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

The stomach produces strong hydrochloric acid which plays a major role in the digestive process. This acid is contained within the stomach by the closing of a valve in the lower oesophagus. A higher-than-normal concentration of the acid is quite common and it could be due to various reasons that cause acidity, some common ones being obesity, eating large meals, certain acidic foods like citrus fruits, alcohol, smoking, pregnancy and aerated beverages.

The symptoms of acidity include heartburn, a bloated feeling in the stomach, burping, hiccups, nausea and weight loss. An important thing to notice is that acidity is not a disease, but a symptom of an underlying disease. Unless there are serious structural issues, most cases of acidity can be managed with dietary and lifestyle changes. Some of the best, yet simple and effective ways to deal with acidity are listed below.

Habit of eating smaller, but frequent meals. Eating one large meal is one of the main causes of acidity. Eating smaller frequent meals gives the stomach time to digest the food and also avoid acidity.
Avoid eating close to bedtime. When you go to bed with a stomach full of food, you are sure to end up with acidity. A minimum of 3 hours should lapse between the last meal and the bedtime. This gives sufficient time for the stomach to clear the contents.
Sleep with the head of the bed slightly elevated. Raising the head of the bed ensures there is no regurgitation of food, thereby preventing acidity.
Daytime nappers with acidity issues can try to sleep in a recliner or on a chair to prevent acidity attacks.
Manage weight through weight loss measures including diet and exercise. Obesity is one of the main reasons for acidity, and managing weight can help control acidity.
Smoking is a major cause of acidity. The negative pressure created during smoking helps regurgitation of acid, causing heartburn. Quitting smoking can help relieve long-term acidity symptoms.
Alcohol is another substance that aggravates acidity, and reducing or quitting can help in relieving acidity.
Baking soda, aloe juice, banana, chewing gum, mustard, almonds, and chamomile are some natural remedies to relieve acidity.
Most people have certain foods which are the triggers for acidity. Identifying these and avoiding these can also be a good way to manage acidity.
Acidity is a major concern during pregnancy. The bloated feeling is worsened by the acidity and the developing baby.
Clothes which have tight belts or are tight around the waist can be another reason for acidity.
While acidity is a common issue, it also is something that can be easily managed. Try the above measures and see your heartburn reduce.

Acidity - 11 Ways You Can Deal With It!

The LES valve in the stomach is designed in such a way that as soon as food passes through it, it closes. If however, LES remains partially or fully open, acid produced by the stomach can move up to the esophagus resulting in a burning sensation called acid reflux or heartburn. This condition is commonly known as the hital hernia.

Some of the common symptoms of acid reflux:
1. Consumption of large meals at one go.
2. Lying down immediately after having a meal.
3. Obesity or being overweight.
4. Consumption of snacks just before bedtime .
5. Consumption of certain food items such as chocolate, garlic, onion and citrus-related food.
6. Consumption of caffeine related products such as coffee, liquor and cigarettes.
7. Certain medicines such as aspirin is also known to be a trigger for acid reflux.
8. Pregnant women or patients with blood pressure are known to be suffering from acid reflux.

Tips to deal with acid reflux
There is a wide range of treatment options available for acid reflux. If you are suffering from occasional heartburn, there are some wonderful home remedies that can be tried. However, if the acid reflux recurs more than once in a week, it is best to consult a doctor. Home remedies to deal with acid reflux:
1. Sleeping on the left side is known to reduce acid reflux.
2. Reducing weight greatly helps in tackling acid burn. Patients with obesity are more vulnerable to acid burn.
3. It is best to avoid food that triggers acid burn.
4. Chewing gum greatly helps in countering acid burn. It helps in producing saliva which soothe the esophagus.
5. Intake of One spoon of baking soda every day proves to be extremely effective. Baking soda contains sodium bicarbonate which has a pH of more than 7 and can effectively neutralize the acid from stomach.
6. Intake of aloe vera, apple, banana or ginger is known to have very positive effects on acid burn.
7. Intake of 1 table-spoon of mustard can give instant relief from acid burn. Mustard s alkaline properties can make the acid neutral in the system.
8. Regular intake (one after every meal) of almond helps to fight acid burn

Medication:
1. If you are buying over the counter, Histamine 2 blockers is a great medicine that instantly gives relief from an acid burn. Typically Doctors suggest this medicine with a higher dosage. This medicine can be consumed half an hour before the consumption of a meal. However, It is best to consult a doctor before consuming any medication.
2. Doctors often suggest medicine from the PPI family. It effectively blocks acid production in the esophagus for a longer duration. Some common medicine from this group includes Lansoprazole, Pantoprazole and Rabeprazole. Although, a doctor should be consulted. 

