The Main Causes of Acid Reflux
The actual causes for GERD are not easily known. There may be several causes
together which cause the problem. In some cases GERD is caused due
to the over production of acid. But this has been very rare. Some
of the common causes of GERD are strength of muscles of lower oesophagus
or lower oesophageal sphincter, slow emptying of stomach, defective
oesophageal contractions and hiatal hernias..
The lower oesophageal sphincter or LES is often responsible for stopping acid
reflux. LES controls the flow between oesophagus and stomach. It
opens to allow the food and closes to block the flow of reflux.
When LES becomes weak, there is a possibility of increased reflux.
More reflux can enter the oesophagus thus causing the problem. Sometimes
weakening of oesophagus can cause serious medical conditions. LES
may be weakened either due to abnormal relaxations or weakened contractions.
When the contractions are weakened, LES fails to prevent the occurrence
of reflux. Since LES remains open for a long time, the extended
period of relaxation allows reflux to flow into oesophagus thus
causing discomfort and pain. All these abnormalities occur due to
weakened muscles of oesophagus.
Majority of GERD patients also suffer from hiatal hernias, which
contributes to reflux.
As of now, the relation between hernias and GERD is not yet clearly
understood. But their effects are known. Diaphragm plays an important
role in preventing reflux. It works along with LES to minimize the
reflux. When a patient is suffering from hiatal hernia, part of
stomach shifts up into the diaphragm. Due to this, the abdomen is
partitioned from the chest. Since a portion of stomach is pushed
to the diaphragm, it is more prone to trap acid. Hence higher quantity
of acid remains close to the lining of the oesophagus. This increases
acid reflux and makes the condition even more severe.
The contraction of oesophagus has much to do with the digestive
process. The contraction forces the food into the stomach so as
to begin digestion. Problems with contraction of oesophagus fail
to push back reflux to stomach due to which acid reflux ejects into
the oesophagus. Defective contraction can be one of the major causes
of acid reflux. This may occur either due to weakened pressure of
muscular contractions or due to some bad habits like smoking which
accumulate acid in oesophagus for about five to six hours.
There are various causes and conditions which lead to this uncomfortable
condition. Whatever the cause, the level of discomfort is very high.
Due to acid reflux, patients feel burning sensation and pain. Hence
it is recommended that you consult a physician whenever you experience
any problem and seek medical help. The doctors can analyze and understand
your condition better with proper diagnosis and hence can treat
you appropriately. Acid reflux when left untreated can cause damage
to oesophagus and may lead to severe complications.
Acid reflux news on the Web
Ask Dr. Gott: Mouth ulcers plague teen (The Monterey County Herald) Dear Dr. Gott: My 18-year-old daughter has suffered with mouth ulcers for years. She has seen two ear-nose-and-throat specialists and a dermatologist, with no results. One of the specialists diagnosed her with acid reflux despite her lack of symptoms. She has had a biopsy, but it was normal. |
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