Acid Reflux

According to the studies, Acid Reflux disease, which is frequently encountered all over the world, can be seen in %20 of the population in our country. Although the symptoms of acid reflux disease usually regress with improvement in lifestyle and dietary habits, clinical treatment may be required in some cases.

Aim in the RTM system is not to temporarily eliminate the problem by directly suppressing the reflux of stomach contents into the esophagus, but to  reveal the causes of acid reflux specific to the individual and to determine the source part of the disease. The aim of the treatment is to eliminate the source causing the reflux and to return the stomach function to normal.

What is Acid Reflux?

Literally, reflux can be defined as the passage of fluids that should be in any organ to a different area.The reflux experienced in the stomach is actually called  as “Gastroesophageal reflux” and occurs when gastric secretions consisting of acid, bile and mucus reflux into the esophagus, which is the esophagus in medicine. In some cases, these secretions can reach the larynx and even the mouth.

What are the Symptoms of Acid Reflux?

Symptoms of reflux disease can be examined in two parts as Typical and Atypical. The most common symptoms of typical reflux are heartburn, a burning sensation in the stomach, a burning, bitter taste in the mouth and throat, burning or pain in the chest, and food coming back into the mouth.

Common symptoms of atypical reflux are a tickling sensation in the throat, dry cough, sinusitis, bad breath, hoarseness or tooth decay.

What are the Causes of Acid Reflux Disease?

Between the stomach and the esophagus is the esophageal sphincter, known as the gastric valve. This muscle-like lid-like structure allows food to enter the stomach, but prevents stomach contents from going up. In this way, gastric juice consisting of strong acids, pepsin, bile salts and sometimes food particles that allow food to be digested cannot reach the esophagus and destroy the mucosa. If the gastric valve does not work properly and loosens frequently, the acidic contents of the stomach may escape back into the esophagus and even reach the nasal passages or mouth. The decrease in the resistance of the gastric valve may be a temporary or permanent condition.

 

The cause of reflux disease has not yet been determined clearly. According to some studies, although it is thought that gastroesophageal reflux may start from the stomach, this information has not yet been determined. Some factors that trigger reflux formation are listed below.

  • Overeating
  • Drinking excessive fluids, especially just before bedtime
  • Focusing on fried foods
  • High-fat foods
  • Extremely spicy and spicy food
  • Consuming mint and mint products
  • Using tobacco and tobacco products
  • Beverages containing caffeine
  • Carbonated drinks
  • Acid fruits and juices
  • Acidic foods such as pickles and tomatoes
  • Alcoholic beverages
  • Pregnancy
  • Being overweight
  • Stomach hernia

How Is Acid Reflux Diagnosed?

Before making a diagnosis of reflux, the history of the disease and complaints are examined. However, in some cases, no symptoms or complaints may be observed. In order to be sure that the disease is reflux, some tests may be needed to determine whether the symptoms are caused specifically and only by reflux and whether some other complications have developed.

Gastroscopy: It is usually the first diagnostic method and is performed under sedation. A flexible tube with a light at the end is advanced from the mouth to the stomach, and the esophagus and gastric valve are examined, and if any, the formation of gastric hernia and damage to the esophagus are detected. If necessary, tissue samples can also be taken from the stomach with this method.

Esophagus (esophagus) manometry: With the help of a special catheter that starts from the nose and passes through the esophagus and reaches the stomach, the pressure here is measured, the contraction strength, frequency and function of the esophageal muscles during swallowing are evaluated.

pH meter: It is a sensitive and important diagnostic method for measuring the amount of acid that has escaped to the lower part of the esophagus by means of a thin catheter or capsule.

Barium esophagus stomach duodenum radiography: It is a method that allows visualization of the esophagus, stomach and duodenum by drinking a special syrup containing barium.

An Outlook on the Cause of Acid Reflux Disease in the RTM System

Our body is in a constant balance against internal and external factors. With this balance, life continues by developing. The RTM System includes its own diagnostic and treatment protocols. Diseases in the RTM System are seen as a new balance or new adjustment points created in the body in order to continue life against internal and external negative conditions.

