How To Get Rid Of Acid Reflux?

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Gastric reflux occurs when the contents of the stomach move into the esophagus. This complication is also called acid reflux. If you experience its symptoms more than twice a week, you may have gastroesophageal reflux disease or GERD. Therefore, it is better to see a gastroenterologist.

Gastric reflux disease affects about 20% of people. If left untreated, the persistence of gastric reflux can lead to severe problems, including cancer or other gastrointestinal diseases.

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What is gastric reflux?

Gastric reflux occurs when acid and other stomach contents return to the esophagus through the lower esophageal sphincter. The lower esophageal valve is a ring-shaped muscular valve at the esophagus’s end and the stomach’s beginning.

By opening this valve, the swallowed food enters the stomach from the end of the esophagus. After food enters the stomach, this valve closes to prevent food from returning to the esophagus. When this valve is weakened or damaged, it may not function properly. This is what causes gastric reflux.

Doctors believe that if the symptoms of gastric reflux occur more than twice a week, it is likely that the person has this disease.


Reflux disease can be divided into different types.

  • Recurrent but nonprogressive Reflux ( classic reflux )
  • Progressive Reflux

In classic reflux, stomach contents usually rise only in the esophagus and do not reach the pharynx. classic reflux symptoms appear mainly in the form of heartburn (heartburn).

Symptoms of gastric reflux

The symptoms of gastric reflux vary according to the organ affected by stomach acid. Not all people experience the same symptoms. Reflux symptoms range from mild to severe and usually occur after eating (especially spicy or fatty food) and when lying down or bending over.

Symptoms of gastric reflux include the following:

Pain or heartburn accompanied by a burning sensation in the chest; This burning may also reach the throat.

Bitter or sour taste in the throat. In some cases, some of the food or liquid in the stomach may return to the mouth.

Indigestion is accompanied by pain and discomfort in the upper abdomen. Symptoms of indigestion include stomach upset, nausea and vomiting, and an annoying feeling of fullness.

Sometimes, problems with swallowing sometimes disturb the person’s breathing.

Sore throat, severe hiccups, or vomiting.

If you are familiar with the above signs and symptoms or experience them occasionally, seeing your doctor as soon as possible is better.


Voice change due to reflux

Many people suffer from reflux. In these people, the stomach contents move backward and against the natural direction, even up to the throat. When the stomach contents reach the throat with this reverse movement, it is called laryngopharyngeal reflux.

Gastric secretions are rich in acid and enzymes that we need to digest food in the stomach. Naturally, these substances cause damage to the tissues of that part (throat and larynx) in any place other than the stomach and intestines.


Cause of voice change in reflux

As we said in laryngeal-laryngeal reflux, stomach secretions damage the vocal cords and larynx and inflame the larynx. Inflammation of the larynx is called laryngitis; in this case, the name reflux laryngitis is applied to it.

Symptoms of laryngopharyngeal reflux

The symptoms of laryngopharyngeal reflux are primarily as follows:

  • Clearing of the chest (similar to short coughs) frequently
  • The feeling of a lump in the throat
  • voice hoarseness (voice change)
  • Cough
  • Sore throat
  • More respiratory secretions
  • Bitter or sour taste in the mouth
  • Aggravation of voice symptoms by eating spicy foods

Note that the symptoms caused by laryngeal-laryngeal reflux are very similar to other diseases of the throat and larynx. It is suggested to consult an otolaryngologist at the same time as an internist or general practitioner to ascertain the cause of this problem.


Why is heartburn less common in laryngeal-pharyngeal reflux?

People with laryngopharyngeal reflux are less likely to complain of heartburn. Heartburn occurs due to the return of stomach contents to the esophagus and inflammation in the esophagus wall. This disease is called classic reflux or gastroesophageal reflux.

Although we know that stomach contents pass through the esophagus to reach the pharynx, it is not well understood why people with laryngopharyngeal reflux experience less heartburn.

Diagnosis of gastroesophageal reflux disease

The above symptoms, especially heartburn, are good signs for diagnosing gastric reflux. If the treating doctor suspects gastric reflux, he asks the patient to perform some related examinations and tests before diagnosis and confirmation.


