Acid Reflux vs Non-Acid Reflux


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Have you ever experienced a burning sensation in your chest, almost as if your heart is on fire?  Have you ever felt a burning sensation in your throat followed by a foul taste in your mouth?  If you have, then what you’ve experienced is acid reflux, commonly referred to as heartburn. 

Acid reflux is a common condition that almost everyone experiences at least once during their lifetime.  During digestion the stomach produces enzymes and acid to digest food.   When the mixture of stomach acid and enzymes are refluxed into the esophagus more frequently than they should, or for an extended period of time, acid reflux occurs.  The most common symptom of acid reflux is a burning sensation behind the breast cavity.

A number of factors can contribute to acid reflux including:
• overweight – excess pounds put pressure on your abdomen and can push your stomach up causing acid to reflux into the esophagus
• Overeating – Eating too much food can slow digestion.
• Posture and tight clothing – Sitting hunched over while eating or wearing constricting clothing around your waist puts pressure on your stomach
• Foods – many types of food trigger heartburn including: caffeine, fired or fatty foods, salty food, chocolate, excessive alcohol, garlic, peppermint, onion
• Smoking – nicotine aggravates the stomach and esophagus and inhibits saliva production.
• NSAIDs – Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen can aggravate the stomach.

Antacids and acid-suppressing medicines can help relieve and prevent acid reflux from occurring.  There are many types of these drugs available for over-the-counter (OTC) purchase such as the antacids Rolaids and Pepto-Bismol, and acid-suppressers such as Pepcid AC.

Nevertheless, in rare cases, despite the medications an acid reflux sufferer is given to treat their symptoms, they continue to experience symptoms.  Many medical researchers are beginning to believe that the ineffectiveness of the treatment may be due to the fact that those who are being treated for acid reflux are actually suffering from agents within the esophagus that are not related to stomach acid.  This condition is known as non-acid reflux.

What is non-acid reflux?
Non-acid reflux is when other potentially harmful agents (not stomach acid) are refluxed into the esophagus such as bile.  It has been discovered that non-acid reflux is defined as a reflux that has a greater pH level than 4.  Unfortunately, not much is known about non-acid reflux, its symptoms, or the affects it has on the esophagus.  

It has been found that most cases of non-acid reflux occur after mealtime when the contents of the stomach are being neutralized, and the condition is more present in children than adults.

Medical researchers are still trying to figure out the exact cause of non-acid reflux.  Currently new technology is being used that can accurately determine the presence of acid or non-acid in the esophagus by measuring the Ph level.

If you believe you are suffering from acid reflux, but you find that OTC antacids are not relieving your symptoms, it is a good idea to seek the advice of your doctor.   It is important for you to know what type of reflux you are experiencing so you can properly treat your condition.  The reason is if you are suffering from non-acid reflux, taking an antacid will not cure your symptoms because this drug has been designed to neutralize acid - acid which would not be present in the case of non-acid reflux.

In addition, if you suffer from frequent episodes of acid reflux, you should still consult your doctor.  It may be possible that your common condition has developed into a chronic disease known as gastroesophageal reflux disease (GERD).


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