I've seen plenty of discussions about what to do to prevent gerd but once it has you in its grip it can be terribly painful. What can I do to relieve the pain. I've read I shouldnt use anti acids and they don't really relieve the pain anyway. It seems like water or something might wash away the acid but i've tried that and it doesnt really work either. Help.
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replied January 19th, 2018

Welcome to e health forum.

Gastritis pain occurs in the left upper portion of the abdomen and in the back. Other symptoms of gastritis include - Belching, Nausea and vomiting, ‎‎‎‎‎Bloating, Feeling of fullness or burning in the upper part of the belly.

‎Once you consult your gastroenterologist and undergo tests including upper GI endoscopy, your underlying issue will be diagnosed, allowing proper treatment measures to be initiated.

In the mean time taking antacids (Mylanta, Tums ,Gelusil) and Acid reducing medications (Prevacid, Nexium) should help reducing symptoms.

Diet change will also be very helpful.

Some tips to help your symptoms include:-
1. Reducing intake of hot spicy and Fat rich foods, fried foods, is very important.
2. Try eating a little more slowly. When you eat fast, you swallow extra air with your food. Try to not talk while eating. Extra air while eating can lead to belching and gas production.
3. Eating at the same time each day and eating smaller meals more frequently may be beneficial as well.
4. Try to eat a balanced diet. Foods with high fiber may initially increase gas production. However, the this will decrease over time.
5. It is better not to drink fluids with your food. Drinking fluids with meals can increase your air intake and increase gas.
6. Avoid major gas and acid producing foods like -
- Vegetables: Onions, Celery, Carrots, broccoli, Brussels Sprouts, Cucumber, Cabbage,Cauliflower, Radishes , potatoes and eggplant.
- Beans, peas, Green salads, brown rice and leeks
- Fruits like - Raisins, Bananas, Apricots, Prunes, dried fruit
- Carbohydrates rich foods like - Bagels, Wheat Germ, Pretzels,puddings, breads.
- ‎Cured meats and high fat meat products such as sausages, salami, ham, ‎bacon, and Red meats like beef and lamb‎ should be reduced in consumption or avoided totally. ‎

In addition to the above methods, Activated charcoal, probiotics and digestive enzyme supplements ‎can be used relieve your symptoms

In some patients with chronic gastritis or GERD, inspite of following all the above tips, they might not find relief. This is due to their symptoms being mainly increased due to Stress, which is a major stimulant of Gastric acid secretion. Lack of proper sleep also adds to it. Such patients can be helped by proper behavior modification (to manage stress) and psychological counselling. Sleeping aids or antianxiety or Hypnotic medications can also be prescribed by your doctor if deemed necessary.

I hope this helps.

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