When our calendars approach the holiday season- or Superbowl Sunday, or St. Patrick’s Day, or any weekend day in the fall – pharmacies feel the pain of our eating habits more painfully than the grocery stores. No, this is not an article about toilet paper sales and lower gastrointestinal (GI) issues. This article will instead describe the reasons behind that fiery dragon feeling in the back of the throat, causing those chalky antacids to fly off pharmacy shelves: Heartburn, acid reflux, and Gastroesophageal Reflux Disease (GERD). We’ve all seen antacids ads, and they all portray the same scenario: Intense burning flames within the stomach, caused by too much evil stomach acid.
Is the problem that your stomach acid is too high – or too low?
Although the lower GI suffers messy consequences at times because of the food we choose to eat, we focus our attention now on the stomach’s role in digestion and discomfort. The level of digestive acid within the stomach can determine the health of the rest of the body: If the stomach doesn’t digest our food effectively or work hard to sterilize bacteria from what we consume, all that food and bacteria gets pushed into the intestines anyway. The stomach is basically the intestine’s rude upstairs neighbor having riotous parties until 3:00 am on a Monday.
When popping those antacids at the dinner table with a chalky smile, chew on this possibility: Are these internal wildfires because your stomach needs more digestive acid? How do you find out what is causing that fiery discomfort, and how can you alleviate those symptoms in the meantime? We are going to delve into the causes and symptoms of Acid Reflux and GERD, clarify misconceptions about stomach acid levels, and explain The Wellness Way Approach to easing the discomfort of Acid Reflux and GERD.
What is Stomach Acid?
The word “acid” is rarely used in a positive context because people associate harsh chemical burns and mind-altering drugs with the term. Stomach acid is also discussed in this negative context through misleading antacid commercials: The presence of stomach acid is associated with heartburn and acid reflux. Most of us want to eliminate stomach acid to eliminate the pain, but stomach acid alone is not the problem.
In fact, it is a necessary acid for the body to safely pass food through the stomach and intestines. Stomach acid is essential for the body’s healthy digestive function and serves two main purposes: 
- Sterilizing food: Stomach acid decontaminates food from any harmful bacteria, parasites, and infections before passing it through the rest of the body.
- Activates digestive enzymes: Stomach acid’s secondary purpose is through its activation of digestive enzymes to break down the food to promote proper absorption of essential nutrients.
You need stomach acid! If food isn’t properly digested or decontaminated by sufficient levels of stomach acid, this partially digested food could lead to infections and/or damage to surrounding tissues.  Without healthy levels of stomach acid, food cannot be digested or disinfected properly as it passes through the digestive system.
Acid Reflux, GERD, and Heartburn: Are They the Same?
Yes and No: These three labels are used interchangeably around holidays and other social events that surround large quantities of food. However, the terms describe varying degrees of frequency and discomfort from a common source. 
What is GERD?
GERD, or Gastroesophageal Reflux Disease, affects more than 20% of the U.S. population. refers to partially digested food or stomach acid climbing up the esophagus. GERD is an extremely uncomfortable chronic condition, causing symptoms at least twice a week and as often as every day for some. 
Symptoms of GERD
The symptoms of GERD cause severe pain and discomfort that interfere with the tasks and enjoyment of daily life. GERD is often diagnosed after symptoms of acid reflux were either overlooked or not present for a while, but long-term GERD can cause permanent damage to surrounding tissues. Even though acid reflux could contribute to GERD – because frequent acid reflux will erode healthy tissues – new research in a 2016 study finds that the main cause of GERD is inflammation within the digestive system. 
Inflammatory responses within the esophagus can damage the healthy tissue and potentially contribute to chronic GERD. While not everyone diagnosed with GERD will experience related acid reflux symptoms, common symptoms of GERD include the following:
- Burning sensations near the chest area, also known as heartburn
- Regurgitation, which describes the feeling of food or fluids crawling up the esophagus
- Belching or eructation
- Wheezing or difficulty breathing
- Difficulty or pain when swallowing
- A sour taste in the mouth
- Erosion of tooth enamel
- If untreated, GERD could lead to many other painful conditions: Stomach acid is damaging to areas outside the stomach, leading to the development of ulcers and scarring in the esophagus, throat, lungs, and stomach. 
