Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids, H2 blockers and proton pump inhibitors (PPIs).

However, patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe, a condition linked with persistent acidity.

Loss of appetite, loss of weight and difficulty in swallowing food, bleeding and signs of systemic illness in these patients suggest complications.

Lifestyle changes for reflux involve elevation of head and of the body, avoidance of food before sleep and avoidance of food, which relaxes the food pipe valve. The examples of such foods include fatty food, chocolates, peppermint and excessive intake of alcohol.

Hurry, worry and curry are the three main factors for causing acidity apart from alcohol and smoking. People with acidity should consume less of fermented, sour, salty and pungent foods

 

 

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