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Hyperacidity, Acid Reflux, Esophagitis & Peptic Ulcers

-- Dr. Manish Bhatia

 

Hyperacidity literally means ‘excess of acid’ or ‘hyper-secretion of acid from stomach’, when taken in relation to GIT. But not all patients who come to the doctor complaining of ‘acidity’ suffer from hyperacidity in true sense. These patients complaining of ‘acidity’ can broadly be divided into two categories:

HYPERACIDITY



PRIMARY OR FUNCTIONAL

SECONDARY OR PATHOLOGICAL

 

 

REFLUX OESOPHAGITIS

PEPTIC ULCER


A. PRIMARY HYPERACIDITY

Common Causes of Hyperacidity

  • Idiopathic

  • Prolonged ingestion of aspirin or some anti-inflammatory drugs

  • Prolonged alcohol ingestion

  • Eating of spicy and highly seasoned food like chilly, pickles, etc.

  • Stress is also an important cause for hyperacidity

  • Heavy smoking

Also occurs after surgery or burns or with severe bacterial infection

Common Symptoms of Hyperacidity

  • A steady pain of short duration in upper abdomen immediately following a large or spicy meal or aspirin ingestion

  • Nausea, vomiting, and loss of desire to eat which may persist for 1-2 days

  • Heartburn or sour belching

  • Early repletion or satiety after meals

  • A sense of abdominal distension or ‘bloating’

  • Flatulence (burping, belching)

  • Vomiting of blood or blood in stools

  • If gastritis persists there may be eventual development of anaemia

Long-standing hyperacidity may lead to formation of ulcers in the stomach which may again lead to complications like perforation.

Management of Hyperacidity

Abstinence from smoking and alcohol is a must. Avoiding stress. Eating bland food and refraining from unnecessary medication.
Conventional treatment consists of antacids which cause a lot of side-effects like headache, dryness, hypersensitivity and confusion. They also have only a temporary effect.
On the other hand, homeopathic treatment is safe and gentle, without side-effects. And it treats in totality, leading to an actual cure, rather than a temporary suppression of symptoms.

 
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