Acidity - gastritis: understanding the symptoms and causes

Gastritis/acidity is a group of diseases or symptoms where there is excess secretion of acid by the gastric glands of the stomach.

If you have upper abdominal discomfort or pain, stomach fullness, heartburn, nausea, vomiting, indigestion, belching, waterbrash or irregular bowel movement, then you must be suffering from acidity or gastritis. It is a problem which becomes worse when an individual has poor eating habits and improper lifestyle.

Gastritis: swelling of stomach lining

Various factors like spicy food, medicines, tobacco, alcohol etc. Can cause increase in gastric acid production and disturb, weaken or damage the normal stomach lining. Gastritis occurs when there is an imbalance between the acid production and damage to the stomach lining, resulting in swelling of the stomach lining.

Gastritis a very common disorder of all age groups

Gastritis is of two types - acute gastritis (which occur suddenly) and chronic gastritis (develops over a period of time). In India gastritis is a very common disorder which occurs at any age but is more widespread in the adolescent age group (12-17 years). Adolescence is a change from childhood to adulthood, the period in which a lot of physical and psychological changes occur increasing the risk of gastritis. 

Multiple factors cause gastritis

Various factors like spicy food, medicines (pain killers), tobacco, alcohol, emotional disturbance, psychological stress, smoking, alcohol intake and bacterial infection lead to gastritis.

Besides these, the three most important factors include helicobacter pylori infection (bacterial infection), use of painkiller medicines and autoimmunity (body loses its own immunity and attacks itself). These factors in the long term may even cause an ulcer (permanent breakage of the stomach lining), acid reflux disorder (food coming back to mouth after swallowing) and stomach cancer.

What does Ayurveda suggest?

In Ayurveda, agni refers to fire like activity in alimentary canal responsible for digestion of food which is influenced by the status of doshas. When samana-vata associates with kapha in turn produces weak digestive power (agni-mandya). Consuming food against the code of dietetics i. E. Ahara-vidhi vidhana and ahara-vidhi-visheshayatana (method of taking food) lead to a number of diseases related with food. Eating food before the previous food is digested, untimely food, eating too much of spicy or oily food, eating when not hungry, drinking too much water during food and at a time unless required, very hot high fatty-fried food, stale food, heavy diet, excess consumption of horse gram, vitiate all the three body humours (tridosha) also contribute to the symptoms of gastritis.

Due to the sourness of consumed food the liquidity of pitta increases further decreasing the capacity for digestion (agnimandya). Hence, rasadi-dhatu is not formed in a proper manner. This, after a certain period, manifests as amlapitta (hyperacidity).

Symptoms of gastritis vary among individuals

Symptoms of gastritis vary among individuals, and in many people even there are no symptoms. It also depends on the duration of disease, whether it is of acute (coming on suddenly) or chronic (causing symptoms over a long period of time) type.

The most common symptoms of acute gastritis include:

Abdominal bloating or stomach fullness,

Belching (expelling air from the stomach through the mouth)

Waterbrashes (sour fluid or tasteless saliva into the mouth)

Upper abdominal pain or discomfort

Nausea/vomiting feeling

Irregular bowel movement

Recurrent indigestion,

Chest burn or gnawing feeling between meals (heartburn)

Hiccups etc.

In addition to this, symptoms of chronic gastritis may include weight loss, continuous flatulence, black stool, loss of appetite and even anemia.

How to diagnose gastritis?

To diagnose gastritis, performs a thorough physical evaluation, and may recommend a blood test for h. Pylori screening, stool test for blood in the stool. Abdominal x-rays or barium studies (upper or lower) may demonstrate the presence of thickened stomach lining and folds that are signs of inflammation in the stomach.

Sometimes, an endoscope, a thin tube containing a tiny camera, is inserted through the mouth and down into the stomach to look at the stomach lining (endoscopy). The doctor will check for inflammation and may perform a biopsy, in which a tiny sample of tissue is removed and sent for analysis of gastric lining.

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Related Tip: 10 Things You Must Correct to Fight Acidity And Heartburn

What Causes Acidity?  Understanding its Symptoms and Causes

Hyper acidity (Amlapitta) is also called Acid Dyspepsia, which is one of the most common problem. Hyperacidity is a condition in which stomach secretes excess amount of acid.

Hyperacidity is very closely associated to Amlapitta in Ayurveda which is caused by the imbalance of agni or the digestive fire leading to the vitiation of pitta dosha.

Causes of Hyperacidity:

Hurry ,  Worry , and  Curry  are the three main reasons for the disease.

Diet (Ahara)

Spicy fried junk food

Carbonated drinks

Excessive use of chilly, mustard, garam masala powder (spice mixture), garlic etc. in diet

Salty and sour foods like chips

Eating of stale, fermented foods (dosa, uttappa, idli, dhokla etc. bakery food items).