What is Acid Reflux?
Acid Reflux is extremely common: Everyone experiences the symptoms of acid reflux at least once in their life, especially after eating inflammatory foods or during pregnancy.  Acid reflux occurs when the valve between the esophagus and stomach does not close completely. Typically, this valve stays closed unless food is passing through the esophagus and into the stomach. When this valve doesn’t function properly, it allows stomach acid, digestive enzymes, or bits of undigested food to flow up the esophagus. It’s important to note that acid reflux does not cause GERD but can contribute to GERD.
Symptoms of Acid Reflux
Symptoms of acid reflux mirror the symptoms of GERD, but not often as severe: 
- Burning sensations in the chest area, also known as heartburn
- Bitter taste in the mouth
- Gum irritation or bleeding
- Regurgitation, or the feeling of food or fluids crawling up the esophagus
- Bad breath
- Sore throat and a hoarse voice
- Nausea and/or loss of appetite
- Symptoms worsen when lying down or bending over.
What is Heartburn?
Heartburn is not a diagnosed condition by itself: The term “heartburn” is a label to describe the chest pain and burning sensation caused by stomach acid in the esophagus. It is not the same as acid reflux but describes a symptom of acid reflux or GERD. Heartburn doesn’t directly affect the heart but describes the general location of this burning sensation in the chest.
How Does Mainstream Medicine Diagnose Acid Reflux and GERD?
Most of the time, mainstream medical professionals will determine a diagnosis of Acid Reflux or GERD through the following methods: 
- Detailed Medical History: Medical professionals will note a patient’s answers to several questions, including what their symptoms are and for how long. They will also want to know how severe the symptoms are and whether those symptoms are interfering with a patient’s quality of life.
- Physical Examination: Your medical professional will examine your body for signs of weight loss, malnutrition, or anemia if you describe frequent discomfort swallowing food. They may also want to examine your lungs to note any abscesses and/or interstitial pulmonary fibrosis: Chronic lung disorder caused by inflammation and scarring of the lungs that prevent them from getting enough oxygen. 
Acid Reflux is usually diagnosed using one or both methods described above, and a doctor will likely recommend a treatment of lifestyle changes and over-the-counter medications. However, chronic acid reflux and GERD require further testing to confirm a diagnosis, such as: 
- Upper GI X-Ray: During this test, your doctor will ask you to swallow a chalky barium liquid to observe any potential blockages or muscular problems in the esophagus.
- Upper Endoscopy: Medical providers will insert a small tube called an endoscope down a patient’s throat to help them see any inflammation or valve malfunctions within the stomach and esophagus.
- Ambulatory Acid (pH) Probe Test: A thin monitor is placed into the esophagus to measure how often stomach acid leaks into the esophagus and for how long. 
- Trans-nasal Esophagoscopy: This test measures any damage in the esophagus through the use of a small video camera threaded into your nose and down the esophagus.
The Fireman vs. The Carpenter in Healthcare
At The Wellness Way, we talk about the mainstream perspective on healthcare versus our perspective, as the “fireman approach” versus the “carpenter approach.”
Mainstream “fireman” doctors have two tools (treatment options) to take care of people: an axe and a hose. The axe represents cutting things out during a surgical procedure. The hose represents using medications to extinguish the “flames”: inflammation, pain, and other symptoms.
Wellness Way doctors are more like carpenters: They assess the body’s current state with testing and then create a personalized plan to rebuild using nutrients from foods and supplements. Sunshine, rest, and positive relationships are some common natural therapies that support the body in healing.
While these things are considered “complementary medicine” or “alternative medicine,” scientific research backs up their effectiveness in supporting the healing process.
