Hyperacidity, Acid Reflux, Esophagitis & Peptic Ulcers



Hpathy Ezine, September, 2009 | Print This Post Print This Post |

Hyperacidity, Acid Reflux, Esophagitis & Peptic Ulcers

Hyperacidity literally means ‘excess of acid’ or ‘hyper-secretion of acid from stomach’, when taken in relation to GIT. But not all patients who come to the doctor complaining of ‘acidity’ suffer from hyperacidity in true sense. These patients complaining of ‘acidity’ can broadly be divided into two categories:

HYPERACIDITY



PRIMARY OR FUNCTIONAL SECONDARY OR PATHOLOGICAL


REFLUX OESOPHAGITIS PEPTIC ULCER

A. PRIMARY HYPERACIDITY

Common Causes of Hyperacidity

  • Idiopathic
  • Prolonged ingestion of aspirin or some anti-inflammatory drugs
  • Prolonged alcohol ingestion
  • Eating of spicy and highly seasoned food like chilly, pickles, etc.
  • Stress is also an important cause for hyperacidity
  • Heavy smoking

Also occurs after surgery or burns or with severe bacterial infection

Common Symptoms of Hyperacidity

  • A steady pain of short duration in upper abdomen immediately following a large or spicy meal or aspirin ingestion
  • Nausea, vomiting, and loss of desire to eat which may persist for 1-2 days
  • Heartburn or sour belching
  • Early repletion or satiety after meals
  • A sense of abdominal distension or ‘bloating’
  • Flatulence (burping, belching)
  • Vomiting of blood or blood in stools
  • If gastritis persists there may be eventual development of anaemia

Long-standing hyperacidity may lead to formation of ulcers in the stomach which may again lead to complications like perforation.

Management of Hyperacidity

Abstinence from smoking and alcohol is a must. Avoiding stress. Eating bland food and refraining from unnecessary medication.
Conventional treatment consists of antacids which cause a lot of side-effects like headache, dryness, hypersensitivity and confusion. They also have only a temporary effect.
On the other hand, homeopathic treatment is safe and gentle, without side-effects. And it treats in totality, leading to an actual cure, rather than a temporary suppression of symptoms.

B. SECONDARY HYPERACIDITY

I. REFLUX OESOPHAGITIS

The disorder may be defined as damage to the esophageal mucosa due to reflux of gastric contents.

Etiology: Increased reflux of gastric contents into the esophagus from reduced pressure in the lower oesophageal sphincter and an increased number of transient relaxation of the sphincter are the main factors in the development of reflux esophagitis.

Clinical Features / Symptoms:

  1. Heartburn: This is a sensation of burning or burning pain located high in the epigastria or behind the lower end of the sternum often radiating upwards behind the sternum. It occurs after meals and is characteristically brought on by lifting or straining due to an increase in the abdominal pressure. Heartburn may also occur on lying down in bed at night, preventing sleep or awakening the patient several hours after the onset of sleep.It is sometimes precipitated immediately by acid food or drink – tomatoes, orange, cola, and alcohol.
  2. Painful Dysphagia: The usual cause is the bolus of food passing through an inflamed segment of esophagus.
  3. Regurgitation of gastric contents into the mouth may occur during bending, after large meal or at night. The patient becomes aware of the regurgitation because of a bitter taste in the mouth.
  4. Sore throat, Globus sensation (‘lump in throat’), and hoarseness are other consequences.

Management:

  • Weight reduction
  • Stopping cigarette smoking
  • Meals should be of small volume
  • Alcohol, fatty food, and caffeine should be avoided
  • No snacks must be taken after evening meal to prevent nocturnal regurgitation
  • Heavy stooping or bending at the waist should be avoided especially after meals
  • Head in the bed should be elevated by 15 cm.

II. PEPTIC ULCER

The term ‘peptic ulcer’ refers to an ulcer in the lower esophagus, stomach, or duodenum.

Etiology: Following factors play a role

  • Heredity
  • Helicobacter pylori
  • NSAID’s
  • Smoking
  • Chronic stress
  • Alcohol
  • Corticosteroids
  • Duodenogastric reflux of bile.

Pathology: An ulcer forms when there is an imbalance between aggressive forces, i.e., the digestive power of acid and pepsin, and defensive factors i.e., the ability of the gastric and duodenal mucosa to resist this digestive power. However, in the majority of patients acid secretion is within normal limits or is moderately raised. In these individuals, damage to the gastric mucosal barrier is necessary to facilitate the damaging effect of acid and pepsin. The initial damage results from Helicobacter pylori, NSAID’s, and smoking.

