28/11/2025
🔥 Acid Reflux — smart strategies, testing & natural support.
PPIs are a cornerstone for reflux/peptic disease — lifesaving for some — but long-term use should be reviewed because observational studies link chronic PPI use to issues like infections, nutrient absorption problems, and fractures in some populations. The best approach: use the lowest effective dose, try lifestyle measures, and investigate persistent or alarm symptoms rather than simply increasing meds. If you’re on long-term PPI and worried, book a review to discuss tapering options and testing.
Acid reflux is common, but managing it effectively is about more than just suppressing acid. Here’s a practical guide:
✨ PPIs (Proton Pump Inhibitors):
💊 Highly effective for short-term acid suppression
⚠️ Long-term use can increase risk of nutrient deficiencies (B12, magnesium), infections, and bone issues
✨ Lifestyle strategies that help:
🥗 Avoid trigger foods (spicy, fatty, coffee, alcohol)
⏰ Don’t eat within 2–3 hours of bed
🛏️ Elevate head of bed
⚖️ Maintain healthy weight
🚭 Quit smoking
✨ When to review meds & test for causes:
🧪 H. pylori testing — bacteria that can cause ulcers and worsen reflux
🫀 Structural issues — valve dysfunction, weak lower oesophageal sphincter
🩺 Hiatus hernia — can contribute to reflux
🩹 Ulcers or erosions — may need endoscopy if symptoms are severe or persistent
✨ Natural & complementary approaches:
🌿 Herbal support (e.g., deglycyrrhizinated licorice, slippery elm)
🥛 Probiotics for gut balance
🍵 Mindful eating, chewing well, smaller meals
🧘 Stress reduction (yoga, meditation, breathwork)
💧 Hydration & gentle exercise
✅ Use the lowest effective PPI dose
✅ Reassess regularly with your clinician
✅ Persistent symptoms despite meds? Investigate further and combine with natural strategies
✨ Goal:
Control symptoms while treating the root cause, reducing reliance on medications, and supporting gut health naturally.
💛 Need help reviewing your PPI use, testing for H. pylori, or building a natural reflux plan?
Book a personalised consultation via the link in my bio.
RESEARCH SOURCES:
• NHS — Heartburn & acid reflux management
• Mayo Clinic — Proton pump inhibitors: uses & risks
• American Gastroenterological Association (AGA) — Long-term PPI safety and management
• Cleveland Clinic — Lifestyle measures for reflux
• NICE Guidelines — H. pylori diagnosis & management
• Integrative Medicine reviews — herbal & probiotic support for reflux