Mainstream Medical Approach to Treatment of Acid Reflux or GERD:
Mainstream medical professionals will typically recommend nutrition and lifestyle changes first for the treatment of acid reflux and GERD, such as: 
- Achieve or Maintain a Healthy Weight
- Stop all tobacco use (including cigarettes and chewing tobacco)
- Elevate your head during sleep: Use a foam wedge under the bed to avoid lying flat
- Change your meal and sleep habits: Avoid heavy meals and any food consumption for at least two hours before bedtime
- Avoid wearing tight-fitting clothes (specifically tight-fitting pants)
- Avoid Alcohol
- Avoid Trigger Foods and Drinks: Chocolate, coffee, greasy foods, tomatoes, peppermint, spicy foods, and high-fat foods
If nutrition and lifestyle changes don’t improve a patient’s acid reflux or GERD, doctors will typically prescribe medications as a second approach to care. These medications are meant to either decrease levels of stomach acid or support the movement and strength of the stomach and the esophageal sphincter. 
Medicinal Treatments for Acid Reflux or GERD:
- Antacids: Doctors recommend these over-the-counter tablets for mild cases of acid reflux because they decrease the acidity of the stomach. However, people take these antacids too often: Taking antacids more than twice a week could potentially make acid reflux symptoms worse. Antacid abuse may actually increase stomach acid levels for some patients because the body could produce more acid to bring the stomach back to its original pH level. For patients with Hypochlorhydria – low stomach acid levels – antacids can severely deplete necessary stomach acid and may lead to chronic atrophic gastritis. Chronic atrophic gastritis is a dangerous condition that could cause autoimmune conditions, vitamin B12 deficiency, diabetes, chronic fatigue, and asthma. 
- Histamine Type 2 Receptor Agonists (H2 Blockers): H2 Blockers are also available over the counter for acid reflux and GERD. H2 Blockers slowly alleviate the symptoms of acid reflux but take longer than antacids to work. However, the effects are longer lasting than antacids. These medications temporarily lower the body’s production of pepsin (a digestive enzyme) and hydrochloric acid (HCl). Hydrochloric acid is a natural acid that the stomach produces to sanitize food, while pepsin breaks down protein to allow it to safely pass into the intestines.
When the body’s production of HCl and pepsin are blocked, undigested food can pass through the intestines and potentially worsen heartburn and abdominal pressure. In addition, altering the stomach’s pH levels to alleviate acid reflux and GERD increases the chance of developing bacterial infections that are normally killed off by stomach acid. When stomach acid is more alkaline, bacteria like listeria and salmonella survive in the stomach and could infect the body. 
- Proton Pump Inhibitors (PPIs): PPIs require a prescription because of the potential risks of long-term health concerns. When lifestyle modifications, antacids, and H2 Blockers are ineffective for acid reflux and GERD, doctors will prescribe PPIs to halt the body’s production of stomach acid. Examples of PPI medications commonly prescribed include esomeprazole (Nexium), omeprazole (Prilosec), lansoprazole (Prevacid), and pantoprazole (Protonix).
PPIs are typically prescribed by mainstream medical doctors to heal tissue damage caused by prolonged acid reflux and GERD, specifically in the esophagus. In theory, tissue damage will be more likely to heal if acid isn’t produced in the stomach: Therefore, acid reflux can’t cause further damage. However, the benefits of PPIs are conflicting when considering the potentially dangerous side effects. In addition to the risk of developing Small Intestinal Bacterial Overgrowth (SIBO), stomach ulcers, and inflammatory bowel conditions, PPIs could cause the very condition they are prescribed to treat. After 2 months of PPIs, 44% of healthy subjects felt more intense symptoms of heartburn and acid reflux after discontinuing the medication. 
- Surgery: When patients either can’t tolerate medication or don’t respond to any other treatment methods, mainstream doctors may consider surgery to build or repair the valve between the stomach and esophagus. If valve reconstruction is successful, patients could have a stronger anti-reflux barrier.
These mainstream medical treatments may help by temporarily decreasing digestive enzymes and stomach acid and/or blocking the body’s production of them altogether. However, they all have risks of potentially damaging long-term side effects that could severely reduce a patient’s quality of life: Because of these side effects, many people who suffer from severe acid reflux or GERD search for herbal medicine and other natural methods to support their digestive system and inflammatory response.
