Wednesday, July 26, 2006

hiatal hernia : Acid Reflux - Causes

Acid reflux or GERD (gastroesophageal reflux disease) occurs when the liquid that is in the stomach backs up into the esophagus. This is usually a condition which persists throughout the life of the individual. Because the acid backs up into the esophagus, the esophagus may be damaged.

Acid reflux (GERD) can have many causes. The action of the lower esophageal sphincter (LES) may be one cause. The esophagus connects to the stomach. There is a muscle ring that goes around the end of the esophagus at the point where it meets the stomach. This is the LES. When we eat or drink the LES allows the food to pass into the stomach and then the muscle ring closes so the food does not reflux. People with acid reflux (GERD) may have abnormalities with their LES. The LES may have a weak contraction so there is a very good chance of reflux. Or, the LES may be too relaxed. The longer the LES is open (relaxed) reflux can easily occur.

Another cause of acid reflux (GERD) is a hiatal hernia. Some people with acid reflux have hiatal hernias and some do not. Hiatal hernias are not a pre-requisite for acid reflux, but a large amount of people with acid reflux DO have hiatal hernias. A hiatal hernia disrupts the location of the LES. The LES should be on a level with the diaphragm but due to the hiatal hernia the LES is pushed up and lies in the chest. This is a problem because the diaphragm is a large part of helping the LES to prevent reflux. Now the pressure of both the LES and diaphragm are not working as a strong unit. The hiatal hernia contributes to the reflux because of the decreased pressure.

Acid reflux can also be caused by a hiatal hernia due to the hernial sac. The location of the sac is near the esophagus. Acid gets trapped in the sac. Because the sac is so close to the esophagus, when the LES relaxes, it is easy to reflux.

The hiatal hernia can lead to acid reflux in a third way. Normally the esophagus connects to the stomach at an angle creating a flap of tissue. The hiatal hernia leads to the flap becoming warped and therefore it is useless to stop reflux.

People with acid reflux have a problem with the contraction of the esophageal muscles when they swallow. This is an issue because the contraction pushes all of the items in the esophagus into the stomach. If there is not a good contraction then the acid does not get pushed back and remains in the esophagus. Smoking disturbs the clearing of the esophagus too. It takes about six hours from the last cigarette you smoke for the effect on the esophagus to wear off.

Acid reflux is most common after meals. It is always better to be vertical so gravity can help the acid move down into the stomach. Large meals are not recommended for people with acid reflux.

There are many different reasons people may have acid reflux. Learning the cause may help in your quest to relieve some of the discomfort of acid reflux.

Michael Russell
Your Independent guide to Acid Reflux

Article Source: http://EzineArticles.com/?expert=Michael_Russell

2 comments:

Guy Ralstin said...

I have had issues with acid reflux since that day (15 years ago) I was kicked in the stomach while sparring with a fellow 2nd degree black belt in Tae Kwon Do. After a couple sleepless nights battling with acid reflux, I went in to see my doctor, and I was diagnosed with a hiatal hernia. He gave me a medicine (no longer available) called propulsid and I was told it would help "tone up" the herniated muscle tissue around my lower esophageal sphincter (or LES). It helped for about a year, but slowly the symptoms came back. I had to back off of spicy food, alcohol, caffeine, and take antacids to sustain normalcy - especially before settling in for the evening.

Last spring, my wife and I came across a natural (certified organic) product that has Aloe Vera, Cranberry, Ginger, Frankincense, Nutmeg, Astazanthin, and interestingly enough - marine phytoplankton (over 220 different species of microscopic sea weed!) in it. I know I'm missing some other ingredients, but the long and short of it is that I no longer have the symptoms of acid reflux since I started consuming this "whole food tonic". Not only am I living AR free, but I had also noticed that my rosacea skin condition is gone as well!

Today, I am thanking my lucky stars that we found the "whole food tonic" that has changed my life for the better (now I can eat spicy food, drink, even laugh! - yes, the acid reflux even prevented me from the simple pleasure of laughing!!!) I know this is not medicine, but I believe that consuming this tonic called FrequenSea (from ForeverGreen) with its high amount of anti-inflammatory as well as a host of other anti-oxidants has helped me with my rosacea and acid reflux where no other food (or medicine) could!

I welcome anyone, anytime, to give me a call or email me if you have questions regarding how this "whole food tonic" called FrequenSea can help you!

Warmest Regards,
Guy Ralstin
503-758-8747
www.healthyvibrance.net

Unknown said...

Its your blog great. There is lot of useful info in your blog. Acid Reflux Causes. Thanks for sharing.



Acid Reflux