Acidity: Causes, Symptoms, and Effective Treatment Options | SPARSH Hospital

Acidity

Introduction

Acidity occurs when your stomach produces excessive acid, causing discomfort like heartburn, indigestion, and bloating. Symptoms can range from mild to severe, and common causes include dietary habits, stress, and certain medical conditions. Diagnosis involves physical examination and sometimes imaging or endoscopy. Managing acidity includes dietary adjustments, stress management, and medications if needed. Preventive steps such as healthy eating and lifestyle changes can help reduce the risk of acidity.

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What is Acidity?

Acidity refers to a condition in which there is an excess amount of acid produced in the stomach. This excess acid can irritate the stomach lining and lead to discomfort and various symptoms such as heartburn, indigestion, a sour taste in the mouth, and difficulty swallowing. It is a common condition that many people experience occasionally, but frequent episodes of acidity can be a sign of an underlying problem, such as gastroesophageal reflux disease (GERD) or an ulcer.

The causes of acidity can vary widely, ranging from poor eating habits, stress, and certain medications to lifestyle factors like smoking and consuming spicy, oily, or fatty foods

Acidity Symptoms

Recognising the symptoms of acidity is essential for timely intervention and to prevent it from worsening into a more chronic condition. The most common symptoms of acidity include:

Burning Sensation in the Chest or Throat (Heartburn): This is one of the hallmark signs of acidity. The sensation, often described as a painful burning feeling, usually occurs after eating and may be felt in the chest or throat. It happens when the acid flows back into the oesophagus, a condition known as acid reflux.

Sour Taste in the Mouth: Often accompanying heartburn, a sour or bitter taste in the mouth is another common symptom of acidity. This occurs when stomach acid rises up into the throat, affecting the taste buds.

Bloating or Burping: Acidity can cause a feeling of fullness or bloating in the stomach, making it uncomfortable. Frequent burping or belching is also common as the body tries to release excess gas that builds up due to indigestion.

Nausea and Sometimes Vomiting: The discomfort from acidity can lead to feelings of nausea. In severe cases, this can escalate to vomiting. This is often a result of irritation in the stomach or the regurgitation of food and stomach acid into the mouth.

Headache due to acidity: Severe acidity, especially if it’s persistent, can sometimes lead to headaches. This may be due to the strain on the body caused by irritation of the stomach lining, or it could be related to the discomfort and stress associated with chronic indigestion.

These symptoms, while common, can vary in severity and duration.

Complications of Fatty Liver Disease

Acidity can be triggered by a variety of factors, which makes it important to identify the root causes to prevent its recurrence. Here are some common reasons for acidity:

Overeating or Eating Too Quickly: Consuming large portions of food or eating too quickly can put a strain on the stomach, leading to indigestion and an increase in acid production. When the stomach is overloaded, it often produces excess acid to break down the food, resulting in acidity.

Consuming Acidic or Spicy Foods: Foods that are naturally acidic, like citrus fruits, tomatoes, and vinegar, or foods that are spicy or fried, can irritate the stomach lining. This irritation can trigger acid reflux or increase the production of stomach acid, leading to acidity.

Stress and Lack of Sleep: Stress and poor sleep habits are significant contributors to acidity. Stress can affect the digestive system, leading to increased acid production, while lack of sleep can disrupt normal digestive functions, making the stomach more susceptible to acidity.

Smoking or Excessive Alcohol Consumption: Smoking weakens the lower oesophageal sphincter, which is responsible for preventing stomach acid from entering the oesophagus. Excessive consumption of alcohol can also irritate the stomach lining and trigger acid reflux, both of which contribute to acidity.

Medical Conditions like ERD or Hyperacidity: Gastroesophageal reflux disease is a long-term condition where stomach acid regularly flows back into the oesophagus, leading to discomfort and symptoms of acidity. Hyperacidity refers to a condition where there is an overproduction of stomach acid, leading to frequent episodes of acidity. GERD and hyperacidity symptoms are more severe than regular acidity.

Medications: Certain medications, including painkillers (NSAIDs), antibiotics, chemotherapy drugs, and antidepressants, can irritate the stomach lining or relax the lower oesophageal sphincter, leading to an increase in stomach acid. This can make individuals more susceptible to acidity, especially if these medications are taken regularly.

Diagnosis of Acidity and Gas Problems

A doctor will typically start with a physical examination and may ask about your eating habits, stress levels, and lifestyle to help identify the possible causes of acidity and gas problems.

