Complementary Medicine

Acid Reflux and Herbs: Natural Remedies for GERD

Acid reflux, a common and painful condition, affects millions of people worldwide. Traditional treatments such as medications often have side effects or lose effectiveness over time. In this article we will cover acid reflux and herbs used for treatment of GERD along with dietary changes that offer promising alternatives for managing acid reflux more naturally and effectively.

II. Effective herbs for acid reflux Slippery elmSlippery elm (Ulmus rubra) has been used for centuries to treat various ailments, including acid reflux. It contains a substance called mucilage, which forms a protective layer on the esophagus, easing discomfort and providing relief from reflux symptoms. Recent studies show that slippery elm can improve reflux symptoms. However, more research is needed to fully understand its effectiveness and to determine optimal dosages. To use slippery elm, mix the powdered bark with water and drink the mixture before meals or at bedtime. Some individuals prefer to consume slippery elm lozenges or capsules, which are available at most health food stores. It is essential to follow the recommended dosage instructions provided by the manufacturer. Licorice rootLicorice root (Glycyrrhiza glabra) offers potential relief for acid reflux. The herb has been used in traditional medicine for its soothing and anti-inflammatory properties.

Deglycyrrhizinated licorice (DGL), a modified form of licorice with reduced glycyrrhizin content, is particularly helpful in treating acid reflux. DGL supports the stomach's protective lining, reduces inflammation, and may provide relief from heartburn and indigestion. Research indicates that DGL may improve reflux symptoms, though more studies are required to confirm its efficacy and determine the ideal dosage. Consume DGL in chewable tablet form before meals for best results. Avoid consuming excessive amounts of licorice, as it can lead to side effects such as high blood pressure and electrolyte imbalances. Marshmallow rootMarshmallow root (Althaea officinalis) is another herb with mucilage content. Like slippery elm, it coats the esophagus, reducing irritation from stomach acid and providing relief from reflux symptoms. Preliminary research suggests that marshmallow root may alleviate reflux symptoms, but more extensive studies are needed to confirm its effectiveness and identify the optimal dosage. To consume marshmallow root, create a tea by steeping the dried root in hot water for about 10 minutes. Strain and drink the tea 2-3 times daily for best results. Marshmallow root capsules and tinctures are also available, providing additional options for consumption. III. Surprising dietary changes Low-acid fruits and vegetablesIncorporating low-acid fruits and vegetables into the diet can ease reflux symptoms by reducing the overall acidity of the foods consumed. Examples of low-acid produce include melons, bananas, leafy greens, sweet potatoes, and carrots. Recent research suggests that a diet rich in these foods may reduce acid production, inflammation, and overall reflux symptoms. A review of several studies published in the Journal of Gastroenterology and Hepatology found that a plant-based, Mediterranean-style diet significantly improved GERD symptoms compared to a conventional, low-fat diet. Individuals should experiment with different low-acid fruits and vegetables to determine which ones work best for their unique needs. It's important to note that individual reactions to specific foods may vary, so it's essential to pay attention to the body's response to each new food introduced. Additionally, it is recommended to consume a variety of fruits and vegetables to ensure adequate nutrient intake. Eating a balanced diet can help maintain overall health and reduce the risk of chronic diseases.

Foods to avoid In addition to incorporating low-acid fruits and vegetables, individuals with GERD should also limit or avoid certain foods and beverages that can exacerbate reflux symptoms. Research suggests that these foods and beverages may relax the lower esophageal sphincter (LES) and increase acid production in the stomach, leading to reflux. Some common foods and beverages to limit or avoid include: High-fat foods: Research has shown that high-fat meals delay stomach emptying and increase the risk of reflux. Foods high in saturated and trans fats, such as fried foods, fatty meats, and full-fat dairy products, should be limited or avoided. Spicy foods: Spicy foods can irritate the lining of the esophagus and increase acid production, leading to reflux symptoms. Examples include chili peppers, hot sauce, and curry.

