Does Your Sore Throat Get Set off by Acid Reflux?
Acid reflux refers to the condition in which the partially digested food containing digestive juices travels back into the esophagus from the mouth.
To describe the mechanical layout of this disease, our digestive system has a circular band of muscle called lower esophageal sphincter. This muscle splits the stomach from the esophagus. When the food enters the stomach, this muscle closes so as to prevent the partially digested materials from traveling back into the esophagus. But when the lower esophageal sphincter is rendered incompetent, the stomach contents are allowed to regurgitate or spit up.
The stomach contents that moves back to the esophagus contains digestive acids since they have undergone digestion in the stomach where digestive liquids are released to facilitate the digestion. Because of the acidic nature of the refluxed materials, inflammation develops in the lining of the throat; thus a sore throat is one of the most common symptoms of this condition.
Sore throat is usually associated with other symptoms, though sometimes it is uncommon, such as the occurrence of pus on the tonsil surface and drooling or frequent spitting. Moreover, a patient with sore throat may also experience difficulty in breathing caused by the narrowing of the air passage through the larynx or pharynx.
The pain or other difficulties caused by sore throat can be abated, if not treated, with simple self-treatments that can be done at home. Gargling is a recommended practice. You may try gargling with warm water mixed with table salt. Drinking a lot of water is also very important. Get extra sleep, for this encourages faster recovery. Popsicles or cold drinks are good for sore throats. Humidifiers or vaporizers can be used to sooth the pain in the throat. And also, sucking on solid candies, which help promote saliva production, works as an alternative remedy. It is known that saliva contains bicarbonates that help neutralize the acids that might have remained in the throat due to the reflux.
But if home-treatments are not enough to ease your condition with the sore throat, medical treatments are available. The intake of medicine is particularly advised for those who experience associated symptoms like difficulty in breathing, dehydration or body water loss, and severe pains. Take antibiotics if you feel that viral or bacterial infections have further developed in the throat. Also, rheumatic fever can be prevented from arising, though this condition is very much uncommon. Corticosteroids, which have an anti-inflammatory effect, can help in case of critical sore throat conditions.
Preventive measures and remedies, of course, are available to minimize the incidence of acid reflux, and sore throat, as well. One practical and immediate treatment is the application of gravity; that is, the person is kept in upright position at most times so to hold the digested materials down. Gravity can help prevent regurgitation, or the traveling of the stomach contents back up to the esophagus.
Eating habits should also be changed to facilitate in the treatment of acid reflux. Usual cases of acid reflux usually take place after a meal. It is recommended that evening meals should be taken earlier and in smaller quantities. This is so that the stomach can get emptied in a shorter period of time as compared to when heavy meals are eaten. Moreover, patients with acid reflux have less chances of regurgitating when they lie down.
Medications are also available. Some drugs act to neutralize the acids in the stomach and some work by blocking the production of acids by controlling the actions of histamine.
Recognizing the Symptoms of Acid Reflux
Acid reflux (gastro-esophageal reflux disease) is a physiological condition that causes the content of the stomach to reflux into the esophagus and throat. Although there are many factors that contribute to the development of acid reflux, the main cause is inappropriate activity of the lower esophageal sphincter (muscular valve that seals the lower ending of the esophagus), allowing the stomach acids to reach the upper levels of the body. Additional causes of acid reflux are inappropriate diet, unhealthy lifestyle or other physical dysfunctions and conditions.
Acid reflux can become serious if it is not appropriately treated. The symptoms of acid reflux should be spotted quickly, in order to prevent the development of complications (esophageal inflammation and lesions, damage of the throat, gastro-intestinal disorders, breathing problems). The symptoms of acid reflux are easy to identify and it is best to see a physician as soon as they occur. The condition has a chronic character and usually requires ongoing treatment. For some patients, surgery is best alternative in overcoming acid reflux.
