Acid reflux, also known as gastroesophageal reflux (GERD), is a condition that many people experience at some point in their lives. It is often recognised by the familiar sensation of heartburn. This article explores what acid reflux is, its causes, symptoms, and importantly, the treatment options available in Singapore.
Understanding Acid Reflux
Food travels from your mouth to your stomach via a passageway called the esophagus. Along this passageway just before the stomach, there is a muscular valve called the lower esophageal sphincter (LES). The LES opens to allow food into the stomach and then closes to prevent stomach acid from flowing back into the passageway. Acid reflux occurs when this valve weakens and allows stomach acid to rise up into the esophagus.
Causes of Acid Reflux
Several factors that may contribute to the development of acid reflux includes a weakened or dysfunctional LES. This be influenced by genetics, lifestyle habits, and certain medical conditions. Acid reflux is commonly triggered by overeating, consumption of acidic or spicy foods, obesity, smoking, and pregnancy.
Symptoms of Acid Reflux
The most common symptom of acid reflux is heartburn—a burning sensation in the chest or throat. Other symptoms include the regurgitation of stomach contents, a sour taste in the mouth, difficulty swallowing, and a persistent cough. These symptoms may worsen after eating, lying down, or bending over.
Diagnosis
Diagnosis often involves assessing symptoms and their response to medication. In some cases, an endoscopy (a procedure where a flexible tube is placed via the mouth into the esophagus and stomach) can reveal inflammation of the gullet. Acid reflux can also be diagnosed with 24-hour pH monitoring, where a tube is placed through the nose to the esophagus to measure acidity. Alternatively, a monitoring capsule can be placed during endoscopy to measure the acidity of the lower esophagus.
Complications Of Untreated Acid Reflux
While occasional heartburn is common and typically harmless, frequent or severe cases of acid reflux can lead to complications. Chronic inflammation of the esophagus, known as esophagitis, can increase the risk of developing ulcers or strictures (narrowing of the esophagus). Untreated acid reflux can also contribute to the development of Barrett’s esophagus, a precancerous condition. This in turn may lead to an increase in the risk of developing esophageal cancer.
Learn More: Stomach Cancer In Singapore >>
Acid Reflux Treatment Options In Singapore
The goal of acid reflux treatment is to alleviate symptoms, heal any existing damage to the esophagus, and prevent complications. Here are some effective treatment options available in Singapore:
- Lifestyle Modifications:
- Dietary Changes: Avoid trigger foods like citrus fruits, spicy foods, caffeine, and fatty foods. Eating smaller, more frequent meals and avoiding late-night snacking can also help.
- Weight Management: Excess weight can put pressure on the stomach and LES. Losing weight through a balanced diet and regular exercise can alleviate symptoms.
- Lifestyle Changes: Sleeping with the upper body elevated and avoiding eating or drinking several hours before lying down can prevent stomach acid from flowing back into the esophagus. Avoid smoking and excessive alcohol consumption, as they can weaken the LES and increase acid production.
- Medications:
- Over-the-counter antacids, H2 blockers, and proton pump inhibitors (PPIs) can help neutralize stomach acid or reduce its production, providing relief from acid reflux symptoms. However, prolonged use of PPIs should be monitored by a healthcare professional.
- Surgery:
- For severe cases or when lifestyle modifications and medications fail, surgical intervention may be considered to strengthen the LES and prevent acid reflux. This often involves performing a fundoplication, which can be done via minimally invasive or ‘key-hole’ surgery. Another option is a magnetic implant device that can be easily placed during surgery around the LES to augment it.
Contact Us For A Doctor Consultation On Acid Reflux
Effective management of acid reflux involves a combination of lifestyle changes, medications, and potentially surgical interventions. In Singapore, various options are available to help individuals manage and alleviate acid reflux symptoms. It is important to consult a healthcare professional to determine the best treatment plan for your specific needs. By addressing acid reflux proactively, you can prevent serious complications and enjoy a better quality of life. Contact us for an appointment with a doctor on your acid reflux or stomach health concerns.
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This article is informative only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.