Search
× Search

Acid Reflux

Acid reflux or GERD occurs when gas, liquid or food particles in the stomach return back up the esophagus (food tube) into the back of the throat (pharynx), mouth, nose, sinuses, middle ear tube (Eustachian tube), or middle ear. This results in irritation (inflammation) and discomfort of these areas. It is important to note that patients don’t always feel the irritation and the symptoms can be ‘silent’. When this occurs, your doctor might see evidence on your physical exam or note other symptoms that are concerning for reflux.

When the reflux enters the upper airway, it is called laryngeal pharyngeal reflux or LPR. When this occurs, it is called GERD/LPR. Unfortunately, up to 60% of the population will have reflux one or more times per week.

As many as 75% of individuals with asthma are at a higher risk of experiencing acid reflux symptoms. In fact, asthmatics are twice as likely to have GERD. Many severe asthmatics have GERD that makes their asthma more challenging to treat. The stomach contents may trigger nerves associated with asthma (particularly cough) or can actually enter the airways (aspiration) resulting in spasm, irritation and asthma symptoms. For these reasons, reflux needs to be considered in individuals with asthma.

Signs and Symptoms of GERD/LPR

  • Nasal congestion and sometimes runny nose
  • Postnasal drainage
  • Cough
  • Hoarseness (particularly in the morning), throat irritation/burning
  • Unusual or bitter taste in the mouth or the back of the throat (brackish water)
  • Difficulty swallowing or choking (particularly at night)  Recurrent sore throat, pneumonia, bronchitis, sinusitis, or ear infections
  • Constant throat clearing
  • Bad breath (halitosis)
  • Burning chest pain (can mimic heart attacks)
  • Abdominal fullness, gas, or belching after meals
  • Chest pain, burning or tightness in the chest after lying down or bending over

If GERD/LPR is diagnosed, your physician may recommend using medications to help block the effects of acid secretion. Anti-acids (like Rolaids or Tums) weaken and neutralize the acid in your stomach, but don’t affect the production of acid and don’t work to prevent symptoms. H2 blockers (like Zantac or Pepcid) lessen the production of acid in your stomach and help prevent symptoms. They tend to work longer but are not quick to act so they don’t alleviate symptoms quickly. Proton Pump Inhibitors or PPIs (like Prilosec, omeprazole or Nexium) are longer acting and make acid less prevalent in the gut. They work by preventing symptoms and must be taken on an empty stomach 30 minutes prior to eating.

All medications including those for acid reflux have potential side effects and these can be discussed with your provider.

Measures That May Help Alleviate Symptoms of GERD/LPR:

  • Elevate the head of your bed 6-8 inches (This can be done by placing the top bedposts on cinder blocks or using a wedge under the top of the mattress. Elevating your head on pillows is not as effective.)  Eat smaller, more frequent meals rather than large ones.
  • No eating or drinking at least 3-4 hours before bedtime.
  • Drinking fluids of any type before bedtime can result in stretching the stomach opening resulting in reflux.
  • Do not skip meals. This can actually result in a 15% increase in daily caloric intake. Skipping meals usually result in overeating of the remaining meals, which can overfill your stomach and increase acid reflux.
  • Lose weight, if needed. We know that those who are overweight do not respond as well to GERD meds as those who are of healthy weight.
  • Avoid bending over, straining, constipation or wearing tight clothes around the abdomen.

Eliminate the following foods and beverages (totally, if all possible)

  • Caffeinated and/or decaffeinated products
  • Alcohol
  • Carbonated beverages of any type
  • Chocolate
  • Mint (includes gums and toothpaste)
  • All types of citrus
  • Fried foods (includes many spicy or fatty foods)
  • Nicotine of any type
  • Dairy

Recent News

2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies;  Oklahoma City named 9th out of 100
SuperUser Account
/ Categories: News

2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies; Oklahoma City named 9th out of 100

The Asthma and Allergy Foundation of America (AAFA), the premiere patient advocacy organization representing more than 60 million Americans with asthma and allergies, just released its annual Allergy Capitals™ report for 2020. The report identifies the most challenging places to live with spring and fall allergies in the top 100 metropolitan areas in the U.S. Richmond, Virginia, takes the top spot based on higher-than average spring and fall pollen scores, higher-than-average medication usage and availability of board-certified allergists in the area. The top 10 Allergy Capitals for 2020 are:

1.Richmond, Virginia 2. Scranton, Pennsylvania 3. Springfield, Massachusetts 4. Hartford, Connecticut 5. McAllen, Texas 6. New Haven, Connecticut 7. San Antonio, Texas 8. Bridgeport, Connecticut 9. Oklahoma City, Oklahoma 10. Pittsburgh, Pennsylvania. Tulsa was named 23rd.

“For more than 50 years, the prevalence of allergic diseases has risen and it’s no coincidence that during the same time, pollen seasons have become stronger and longer due to warmer temperatures,” says Kenneth Mendez, AAFA CEO and president. “The Allergy Capitals report helps raise awareness about the impact of seasonal allergies, how people can prepare and start proper treatment. Local communities can also use the report as a tool to identify how to better meet the needs of their residents living with allergies and allergic asthma.”

Seasonal nasal allergies cause runny and congested noses, inflamed sinuses, relentless sneezing and other symptoms each spring through fall. Pollen can also trigger asthma attacks. Tree pollen season starts as early as January in some parts of the U.S. and continues through summer. In the fall, weed pollen – especially ragweed pollen – is responsible for symptoms. But relief is possible with the right treatment and by managing contact with pollen.

“You are not alone in dealing with allergies,” said Laura Chong, M.D., Oklahoma Allergy & Asthma Clinic Board-Certified Allergist. “Oklahoma City consistently remains in the top allergy and asthma capitals each year. You can take steps to limit your exposure to seasonal allergens like pollen; however, it is impossible to avoid pollen completely. It’s important to talk to your allergist about an allergy treatment plan to keep your symptoms under control.”

Treatment options can include over-the-counter or prescription allergy medicines. Allergy immunotherapy can help reduce or prevent allergy symptoms. These treatments are most effective if they are started before the allergy season begins.

See the full 100-city ranking at allergycapitals.com. The report lists overall rankings and breaks down a seasonal ranking for spring and fall.  Watching daily pollen and mold reports can help those who are pollen allergic plan their day and make sure they are taking their medications.

A board-certified allergist can diagnose allergies, and determine the specific triggers that cause them, through simple tests. The allergists at Oklahoma Allergy & Asthma Clinic evaluate and manage patients of all ages.  The main clinic is on the Oklahoma Health Center campus.  For patient convenience, satellite offices are located in Edmond, Norman, Midwest City and Yukon.

Visit the OAAC website at www.oklahomaallergy.com to view the addresses for all Oklahoma Allergy and Asthma Clinic locations.  To make an initial appointment for an allergy or asthma or to request more information, please call (405) 235-0040 or visit the website.

The post 2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies; Oklahoma City named 9th out of 100 appeared first on Oklahoma Allergy and Asthma Clinic.

Previous Article OAAC hosts Yukon Open House and Ribbon Cutting
Next Article Coronavirus (COVID-19): What People With Asthma Need to Know
Print
70
Terms Of UsePrivacy StatementCopyright 2026 by Oklahoma Allergy and Asthma Clinic
Back To Top