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What is the root cause of acidity?

Published in Digestive Health 3 mins read

The most common root cause of acidity is the consumption of acidic or high-fat foods.

Acidity, particularly heartburn or acid reflux, arises when stomach acid flows back up into the esophagus. While the body naturally produces stomach acid for digestion, certain factors can contribute to an excess or weakening of the lower esophageal sphincter (LES), the valve that prevents acid from escaping the stomach. Dietary choices are a primary driver of this issue.

Common Dietary Culprits:

Here's a breakdown of foods and habits that often trigger acidity:

  • Acidic Foods: Citrus fruits (oranges, lemons, grapefruits), tomatoes and tomato-based products (sauces, ketchup), and vinegar can directly increase the acid load in the stomach.

  • High-Fat Foods: Fatty foods take longer to digest, which can lead to increased stomach acid production. They can also relax the LES, allowing acid to escape. Examples include fried foods, cheese, and chocolate.

  • Spicy Foods: Capsaicin, the active compound in chili peppers, can irritate the esophagus and increase acid production.

  • Caffeinated Beverages: Coffee and other caffeinated drinks can relax the LES and stimulate acid secretion.

  • Alcohol: Similar to caffeine, alcohol can weaken the LES and contribute to acid reflux.

  • Carbonated Drinks: These can increase stomach pressure, forcing acid upward.

  • Peppermint: While often thought of as a digestive aid, peppermint can relax the LES.

Other Contributing Factors:

While diet is a major factor, other conditions can also play a role:

  • Large Meals: Overeating can put pressure on the LES.

  • Eating Before Bed: Lying down after eating allows stomach acid to flow more easily into the esophagus.

  • Obesity: Excess weight can increase pressure on the stomach.

  • Smoking: Smoking weakens the LES.

  • Hiatal Hernia: This condition, where part of the stomach protrudes through the diaphragm, can weaken the LES.

  • Certain Medications: Some medications, like NSAIDs, can irritate the stomach lining and increase acid production.

Managing Acidity:

Addressing the root cause often involves dietary and lifestyle modifications:

  • Identify and Avoid Trigger Foods: Keep a food diary to track which foods worsen your symptoms.

  • Eat Smaller, More Frequent Meals: This reduces the pressure on the stomach.

  • Avoid Eating Before Bed: Allow at least 2-3 hours between your last meal and bedtime.

  • Elevate Your Head While Sleeping: This helps prevent acid from flowing back into the esophagus.

  • Maintain a Healthy Weight: Losing weight can reduce pressure on the stomach.

  • Quit Smoking: This can improve LES function.

  • Over-the-counter Medications: Antacids, H2 blockers, and proton pump inhibitors (PPIs) can provide temporary relief. However, long-term use should be discussed with a doctor.

Ultimately, identifying and managing the underlying causes of acidity, primarily through dietary adjustments, is key to alleviating symptoms and improving overall digestive health.

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