What Causes Acid Reflux and GERD? Traumas, Toxins, and Thoughts
Consider the stomach’s digestive function like a standardized test in high school, such as the SAT or ACT: It operates on a timer, regardless of the digestive stage it’s in. Like the measly 45 minutes allotted for 80 geometry problems and a 6-paragraph essay, the timer decides when a test is finished. If every student in the classroom didn’t finish the test, it wouldn’t matter: When 45 minutes have passed, the test is over. The stomach functions in a similar way: When time is up, the stomach forces food to the intestines. If the stomach doesn’t have enough acid for efficient digestion, it can’t do its job before time runs out.
Just like a student forced to turn in an incomplete test, the stomach will also turn in an incomplete and potentially failing test. When the time for digestion is up, the stomach will force undigested or potentially contaminated food through the small intestine. The intestines can sense that the stomach didn’t finish the job and will kick undigested food back into the stomach so it can finish digestion: This violent push of food back into the stomach can splash stomach acid into the esophagus and cause the discomfort of acid reflux.
At The Wellness Way, we think differently! The most significant factors contributing to acid reflux and GERD are the following: Inflammation, tissue damage, and/or low stomach acid levels in response to a physical, environmental, or psychological trigger. Lowered levels of stomach acid inhibit digestion and proper sterilization of food, which can affect all other systems of the body.
Traumas (Physical Stressors)
Traumas or physical stressors can be acute (like a car accident) or chronic (like being in a physically abusive relationship). Examples of traumas that could contribute to acid reflux and GERD include the following:
- Hiatal Hernia: These occur when weakened muscle tissues allow the stomach to push through the diaphragm. Hiatal hernias can cause severe chest pressure and heartburn caused by food and acid leaking into your esophagus. 
- Pregnancy: Fetal pressure on the stomach and diaphragm contributes to acid reflux symptoms during the third trimester, worsening in the weeks before delivery.
- Underdeveloped Digestive System: Symptoms of GERD in babies appear early due to an underdeveloped digestive system, but the body corrects itself within the first year. GERD that continues past the age of 1 could contribute to other long-term health concerns later in life, including digestive function and esophageal tissue damage. 
- Chronic Cough: Violent, persistent coughing could damage the muscles of the diaphragm, allowing acid to escape into the esophagus. 
- Stomach Ulcers
- Physical Abuse
- Sexual Assault/Rape
- Car Accidents
- Chronic illness or infection
- Military Combat and Injury
These physical traumas may set off a state of chronic stress within the body, causing an inflammatory reaction and the possibility of acid reflux. The physical response to trauma can cause a multitude of reactions to occur within the body as it fights for balance, suppressing a person’s natural defense to lowered stomach acid levels.
Toxins (Biochemical Stressors)
Toxins are biochemical stressors in the body. Toxicity promotes inflammation and damage to cells in the body, potentially contributing to acid reflux and GERD while suppressing the digestive system’s ability to kill bacteria. Examples of toxins that could contribute to acid reflux and GERD include:
- Sugar – Excessive fructose in the body can lead to inflammation and tissue damage due to the histamine response, potentially contributing to acid reflux and GERD.
- Endocrine-disrupting chemicals – Endocrine-disrupting chemicals are in plastics, personal care products, fragrances, and household items. They disrupt the regulation of several cellular processes, including the digestive processes of the upper and lower gastrointestinal tracts.
- Smoking and Tobacco Use – The carcinogens and other toxins found in tobacco products impair muscle function while increasing stomach acid production. Patients who stopped smoking cigarettes and chewing tobacco noticed improvements in acid reflux and GERD symptoms. 
- Medications and Certain Supplements – Muscle relaxers, antibiotics, pain relievers, and blood pressure medications could cause acid reflux and GERD. Iron supplements and excessive potassium intake could make heartburn and acid reflux symptoms worse. 
- Magnesium Deficiency – Chronically low magnesium levels can weaken the esophageal sphincter over time. If this sphincter is weakened, it can’t prevent stomach acid from leaking into the esophagus and damaging healthy tissue. 
- Food allergies – Healthy foods can act like toxins if you’re allergic to them. Continuing to eat foods that cause a histamine response in the body can lead to chronic inflammation and acid reflux or GERD. 