The attending physician may use one or more of the following tests to diagnose gastric reflux:

Swallowing a solution containing barium substance: imaging the digestive system is impossible under normal conditions. Drinking a solution containing barium makes it possible to take pictures of the digestive system. This method is used to diagnose gastric reflux.

Endoscopy: A flexible tube with a tiny camera is sent into the esophagus for examination and sampling (if needed).

Esophageal pH monitoring: A pH meter is inserted into the esophagus to monitor the entry of stomach acid into the esophagus.

Esophageal tonometry: A flexible tube is passed into the esophagus to measure the strength of the muscles in the esophagus.

Possible side effects of acid reflux

In most people, gastric reflux does not cause serious complications. However, in rare cases, it can lead to severe or even life-threatening problems.

 Possible complications of reflux include the following:

  • Esophagitis or inflammation of the esophagus
  • Esophageal stricture, which occurs when the esophagus narrows or hardens.
  • Barrett’s esophagus involves permanent changes in the lining of the esophagus.
  • Esophageal cancer affects a small proportion of people with Barrett’s esophagus.
  • Asthma, chronic cough, or other breathing problems may occur if stomach acid enters the lungs.
  • Enamel erosion, gum disease, or other dental problems

Some factors can increase the likelihood of developing gastric reflux, including the following:

  • obesity
  • pregnancy
  • Hiatal hernia
  • Connective tissue disorders

Having some lifestyle behaviors can also increase this risk, for example:

  • smoking
  • Eating heavy meals
  • Lying down or sleeping immediately after eating
  • Eating certain types of foods, such as fried or spicy foods
  • Drinking large amounts of certain types of beverages, such as soda, coffee, or alcohol
  • Use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen

The Role of Anxiety in acid reflux

Anxiety may worsen some symptoms of reflux. If you suspect that anxiety is worsening your symptoms, talk to your gastroenterologist about ways to relieve it.


Some things you can do to reduce anxiety include:

Limit your interactions with experiences, people, and places that cause anxiety.

Learn relaxation techniques such as meditation or deep breathing exercises.

Modify your sleeping habits, daily exercise, or other lifestyle behaviors.

Prevention and treatment of gastric reflux

Changing your lifestyle and diet is one of the most effective ways to prevent and treat gastric reflux. Some points to keep in mind in the treatment of gastric reflux are:

  • Quit smoking.
  • Make your meals smaller.
  • Do not lie down immediately after eating.
  • Chew gum after eating.
  • Avoid eating and drinking foods that aggravate the symptoms of gastric reflux.
  • Do not wear tight clothes and belts.
  • If you are overweight, it is better to think about losing it.
  • If the above measures do not work, the doctor may prescribe medicine to treat gastric reflux.

Depending on the progress and seriousness of the disease, the ways to treat reflux can be different. Sometimes the patient can control his disease without needing chemical drugs, using acupuncture or other herbal and home remedies, and gradually learn how to tolerate it.

Sometimes, the course of the disease is so fast and robust that visiting a doctor, receiving a controlled treatment guide and using stomach and digestive drugs such as ranitidine, pantoprazole, lansoprazole and omeprazole should be done as soon as possible.

Gastric reflux surgery

In most cases, lifestyle modification and drug therapy are sufficient to relieve symptoms of gastroesophageal reflux. However, sometimes, surgery is also necessary. Surgery may be recommended if other solutions are ineffective or side effects occur. There are many different types of surgery to treat acid reflux.


Gastroesophageal reflux disease (GERD) is a digestive disorder affecting the ring of muscle between the esophagus and the stomach. This loop is called the lower esophageal sphincter (LES). Patients with gastric reflux suffer from heartburn or indigestion. Some doctors say a hiatal hernia can cause gastric reflux. Fortunately, in most cases, gastric reflux can be treated with lifestyle changes and a suitable diet, but some sufferers must go for drug treatment or even surgery.

See a gastroenterologist if you experience severe or frequent reflux symptoms or have used over-the-counter heartburn medications more than twice a week and still have not improved.