Clinical Features / Symptoms:

    1. Epigastric pain: Pain is referred to the epigastrium and is often so sharply localized that the patient can indicate its site with two or three fingers-the ‘pointing sign’.
    2. Hunger pain: Pain occurs intermittently during the day, often when the stomach is empty, so that the patient identifies it as ‘hunger pain’ and obtains relief by eating.
    3. Night pain: Pain wakes the patient from sleep and may be relieved by food, a drink of milk, or antacids; this symptom when present is virtually pathognomonic for ulcer.
    4. Water brash: This is a sudden filling of mouth with saliva which is produced as a reflex response to a variety of symptoms from the upper GIT, e.g., peptic ulcer pain
    5. Heartburn
    6. Loss of appetite
    7. Vomiting

Hyperacidity and Homeopathy

Based on the above symptoms commonly found in the patients complaining of ‘acidity’, following homoeopathic medicines can be used in such patients:

Medicines for ‘Hyperacidity’ as given in Boericke’s Materia Medica:

 

Arg. n; Atrop; Cal. c; Carbo v.; Iris; Nux v.; Orexine tan.; Puls.; Robin.; Sul. ac.;

 

Acet. ac.; Anac.; Ant. c.; Bism.; Caffeine; Calc. p.; Cham.; Chin ars; Cinch.; Con.; Grind.; Hydr.; Ign.; Lob. infl.; Lyc.; Mag. c.; Mur. ac.; Nat. p.; Petrol.; Phos.; Prun. v.; sul.

On doing a general repertorisation of the following symptoms common in acidity,

  1. Heartburn
  2. Nausea, eating after
  3. Nausea, morning
  4. Vomiting, eating after
  5. Distension, eating after
  6. Indigestion
  7. Distension, eating after
  8. Waterbrash
  9. Eructation’s, food(regurgitation)
  10. Fullness, sensation of, eating after
  11. Ulcers, stomach in

following medicines top the results:

  • Nux vomica-27/30
  • Lyco-26/30
  • Puls-25/30
  • Calc c.-22/30
  • Carbo v./ China/ Phos/ Sulph-19/30
  • Nat m.-16/30
  • Sep-15/30
  • Ars/ Lach-14/30

So here we will discuss and compare some of these important medicines. The symptoms will be listed in following pattern:

 

  • Constitution
  • Cause
  • Symptoms relating to GIT indicating hyperacidity
  • Concomitants
  • Other keynotes
  • modalities

Nux vomica

 

    • Constitution

 

  • Thin people, with dark hair and dark complexion, who lead a sedentary life, nervous, extremely sensitive to external impressions.

 

    • Cause

 

  • Dyspepsia from drinking strong coffee
  • High living, alcohol, highly spiced seasoned food, irregular diet, long continued mental or physical stress, excessive intake of medicines.

 

    • Symptoms relating to GIT indicating hyperacidity

 

  • Nausea in the morning, after eating.
  • Weight and pain in stomach; worse eating, some time after
  • Nausea and vomiting, with much retching
  • Epigastrium bloated, with pressure as of a stone, several hours after eating
  • Sour, bitter eructations
  • Sour taste in the morning

 

    • Concomitants

 

 

  • Region of stomach very sensitive to touch
  • Desire for stimulants
  • Loves fat and tolerates them well
  • Constipation, with frequent ineffectual urging; passing small quantity at each attempt; feeling as if part remained unexpelled.
  • Throat: rough, scraped feeling. Tickling after waking in morning.

 

 

    • Other keynotes

 

  • Oversensitive to all external impressions
  • Very irritable
  • Aversion to cold air
  • Irresistible desire to sleep in the evening

 

    • Modalities

 

< morning, mental exertion, after eating, stimulants, spices, cold, dry weather

> in evening, damp-wet weather


Lycopodium

 

    • Constitution

 

  • Carbonitroginoid constitution. Intellectually keen but physically weak. Upper part of body is emaciated, lower part semi-dropsical. Unhealthy complexion, looks older than he is.

 

    • Cause

 

  • Dyspepsia due to farinaceous and fermentable food, cabbage, beans, etc.

 

    • Symptoms relating to GIT indicating hyperacidity

 

  • After eating, pressure in stomach, with bitter taste in mouth.
  • Eating ever so little causes fullness
  • Immediately after a light meal stomach is bloated full
  • Incomplete burning eructations rise only to pharynx, there burn for hours
  • Sour eructations
  • Rolling of flatulence
  • Food and drink regurgitates through nose.
  • Wakes at night feeling hungry

 

    • Concomitants

 

  • Aversion to bread
  • Desire for sweets
  • Likes to take food and drink hot
  • Excessive hunger
  • Stool hard, difficult, small, incomplete.

