sphincter and increases stomach acid production22.
Dietary Triggers (Citrus, Tomatoes, Chocolate, Mint, Garlic, Onions, Coffee) Can trigger or worsen acid reflux symptoms23.
Eating Habits (Large Meals, Eating Near Bedtime, Lying Down After Eating) Increase the risk of reflux by impacting stomach pressure and emptying23.

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Complications of Chronic Acid Reflux

Occasional acid reflux is common, but long-term acid reflux, or GERD, can cause serious problems2526. These issues include inflammation in the esophagus, a condition called Barrett’s esophagus, and even esophageal cancer.

Esophageal Inflammation and Damage

Stomach acid can cause inflammation and irritation in the esophagus, known as esophagitis26. This can lead to scarring and narrowing of the esophagus, making swallowing hard26. If not treated, esophagitis can get worse.

Barrett’s Esophagus

Chronic acid reflux can change the esophageal lining to tissue like the intestine’s, known as Barrett’s esophagus252627. This condition raises the risk of esophageal cancer, especially adenocarcinoma27.

Esophageal Cancer

Esophageal cancer is a serious issue from chronic acid reflux2527. GERD slightly increases the risk, and Barrett’s esophagus raises it more, especially with a family history2527. Symptoms of esophageal cancer are often late, making treatment tough25.

Chronic acid reflux also affects dental health26. Stomach acid can damage tooth enamel, causing decay and other dental problems26.

Managing acid reflux with diet changes, losing weight, and quitting smoking, along with medication, can prevent these issues252627.

Diagnosing Acid Reflux

Gastroesophageal reflux disease (GERD) affects many people28. It’s a chronic condition that needs accurate diagnosis. Healthcare providers use tests to find out if someone has acid reflux and GERD.

Endoscopy

An upper GI endoscopy looks at the upper GI tract, like the esophagus and stomach29. It helps doctors see if there are any problems, like inflammation or a hiatal hernia, that cause acid reflux28.

pH Monitoring

Esophageal pH monitoring uses a catheter or a wireless capsule to check for stomach acid in the esophagus29. This test confirms GERD and checks if treatments work29.

Manometry

Esophageal manometry checks how well the esophagus muscles work together30. It’s important to rule out other conditions that might seem like GERD before surgery30.

Doctors might also suggest a barium swallow test to look at how the esophagus moves and find any structural issues30.

These tests help doctors give the right treatment for acid reflux and GERD28. Sometimes, heartburn after eating or lying down is normal. But for those with GERD, symptoms can be mild or severe and vary a lot28.

diagnosing acid reflux

“Accurate diagnosis is key to effective management of acid reflux and GERD. Healthcare providers utilize a range of tests to identify the underlying causes and severity of the condition, ensuring the most appropriate treatment can be provided.”

Knowing how acid reflux and GERD are diagnosed helps people work with their doctors. Together, they can find the best way to manage this chronic condition282930.

Acid Reflux Medications

Managing acid reflux often means using different medications. There are both over-the-counter and prescription options. It’s key to know how they work and their possible side effects.

Over-the-Counter Acid Reflux Medications

Antacids like Tums, Rolaids, and Maalox neutralize stomach acid. They help with heartburn and mild acid reflux symptoms31. But, they might cause constipation, diarrhea, and change bowel movement color.

H2 blockers, such as Pepcid AC and Zantac 360, cut down stomach acid production. This gives longer relief31. The Zantac brand was recalled in 2020 because it had a cancer-causing agent.

Proton pump inhibitors (PPIs), like Nexium 24HR, Prevacid 24HR, and Prilosec OTC, reduce acid production a lot. They help with severe acid reflux symptoms31.

Prescription Acid Reflux Medications

For acid reflux that doesn’t go away or is very bad, doctors might prescribe stronger drugs. Prescription H2 blockers, like Tagamet HB, are stronger than what you can buy over-the-counter31.

Prescription PPIs, including Nexium, Prevacid, Prilosec, and Protonix, can control acid production even better31. Side effects of H2 blockers and PPIs might include headache, diarrhea, stomach pain, bloating, constipation, nausea, and gas.

If over-the-counter drugs don’t help or if you need them for more than two weeks, see a healthcare provider31. Some drugs, like antibiotics, bisphosphonates, and nonsteroidal anti-inflammatory drugs, can make acid reflux worse32.

Choosing the right medication and following the dosage and duration is key to managing acid reflux well. Doctors can help pick the best treatment based on your symptoms, health history, and how you react to different drugs333132.

Surgical Treatment for Acid Reflux

If lifestyle changes and medicines don’t help with acid reflux, or if there’s a risk of Barrett’s esophagus, surgery might be an option34. Common surgeries for GERD include the LINX procedure and fundoplication.

The LINX procedure uses magnetic beads to strengthen the lower esophageal sphincter and stop acid reflux34. This surgery is minimally invasive and has good results. Most people don’t need GERD meds and stay symptom-free for five years34. But, it’s not for everyone, especially those with big hiatal hernias34.

