12 Digestive disease and acid reflux myths clarified by gastroenterologist

GERD and diseases of the stomach are common maladies among working-age individuals prone to such disorders due to risk factor exposures, such as stress or working late into the evening, resulting in inadequate rest, erratic meals, and a lack of physical activity. Abundant buzzes are making the rounds on social media regarding GERD and stomach disease, including many peculiar beliefs. Some seem plausible, while others are questionable, instigating incessant debates. Today, our gastrointestinal and liver disease doctor specialists are here to shed light on some of those myths. Let us dive in.

1. Is it true that spicy food can cause peptic ulcers?

It is false. Despite the capsaicin in chili peppers causing a burning sensation in our mouth from local irritation, it is not strong enough to cause ulcers. The burning sensation from the local irritation is alike in the mouth and stomach and does not lead to ulcers at both sites.

2. Is it true extremely sour or sweet foods cause peptic ulcers?

It is false for the same reason as spicy foods. Although highly sour foods may cause some irritation, it does not lead to peptic ulcers. As for sugary sweet foods, they can cause bloating and worsen existing gastritis or GERD but are not a cause of the diseases.

3. Is it true that erratic meal timing leads to stomach problems? 

Erratic meals can contribute to the disease. The stomach releases acids in anticipation of our regular mealtimes. Without food in the stomach, the released acid can trigger symptoms of stomach disease and GERD. Additionally, erratic mealtimes are stressful to the body, aggravating stomach disease symptoms. According to a study, people who eat erratically are more susceptible to H. Pylori infection than those who eat regularly. This bacterium is the Achilles' heel of our stomach and a proximate cause of gastritis and peptic ulcer disease.

4. Is it true that you should not exercise after meals if you have GERD?

This is true for strenuous exercises such as weight training, which increase intra-abdominal pressure, possibly leading to vomiting and worsening the GERD symptoms.

5. Is it true that stress can lead to stomach problems or a nervous stomach?

This is true. In our daily lives, chronic stress due to inadequate sleep, insomnia, overcrowding, and traffic jams can surreptitiously creep in. Stress affects the quantity of stomach acids. When stress is chronic, it triggers the sympathetic nervous system to release stomach acids excessively, leading to stomach issues and ulcers.

6. Is it true that bland diets can cure GERD?

This is false. Consuming bland diets has no utility as a treatment for GERD. Gastroenterologists recommend avoiding caffeinated drinks, carbonated beverages, and highly zesty, spicy, and sour foods because they trigger GERD and irritate the stomach. But the reverse causation implication is not true.

7. Is it true that herbs with anti-bloating properties can relieve GERD symptoms?

This is true for certain types of herbs like turmeric. Research confirmed curcuminoid in turmeric exerts an anti-inflammatory effect on the gastrointestinal tract. Consumers should purchase turmeric products from reputable suppliers, ensuring it is free from contaminants and approved by the FDA to avoid the risk of contaminated products jeopardizing health.

8. Is it true that heartburn is the only symptom of GERD?

This is not true. Although the two common textbook symptoms of GERD are heartburn and sour eructation, with the sensation of acid in the throat, GERD can manifest with extra gastrointestinal symptoms, such as chronic cough, chronic sinusitis, pneumonitis, and chest tightness, which require extra scrutiny as they can be warning symptoms of potentially fatal heart disease.

9. Is it true that very acidic or biting vegetables and fruits cause GERD?

This is true, especially for fruits with a tangy taste, such as oranges, pineapples, limes, and grapes, as well as gas-forming vegetables like chilies, garlic, mints, and basils. These types of fruits and vegetables trigger GERD symptoms or cause bloating. However, individuals are affected differently, so you should note your reaction to these fruits and vegetables.

10. Is it true that antacids can be used at any time and in any amount?

This is false. It is crucial to remember that antacid can be an umbrella term for a variety of drug types, which can lead to misunderstanding and misuse. There are two types of antacids: antacid tablets that can suppress acid secretion and liquid antacids that only neutralize stomach acid and provide symptomatic relief. The dose and frequency of the two drugs are distinct. Tablet antacids are limited to twice daily dosing, while liquid antacids 3 to 4 times daily. You should seek medical attention for proper diagnosis and appropriate treatments if there is no improvement after a period of self-medicating.

11. Is it true that placing a leaf on the abdomen can relieve bloating?

This is a myth. It is a belief held in the old days. Putting a leaf on the abdomen has never been scientifically proven to relieve bloating.

12. Is it true that sleeping with the head elevated can reduce GERD symptoms? 

This is not true. Raising only your head on pillows during sleep does not improve GERD symptoms. The correct way is the elevation of the upper body from the xiphoid upwards. The xiphoid is the level at which the lower esophageal sphincter, a valve between the esophagus and stomach, is located. Sleeping with the whole upper body elevated helps prevent regurgitation.

Most gastrointestinal and liver diseases are curable if detected early. Therefore, if you suspect that you have GERD or have symptoms suggestive of stomach disease, it is advisable to consult with a doctor specializing in gastrointestinal and liver diseases for diagnosis, treatment, and proper self-care guidance based on your condition.