What Causes Acid Reflux? 8 Tips to Deal With it

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!

The problem of acidity occurs when the gastric glands of the stomach release extra acid, i.e. hydrochloric acid. This acid helps in the breakdown and digestion of eating food and when the extra hydrochloric acid is produced, that is when the problem of acidity arises. 

Types of acidity

Two types of acid reflux are

Upright acid reflux: Every hour when you are sitting throughout the day, upright acid reflux occurs.
Supine acid reflux: This form of acid reflux generally happens at night when the acid flows twice in the esophagus. Throughout the night time, we usually relax ourselves, so the acids are likely to go upside down. Visit a doctor before your supine acid reflux gets worse.
Symptoms of acidity:
Dyspepsia and heartbeat are the major symptoms of acidity. Heartburn usually occurs when you have your meal and is more irritated if you are involved in heavy weight lifts which result in stomach pressure.
Although you can experience different forms of acidity, symptoms of both types can be common. General symptoms of both the upright and supine Acid Reflux include ulcers, sinusitis, dysfunction, tooth decay. Chronic Supreme Reflux can cause chronic pain in the chest, long-term damage to the arms and jaws, stomach and respiratory tract.

Treatment for Acidity
There are seven ways to help treat your acidity:

Maintain a healthy die as maintaining proper habit is important. The consumption of spicy, processed food, pebbles, and high-fat food is not recommended. Eat slowly and chew your food properly.
Quit smoking and avoid alcohol consumption, as it increases heartbeat problems.
Diagnose yourself and meet a doctor. Some clinical trials to be conducted include X-rays, blood tests and endoscopy.
Some tips that you can follow to prevent insult include: (A) Avoid exercising with the entire stomach (B) Do not wear tight fitting clothes while sleeping (C) If you go to bed at least three Wait hours ago.
Your body weight also plays a crucial role. The weight of the extra body is pressured on the lower esophagus (LES) sphincter, which can weaken it over time. If LES fails to shut down correctly, then you are likely to experience from acid reflux.
Long-time acute stress and anxiety can cause acidity. You can follow some relaxation techniques to deal with stress and anxiety.
Dietary supplements available in health food stores and drug stores such as calcium and digestive enzymes can reduce the acidity.
Most of us can understand that acidity is a superficial issue, but when it gets spoiled it causes serious health issues such as an ulcer. Therefore, it is suggested to be attentive to the symptoms and moves forward a suitable remedy for acidity, positively.

Acidity - 7 Tips To Help You Control It!

If you are experiencing heartburn during pregnancy, it is important for you to know about the ways of dealing with it. Heartburn, which is a fiery, painful sensation, occurs when the lower esophageal sphincter (LES) starts leaking or relaxing. This makes your stomach acids to flow up into the esophagus, resulting in acidity or heartburn. Pregnant women are more susceptible to heartburns because the relaxing hormone slows down the rate of digestion, thereby keeping food in the stomach for longer duration and triggering acidity.

Here are the various measures you should take for dealing with acidity during pregnancy:

Follow regular eating patterns: Overeating triggers heart burns, and hence, you should eat less. During pregnancy, there is much less space in the stomach for it to expand. Maintaining a healthy diet in lesser quantities will help you in eliminating the heartburn throughout your pregnancy. You should eat several small meals a day instead of having two or three large meals. It is easier for your body to digest smaller meals.
Avoid trigger foods: You need to identify the common foods, which trigger your heartburn, and eliminate them from your diet. You should abstain from consuming acidic food items like tomatoes, citrus fruits, fried and spicy food, coffee, carbonated drinks, and alcohol.
Focus on fluids: A liquid diet causes much lesser problems compared to solid food products as they can move through your stomach quickly. You should consume milkshakes, soups, yoghurt, smoothies, puddings, and protein shakes. Try to take liquids, which are rich in protein like dairy products. While having solid foods, ensure that you chew them very well.
Sleep properly: In order to avoid heartburn during the night, you must not eat anything three hours before going to sleep. You should make the head of your bed elevated by placing books or any solid object under the bed s legs. You should sleep on your left side, which will make it difficult for stomach acids to travel up to your esophagus.
Sit or stand up right after a meal: After taking any meal, you should take a short walk, undertake some housework, or sit down for a while. Avoid lying down, and abstain from doing anything for which you have to bend over.
Wear comfortable clothes: You should wear loose-fitting clothes for dealing with acidity or heartburn during pregnancy. Tight clothing puts extra pressure on your abdomen, which is already crammed. This is capable of worsening acid reflux. Therefore, you should choose loose fitting maternity wear for eliminating acidity and heartburn.


Acidity During Pregnancy - How It Can Be Dealt With?

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