Fundoplication wraps the stomach around the esophagus to keep acid from flowing back up35. This surgery, like the Nissen or Toupet methods, often means no more GERD meds34. People usually feel better within a week34. Some might have side effects like swallowing issues, bloating, and gas, but these usually go away in a few weeks34.

Surgery might be suggested if medicines don’t work well or if there’s a big risk of serious esophageal problems35. Before surgery, you might need blood tests, esophageal manometry, pH monitoring, upper endoscopy, and X-rays to check the reflux and any other issues35. Laparoscopic fundoplication is the top choice for GERD surgery because it helps you recover faster and has fewer risks36.

Surgery can really help with acid reflux for many people. But, it’s important to talk about the risks and benefits with your doctor to see what’s best for you35.

Lifestyle Changes to Manage Acid Reflux

Changing your lifestyle can help manage acid reflux and GERD symptoms37. These changes focus on the main causes of reflux. They offer long-term relief and protect the esophagus from further damage.

Dietary Adjustments

First, find and avoid foods that trigger acid reflux37. Foods like coffee, tea, and spicy foods can cause problems. Eating foods that are good for GERD can make a big difference.

  • Eat more fiber-rich foods like whole grains and vegetables to prevent overeating and reduce heartburn risk38.
  • Try alkaline foods like bananas and melons to balance stomach acid and ease acid reflux38.
  • Drink watery foods like celery and cucumber to help dilute stomach acid and ease heartburn38.
  • Add ginger to your diet for its anti-inflammatory effects and to help with heartburn38.

Portion Control and Timing

Changing how you eat can also help with acid reflux37. Eating big meals can put pressure on the valve between the stomach and esophagus. Eating smaller, more often can help.

Don’t eat close to bedtime and skip snacks before sleeping to stop stomach acid from flowing up37. Raising your bed head can also help with nighttime reflux37.

Weight Management and Lifestyle Factors

Keeping a healthy weight is key for managing acid reflux37. Being overweight can affect the valve in your esophagus and cause reflux. Losing weight can help reduce heartburn for many people39.

Smoking and drinking too much alcohol can also cause acid reflux37. Nicotine can weaken the muscle that keeps stomach acid down, while alcohol can make reflux worse37. Quitting smoking can improve GERD symptoms39.

Living a healthy life, eating right, exercising, and avoiding bad habits can cut down on acid reflux37. If symptoms don’t get better, seeing a gastroenterologist is a good idea to find the right treatment38.

“The management of GERD involves a step-by-step approach guided by a medical professional, taking into account the individual’s symptom severity.”37

Lifestyle Factor Impact on Acid Reflux
Dietary Modifications Avoiding trigger foods, consuming fiber-rich and alkaline foods, and drinking watery foods can help reduce acid reflux symptoms.
Portion Control and Timing Eating smaller, more frequent meals, avoiding bedtime snacks, and elevating the head of the bed can prevent acid reflux.
Weight Management Maintaining a healthy weight through a structured weight loss program can eliminate heartburn for many individuals.
Quitting Smoking Stopping smoking has been shown to improve GERD symptoms.
Limiting Alcohol Reducing alcohol consumption, especially white wine and beer, can help alleviate acid reflux episodes.

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Acid Reflux in Babies and Children

Acid reflux and gastroesophageal reflux disease (GERD) are common in infants and children. Sometimes, babies spit up, which is normal. But if it happens a lot or is very bad, it might be serious and needs a doctor40.

Reflux is normal in babies and happens often. It gets less common as they grow older. After 18 months, it’s rare for reflux to keep happening40. In some cases, it can cause weight loss or slow growth, which means there might be a bigger health issue40.

Some babies are more likely to have reflux. This includes those born too early, with lung or brain conditions, or who had esophagus surgery before40. Most of the time, reflux in babies goes away by itself. But if it happens a lot, it might lead to GERD later on40.

In older kids, having reflux as a baby might mean they’ll get GERD later41. Signs of GERD include being very fussy, not sleeping well, eating poorly, wheezing, hoarseness, and bad breath42. If a child shows these signs, they should see a doctor. GERD in kids can cause serious problems if not treated42.

There are ways to help with reflux in babies. Changing the diet, burping more, and having them sleep on their back can help42. If these don’t work, a doctor might prescribe medicine. Surgery is rare, and most babies outgrow it by 18 months42.

Parents should watch for reflux symptoms in their kids and get help if it doesn’t get better or gets worse. With the right care, most kids with acid reflux or GERD can feel better and avoid serious problems42.

The Connection Between Asthma and Acid Reflux

Asthma and acid reflux, or GERD, are closely linked43. Doctors have found a strong link between asthma and heartburn. If you have asthma, you’re more likely to have heartburn43. The link involves stomach acid affecting the airways.

GERD may show up if asthma symptoms start in adulthood or get worse after eating or activity43. Some asthma medicines, like Prednisone and albuterol, can make acid reflux worse43.

Treating acid reflux can help improve asthma symptoms43. Over-the-counter drugs like antacids and proton-pump inhibitors can help manage GERD43. Changing your lifestyle, such as raising your bed, eating smaller meals, and quitting smoking, can also help43.