- Gut dysbiosis – Intestinal dysbiosis (imbalanced gut bacteria) may also contribute to acid reflux and GERD due to increased abdominal pressure and low stomach acid. Low levels of stomach acid can cause bacterial overgrowth and damage to the cells lining the stomach. 
Traumas and toxins are made worse by negative thought patterns and emotional stress.
Thoughts (Emotional Stressors)
Don’t underestimate the power of your thoughts. Emotional stress is just as powerful (or more powerful) than physical and biochemical stressors in triggering inflammation and imbalance. You may find that your acid reflux or GERD flares up during stressful situations, regardless of what you are eating at the time.
In fact, one study from the Division of Gastroenterology at the Kawasaki Medical School discovered that half of nearly 13,000 participants claimed that stress was the biggest factor contributing to their acid reflux and GERD symptoms. 
Emotional stress can come from the following sources:
- Relationship issues – Relationships sometimes become toxic and lead to chronic stress. Prolonged stress can affect gastrointestinal function and contribute to gastrointestinal disease, such as acid reflux and GERD. 
- Financial stress – Financial struggles can contribute to low stomach acid levels and inflammation due to the long-term effects of stress over bills, inflation, student loan repayments, caring for your children, etc.
- Watching the news – The news media rarely focuses on the positive events in the world. Regularly exposing yourself to bad news increases fear, worry, and overall stress.
- Feeling overwhelmed – Stress from significant life changes, like a recent marriage, a new baby, graduation, a divorce, or even moving to a new city can contribute to acid reflux symptoms due to diet/lifestyle changes and chronic stress.
- Holding a grudge/pent-up anger – Holding a grudge creates stress in the body. Chronic stress may show up as inflammation, weight gain, and lowering stomach acid levels.
- A death in the family or a close friend – Grief is another form of severe stress that may create imbalances in the body.
- PTSD (Post-traumatic stress disorder) or PTSD from other causes. Patients with PTSD experienced a greater risk for stomach ulcers and other gastrointestinal disorders, including GERD. 
- Witnessing violence or a natural disaster – Being a witness to a mass shooting, murder, accident, or natural disaster is another potential cause of PTSD that may cause lasting imbalances.
The cumulative effect of these traumas, toxins, and thoughts can create inflammation and increase the risk of dis-ease anywhere in the body.
The Wellness Way Understanding of Acid Reflux and GERD
At The Wellness Way, we dig deeper to solve the health challenges others can’t. We don’t just address symptoms; we run tests to find out what’s going on behind the scenes of acid reflux and GERD.
Essential Tests for Assessing Your Inflammation Levels and Gastrointestinal Health Include:
The Wellness Way clinic staff will order more tests based on what they believe is most relevant based on your health history.
Nutrition and Lifestyle Recommendations for Acid Reflux and GERD
- No more Antacids, H2 Blockers, or PPIs – To restore normal function in the digestive system – specifically in the stomach and esophagus – we will need to remove the artificial blockers to stomach acid production for us to determine how your body functions without them.
- Determine stress-related triggers and adjust – When in stress mode, the body is in a state of “fight or flight”. This physiological state is the opposite of where we should be, which is within the “rest and digest” mode. Where is the main source of your stress? Reflect and devise a plan to help you remove the source of chronic stress and/or adjust your response to it. Adjusting the source of your stress and your behavior in response to stress will help support digestive function.
- No sugar or processed foods – Both increase inflammation and cortisol. These foods can also contribute to gut dysbiosis, potentially damaging healthy stomach cells.
- Gluten-free, mostly grain-free foods – Gluten is known to aggravate the gut lining, contributing to chronic inflammation in the gut and throughout the body.
- Exercise Regularly – Exercise provides many physical and mental health benefits and can help shed pounds that might contribute to acid reflux and GERD symptoms. However, intense exercise is not recommended for people with acid reflux or GERD because it can make the symptoms worse. 
- Consume an overall low carbohydrate, non-inflammatory diet of organic whole foods, which supply nutrients and antioxidants for a healthy gut microbiome.