Citrus fruits and juices: Citrus fruits and juices, such as oranges, lemons, and grapefruits, are acidic and can increase acid production in the stomach. These should be consumed in moderation or avoided. Tomatoes and tomato-based products: Tomatoes and tomato-based products, such as tomato sauce and salsa, are acidic and can increase reflux symptoms. Carbonated beverages: Carbonated beverages, such as soda and sparkling water, can increase the pressure on the LES and lead to reflux. Caffeine and alcohol: Caffeine and alcohol can relax the LES and increase acid production in the stomach, leading to reflux symptoms. These should be consumed in moderation or avoided. Alkaline waterAlkaline water, with a pH greater than 7, has been touted as a potential treatment for GERD and LPR. Some research suggests that alkaline water may neutralize stomach acid and reduce reflux symptoms. Recent studies have also demonstrated that alkaline water can inactivate pepsin, an enzyme involved in reflux, providing relief for some individuals. A study published in JAMA Otolaryngology-Head & Neck Surgery compared the effectiveness of alkaline water, a plant-based Mediterranean-style diet, and proton pump inhibitor (PPI) therapy in reducing reflux symptoms among patients with LPR. The study found that the effect of PPI on reflux symptom index (RSI) scores was not significantly better than that of alkaline water and a plant-based, Mediterranean-style diet. In fact, the data suggests that the plant-based approach is at least as good, if not better, than PPI therapy. While alkaline water may be helpful for some individuals, it is important to note that more research is needed to fully understand its potential benefits and limitations. Additionally, consuming alkaline water should not replace other recommended lifestyle modifications, such as avoiding trigger foods and beverages and maintaining a healthy weight. Individuals interested in trying alkaline water can purchase it at most grocery stores or make it at home using a water ionizer. It is recommended to drink alkaline water throughout the day to potentially reap its benefits.

Plant-based proteinsSwitching to plant-based proteins, such as beans, lentils, tofu, and tempeh, can improve reflux symptoms. Research shows that a plant-based diet may reduce inflammation, promote a healthy gastrointestinal environment, and alleviate acid reflux symptoms in some individuals. Incorporate more plant-based proteins into your meals for a holistic approach to managing reflux. Experiment with different protein sources and recipes to find options that suit your taste preferences and provide relief from reflux symptoms. IV. Myths and misconceptions about acid reflux treatments Apple cider vinegarSome claim that apple cider vinegar (ACV) can alleviate acid reflux symptoms due to its alkalizing effects on the body. However, scientific evidence is limited, and ACV's acidity may exacerbate symptoms in some individuals. Consult with a healthcare professional before trying ACV for reflux, and consider starting with a small dosage to gauge your body's reaction. Baking sodaBaking soda (sodium bicarbonate) is touted as a natural antacid, but its long-term use can lead to side effects, such as high blood pressure and kidney problems. Research on baking soda for reflux is scarce; thus, it's essential to discuss its use with a healthcare provider. If you decide to try baking soda, use it sparingly and only as a short-term solution for occasional reflux symptoms. MilkMilk is often thought to provide instant relief for acid reflux due to its soothing properties. However, research indicates that milk may temporarily neutralize acid but ultimately stimulate more acid production, exacerbating reflux symptoms. Seek alternative remedies for sustained relief and discuss your options with a healthcare professional. V. Integrating herbs and diet changes into daily life Creating a personalized planDevelop a plan that incorporates herbs and dietary changes tailored to your specific needs. Track your food intake and reflux symptoms to identify patterns and adjust your regimen accordingly. Remember that what works for one person may not work for another, so be patient and give yourself time to find the right combination of herbs and dietary changes. Monitoring symptoms and progressRegularly monitor your symptoms to assess the effectiveness of the herbs and dietary changes. Keep a journal to document your progress and make adjustments as needed for optimal results. If you find that certain herbs or foods worsen your symptoms, discontinue their use and consult a healthcare professional. Seeking professional guidanceConsult with a healthcare professional or nutritionist to ensure that your chosen herbs and dietary changes are safe and effective for your individual circumstances. They can offer expert advice, help you fine-tune your plan, and provide recommendations for additional treatments or lifestyle changes that may benefit your overall health. By exploring lesser-known herbs and making targeted dietary changes, you can potentially manage acid reflux more effectively and naturally. Embrace these groundbreaking alternatives and take control of your health for lasting relief from reflux symptoms.