Avoid acid indigestion before it becomes a chronic disruption to job performance
AT ONE TIME OR ANOTHER, nearly everyone has experienced "heartburn," a burning sensation in the throat and chest that can incapacitate factory and office workers on the job, or interfere with their sleep to the degree that they cannot concentrate on job duties when they do report for work.
More often than not, "heartburn"which is sometimes confused with a far more dangerous heart attack-is caused by overindulging in spicy, fatty, or fried foods blended with alcoholic beverages, acidic tomato sauces, and bitter chocolate that results in an inferno of gastric juices rising from the stomach toward the back of your throat.
Smoking and stress are contributing causes. According to former U.S. Surgeon General C. Everett Koop, nicotine relaxes a muscle that allows gastric juice to escape from the stomach into the esophagus.
While "heartburn" used to be considered a periodic symptom resulting from overdoing Tex-Mex cuisine, peppery sauces, deep fried foods, bedtime snacks, citrus juices, carbonated beverages, and garlicky sauces, it has morphed into a major national health problem involving bloating, frequent burping, and painful burning sensations arising from behind the breast bone. The resulting bitter taste of regurgitated acid is now labeled by most health organizations as GERD, an acronym for gastroesophageal reflux disease.
Depending on which health organization you consult, approximately 25 million Americans experience an attack of GERD daily, and upwards of 60 million have at least one GERD attack a month. The National Institutes of Health puts the number of recurring GERD sufferers at 35 million adults a month but says an additional 15 million experience chronic heartburn on a daily basis.
Frequent bouts of GERD can damage the esophagus-the nine-to-teninch long food tube that begins below the tongue and ends at the stomachand left untreated can lead to a precancerous condition. Unlike the stomach, which has a special lining that defends against the gastric acids that break down starch, fat, and protein, the esophagus provides only weak protection against regurgitated stomach acids.
Over half of GERD sufferers develop abnormal nerve and muscle function in the stomach, which causes impaired mobility, an inability of the muscles to contract normally that causes delays in stomach emptying and leads to increasing risk of acid back-up.
About half of asthmatic patients also have GERD, and some physicians speculate that asthmatic coughing and sneezing attacks cause changes in pressure in the chest that can trigger reflux.
Research has also revealed that persons who use nonsteroidal anti-inflammatory drugs, or NSAID's, such as aspirin, ibuprofen, and naproxen) were twice as likely to have GERD symptoms as nonusers. Calcium channel blockers and anti-osteoporosis drugs such as Fosamax can slow stomach emptying and cause damage to the esophagus.
While some over-the-counter antiacid medications (such as Gaviscon, Maalox, or Mylanta) or acid blockers (Pepcid AC, Tagamet HB, Zantac 75) can provide temporary relief, prescription proton pump inhibitors (such as Nexium and Prevacid) are the most potent medications available. If your GERD symptoms include hoarseness, difficulty in swallowing, or vomiting, however, you should see a physician as soon as possible.
For most GERD sufferers, the secret to managing or eliminating heartburn is in lifestyle and dietary changes. Your primary care physician, however, may recommend you also see a gastroenterologist.
For more information:
* The American Gastroenterological Association: www.gastro .org.
The National Heartburn Alliance: www .heartburnalliance. org.
* International Foundation for Functional Gastrointestinal Disorders: www.aboutgerd.org.
* American College of Gastroenterology: www.acg.gi.org.
* The National Digestive Diseases Information Clearinghouse: (301) 654-3810.
* The Consumer hotline of the National Center for Nutrition & Dietetics: (800)-366-1655.
By Richard B. Elsberry, EA Contributing Editor
Copyright Barks Publications Jan 2005
Provided by ProQuest Information and Learning Company. All rights Reserved