Excessive intake of fast food

Excessive intake of Oily foods, pickles

Excessive intake of tea/coffee.

Lesser intake of water

Irregular meal times

Skipping meals

Repeated food intake (before the digestion of the previously taken food)

Incompatible food like taking non-veg with milk, sour fruits with milk, pizza followed by milkshake

Eating too late at night

Regimens (Vihara)

Lack of rest

Fast moving lifestyle.

Insufficient sleep at night.

Sleeping immediately after meals.

Sleeping in daytime

Mental factors

Stressful lifestyle
Excessive anxiety

Anger

Other causes of acidity include:

Medications: Some anti-inflammatory drugs, when taken for a long period of time can develop chances of hyperacidity.

Drinking alcohol

Smoking

Pregnancy

Obesity

Fasting

All the above factors result in an excessive increase of  Pitta dosha  in the body and exhibits symptoms of amlapitta.

The condition of Amlapitta is explained with a simile just as milk is poured into curd pot immediately attains sourness and gets into an inspissated form. In the same way, repeatedly eaten food gets improperly burnt and causes acidity.

Signs and symptoms

Vomiting

Loss of proper taste of food

Loss of interest of food

Headache

Heart &chest burn (retrosternal burning)

Sour or bitter test in mouth and belching.

Nausea

Throat burn

Regurgitation of food or sour substance

Gaseous distention/ bloating of abdomen

Pain in abdomen

Chest pain

Foul smelling loose motions.

Burning sensation over feet, hands

Mouth ulcers

Fatigue (especially in legs)

Tiredness

Fainting

Ayurveda has explained 2 main types of amlapitta:

Urdhvag Amlapitta: Mainly characterized by vomiting due to upward movement of pitta 

Adhoga Amlapitta: Mainly characterized by loose motions due to downward movement of pitta.

Investigations

If there is chronic hyperacidity, following investigations are useful:

Gastroscopy (Upper Gastrointestinal Endoscopy)

Barium Meal x-ray

Gastrin levels in blood

Serology + histology for H. Pylori

Stool routine examination

Complications 

If not treated at the proper time or if faulty diet, regimen and habits continued, it can complicate as

Gastric Ulcer
Chronic Gastritis
Duodenitis
Prevention

 Prevention is better than cure  it is better to avoid all the causative factors of acid-peptic disorders (amlapitta).

Avoid excessive salty, oily, sour and spicy foods

Avoid heavy and untimely food

Avoid smoking and alcohol intake

Avoid overcooked, stale and contaminated food

Avoid fried and junk food items

Do not skip meals

Avoid fast

Do not overeat

Avoid untimely and irregular food habit

Avoid foods containing excess amount of garlic, salt, oil, chilies etc. very often.

Avoid toor dal, horse gram, fenugreek

Avoid lying down immediately after food

Avoid, smoking, alcohol, tea, coffee and aspirin type drugs

Follow the meal times

Take Light food, Coconut water, articles having cooling properties

Take vegetables like white pumpkin, cucumber, leafy vegetables except Methi

Take Wheat, old rice, green gram

Fruits like gooseberry, dry grapes (black resins), black grapes, pomegranate, fig, dry fig, custard apple.

Take adequate amount of fluids like pomegranate juice, amla juice, kokam syrup.

Medicated water with ushir (wala) or coriander-cumin seeds or tulsi seeds (sabja) or laja (puffed rice). 

Take Warm water.

Take Moravla (jam made from amla), gulkand (jam made from rose petals) 

Take One teaspoonful of ghee with warm milk

Take adequate sleep

Exercise regularly

Avoid stress

Follow mental relaxation techniques like meditation, Yoga and Pranayama

Medical management

As the disease is of Pitta origin, all measures are undertaken to pacify pitta.

Some important drugs useful in Amlapitta

Shatavari, Yashtimadhu, Amalaki, Sunthi, Guduchi, Ushir, chandan shankhabhasma, suvarnamakshik bhasma, pravalpishti, sariva, bhunimb etc

Some important Ayurvedic Medicinal Preparations are helpful when taken under proper guidance

Kamdudha Rasa 

Sutashekhar Rasa 

Prawal Panchamrit 

Shankh vati

Bhoonimbadi kwath

Avipattikar Churna

Shatavarighrit etc

'Panchakarma procedures' like Vamana (induced vomiting) or Virechana (induced loose motions) whichever is needed as per the symptoms should be administered. In chronic cases, Asthapana basti (medicated enema) is indicated.

Hyperacidity And Ayurveda!

