Hyperacidity / Reflux Oesophagitis
Let us consider this commonly
seen illness more prevalent in all the age groups.
The word hyperacidity itself suggests that the quantity of
gastric acid (hydrochloric acid) is increased.
- Irregular food habits
- Intake of spicy and oily food
- Excessive use of the drugs like Aspirin and NSAIDS ( Drugs
used in Arthritis)
- Alcohol in higher concentration or in amount & Smoking.
- Stress due to trauma, burns , sepsis, shock, surgery &
- Burning sensation in the
throat / upper central chest
- Pain and discomfort in upper part of abdomen / mid or lower
- Feeling of fullness
- Nausea / Vomiting
- Loss of appetite
The diagnosis of illness can
be made clinically by proper history of patient.
In some cases, (when in doubt)
the diagnosis can be made by doing few investigations like
1]Barium swallow and meal
2]Endoscopy (upper G.I. tract )
1 Common Diet -
Milk,Wheat,Red coloured rice,Ladies finger,White Pumpkin,Coconut,Buttermilk
Excessive heavy,acidic,watery food,avoid heat,working in hot
places, shift duties etc.
This condition is also called
as Gastro-oesophageal Reflux disease.(GORD)
In this condition,there is
prolonged contact of the gastric contents with the lower oesophageal
line up (Mucosa).
Heartburn is the major symptom.
Pain the mid or lower chest may be present.
Burning sensation in the same area aggravated by bending,
stooping or lying down.
Regurgitation of food and hydrochloric acid in the mouth can
GORD is a clinical diagnosis
and can be treated without investigations.
In case of doubt following investigations can be carried out
2] Barium swallow
This can be treated with simple
antacids and avoiding the precipitating factors like Alcohol
1] Acute & 2] Chronic
It means an acute inflammatory infiltrate in the superficial
gastric mucosa predominantly with neutrophils.
Commonly stated as swollen inner layer of the stomach.
It consists of infiltration
of lymphocytes and plasma cells and can lead to development
of atrophic changes in the mucosa.
Commonly stated as thinning out of inner layer of stomach.
The causes of acute gastritis
are same as mentioned earlier under the heading of Hyperacidity.
The chief cause of Chronic Gastritis (Infective) i.e. by Helicobactor
Pylori affecting the antrum and body of the stomach.
Other causes :-
1] Chronic intake of drugs like NSAIDS
2] Biliary reflux.
Many chronic gastritis patients are without complaints but
require no treatment.
The diagnosis of chronic Gastritis
can be made by
2] Gastric biopsy
3] Gastric acid studies
The main concern to carry out the investigations is to detect
'Cancer' in stomach.
TREATMENT OF ACUTE GASTRITIS-
1] Removal of the cause i.e.
stopping anti-arthritic medicines
2] Diet- mainly fluids- milk and buttermilk (sweet),avoiding
spices in the diet & avoiding tea / coffee.
Though clinical symptoms of
hyperacidity remain common to find out the exact useful remedy
the description of the symptoms may be useful.
Acidity associated with frontal headache.
Intense sour eructations especially in children with intense
vomiting. Even the stool is sour smelling weak.
2) Arsenic Album-
Great anxiety and restlessness.
Nausea at sight and smell of any food.
Severe burning in stomach,
Causing thirst for water- frequent but small quantities.
Ailments from watery and citric fruits.
Feels better with warm drinks.
Type A personalities who are very fastidious.
3) Nux Vomica-
Very irritable personality
with deep frown on forehead.
Ill effects of mental stress and sedentary life.
Bitter and sour taste in morning, Vomiting
Saturday night syndrome.
Pain and sensitive stomach region.
Desires for stimulants - alcohol, coffee, tobacco.
Aggravation << by eating fatty food.
4) Anacardium -
A/F exam tension causing hyperacidity.Brain fag.
Empty feeling in stomach.
Eating relieves all the discomfort temporarily.
Fullness and distention with weak digestion.
Tendency to choke while eating or drinking.
5) Sulphuric Acid-
Hot flushes in stomach.
Water causes coldness in stomach.
Sour eructations and vomiting.
Desires alcohol and aversion for coffee.
6) Calcarea carb-
Sour eructation & vomiting.
Aversion to fat, meat, & milk.
Desires indigestible things like chalk,coal & pencils,eggs,
salt, sweet food.
Pain in middle area of chest (epigastrium).
Mouth fills with sour water.
Obese personality with big bloated abdomen.
Sluggish in movement.
FAT FAIR FLABBY Patients.
1) Natrum Phos-
Acidity with sour belching.
Loss of appetite with indigestion.
Vomiting of dark fluid like coffee ground.
Pain in one spot after food.
inflammation of first end of stomach
With acid eructation and burning in chest.
Always feels hungry.
Cannot tolerate meat,warm food and alcohol.