Reflux
Reflux, or Gastroesophageal Reflux Disease (GORD), is a chronic digestive disorder where stomach acid or bile flows back into the oesophagus.
This backwash (acid reflux) can irritate the lining of the oesophagus, causing discomfort and potential complications.
Around 11.6% adult Australians suffer from GORD.
Causes
Causes and risk factors for GORD include:
- Weakened lower oesophageal sphincter
- Obesity
- Hiatal hernia
- Pregnancy
- Smoking
- Certain foods and beverages eg fatty or fried foods, alcohol, coffee
- Delayed stomach emptying
Symptoms
Symptoms of GORD include:
- Heartburn (burning sensation in the chest)
- Acid regurgitation
- Difficulty swallowing
- Chronic cough or sore throat
- Sensation of a lump in the throat
- Dental erosion
Commonly prescribed medications
- Proton Pump Inhibitors (PPIs): omeprazole, esomeprazole, lansoprazole
- Antacids: Aluminium hydroxide/magnesium hydroxide
Potential side effects of above medicines
- PPIs: Osteoporosis, kidney issues, vitamin B12 deficiency, infections
- Antacids: Constipation, diarrhoea, magnesium or calcium imbalances
How many people have the condition
GORD affects about 20% of the adult population globally.
In Australia, it's estimated that around 11.6% of adults suffer from GORD.
Natural or holistic treatments
- Dietary Changes: Avoiding trigger foods like fatty foods, chocolate, caffeine
- Weight Management: Weight loss in those who are overweight or obese
- Herbal Remedies: Slippery elm, licorice, chamomile
Potential De-prescribing Programs
De-prescribing in GORD often involves gradually reducing medications while emphasizing lifestyle and dietary changes.
- Lifestyle Interventions for GORD: A study on the effect of a high fibre, plant-based, Mediterranean-style diet showed significant symptom reduction.
- Tapering Off PPIs: Studies support gradual reduction with the inclusion of alternative therapies and lifestyle changes.
De-prescribing programs for GORD can be successful with careful planning, lifestyle modifications, and ongoing care.