There is a source pattern called the Triad of Disease that causes new settings to come into play in the body. This triple structure, in which there is contamination in the body, system disorders and a code change in DNA (epigenetics), works as follows in reflux;

The digestive system is a complicated system, starting from the mouth and ending with the exit of the large intestine. In the functioning of this system, all body structures take an active role, from respiration to circulation, from nervous system to urinary system, from muscles to detox organs.

Contamination in the Body: Environmental toxins that we are exposed to, especially through food, or the increase in toxic load resulting from the increase in metabolic activities at the cellular level deteriorates the microbiota in the digestive system and increases pathogenic bacteria. Both the increase in toxic load and the deterioration in the microbiota disrupt the processes in different parts of the digestive system. Because the digestive processes and time intervals that each food is subjected to in the digestive system are genetically coded. Disruption in any part of the digestive system indirectly affects other parts of the digestive system.

Deterioration in Systems: The stomach is the first processing organ of the digestive system and the liver-intestinal detox system. Both the deterioration of the microbiota and the increase in toxic load cause disruption of the digestion process of the foods that start in the stomach. In this case, the food stays in the stomach longer than necessary and there are problems in the next process, the duodenum. This situation causes disruptions in the flow direction of the stomach, which is unidirectional but only works in the opposite direction in the form of vomiting in extraordinary situations. These disruptions cause a system change in the one-way operation at the entrance gate of the stomach.

As a result of the Contamination of the Body and the Deterioration of the Digestive System, the digestion and liver-intestinal detox process will slow down. The slowdown in the system will cause disruptions in the processes of digesting the foods coming from the mouth in the stomach and transmitting them to the intestines for the absorption process. Due to the slowdown of the processes, the foods that will be sent to the duodenum as soon as possible will stay in the stomach for a longer time. In this case, the stomach will activate the reflex that will throw back some of the nutrients that it cannot send forward to maintain its own balance. The body will create new balances in the stomach in order to overcome this situation and maintain vitality. As a result of this change in the information form, the stomach will continue to live with its new cyclical values. In order to prevent the food intake process sent to the stomach, it will try to prevent the food entry processes into the body with the reflex of throwing back in the style of reflux. This new set point of the body will be seen as reflux in the person.

Treatment of Reflux Disease in the RTM System

In the RTM System, the aim is not to suppress reflux directly, but to eliminate the Triad of Disease that causes reflux, which we mentioned above. In the RTM System, this is called the Treatment Triad.

Treatment Triad includes the processes aimed at starting the detox process for returning to the normal balance in the body, eliminating the imbalance in the failing systems and reversing the epigenetic changes in the DNA, and this process is planned completely for the individual.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the detailed anamnesis, laboratory and imaging findings of the individual, and measurements specific to RTM clinics. With the RTM Phytotherapy protocol, treatment is aimed by withdrawing the disease trait that forms the source part. By informing the body with the seed parts of the plants, it is aimed to normalize the epigenetic changes in DNA that determine the new adjustment constants. In order for the body to adapt to the normalization of this information, the treatment triad is activated by using the leafy parts of the plants, accelerating the detox activities in the body and regulating the systems. When the disease triad is withdrawn, it is aimed that the body will by itself return to the norm form.

In order to both support the body and accelerate the treatment process, in addition to RTM phytotherapeutics, nearly 25 traditional medicine methods such as Ozone, Cupping, Acupuncture, Magnetic field therapy are planned according to the needs of the patient.

Frequently Asked Questions

Should surgery be applied in the treatment of acid reflux? When?

Surgery may be required in cases where there is an anatomical problem such as an underlying gastric hernia, whose problems cannot be resolved with positive changes in lifestyle and diet or medications. Young patients who do not get positive results despite long-term treatment and precautions can also be operated. People who have developed another important complication caused by reflux may also be suitable for surgical treatment.

What is Good for Acid Reflux? How to Protect?