Acidity is an ailment that troubles most people regardless of the absence of any other medical condition. It causes discomfort in the chest region along with heart burn and indigestion. If you are distressed with acidity, you may consider undergoing Ayurvedic treatment which would help in alleviating the problem to a great extent.

1. Tulsi leaves:
  Tulsi leaves help in stimulating the stomach for production of more mucus and are also rich in anti-ulcer properties which cause a significant reduction in the effects of gastric acid.
  It is recommended to chew 5 to 6 clean Tulsi leaves when you have acidity to soothe the stomach.

2. Bananas:
  The potassium content in ripe bananas helps in eliminating sudden bouts of acidity.
  Bananas also aid in relieving constipation problems and cause healthy bowel movement.

3. Cumin seeds:
  Cumin seeds which are commonly used in cooking dishes have anti-inflammatory properties that aid in soothing the digestive tract.
  These stimulate saliva production, boost metabolism and relieve the problem of bloating along with other discomforts caused by gastric troubles.
  You may chew a few cumin seeds when troubled with acidity or boil them in water and drink the solution.

4. Cold milk:
  The richness of calcium in milk aids in reducing acid problems and absorbing the acid which has already been produced.
  It helps in providing instant relief from the burning sensation owing to its coldness.
  But it is important to drink it plain without any additives like sugar.

5. Cloves:
  Cloves are known for their calmative properties which help to improve the process of peristalsis by which food moves down the stomach.
  When you put a clove in your mouth, just bite it once to help in releasing the extracts which would reach your digestive tract and immediately lower down the acid reflux.

6. Ginger:
  If you do not find raw ginger to be very pungent, you can keep a candied ginger slice in your mouth for instant relief from acidity.
  If you feel that you wouldn t be able to chew raw ginger, you can boil it in water and drink it after it cools down.
  Ginger can be also eaten with a small piece of jaggery to help the juice reach the stomach and alleviate the acidity.

7. Mint leaves:
  Commonly referred to as  pudina , mint leaves are known for lowering the acid content and improve digestion.
  If you feel that an acid attack is imminent, you can chop down a few mint leaves and boil it in water and drink the solution for eliminating bloating problems.

These few Ayurvedic remedies can help in soothing acidity along with its other symptoms.

Acidity - 6 Amazing Home Remedies That Can Help!

Top Remedies To Get Rid Of Acidity

Over eating or spicy food gives us regular or once-in-a-while acidity. While we all love to indulge in good food, at times, we are forced to abstain for fear of the acidic reaction that follows. 

Follow these simple home remedies which can cure and help combat acidity.

1) Cold milk - milk has calcium which stops acid build up in the stomach. For immediate relief from acidity, it is advised to drink a glass of cold milk.

2) Fennel Seeds - if you have had a spicy or a heavy meal, chew on some fennel seeds as is the habit in india, traditionally.

3) Ginger - ginger has anti-inflammatory properties which help cure acidity. All that one needs to do is chew on a slice of ginger. If you have a chronic acidity problem, you can make it a habit to drink the water with ginger boiled in it.

4) Cloves - if you face problems with acidity regularly, it is advisable to carry cloves with you at all times. Chew a few cloves everytime you feel acidic.

5) Basil Leaves - chew basil leaves at the first sign of acidity. Alternatively, you can also boil 3-5 leaves in a cup of water for a few minutes. Drink this water for relief. While you can add honey for taste, do not add milk.

6) Cinnamon - boil half a teaspoon of cinnamon powder in a cup of water for a few minutes and drink it throughout the day.

7) Buttermilk - lactic acid in buttermilk helps dilute the acidity in your stomach. Drink chilled buttermilk bit by bit throughout the day or until you get relief.

8) Cardamom - cardamom is known to sooth the inner lining of our stomach to reduce the effects of excess acid produced in the stomach. You can crush a couple of cardamom pods, boil in water, and drink it for instant relief.

9) Mint Leaves - mint leaves help digestion and in lowering the acid content in our stomach. Boil some chopped mint leaves in water, cool the water and drink it.

10) Banana - bananas contain natural antacids. Potassium in bananas keeps the acid production in your stomach under check. Eat a ripe or overripe banana to beat acidity.

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Top Remedies To Get Rid Of Acidity

The human digestive system is a very complicated and sizeable component of the body. It starts right at the beginning of the mouth, ending at the rectum. Some of the major responsibilities of the digestive system include absorption of essential nutrients and elimination of wastes.

Not only do digestive problems have embarrassing and unwanted symptoms, serious, chronic diseases can be caused if the minor problems are not treated.