- No cow’s milk dairy products – Goat and sheep-derived milk products may be better tolerated – and even beneficial – for lowering inflammation in the gut, which makes up a large part of the inflammatory response.
- Eat foods that will support gastrointestinal function – Fermented vegetables such as sauerkraut, kimchi, kefir, and kombucha have probiotic effects that can fight harmful bacteria and inflammation to support healthy stomach acid levels. 
- Avoid inflammatory foods and beverages – The following foods and beverages should be avoided when restoring healthy stomach acid levels: Fried foods, alcohol, soda, hydrogenated oils, artificial sweeteners, corn and wheat grains specifically, and spicy foods.
- Eat omega-3-rich foods – Wild-caught salmon, herring, sardines, walnuts, and ground flaxseeds provide omega-3s and help lower inflammation.
- Follow a Personalized Nutrition Program based on your food allergy test results.
- Focus on antioxidants – Including things like turmeric, green tea, berries, dark chocolate, green leafy vegetables, and other foods rich in phytochemicals helps keep inflammation under control.
- Apple Cider Vinegar: Taking a shot of Apple Cider Vinegar before meals can increase the acids produced by the stomach naturally. Supporting our body’s natural production of stomach acid can help the stomach sterilize food and reduce the occurrence of acid reflux and GERD.
A healthy diet can reduce inflammation and support gut health, but supplements can go further to support digestive health.
Supplements to Support Acid Reflux and GERD
Herbal supplements and other nutritional aids can be incredibly beneficial to supporting stomach acid levels and gastrointestinal health. While everyone is different, some supplements The Wellness Way might recommend for acid reflux and GERD include one or more of the following:
- Betaine Hydrochloride (HCl) – Taking Betaine Hydrochloride about 10 minutes before eating could support stomach acid levels by lowering the stomach’s pH quickly to aid in normal digestion. Betaine HCl contains betaine and hydrochloride, which is similar to the hydrochloride found in natural stomach acid during the digestive process. When taken before eating, stomach acid levels should be supported effectively for the remainder of the meal. 
- Chamomile, Papaya, or Ginger – These have a soothing effect on the digestive tract when brewed as tea before sleep. Chamomile specifically feeds the stomach lining to support the growth of healthy stomach cells, acting as a protective layer against acid reflux and GERD damage. 
- Turmeric – Turmeric and its active constituent, curcumin, may protect the cells against oxidative stress, inflammation, and damage.
- Licorice – Licorice can aid in digestive function and support the lining of the esophagus to protect it from stomach acid damage. 
- Wellness Zinc – Zinc is a crucial mineral for many physiological functions, including digestion. Adequate zinc levels are necessary for the body’s natural production of hydrochloric acid in the stomach.  Most people don’t realize that their zinc levels are deficient. Wellness Zinc supplies the best whole food form of zinc, consisting of 100% pure oyster powder.
- Aloe Vera – When consumed in liquid form, aloe vera has anti-inflammatory components that can soothe damaged tissues of the esophagus and stomach. It can also feed healthy stomach cells to support the delicate lining of the stomach against further damage. 
- Digest-Well Complex – A blend of powdered apple cider vinegar and Betaine HCl to support healthy stomach acid levels and upper digestive system function.
- Wellness B Complex – The B-complex vitamins, especially vitamin B6, may also support optimal health and functioning of many systems and biochemical reactions in the body, including energy production, brain, liver, and nerve cell function, and muscle tone within the GI tract.
- Gallbladder Complex – The Wellness Way Gallbladder Complex has ox bile, artichoke, and beet, which help promote bile availability and movement.
- Megabiotic Formula – These and other probiotic strains help the body keep infections and inflammation under control in the gut and throughout the body.
Everyone is different – herbal remedies that work for one person may not work for another. Part of that is due to body chemistry, including genetics and allergenic responses, and part is due to differences in the contributing causes of each individual case of acid reflux and GERD.
DISCLAIMER: These things should be a part of your normal daily lifestyle. The Wellness Way is not giving any medical advice. These are simply A Different Perspective on what you can do. You’re more likely to have normal stomach acid levels when doing these things regularly. These supplements and therapies are not a replacement for any medication. We are carpenter doctors and practitioners, not firemen. If you want medical advice, ask your fireman doctor.