  • You should not consume large amounts of food as it will increase stomach pressure.
  • Eating little and often, chewing and swallowing food has a positive effect against reflux.
  • Since fluid intake also increases stomach pressure, it should be preferred to consume between meals, not with meals.
  • Tobacco and tobacco products should be avoided. Because tobacco both damages the acid-balancing mechanisms and causes reflux by relaxing the muscles at the beginning of the stomach.
  • Alcohol, carbonated and caffeinated beverages should be avoided.
  • Chocolate, fatty, fried, spicy, acidic foods known to trigger reflux should be restricted.
  • It is recommended to get rid of excess weight.
  • Solid foods should be stopped at least 3 hours before bedtime and liquids 1 hour before bedtime.
  • Using a reflux pillow or raising the head of the bed, that is, sleeping with the head and upper body elevated, has a positive effect.
  • No tight-fitting clothing or belts should be used.
  • Do not bend over for long periods of time or frequently.
  • You should not do intense physical activity on a full stomach.
  • You should try to avoid stress as much as possible.

How should the diet of those with acid reflux be?

A proper diet and proper nutrition play an important role in the treatment of reflux disease. Care should be taken and it is important not to be overly full or hungry for a long time. The foods consumed affect the amount of stomach acid. Foods that are difficult to digest trigger reflux disease as they stay in the stomach for a long time. It is possible to switch to a suitable diet with a few small changes without completely staying away from the foods you love.

It is important to choose foods that are low in fat and high in protein and fiber. You can consume brown bread or bulgur with vegetable or meat dishes. It is recommended to consume cooked vegetables in at least one meal every day. If raw fruits and vegetables cause discomfort, they can be consumed by cooking.

It is not recommended to consume carbonated drinks, some herbal teas, coffee and black tea. Instead of frying or roasting, boiled or baked dishes should be preferred.

Hot and very spicy dishes should not be consumed. The ideal weight can be reached by consulting a specialist and reducing the amount of calories while applying a reflux diet list.

Example foods:

Vegetables: Tomatoes are not recommended due to their high acidity, and vegetables that are difficult to digest can be consumed by steaming or boiling.

Fruits: Fruits such as bananas, apples, pears, melons, watermelons, grapes can be consumed, but acidic fruits such as oranges, grapefruits and tangerines should be avoided.

Meat: Fatty meats, fried meats should be avoided. Fish, chicken, turkey meats can be preferred rather.

Cereals: Cereals such as whole-grain bread, bulgur, oats can be consumed.

Milk and Dairy Products: Oily and creamy products should not be preferred, low-fat or lactose-free ones should be consumed.

Have Babies Acid Reflux?

Reflux can often be seen in infants and is not considered a disease. It usually goes away on its own with the strengthening of the gastric valve by the age of one. However, if the symptoms impair general health, affect nutrition and development, and continue after 1 year of age, it is considered a disease.

What are the Symptoms of Acid Reflux in Babies?

  • Returning of the consumed food to the mouth and its frequent repetition
  • Frequent gagging
  • Refusal to feed
  • Sign of clogging
  • Wheezing cough
  • Weight loss or less than expected weight gain
  • Increased restlessness during feeding
  • Mouthful of stomach contents while passing gas or hiccuping

How to Diagnose Acid Reflux in Babies?

Reflux seen in infants is mostly temporary and examination and the baby’s history may be sufficient for diagnosis. However, if it affects nutrition and weight gain, if it has caused serious complications such as chronic asthma, inflammation in the esophagus, further investigations and treatment may be needed.

How to Prevent Acid Reflux in Babies?

It is appropriate for babies to be breastfed in an inclined position with the head up. Standing in an upright position for 30 minutes after feeding makes it easier for the food to descend into the stomach and stay there with the help of gravity.

It would be more appropriate to reduce the amount of feeding and increase the frequency.

Removing gas in the stomach after feeding also helps.

It is also helpful to use an inclined pillow, called a reflux pillow, which keeps the baby’s head elevated while lying down.

What Happens If Acid Reflux is Not Treated in Babies?

If reflux, which is diagnosed as a disease and does not go away despite the precautions taken in infants, is not treated, it can lead to important disorders such as developmental delay, anemia, dental problems, chronic lung diseases, stenosis in the esophagus, and swallowing problems.

Can ChildrenHave Acid Reflux?

It has been stated that there is a significant increase in the number of reflux cases in children, especially due to the unhealthy and unbalanced nutritional conditions.

