Question #19834
127 days ago
183
Acid reflux at night - #19834
Tawseef
When i get up in the morning i feel food has come back in my esophagus.i feel little pain in chest. No acidic taste or heart burn. Why is this happening.i also feel excess gas in my intestines.sometimes i pass that easily and sometimes it is hard to control
Age: 34
Chronic illnesses: Panic attack
Also feel excess gas in my intestines
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Doctors’ responses
Hello Tawseef, It sounds like you're experiencing symptoms that could be related to an imbalance in your digestive system, particularly in the area of the stomach and esophagus. In Ayurveda, this could be a result of a weak digestive fire (Agni), which can lead to the sensation of food coming back up, as well as excessive gas. The feeling of chest pain and difficulty controlling gas may indicate an issue with the balance of Vata and Pitta doshas, potentially aggravated by stress or anxiety (like panic attacks). To help improve digestion, Ayurvedic herbs like ginger, fennel, and Triphala may support digestion and reduce gas. However, it would be helpful to know if you've had any recent tests, such as an endoscopy or other digestive health evaluations. How is your overall diet, lifestyle, and stress management, as these factors can have a significant impact on your symptoms?
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Hello tawaseef
Your symptoms suggest delayed gastric emptying, which can cause food to regurgitate without the typical acidity or heartburn. Excess gas in the intestines may indicate weak digestion or imbalanced gut flora.
Possible Causes
• Eating late at night or lying down soon after meals
• Weak digestion leading to slow stomach emptying
• Poor gut health causing excessive gas buildup
• Stress and irregular eating habits
Ayurvedic Treatment & Remedies
1. Triphala Churna – Take 1 tsp with warm water before bed to improve digestion and bowel movements.
2. Avipattikar Churna – 1/2 tsp with water 30 minutes before meals to balance stomach acid and prevent reflux.
3. Hingwashtak Churna – ½ tsp with ghee before meals to reduce gas and bloating.
4.Amla Juice – 20 ml with warm water in the morning to strengthen digestion.
5. Mulethi Tea – Sip a warm infusion of mulethi (licorice) after meals to prevent reflux.
• Eat your last meal at least 3 hours before bed.
• Sleep with your head slightly elevated to prevent regurgitation.
• Chew food properly and avoid overeating.
• Include buttermilk with roasted jeera in your diet to improve gut health.
• Avoid fried, spicy, and heavy foods that delay stomach emptying.
• Reduce stress with deep breathing exercises like Anulom Vilom and Bhramari Pranayama.
Let me know if you need a customized diet plan for long-term relief.
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Your symptoms suggest a possible issue related to indigestion and improper digestive function, which Ayurveda associates with an imbalance in Vata and Pitta dosha. The feeling of food returning to the esophagus without acidic taste or heartburn could indicate Amlapitta (a form of gastric discomfort) or Vishamagni (irregular digestive fire). Excessive gas, difficulty in passing it, and chest discomfort may be due to Vata imbalance in the intestines, leading to bloating and discomfort.
Why This Might Be Happening
Weak Digestive Fire (Mandagni): Inadequate digestion can cause food to remain undigested, leading to gas formation and reflux-like symptoms.
Vata Imbalance: Excess Vata can cause irregular movements in the intestines, leading to bloating, discomfort, and difficulty in passing gas.
Pitta Imbalance: Pitta, when aggravated, may lead to inflammation in the digestive tract, causing mild chest pain.
Eating Habits: Eating late at night, overeating, or consuming heavy, oily, or spicy foods can contribute to these issues.
Suggestions for Relief
Dietary Adjustments:
Eat warm, light, and easily digestible meals. Avoid fried, spicy, and overly acidic foods.
Incorporate cumin, fennel, and ajwain (carom seeds) to reduce gas and enhance digestion.
Drink a glass of lukewarm water with a pinch of lemon and honey in the morning to stimulate digestion.
Lifestyle Recommendations:
Avoid lying down immediately after eating. Maintain a gap of at least 2-3 hours before sleeping.
Engage in light walking after meals to support digestion.
Herbal Medicine :
Avipattikar Churna: Helps balance Pitta and improve digestion. 1/2 tsp after meals twice.
Hingwashtak Churna: Reduces gas and relieves bloating. 1/4 tsp before meals twice.
Triphala: Supports digestion and relieves constipation, if present. - 1 tsp after an hour of dinner.
Practice Vajrasana for 10 minutes after meals.
Manage stress through deep breathing exercises like Anulom Vilom or Bhramari Pranayama.
If symptoms persist or worsen, further evaluation through physical examination or abdominal imaging may be necessary.
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It sounds like you're experiencing what's commonly referred to as nighttime acid reflux or GERD (gastroesophageal reflux disease), but without the typical symptoms like heartburn. Often, this can be linked to the way we eat, the timing of meals, or even stress. In Ayurveda, this might be related to an imbalance of Pitta dosha, which governs the digestive system. The accumulation of gas further suggests a possible disturbance in Vata dosha.
Here’s what you might consider to manage this issue effectively:
1. **Dietary Adjustments:** Avoid heavy, oily, spicy, and fried foods in the evening, as they can aggravate both Pita and Vata. Try to include cooling, easy-to-digest foods. Favor meals that are generally warm, freshly prepared, with minimal use of strong spices.
2. **Meal Timing:** Eat your evening meal at least 2-3 hours before lying down. This helps in preventing the backflow of stomach contents into the esophagus. When you eat with this timing, your digestive agni is more effective, reducing undigested food residue that might cause issues.
3. **Lifestyle Practices:** Elevate the head of your bed if you notice symptoms mostly while lying flat. This can prevent stomach acids from returning up the esophagus. Avoid laying down immediately after eating, and maintain good posture while sitting or walking post meals.
4. **Herbal Aids:** Consider herbs like Amla (Indian Gooseberry) which helps balance Pitta and improve digestion. You can have it in juice or powder form in moderation. As it is a coolant, it helps soothe the linings of the stomach and esophagus.
5. **Mindful Eating:** Reduce portions and eat slowly, which helps enhance digestion and reduce gas formation. Chewing properly signals the digestive enzymes to prepare for digestion - increases the efficiency.
6. **Stress Management:** Stress is known to exacerbate Pitta, leading to a 'hot' and distressed digestive system. Practices like yoga, meditation or simple breathing exercises can help balance and prevent symptom flare-ups.
If these adjustments do not lead to an improvement or if your symptoms worsen, please consult a healthcare professional. Sometimes GERD may require more specific medical interventions, especially if it's affecting daily life significantly. It's crucial to address these issues so they don’t escalate into more serious conditions.
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