The Prevalence of GERD in Asthma Patients

Research shows asthma patients are more likely to have GERD44. About 15% to 65% of asthma patients use proton pump inhibitors for GERD and severe asthma44. Yet, a 2009 study found PPIs didn’t help severe asthma attacks much44.

Strategies for Managing GERD-Induced Asthma

For kids, avoiding acid reflux means burping them during feeding and keeping them upright after44. Adults can manage GERD by avoiding trigger foods and eating smaller meals44.

Other ways to ease asthma symptoms include exercise and certain foods44. Symptoms of GERD-induced asthma include wheezing and coughing44. Inhalers can help, but they don’t fix the root GERD problem44.

GERD breathing problems are often treated with medication and lifestyle changes44. If symptoms don’t get better, you should see a doctor44.

The Link Between Laryngopharyngeal Reflux and Asthma

About half of asthma patients also have GERD45. Doctors look for GERD as a cause of asthma in adults or when asthma doesn’t get better45.

Managing asthma from laryngopharyngeal reflux means changing your lifestyle and possibly taking medication45. Surgery can also help45.

Conclusion

Acid reflux and GERD affect many people, with up to 27.8% of Americans dealing with them46. It’s important to know the causes, symptoms, and how to get help. This is key to managing acid reflux and lowering the risk of serious problems.

Being overweight, smoking, some medicines, and what we eat can make acid reflux worse47. Changing these things can help. For example, losing weight, quitting smoking, and eating better can ease symptoms and prevent more serious issues like esophagitis and esophageal cancer47.

For those with ongoing or severe acid reflux, there are many treatment options47. This includes both over-the-counter and prescription drugs, and sometimes surgery. Working with doctors and taking action can help manage acid reflux. This keeps the digestive system healthy and improves life quality48.

FAQ

What is acid reflux?

Acid reflux, also known as gastroesophageal reflux disease (GERD), is when stomach acid flows back into the esophagus. This can cause discomfort and potential damage.

What are the common symptoms of acid reflux?

Symptoms include heartburn, a burning sensation in the chest. You might also feel a sour or bitter taste backing up into your throat or mouth. Chest pain and difficulty swallowing (dysphagia) are also common.

What factors can contribute to the development of acid reflux?

Many things can cause acid reflux. These include a hiatal hernia, obesity, pregnancy, and certain foods like citrus fruits and tomatoes. Chocolate, mint, garlic, onions, and fatty or spicy foods can also trigger it. Some medications, such as aspirin and ibuprofen, can increase the risk.

How does a hiatal hernia affect acid reflux?

A hiatal hernia occurs when the stomach bulges through the diaphragm. This can weaken the lower esophageal sphincter (LES). This makes it easier for stomach acid to flow back into the esophagus.

How does obesity contribute to acid reflux?

Obesity puts pressure on the stomach, which can weaken the LES. This allows stomach acid to flow back up more easily. Fat tissue also produces estrogen, which can relax the LES further and increase the risk of a hiatal hernia.

How does pregnancy affect acid reflux?

Pregnancy often leads to acid reflux. The growing baby puts pressure on the stomach, and hormonal changes relax the LES. These issues usually go away after the baby is born. But, some women may still have GERD symptoms after giving birth.

What lifestyle factors can contribute to and exacerbate acid reflux symptoms?

Lifestyle choices can make acid reflux worse. Smoking, eating certain foods like citrus fruits and tomatoes, and drinking alcohol can trigger it. Poor eating habits, such as eating large meals or lying down after eating, also play a role.

What are the potential complications of chronic acid reflux?

Chronic acid reflux can cause inflammation of the esophagus (esophagitis). It can also lead to Barrett’s esophagus, a condition that increases the risk of esophageal cancer. If not treated, it can cause serious health problems.

How is acid reflux diagnosed?

Doctors use tests to diagnose acid reflux and GERD. These include endoscopies to see the esophagus and stomach, pH monitoring to measure acidity, and esophageal manometry to check muscle function.

What medications are available to manage acid reflux symptoms?

There are many medications for acid reflux. Over-the-counter antacids, H2 blockers to reduce acid, and proton pump inhibitors to block acid production are some options.

What surgical treatments are available for acid reflux?

Surgery may be needed if lifestyle changes and medications don’t help. The LINX procedure and fundoplication are common surgeries for GERD.

What lifestyle changes can help manage acid reflux?

Changing your lifestyle can help with acid reflux. Avoid trigger foods, lose weight if needed, eat smaller meals, and don’t eat before bedtime. Quitting smoking and drinking less alcohol also helps.

How can acid reflux affect infants and children?

Acid reflux affects babies and kids too. Signs include fussiness, trouble sleeping, and poor feeding. If you notice these, see a pediatrician. GERD in kids can lead to serious problems if not treated.

What is the connection between acid reflux and asthma?

Acid reflux and asthma are closely linked. Acid reflux can cause asthma symptoms like coughing and shortness of breath. Asthma can also worsen acid reflux by putting pressure on the stomach. Treating acid reflux can help improve asthma symptoms.

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