For mild cases of acidity or gas acidity, no tests may be required, and treatment may be enough to provide relief. However, if symptoms persist or worsen despite treatment, or if more serious signs like difficulty swallowing, internal bleeding, or severe chest pain occur, your doctor might recommend further diagnostic tests to get to the root of the problem.

Here are the common tests used to diagnose acidity and gas-related issues:

  • Upper GI Endoscopy: In this procedure the doctor inserts a endoscope (small flexible tube) through the mouth to inspect the oesophagus, stomach, and the small intestine. It helps to identify any inflammation, ulcers, or abnormal growths that could be causing the acidity.
  • pH Monitoring: This test measures the level of stomach acid that enters the oesophagus, helping doctors understand how much acid is refluxing into the food pipe and for how long. It’s particularly useful for diagnosing conditions like GERD (Gastroesophageal Reflux Disease) and other gas-related issues.
  • Barium Swallow (Esophagram): During this test, you drink a liquid containing barium, which is visible on X-ray. The barium helps highlight abnormalities in the oesophagus and stomach, allowing your doctor to identify structural problems, such as narrowing or swelling that may be contributing to gas and acidity.
  • Esophageal Manometry: This test assesses how well the muscles of the oesophagus, and the lower oesophageal sphincter (LES) are functioning. It can help determine if your oesophagus is working properly to move food from the mouth to the stomach, and whether the LES is effectively preventing acid from flowing back into the oesophagus, causing acidity or gas symptoms.
  • Electrocardiogram (ECG): In cases where chest pain or discomfort is reported, an ECG may be performed to rule out heart-related issues. Although chest pain can be associated with acidity, it can also be a symptom of heart conditions, so this test is often used for differential diagnosis, especially when gas is suspected as a contributing factor.

Additionally, based on your symptoms and test results, your doctor may recommend other tests, such as a biopsy, to rule out any serious underlying conditions.

Treatment and Management of Acidity

When dealing with acidity and gas issues, the type of treatment can vary depending on the severity of the symptoms and the underlying cause. In most cases, acidity treatment involves lifestyle changes, medications, and in some instances, medical procedures. Let’s take a closer look at the various treatment options:

1. Lifestyle and Dietary Modifications

One of the first steps in managing acidity is making simple changes to your daily habits and diet. Here are a few tips:

  • Avoid trigger foods: Certain foods can increase acid production, such as spicy foods, fried foods, caffeine, and citrus. Limiting these can help reduce symptoms of gas and acidity.
  • Eat smaller, more frequent meals: Eating too much can increase stomach acid production. By eating smaller portions throughout the day, you can minimise the risk of gas and heartburn.
  • Maintain a healthy weight: Being overweight can pressure the stomach and contribute to acid reflux. Losing weight with the help of exercise and a balanced diet can help alleviate acidity.
  • Don’t lie down right after eating: Waiting at least two to three hours before lying down can help prevent acid reflux and gas discomfort.
  • Elevate your head while sleeping: If you experience acidity at night, consider propping up the head of your bed a few inches to prevent acid from flowing into the oesophagus.

2. Medications for Acidity and Gas Relief

In many cases, medications are required to manage acidity and provide relief from symptoms. Some common types include:

  • Antacids: These over-the-counter medications neutralise stomach acid and provide quick relief from heartburn and gas.
  • H2 Blockers: These reduce acid production in the stomach, providing longer-lasting relief than antacids. They can be useful for persistent acidity.
  • Proton Pump Inhibitors (PPIs): PPIs work by blocking the production of acid in the stomach. They are often prescribed for more severe cases of GERD (Gastroesophageal Reflux Disease) and chronic gas acidity.
  • Antiflatulents: These medications help relieve gas by reducing bloating and excessive burping. They work by easing the pressure in the stomach and intestines.

3. Surgical Intervention

In rare cases where lifestyle changes and medications don’t provide sufficient relief, your doctor may recommend surgery. Some options include:

  • Fundoplication: This surgical procedure strengthens the lower oesophageal sphincter (LES) to prevent acid from refluxing into the oesophagus, helping to treat chronic GERD.
  • Endoscopic Procedures: Minimally invasive techniques like Stretta or EsophyX can help tighten the LES, reducing acid reflux and symptoms of acidity and gas.

4. Stress Management

Stress can play a role in acidity and digestive issues. Practicing stress-reduction methods like meditation, deep breathing, or yoga regularly can help alleviate symptoms and enhance your overall health.

Prevention Tips

Preventing acidity is better than treating it. Here are a few strategies:

  • Eat smaller, more frequent meals.
  • Avoid acidic foods and beverages like coffee, citrus, and alcohol.
  • Practice stress-relief techniques such as yoga and meditation.
  • Stay upright for at least 2 hours after meals.