Elimination of the problems such as constipation and obesity that increase the pressure in the abdomen, not wearing very tight clothes, eating food sitting upright, eating frequently and in small quantities, avoiding ready-made foods and fried foods, consuming fiber-rich foods that are not difficult to digest, stop eating 1-2 hours before sleep It is possible to prevent reflux in children by taking measures such as giving blood pressure and raising the head while lying down.

What Happens If Acid Reflux Is Not Treated in Children?

If children, seen reflux, is not treated on time, it can lead to diseases such as growth retardation, anemia, pneumonia, esophagitis, esophageal stenosis, bronchitis, asthma, laryngitis, pharyngitis, dental caries, and changes in the normal tissues of the esophagus.

What are the Diseases Accompanying Acid Reflux?

  • Resistant anemia
  • Dry cough
  • Hoarseness
  • Various respiratory problems
  • Adenoid enlargement
  • Tooth decay, bad breath
  • sleep disorder

Is Acid Reflux Common During Pregnancy?

Burning in the chest, heartburn, and bitter, burning water in the mouth, which are frequently seen during pregnancy, are caused by reflux. In addition to the increased hormone levels during pregnancy, the pressure exerted by the growing uterus on the stomach also reveals the symptoms of reflux. Often, these symptoms cease when the pregnancy ends.

Does Acid Reflux During Pregnancy Harm the Baby?

Although reflux complaints during pregnancy are distressing for expectant mothers, they have no effect on the health of the baby.

What are the Differences Between Acid Reflux and Gastritis?

Reflux is the pathological reflux of acidic stomach contents into the esophagus. Inflammation of the stomach or duodenum as a result of the decrease in theelements that protect the stomach from acid and the increase in gastric acidity is called as Gastritis.

Is there any medicine for acid reflux?

Drugs that neutralize stomach acid usually act immediately on symptoms, but they cannot heal the inflamed esophagus.

Proton Pump Inhibitors, which are frequently used in the treatment of reflux disease, also reduce stomach acid for a long time, allowing the damage in the esophagus to heal, but these are suppressive drugs and are not therapeutic.

Is there an acid reflux crisis?

There is no reflux attack, but when the burning and pain in the chest caused by reflux are sometimes very severe, patients may perceive this situation as a heart attack.

Does Acid Reflux Cause Ulcer?

Severe reflux disease, which is not treated on time, can lead to the development of ulcers in the person.

Does Acid Reflux Cause Cancer?

Reflux can lead to Barrett’s disease, which sets the stage for esophageal cancer, and thus to cancer.

Does Acid Reflux Pillow Work?

Reflux symptoms decrease when the upper part of the body and the head are elevated while lying down. It is also possible to use reflux pillows to provide this position.

What Happens If Gastric Acid Reflux Is Not Treated?

If left untreated, the severity of reflux may increase over time, leading to serious diseases such as:

  • Respiratory diseases such as pneumonia, laryngitis, pharyngitis, bronchitis, asthma
  • Inflammation of the esophagus (esophagitis)
  • Peptic stenosis (narrowing of part of the stomach)
  • Gastrointestinal bleeding
  • Anemia (anemia)
  • Barrett’s disease, which predisposes to esophageal cancer
  • Cancer

 Which Foods Are Good for Acid Reflux?

Foods containing less acid such as potatoes, oatmeal, carrots, cabbage, beets, watermelon, spinach, cucumbers, green beans, broccoli, asparagus, cauliflower, pears can be good for reflux. They also help balance stomach acid because they contain low fat and sugar.

What is Esophagitis?

Esophagitis is an inflammation of the esophagus that can occur for various reasons and can develop acutely or chronically. The most common cause is stomach acid, which irritates the mucosa, and in this case it is called Reflux Esophagitis.

What Does Throat Acid Reflux Mean?

When the upper esophageal sphincter, the valve between the throat and the esophagus, does not work properly, stomach contents can reach the sensitive throat and vocal cords. This condition is called throat reflux.

What are the Symptoms of Throat Reflux?

  • Throat choking, tickling sensation and urge to clean.
  • Postnasal drip
  • Bitter taste and odor in the mouth
  • persistent cough
  • Hoarseness and deepening of the voice
  • Difficulty swallowing
  • Pain in the ear

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