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 acids help the body dissolve the food particles and also break it down to more basic elements. However, when the body produces too much acid, it causes acid reflux which can cause discomfort. Too much acid within the body, which is also known as hyperacidity, can be caused by a multitude of factors.
Known and effective ayurvedic cures
Ayurveda considers acidity to be a'pitta' problem and it can be corrected by following certain simple steps. There are other food ingredients which are also used as remedial tools. Let's have a look at some of the dos and don'ts of ayurvedic remedies for acidity.

Don'ts for acidity according to ayurveda
1. Limit junk food and other foods, which are very heavy in fats and processed items: most processed foods and junk food usually made in stores contain unhealthy fats. The stomach needs to produce more acid in order to digest them and thus may end up causing acidity.

2. Stop excessive consumption of tea, coffee: stop consumption of caffeinated beverages such as tea, coffee and other caffeine injected drinks which may encourage the production of more stomach acids.

3. Stop the consumption of alcohol and cooperates: apart from being generally bad for health as both of these are known contributors of cancers, they can even affect smaller day to day functions and can lead to acidity.

4. Don't consume foods which are high in acidic content: if you tend to like food which is very high in acidic content, it is advisable to limit its consumption. Some examples of this are:

1. Vinegar
2. Curds
3. Pickles
4. Tamarinds
5. Sour citrus fruits
6. Salty fried foods

Dos for acidity according to ayurveda
There are multiple solutions for acidity in ayurveda which have been known cures for generations. Let's take a look at some of these.

1. Do have meals on time: it is best to not skip meals as this can cause the acidity levels within the stomach to rise if it doesn't have any food to digest. It is especially harmful to skip breakfast and then have a heavy lunch to compensate.

2. Do have amla or indian gooseberry: this is a very effective weapon against acidity and chewing a few morsels will easily cure the problems in your stomach.
Pomegranate juice: very small quantities of pomegranate juice on a daily basis will be very beneficial for a bad case of acid reflux.

3. Coconut water: drink coconut water as it is known to have properties to neutralize the stomach acids.

4. Aniseed: also known as saunf, you can chew them raw and slowly swallow with water for quick relief from acidity.

5. Jeera: jeera consumed with warm ghee and then mixed with rice tends to be very good for acidity as well.

Ayurvedic Remedies for Acidity

Ayurvedic treatment for Hyperacidity

Acidity gives you tremendous discomfort. The stomach condition wherein acid levels of the gastric juices are much more than normal is known as hyperacidity. It causes uneasiness alongside symptoms like loss of appetite, heartburn, unexpected stomach pain, etc. According to Ayurveda, the main cause of this condition is the worsening of the Pitta Dosha (the fire element) in your body.

The reasons that worsen this dosha are:

- Having foods that don't match your constitution or which aren't supposed to be had like milk and salt or milk and fish
- Extremely spicy and sour beverages and foods
- White flour products
- Products made from white sugar
- Smoking
- Excessive intake of coffee and tea
- Alcohol
- Having food even though you may be suffering from indigestion
- Controlling the urge to urinate or pass stool
- Prolonged exposure to heat and the sun

What happens to your digestive power?

The exacerbated Pitta worsens your digestive fire, causing your food to be not properly digested as well as influence the production of ama (toxins). When ama builds up in your various digestive channels, it brings about the problem of hyperacidity. The treatment focuses on calming down the irritated Pitta Dosha. For this, certain herbs are used to get rid of the toxins that block these channels. This automatically improves your digestive fire, bringing about better digestion.

What changes you're required to make?

To keep this problem at bay, there are certain lifestyle changes that you may have to make such as

- To curb the consumption of acidic foods like garlic, onions, ginger, vinegar, and tomatoes
- Avoid having curd/yogurt at night
- Practice yoga and Pranayam like Bhujangasana, Vajrasana, Shitkari Pranayam and so on
- Avoid fermented as well as processed foods
- Avoid coffee, tea, alcoholic or carbonated beverages

If you would like to consult with me privately, please click on 'Consult'.

15 Best Ayurvedic Remedies to Cure Hyperacidity | Acid Reflux

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

The quote 'Good day starts with coffee' suits a lot of people who love nothing more than a cup of coffee every morning. However, your morning tryst with a cup of coffee might not be a very healthy habit. Believe it or not, addiction to caffeine (in the form of coffee) is as harmful as addiction to any other drug. In fact, caffeine is a legal drug that slowly and gradually damages your gastrointestinal tract. Here are the negative effects of coffee on your digestive system:

Increases Acidity: Coffee is known to contain different kinds of oils, acids and caffeine. These compounds have an adverse impact on the digestive system. The stomach and intestinal linings get damaged due to the over-consumption of these compounds in the form of coffee. Moreover, as you take coffee, your stomach produces more hydrochloric acid for digestion. This causes acidity and hampers the HCL levels altogether. When we take coffee regularly for years in empty stomach, our body's capacity of producing proper amounts of HCL gets hampered. Often, HCL production gets reduced as well. This leads to indigestion of other food items and effects flatulence and produces unwanted gases due to the improper breaking of proteins and fats by the body.
Ulcers and Irritable Bowel Syndrome: Doctors believe that coffee acts as an irritant for patients of Irritable Bowel Syndrome (IBS), gastritis, Crohn's disease, colitis and ulcers. Coffee is responsible for the irritation of the lining of stomach and intestine. It is also noticed that certain enzymes present in the coffee beans are also harmful to the gastrointestinal tract.
Heartburn: Coffee is responsible for relaxing the esophageal sphincter muscle. The relaxation of this muscle hinders the process of digestion and causes acid-reflux, resulting in heartburn. It is known to have compounds that have diuretic, laxative and mineral blocking effects on the body.
Laxative Effects: Coffee stimulates the process of peristalsis or movement of food through the gastrointestinal tract. The peristalsis starts immediately after food is swallowed by the individual. The intake of coffee catalyzes peristalsis and consequently leads to emptying of the stomach even before the food is digested properly. The semi-digested food is sent to the intestine too early, causing injury to the intestine and hampering the absorption of nutrients.
Affects absorption of minerals: Caffeine reduces the ability of the stomach to absorb iron and also hinders the absorption of minerals like calcium, zinc and magnesium by the kidney. All these minerals help in digestion at different points and regulate the bowel movement.
Coffee is known to have benefits like reduction of constipation and sugar absorption. But, it also interferes with the smooth functioning of the digestive system. It has a tendency to increase stomach aches, disturb the fluid balance and the overall process of digestion.

Coffee and Your Digestion

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