Some digestive problems are listed below:

GERD: This is a burning sensation that results from acids in the stomach being squirted into the oesophagus. A burning sensation is felt, right from the chest to the end of the throat. Frequent heartburns can lead to GERD (Gastroesophageal Reflux Disease), symptoms of which include dry cough, sore throat, chest discomfort and difficulty in swallowing.
Bloating: This is caused due to the presence of excess gas in the colon, small intestines or the stomach.
Dyspepsia: This is an uncomfortable feeling or pain which occurs in the upper abdominal regions, mostly a result of excess food intake. It is commonly referred to as indigestion. Dyspepsia can be discomforting and if prolonged, medical assistance should be opted for.
Chronic Constipation: Persistent constipation (chronic) is a sign that there is a problem with the elimination of wastes. This usually happens when the colon is unable to move or pass stools. Other major causes of chronic constipation can be changes in your usual diet, various eating disorders, Irritable Bowel Syndrome and excessive consumption of dairy products among others.
Food Intolerance: This occurs when the digestive system is unable to tolerate certain food items. This condition is different from food allergies as it only affects the digestive system. Some of the common symptoms include diarrhoea, headache, gas and vomiting.
Possible Serious Conditions-

A gastroenterologist is a type of doctor that specializes in diagnosing and treating diseases involving the digestive system. If you continue to experience digestion problems, it s time to make an appointment.

More serious signs could mean an emergency medical problem. Those signs include:

bloody stools
continuous vomiting
severe abdominal cramps
sweating
sudden, unintentional weight loss
These symptoms could be an indication of an infection, gallstones, hepatitis, internal bleeding, or cancer.

Medications-

You may be able to overcome digestion problems with treatment and lifestyle changes. Certain diseases of the digestive system might be long-term, but medications can help alleviate symptoms.

Identifying specific digestion problems and talking with a gastroenterologist can go a long way in terms of helping your doctor give you a proper diagnosis. Remember, you don t have to put up with constant digestive issues.

Problems Related To Digestion!

Digestion is an important process that helps in converting food to energy. It begins at the mouth and the stomach is where the detailed process begins. The stomach produces acids to digest the food. But when food is not consumed at the right time or if it is too spicy, it can lead to acid reflux. Acid reflux may result because of individual habits too such as excessive smoking and alcohol consumption. In this condition. the valve that controls the release of acids does not close properly. This causes the acid to move up and cause pain in the upper abdominal region. Acid reflux or hyperacidity initially starts with a burning sensation and gradually manifests itself as severe pain that is intolerable. Ayurveda, the ancient medical science of India, suggests a number of efficient solutions for this condition.

Triphala: This is a combination of three ingredients   the Indian gooseberry, ink nut, and beleric   in equal proportion. These three ingredients ensure a balance of the three doshas   pitta, vatta, and kapha. Ayurveda says that any imbalance in three doshas can cause diseases and disorders in the body. Therefore, consuming triphala in the form of powder or pills every day helps balance the three doshas. You can take half to one teaspoon on to triphala with warm water on an empty stomach in the morning and as you go to bed at night.

Indian gooseberry: This is an Indian fruit that is loaded with antioxidants and anti-inflammatory properties. It helps in reducing pitta, which is fiery in nature as per Ayurveda and is characterized by an excessive heat. Elevated pitta is responsible for acid reflux. Taking gooseberry is easy, as it can be eaten raw or taken in the form of juice. It can also be included in a few recipes.

Other remedies: Lots of other home remedies come handy in alleviating pain related to hyperacidity. One of them is Aloe Vera. Aloe Vera juice soothes the pain and cools down the system. Additionally, buttermilk offers an instant remedy to ensure that the pain and burning sensation are relieved.

Restrictions that Ayurveda suggests: It is not only what you consume to treat the disease that matters. A few foods should be avoided to ensure complete cure. While people know that spicy foods should be kept at bay, tea, coffee, vinegar, tamarind and other sour foods should be avoided as well. Peanuts are very acidic and can trigger acid reflux.

Lifestyle changes recommended by Ayurveda: Quitting smoking and stopping consumption of alcohol is what all streams of medicine recommend. Ayurveda also advises people to follow early to bed and early to rise principle. This ensures that the body performs all its duties within hours of its optimum functioning. Lying down after a meal is not advised. Also, wearing tight clothes should be avoided. Foods that are oily and fatty should be avoided. Eating freshly-prepared food items is considered good as per Ayurveda.

Stay relaxed: Hyper acidity may also result because of stress and tension. The best way to combat stress is to stay cool and calm. Practicing yoga can help relieve hyperacidity and also alleviate pain caused by it. 

Pranayama, peacock pose, and shoulder pose are recommended to combat hyperacidity. As per Ayurveda, sticking to healthy eating habits is the one-stop solution for several ailments and hyperacidity is no different. Sleeping for at least 7 to 8 hours in a silent and soothing environment is also advised by this system of ancient medicine to lead a happy and healthy life. 

Hyperacidity - How Ayurveda Can Help? 

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