Knowing how to reduce acidity naturally can lead to long-term relief.

When to See a Doctor

While occasional acidity is common and manageable with lifestyle changes or over-the-counter medications, certain signs and symptoms may require the expertise of a healthcare professional.

You should consider consulting a gastroenterologist if you experience:

  • Frequent or severe heartburn that disrupts your daily activities or sleep.
  • Difficulty swallowing or a sensation of food getting stuck in your throat.
  • Unexplained weight loss accompanied by digestive discomfort.
  • Persistent chest pain, particularly if it radiates to your jaw, arm, or back. This may indicate a more serious condition, such as heart-related issues, requiring evaluation by a cardiologist.
  • Vomiting blood or passing black, tarry stools, which could suggest internal bleeding.
  • Chronic cough, hoarseness, or throat irritation that doesn’t improve.
  • Symptoms that persist or worsen despite trying lifestyle changes and medications.

Final Thoughts

Acidity can be effectively managed with a combination of lifestyle changes, dietary adjustments, and appropriate treatments. For persistent symptoms, consult a healthcare professional to explore acidity treatment options that suit you best.

FAQ's

How can I remove my acidity

To relieve acidity, the first step is to identify the cause. If it’s related to lifestyle, simple changes can make a big difference. Avoid overeating or eating spicy, fatty foods. Eating smaller meals more frequently can help. Also, try to reduce stress and ensure you get enough sleep. Over-the-counter antacids can help neutralise stomach acid, but if acidity is a frequent issue, you should consult a doctor for a tailored treatment plan, which might include medications that reduce acid production or address any underlying conditions like GERD.

What is the main reason for acidity?

The main cause of acidity is the overproduction of stomach acid, which can be triggered by poor eating habits, stress, certain foods, and even medications. Normally, stomach acid helps with digestion, but when there’s too much, it can irritate the lining of the stomach and oesophagus, leading to symptoms such as heartburn and indigestion.

What are the symptoms of high acidity?

High acidity can lead to a range of uncomfortable symptoms, including:

  • Burning sensation in the chest or throat (heartburn).
  • A sour taste in the mouth.
  • Bloating or excessive burping.
  • Nausea or sometimes even vomiting.
  • Difficulty swallowing and a feeling that food is stuck in the throat.
  • In more severe cases, headaches can occur, often due to the discomfort and other related symptoms.

Can vitamin D deficiency cause GERD?

While vitamin D deficiency is not a direct cause of GERD, it may contribute to its development. Low vitamin D levels are known to cause inflammation and could potentially weaken the lower oesophageal sphincter (LES). This is the muscle that keeps stomach acid from backing up into the oesophagus. This can lead to acid reflux, a key symptom of GERD.

Which vitamin deficiency causes acidity?

A deficiency in Vitamin D has been linked to acid reflux and GERD, as it may weaken the LES. Similarly, deficiencies in Vitamin B12 and Magnesium can affect the digestive system and may contribute to higher acidity levels. These nutrients play a role in maintaining healthy stomach function, and a lack of them could lead to digestive problems like acidity.

Is curd good for acidity?

Yes, curd (yoghurt) is often considered helpful for acidity. It has a cooling effect on the stomach, can help soothe irritation, and may promote digestion by supporting the growth of beneficial gut bacteria. However, it is important to consume it in moderation and avoid flavoured yoghurts with added sugar or spices, which could aggravate acidity.

Why is the stomach so acidic?

The stomach is acidic by design because stomach acid, or hydrochloric acid (HCl), is essential for digesting food. It helps break down food particles and kills harmful bacteria that might enter with the food. The acidity level is naturally low (pH of 1.5-3.5), which is ideal for digestion. However, when there is too much acid, it can lead to discomfort, acidity, and conditions like GERD.

What is the role of the lower oesophageal sphincter (LES) in acidity?

The lower oesophageal sphincter (LES) is a ring of muscle located at the bottom of the oesophagus that acts as a barrier between the stomach and oesophagus. When functioning properly, it prevents stomach acid from flowing back into the oesophagus. However, if the LES becomes weak or relaxes at the wrong time, stomach acid can reflux into the oesophagus, causing symptoms of acidity and heartburn.

Is banana good for acid reflux?

Yes, bananas are often recommended for people with acid reflux. They are naturally low in acid and have a soothing effect on the stomach. Bananas can help neutralise stomach acid and protect the stomach lining, making them a safe fruit choice for people prone to acidity or acid reflux. However, it’s important to remember that individual reactions may vary, and it’s best to consult with a doctor if you’re unsure.