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How Does Acidity Start?

Published in Acid Reflux 3 mins read

Acidity, specifically in the context of acid reflux, begins when stomach acid flows back up into the esophagus. This often happens due to certain triggers or conditions that compromise the normal function of the lower esophageal sphincter (LES).

Understanding the Basics of Acid Reflux

  • The Lower Esophageal Sphincter (LES): This muscle at the end of your esophagus normally acts like a valve, preventing stomach contents from moving backward.
  • When the LES Fails: When this valve isn't closing properly or becomes weakened, stomach acid can backwash into the esophagus, leading to discomfort and other symptoms.

Common Triggers for Acidity

The reference points out common scenarios where acid reflux is likely to occur:

  • Large, Rich Meals: Eating a large meal, especially one high in fat, can increase stomach pressure, making it more likely for acid to escape into the esophagus.
  • Lying Down Too Soon After Eating: When you lie down, gravity is no longer helping to keep stomach contents down. This allows stomach acid to easily flow upward into the esophagus.

Other Contributing Factors:

While not specifically mentioned in the provided reference, several other factors can play a significant role in the start of acidity and acid reflux:

  • Hiatal Hernia: A condition where part of the stomach pushes through the diaphragm into the chest cavity.
  • Obesity: Excess weight can increase pressure on the abdomen, encouraging acid reflux.
  • Pregnancy: Hormonal changes and increased abdominal pressure during pregnancy can contribute to acid reflux.
  • Smoking: This can weaken the LES and worsen acid reflux.
  • Certain Medications: Some medications can relax the LES or irritate the stomach.
  • Specific Foods and Beverages: Foods like chocolate, peppermint, spicy foods, and acidic beverages like coffee and alcohol can trigger acid reflux in some people.

How to Manage Acidity

Based on the reference, some ways to manage acid reflux include:

  • Lifestyle Changes:
    • Eating smaller, more frequent meals.
    • Avoiding lying down immediately after eating.
    • Elevating the head of your bed while sleeping.
    • Identifying and avoiding trigger foods.
    • Maintaining a healthy weight.
  • Over-the-Counter Medications: Antacids can help neutralize stomach acid, and H2 blockers or proton pump inhibitors (PPIs) can reduce acid production.
  • Medical Treatment: Chronic acid reflux (GERD) may require prescription medications or, in rare cases, surgical intervention.
Trigger Explanation
Large, Rich Meal Increased stomach pressure forcing acid upwards.
Lying Down Soon After Eating Gravity is no longer keeping stomach contents down.
Hiatal Hernia Part of stomach pushes into the chest cavity, weakening the LES.
Obesity Excess weight increases abdominal pressure, promoting acid reflux.

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