Be a well-informed patient! Here are some resources for learning more about supporting stomach acid and the gastrointestinal system against acid reflux and GERD:
Videos & Webinars Related to Digestive Health and Acid Reflux/GERD
Articles to Support Individuals with Acid Reflux and GERD
Heartburn: Reasons to Avoid Antacids | The Wellness Way |
6 Ways to Increase Stomach Acid and Why You Need to | The Wellness Way |
Apple Cider Vinegar : A Health Food that Should be on Every Shelf | The Wellness Way |
- How Does the Stomach Work? | National Library of Medicine | PubMed (nih.gov).
- Acid reflux, Heartburn, and GERD: What’s the difference?| PubMed (nih.gov).
- Acid Reflux/GERD | ACG (gi.org
- Association of Acute Gastroesophageal Reflux Disease With Esophageal Histologic Changes | Gastroenterology | JAMA | JAMA Network
- Acid Reflux & GERD: Symptoms, What It Is, Causes, Treatment (clevelandclinic.org)
- Difference Between Heartburn, GERD & Reflux – Cleveland Clinic
- Heartburn Acid Reflux GERD Overview | Diseases and Conditions | Mayo Clinic
- Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic
- Interstitial Lung Disease: Pulmonary Fibrosis | Johns Hopkins Medicine
- Acid Reflux/GERD | ACG (gi.org)
- Gastroesophageal Reflux Disease (GERD) Treatment | Johns Hopkins Medicine
- Gastroesophageal Reflux Disease | NEJM
- Influence of Gastric Acid on Susceptibility to Infection with Ingested Bacterial Pathogens | Infection and Immunity (asm.org)
- Evidence That Proton-Pump Inhibitor Therapy Induces the Symptoms it Is Used to Treat EDITORIAL (natap.org)
- Hiatal hernia – Symptoms and causes – Mayo Clinic
- Infant acid reflux – Symptoms and causes – Mayo Clinic
- A Causal Relationship Between Cough and Gastroesophageal Reflux Disease (GERD) Has Been Established: a Pro/Con Debate – PMC (nih.gov)
- Tobacco smoking cessation and improved gastroesophageal reflux: a prospective population-based cohort study: the HUNT study – PubMed (nih.gov)
- GERD: Can certain medications make it worse? – Mayo Clinic
- Low Magnesium Levels Can be Associated with Long Term Use of Proton Pump Inhibitor Drugs | FDA Drug Safety Communication
- GERD Diet: Foods That Help with Acid Reflux (Heartburn) | Johns Hopkins Medicine
- Gastric inflammation, metaplasia, and tumor development in gastrin-deficient mice – PubMed (nih.gov)
- Lifestyle Factors and Efficacy of Lifestyle Interventions in Gastroesophageal Reflux Disease Patients with Functional Dyspepsia: Primary Care Perspectives from the LEGEND Study (jst.go.jp)
- Association Between Anxiety and Depression and Gastroesophageal Reflux Disease: Results From a Large Cross-sectional Study – PMC (nih.gov)
- Posttraumatic Stress Disorder and Gastrointestinal Disorders in the Danish Population – PubMed (nih.gov)
- Mindfulness-Based Interventions for Obesity-Related Eating Behaviors: A Literature Review | PubMed (nih.gov).
- How Exercising Can Relieve Your Acid Reflux | Digestive Health Services |
- Hunger and microbiology: is a low gastric acid‐induced bacterial overgrowth in the small intestine a contributor to malnutrition in developing countries? – PMC (nih.gov)
- Microbiota in the Stomach and Application of Probiotics in Gastroduodenal Diseases | PubMed (nih.gov).
- Herbal remedies for heartburn – Harvard Health
- The Effect of Zinc Supplementation on the Symptoms of Gastroesophageal Reflux Disease; a Randomized Clinical Trial | PubMed (nih.gov).
- Aloe Genus Plants: From Farm to Food Applications and Phytopharmacotherapy – PMC (nih.gov)