Have you ever experienced that burning sensation in your throat after eating too much pizza, spicy food, or tomato products? This, my friend, is heartburn. Accounting for more than 50 million visits to the doctor each year, upper gastrointestinal disorders are extremely common, and roughly 25% of people in the general population report having heartburn. While maybe you've just popped some antacids and went your way, untreated heartburn can have detrimental health effects. Luckily, simple lifestyle changes and natural remedies can help keep heartburn at bay.
What is Heartburn?
Heartburn, also known as acid indigestion or pyrosis, can be felt as a burning pain in the chest, just behind the breastbone. It occurs when gastric acid is regurgitated into the esophagus, It often occurs after eating or when laying down, and is more common in the evening. Heartburn is more common in westerners than in Asian populations, and is more prevalent in those who smoke or are obese. Though common and generally manageable with over the counter products, longstanding, untreated heartburn can damage the lining of the esophagus and even lead to cancer. So, please don’t neglect taking care of heartburn if you’re someone who suffers from it frequently or if it interferes with your daily activities.
Why Do I Have Heartburn?
Heartburn occurs when the sphincter between your esophagus (the tube that carries food to your stomach) and your stomach meet becomes relaxed called the lower esophageal sphincter. This relaxation allows stomach acid to backflow up into the esophagus causing a burning sensation, as well as a bitter taste for some people. Certain foods can make this sphincter relax, as well as increased intra-abdominal pressure, such as in people who are overweight or in women who are pregnant.
How to Prevent Heartburn
Diet plays a large part in the experience of heartburn. Large meals increase the occurrence of heartburn, which makes sense when talking about increased intra-abdominal pressure. Particular foods that are known to increase the risk of heartburn are spicy foods, chocolate, tomatoes, onions, fatty and fried foods, alcohol, and carbonated and caffeinated beverages like coffee. If you are experiencing heartburn, I recommend keeping a food log of what you are eating and when you are experiencing symptoms to determine which foods aggravate you the most. You can then use this to help weed these foods out of your diet.
Smoking and alcohol are especially damaging to the function of the lower esophageal sphincter, and eliminating these are extremely beneficial. Heartburn symptoms can also be reduced by avoiding late meals, especially 2-3 hours before you lie down, and propping your head up on a second pillow when sleeping.
Traditional Treatment for Heartburn
Most doctors will recommend one of three types of over the counter medications: Antacids are often the first line of therapy, neutralize stomach acid and provide quick relief of symptoms. Tums are probably the most common antacid, which you likely have in your medicine cabinet. H-2 receptor antagonists (H2RAs) are the next line of therapy. These reduce stomach acid and provide longer relief than antacids, but don’t work as quickly. The third group, proton pump inhibitors (i.e. Prilosec and Prevacid), are the most potent and reduce the production of stomach acid. Though “safe” enough to be considered over-the-counter, these medications are not without their risks, especially when used long-term. Overuse of these medications can lead to nutritional deficiencies, renal function disorders and osteoporosis.
So, what’s better than that? Something natural, of course!
Natural Remedies for Heartburn
Replace your Tums with papaya enzymes! Papaya enzymes encourage digestion and relieve heartburn by breaking down proteins, soothing the stomach, and promoting a healthy acidic environment. Though fresh papaya has the same benefits, raw papaya can cause uterine contractions and is not recommended for pregnant women. Papaya enzymes can be found at most supplement and natural food stores, and they taste delicious! So delicious, in fact, that my son often fakes a tummy ache so he can have one :)
Add an apple or banana to your diet each day. These both have natural antacids in them which can help neutralize stomach acid. If you choose to eat an apple, try eating it in the evening for the most benefits.
Drink fresh gingerroot tea about 20 minutes before meals. Ginger is incredible! And it is used to ease all sorts of gastrointestinal problems among other things. If you want to learn more about the health benefits of ginger, you can read my post HERE.
Drink a cup of Chamomile tea about 30 minutes to an hour before bed. Chamomile calms the stomach and balances acidity, and can also help you sleep. Win win!
Eat 3-5 almonds after meals and snacks to help neutralize acid. Almonds are low in acidity and can help neutralize stomach acid, relieving symptoms.
Add a little baking soda (1/2 to 1tsp.) to a glass of water and drink the full glass. With a high pH, it will help neutralize stomach acid. Though this is helpful for occasional use, it’s not recommended as a long-term solution as it is high in salt and can cause swelling and nausea.
Increase your probiotics. Probiotics aid the body in digestion and provide the body with healthy bacteria. Consume foods high in probiotics such as yogurt and fermented foods or talk to your provider about a supplement, as there are so many out there! I personally like the women’s probiotic by Garden of Life and Life 9 by Young Living.
Apple cider vinegar can be helpful for some people. Acid, contrary to popular belief, tells that lower esophageal sphincter to close, so for some people, not having enough acid is what contributes to heartburn. If you think that is the case for you, try putting 1 Tbsp. of apple cider vinegar in a glass of water and drinking it before dinner. If it makes it worse, it is probably not the right treatment for you.
Let me know what works best for you in the comments below!
References:
Mayo Clinic Staff., (2020). Heartburn. Retrieved from: https://www.mayoclinic.org/diseases-conditions/heartburn/symptoms-causes/syc-20373223
van Herwaarden, N., Bos, J. M., Veldman, B., & Kramers, C. (2016). Protonpompremmers: niet zo veilig als ze lijken [Proton pump inhibitors: not as safe as they seem]. Nederlands tijdschrift voor geneeskunde, 160, D487.
Veldhuyzen van Zanten, S., (2008). Diagnosis and management of gastroesophageal reflux disease and dyspepsia among older adults. Retrieved from: https://www.medscape.com/viewarticle/579847_3
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