Acid reflux is very common in infants and young children. Although for most babies the symptoms of acid reflux disappear with time, in some cases the condition can persist for years, causing serious harm to the gastro-intestinal system and the esophagus. The most common symptoms of acid reflux in infants are: spitting, vomiting, coughing, irritability, discomfort when feeding and the presence of blood in feces. Other symptoms of acid reflux in babies occur if the condition is severe: pronounced difficulty swallowing, intense pain when feeding, spitting or coughing blood, vomiting blood, presence of blood in stools, problems with breathing.
Common symptoms of acid reflux in adults are: abdominal pain and discomfort (especially after meals), bad breath, bitter taste in the mouth, excessive secretion of saliva, and sleeping problems. People with acid reflux can also develop apnea, a sleeping disorder manifested through respiratory insufficiency.
The extended symptoms of acid reflux in adults are: difficulty swallowing, chest burn and aching, poor appetite, nausea, presence of blood in vomit and stools, throat inflammation and pain, breathing difficulties. If the symptoms of acid reflux become very intense it is a clear sign of aggravation. Acid reflux can cause serious damage at the level of the esophagus, due to its constant exposure to stomach gastric acid. Acid reflux can cause inflammation, swelling and even scarring of the esophageal soft tissue. It is very important to pay attention to the symptoms of acid reflux, and act quickly in overcoming the condition. If acid reflux occurs frequently, it can cause serious complications.
Acid Reflux Complications
Acid Reflux or Gastroesophageal reflux disease (GERD) is a condition in which the liquid content of the stomach backs up or refluxes into the esophagus. The liquid can inflame and damage the lining of the esophagus. This regurgitated liquid mainly contains acid and pepsin, both being produced by the stomach. It may also contain bile. Amongst all the contents of the liquid, acid is the most harmful.
Once GERD starts, it stays for life-long. GERD is a chronic condition and the treatment has to continue indefinitely. The reflux of the stomach’s liquid contents into the esophagus occurs in normal individuals also. The difference of it occurring in GERD patients is that the refluxed liquid contains more acid that often remains in the esophagus for longer duration. The body has ways of protecting itself from the effects of reflux and acid. Saliva contains bicarbonate that neutralizes the small amount of acid that remains in the esophagus. Gravity, swallowing and saliva are the protective mechanisms for the esophagus when an individual is in the upright position.
There are various complications arising because of acid reflux.
Ulcers – The cells lining the esophagus are sometimes damaged due to the reflux of liquid from the stomach into the esophagus. An ulcer is a break in the lining of the esophagus that occurs in an area of inflammation. It may give rise to bleeding in the esophagus. When the bleeding becomes severe, blood transfusion is required along with endoscopic or surgical treatment.
Strictures – Scars are formed when the ulcers of the esophagus heal. The scar tissue shrinks and narrows the lumen of the esophagus. This scarred narrowing is called a stricture. It may cause swallowed food to get stuck in the esophagus. Barrett’s esophagus – Severe GERD or Long-standing cause cells to change that line the esophagus. These cells then become pre-cancerous and then finally cancerous.
Cough and Asthma – Some nerves in the esophagus are stimulated by the refluxed acid, which results in pain. Other nerves that are also stimulated provoke coughing. The stimulated esophageal nerves that connect to the nerves going to the lungs causes the breathing tubes to narrow, resulting in an attack of asthma.
Inflammation of the throat and larynx – When the refluxed liquid gets past the upper esophageal sphincter, it enters the throat and the voice box, causing inflammation and soar throat.
Inflammation and infection of the lungs – The reflux of liquid into the lungs results in coughing and choking. This can lead to infection of the lungs and result in pneumonia.
Fluid in the sinuses and middle ear – Found in children, it is caused when the sinuses and middle ears are closed off from the nasal passages by the swelling of the adenoids. Fluid is then accumulated within them.
GERD is treated with life-style changes, antacids, histamine antagonists (H2 blockers), proton pump inhibitors (PPIs), pro-motility drugs, foam barriers, surgery, and endoscopy.
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