Acidity and reflux is the most common problem faced these days. It accounts for approximately 70% of any gastroenterologist OPD. It is related to faulty and untimely eating habits, eating spicy oily food, drinking less water, heavy milk consumption, less sleep and too much stress. Patients usually suffer from severe bloating, gas formation, burning in stomach and chest, upper abdominal pain, postprandial fullness. It is usually diagnosed by routine blood tests, sonography to rule out fatty liver and gallstones and upper GI endoscopy to rule out gastritis and ulcers in the stomach. H pylori biopsy is taken in endoscopy to rule out h pylori infection.
Treatment is to curb all faulty eating habits, timely food, adequate sleep, start PPI and antacids. If h pylori is detected..treatment of h pylori with HP kit is recommended which contains antibiotics and PPI. If not treated in time, it can lead to bleeding from mouth or black stools, perforation of stomach and rarely pyloric obstruction with food and acid vomiting. Rarely it can lead to gastric cancers.There are no side effects of PPI or antacids noted.but long-term treatment is needed for the cause and not for acidity. If acid reflux is severe, it can be bothersome, causing food and acid coming in the mouth with vomiting, disturbed sleeping with severe reflux at night. It requires surgical correction in form of laparoscopic fundoplication surgery where valve between food pipe and stomach is tightened.