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Author and specialist

Dr. Majid Zahrabi,


  • Board Certified Neurosurgeon
  • DHA certificate holder
  • Plantation certificate holder, France
  • Certified holder of Discogol, France
  • A pioneer in the non-surgical treatment of disc herniation in the Middle East and CIS countries.
  • Under the training and coaching of Professor Jacques Theron (founder of Discogel Therapy) since 2008
  • More than 400 successful cervical and 1300 lumbar discogel injections
  • Trained and certified several neurosurgeons and spine surgeons in the Middle East and CIS countries for the treatment of Discogel
  • Strong belief in patient-centered care planning and participation
  • Neurosurgeon and spine surgeon at Imam Khomeini and Amir Mazandarani Hospital, Sari, Iran, with more than 430 surgeries annually, 2000-2011
  • Neurosurgeon and spine surgeon at Farmaniyeh, Nikan and Yas Sepid Hospital, Tehran, Iran, with more than 400 surgeries annually, 2011-2012
  • Neurosurgeon at Iranian Hospital, Dubai, 2022-2023
  • Since 2015, he has been working as a reference doctor for the treatment of intervertebral disc herniation with Discogel and has trained many doctors of spine-related specialties in various countries of the Middle East and CIS in person/practically and online.



  • Individual training sessions under the direct supervision of Professor Jacques Theron in Discogel treatment, 2008-2020
  • Training sessions under the supervision of Professor Thierry Boye on spinal implants, 2007
  • Participation and presentation in several national and international medical and neuro-spinal conferences
  • Board certificate by Iran Neurosurgery Board, 2001
  • Neurosurgery assistant training course, Isfahan University of Medical Sciences, Isfahan, Iran, 1996-2001 (In 2001, he graduated from Isfahan University of Medical Sciences with the first rank in the country.
  • His thesis the titled:The Application of human amniotic membrane in repair of dura matter in dogs.” ( It was happening for the first time in the world. )
  • General medical education, Tabriz University of Medical Sciences, Tabriz, Iran, 1984-1993


Published books:

  • CT scan of the brain for doctors
  • Etiology and treatment of painful spine disorders
  • Atlas of diagnosis, prevention, and treatment of spine disorders
  • The most common mistakes in the treatment of spinal disorders
  • Reading brain CT scan in simple language (3rd place in the book of the year)
  • Treatment of head and spine injuries

Publications and articles:

  • Bacteriostatic and bactericidal effects of DISCOGEL® (https://www.researchgate.net/)
  • Muscle recovery, reduction of pain, and improvement of movement strategies in patients with lumbar discopathy after injection of Discogel.
  • The article on the initial results of the treatment of intervertebral disc herniation with discogel injection, which won the second-best poster rank at the Pan Arab International Congress of Interventional Radiology (March 14-16, 2015) and was accepted for presentation at the Chicago Pain Congress.
  • The use of human amniotic membrane in dura mater repair in dogs, a study for the first time in the world.



  • Annual Congress of Physiotherapists of Iran, 2019
  • Chicago International Pain Congress, 2019
  • Iran International Pain Management Congress, 2018
  • Annual Congress of Physiotherapists of Iran, 2018
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Armenia for orthopedic specialists and neurosurgeons, 2017
  • First Live Workshop and Seminar on Minimally Invasive Disc Therapy (DISCON), 2017
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Azerbaijan for orthopedic specialists and neurosurgeons, 2016
  • Seminar of Iranian official managers, 2016
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Tajikistan for orthopedic specialists and neurosurgeons, 2016
  • International Neurological Intervention Congress in Iran, 2014
  • Educational seminar for nurses on treatment approaches for head and spine trauma, 2014
  • Educational seminar for general practitioners on treatment approaches for head and spine trauma, 2014
  • Speech at the Retraining Seminar for General Practitioners and Specialists in Dubai (Discon) in 2017
  • Speech in the internal retraining courses of Irani Hospital, Dubai
  • Holding lecture sessions and practical workshops on the treatment of intervertebral disc herniation with discogel injection in Azerbaijan, Tajikistan, Ukraine, Oman, and Armenia during the years 2015 to 2021.
  • Giving a lecture and holding a practical workshop for neurosurgeons in Vietnam at Ho Chi Minh City University in 2023

Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.