Can a Ketogenic Diet Help People with Acid Reflux?
Another cause of reduced stomach acid is prescription antacids. Two of the common types are proton pump inhibitors (PPIs) and H2 receptor antagonists. These drugs are prescribed to treat acid reflux, and also for stomach ulcers. Like so many pharmaceutical drugs, by suppressing the secretion of stomach acid, these drugs do help alleviate heartburn in the acute sense, but over the long term, they actually make things worse.
Many people with acid reflux don’t need less stomach acid; they need more, so these drugs only address the immediate symptoms. They do nothing to correct the underlying problem. Perhaps this is why as much as 30-40% of patients don’t respond to pharmacological treatment and 60% report residual symptoms despite drugs for acid reflux being a $12.5 billion dollar industry in the U.S. alone.
Other contributors to reflux in some people include smoking, high alcohol intake, and anatomical issues, such as a hiatal hernia. (a Hiatal hernia is a condition in which a small portion of the stomach protrudes through the diaphragm, putting increased pressure on the LES from below.) Obesity might be another factor in GERD—specifically abdominal obesity, where fat is mainly carried at the midsection.
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