 

    • Keynotes

 

  • Right sided complaints
  • Fan like movement of alae nasi
  • Half open eyes in sleep

 

    • Modalities

 

< 4 to 8 p.m., right side, heat except throat and stomach

> warm food and drink, loosening the garments, open air

Lobelia inflata

  • Constitution
  • Best adapted to light-complexioned fleshy people
  • Symptoms relating to GIT indicating hyperacidity
  • Extreme nausea and vomiting
  • Acidity, flatulence, shortness of breath after eating
  • Heartburn with profuse flow of saliva
  • Faintness and weakness of epigastrium
  • Profuse salivation with good appetite
  • Acrid, burning taste; mercurial taste; tongue coated white
  • Acidity with contractive feeling in the pit of stomach
  • Concomitants
  • Cannot bear smell or taste of tobacco
  • Profuse salivation
  • Tongue coated white

Sulphuric acid

  • Symptoms relating to GIT indicating hyperacidity
  • Sour eructations; sets teeth on edge
  • Heartburn
  • Relaxed feeling in stomach
  • Sour vomiting
  • Nausea with chilliness
  • Concomitants
  • Craving for alcohol
  • Water causes coldness of stomach
  • Averse to smell of coffee
  • Desire for fresh food
  • Week feeling in abdomen, with dragging into hips and small of back.
  • Keynotes
  • Debility, tremors and weakness
  • Modalities

> warmth, lying on affected side.


Robinia

  • Symptoms relating to GIT indicating hyperacidity
  • Intensely acrid eructations
  • Nausea, with sour eructations
  • Profuse vomiting of an intensely sour fluid; acrid and greenish vomiting
  • Great distension of stomach and bowels
  • Flatulent colic. Incarcerated flatus
  • Sour stools
  • Acidity in children; child smells sour
  • Nightly burning pains in stomach with constipation with urgent desire
  • Concomitants
  • Frontal headache, dull, throbbing; worse motion and reading

Manish Bhatia

- CEO, Hpathy Medical Pvt. Ltd.
- Homeopathy physician.
- Lecturer of Organon & Homeopathic Philosophy.
- Founder Director of Hpathy.com
- Editor, Homeopathy 4 Everyone
- Member, Advisory Board, Homeopathic Links - Member, Center for Advanced Studies in Homeopathy
- Co-author - Homeopathy and Mental Health Care: Integrative Practice, Principles and Research
- Author - Lectures on Organon of Medicine

Comments

  1. m2mohan

    Man Mohan

    November 19, 2010

    Dear Dr. Manish Bhatia,

    I have been searching for a homeopathic cure for chronic sinusitis
    as well as treatment for chronic Eosinophelia but never found a
    homeopathic remedy which will cure.

    For eosinophelia – alimentary canal cleaning for worms and ameobiasi
    etc was done and tests were nil.

    You are yourself a highly reputed homeopahtic expert and have a
    global contacts with peers. Can you guide me how to cure CHRONIC
    SINUSITIS & CHRONIC EOSINOPHELIA TREATMENT.

    Regards
    MAN MOHAN

  2. Krishna

    June 14, 2011

    Dear Dr.,
    I am suffering Gustic since last 10 years. I got test and Class ‘B’Oesophagitis with linear Erosions is noticed. I took medicines but it doesnot work. So i would like to request you kindly suggest the better way to element this diseas.

  3. dr.munesh kr.

    July 13, 2011

    hi…..myself dr.munesh practiced in moradabad .i read thoroughly this article and i am getting good about aci peptic disease.i am getting to know the differential diagnosis of peptic ulcer.

  4. Harshad Pore

    June 10, 2012

    It is just superb. What you are doing is a great community service. Hats off to you!!!
    But I have a question. I found that the first medicine suits me the best. But can I take it without a doctor’s supervision or prescription? And what is its trade name?

  5. renish dadhaniya

    October 9, 2012

    respected sir,

    I am renish dadhaniya from ahmedabad. i am 22 year old,i am student of engineering.i live as a paying guest in ahmedabad so, diet is also big problem.
    i am suffering by the hyper acidity more than 2 year.i had taken many treatment from different doctor,but not any result outcome.sir, i am totally depressed by this illness & my weight is also so much loose.
    so, sir give me particular solution for this illness,please reply as quick as possible.
    thank you.

  6. Promise Ugochukwu

    December 23, 2012

    Good day, my dad was told that he has gastric ulcer but for years now, he has been regurgitating colourless and tasteless fluid from his mouth. He has not been able to eat much and he is now wasted. It has affected him so much now that he does not work any longer. What can i do for him, please help.

  7. Ramesh yadav

    May 13, 2013

    Dear sir,I want to know the maximum does and interval of puls 1000

  8. JITU

    June 25, 2013

    I have been suffering from sure throat for last 7-8 yrs .some time i cant speak prperly especially after meal.i want to know is it happening because of sinus from head or acid from abdoment.pls advice which wich test will corraborate it.

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