Understanding and Managing Severe Acid Reflux
This article explains the causes and treatment options for severe acid reflux or GERD. It highlights key triggers such as hiatal hernia, lifestyle factors, and dietary choices. Effective management strategies include dietary adjustments, weight management, and medications. Understanding these aspects can help individuals control symptoms and improve quality of life.

Acid reflux occurs when stomach acid flows back into the esophagus, leading to intense heartburn. This happens when the lower esophageal sphincter (LES), a valve that normally closes after food passes, malfunctions by remaining open or partially open. This allows acid to irritate the esophagus. When this occurs more than twice weekly, it's diagnosed as gastroesophageal reflux disease (GERD), requiring targeted treatment to alleviate symptoms.
What triggers acid reflux?
Contrary to common belief, acid reflux isn't caused by excessive acid but rather by problems with acid regulation. A key factor is hiatal hernia, where part of the stomach moves above the diaphragm, affecting the LES's function. The diaphragm normally helps keep acid below the esophagus.
Other common causes include:
Large meal consumption
Excess weight or obesity
Alcohol and carbonated beverages
Foods like mint, garlic, onions, and fatty dishes
Pregnancy
Effective strategies for managing severe acid reflux
Eat smaller, more frequent meals instead of large ones
Avoid lying down immediately after eating
Maintain a healthy weight through regular exercise
Incorporate fish into your diet
Consume cultured dairy for beneficial bacteria
Add high-quality sea salt to meals
Drink aloe vera juice before meals
Medical treatment options
By adjusting your diet and using medications like antacids, symptoms can be managed effectively. Antacids neutralize stomach acid, providing relief, but overuse may cause gastrointestinal issues like diarrhea or constipation.