GERD stands for gastroesophageal reflux disease and is also known as heartburn or acid reflux. The American Academy of Family Physician defines GERD as a digestive problem where stomach acid flows backward into the esophagus. This causes irritation to the esophageal lining and symptoms such as a chest pain or burning, difficulty swallowing and dry cough. GERD affects 36 percent of Americans (see References 2). A holistic approach to alleviating GERD may include botanical medicine, nutritional supplements, dietary changes and lifestyle changes.
Botanical Medicine
Certain botanicals may provide relief of GERD symptoms. Mucilaginous herbs such as marshmallow and slippery elm help to protect the gastrointestinal lining from acid damage. Butternut strengthens the overall digestive process. Chamomile works as an antispasmodic and anti-inflammatory, and it promotes healing of the GI lining. (See References 4). Licorice assists in the healing and protection of the gastrointestinal tract. These herbs are available as tea, tincture, powder or capsule. Consult with a health care professional to devise appropriate combinations, dosages and safety.
Nutritional Supplements
Supplements that may help with GERD include choline and hydrochloric acid. According to Dr. Russell Marz, a naturopathic physician, acupuncturist and author the textbook “Medical Nutrition from Marz,” choline may provide relief, especially in GERD that’s associated with pregnancy. Hydrochloric acid is helpful when GERD results from too little stomach acid and associated laxity of the lower esophageal sphincter. Consult with a healthcare professional, such as a licensed naturopathic doctor, to determine the underlying cause of GERD and render appropriate treatment.
Foods to Avoid
According to Dr. Marz, certain foods contribute to over-relaxation of the lower esophageal sphincter—the band of muscle between the esophagus and stomach—which allows stomach acid to reflux into the esophagus. Maintaining strong muscle tone keeps this important barrier intact. Foods to avoid include coffee, chocolate, tomato, milk, alcohol and mint.
Mealtime Practices
From the perspective of natural medicine, good eating habits are fundamental to improving any digestive problem, including GERD. In a fast-paced society, it can be difficult to find the time to relax and truly enjoy a meal; however, this practice is essential to digestive health. Dr. Marz recommends the following mealtime practices: sit down throughout the meal, eat slowly, put down utensils between bites, count the number of chews and prohibit distractions such as TV, reading or computer.
Risk Factors
Certain risk factors are associated with occurrence of GERD, such as smoking and obesity. To minimize these risk factors and help prevent reflux, do not smoke and lose excess weight. Also, avoid lying down after eating.
References
- American Academy of Family Physicians: Gastroesophageal Reflux Disease
- Family Practice Notebook: Gastroesophogeal Reflux
- MayoClinic.com: GERD
- Bastyr University Department of Botanical Medicine; Bastyr Materia Medica
