Anti-Inflammatory Diet: Gastroesophageal Junction Healing

Chronic inflammation at the gastroesophageal junction, also known as carditis, is a condition with an unknown clinical significance. It is often associated with Helicobacter pylori (H. pylori) gastritis or gastroesophageal reflux disease (GERD). While the role of diet in carditis is not entirely clear, GERD is known to be influenced by dietary choices. Avoiding irritants such as spicy and acidic foods, alcohol, and smoking can help manage GERD symptoms. A soft diet is also recommended to reduce friction in the esophagus. In addition to diet, GERD can be managed through a combination of lifestyle changes and medication.

Avoid spicy and acidic foods, alcohol, and smoking

Chronic inflammation of the gastroesophageal junction is a serious health concern that can be made better or worse with diet. Experts recommend an overall healthy eating pattern to help reduce inflammation and stay healthier.

One of the most effective lifestyle changes you can make to prevent the symptoms of gastroesophageal reflux disease (GERD) is to ensure your diet and eating habits do not trigger symptoms. While a bland diet is no longer recommended, some foods are more likely to trigger reflux and heartburn.

Spicy foods, such as chilli peppers, intensifies heartburn. It is recommended to avoid these if you suffer from chronic inflammation of the gastroesophageal junction. Acidic foods, such as citrus fruits, tomatoes, and vinegar, can also worsen symptoms. These foods can cause a burning feeling in the oesophagus, which can be extremely uncomfortable. It is best to avoid these types of foods if you suffer from chronic inflammation of the gastroesophageal junction.

Alcohol is another trigger for acid reflux and heartburn. It relaxes the lower oesophageal sphincter (LES), allowing acid to escape into the oesophagus. This can cause a sour taste in the mouth, a burning feeling in the chest, and even pain in the throat. If you suffer from chronic inflammation, it is best to avoid alcohol or consume it in moderation to prevent triggering symptoms.

Finally, smoking is a significant contributor to acid reflux and GERD. Tobacco smoke relaxes the LES, whether you are the one smoking or exposed to second-hand smoke. Smoking also triggers coughing, which opens the LES and weakens the diaphragm muscles. This can lead to a hiatal hernia and further complications. Smoking slows down digestion and causes the stomach to produce more acid. Therefore, it is highly recommended to avoid smoking if you suffer from chronic inflammation of the gastroesophageal junction.

Consume ginger, apple cider vinegar, and lemon juice

Consuming ginger, apple cider vinegar, and lemon juice can be beneficial for managing chronic inflammation of the gastroesophageal junction, commonly known as gastroesophageal reflux disease (GERD). Here's how these natural remedies can help:

Ginger

Ginger is widely recognised for its medicinal properties, particularly its digestive benefits. Its alkaline nature and anti-inflammatory qualities help soothe irritation in the digestive tract, making it an excellent choice for easing heartburn and acid reflux associated with GERD. Try sipping on ginger tea when you feel the onset of heartburn. This simple remedy can provide instant relief by calming your stomach and reducing inflammation.

Apple Cider Vinegar

Apple cider vinegar is a popular natural remedy for acid reflux and heartburn. While research is limited, many individuals attest to its effectiveness in alleviating GERD symptoms. Apple cider vinegar is believed to increase stomach acid content, aiding in proper digestion and reducing the occurrence of acid reflux. It is important to note that apple cider vinegar is a strong acid, so it should always be diluted with water and consumed in small amounts to avoid irritating the oesophagus. Additionally, consult a doctor before incorporating it into your routine, as it may interact with certain medications.

Lemon Juice

Lemon juice, when consumed in small quantities, exhibits an alkalising effect that helps neutralise stomach acid. A typical recommendation is to mix one teaspoon of fresh lemon juice with eight ounces of water, which can be consumed in the morning to maintain balanced pH levels in the stomach and reduce acid reflux throughout the day. Be sure to rinse your mouth with water after drinking lemon juice to protect your teeth from the citric acid.

While these natural remedies can provide relief, it is important to remember that they may not work for everyone. The effectiveness of these remedies can vary from person to person, and in some cases, they may even exacerbate symptoms. It is always advisable to consult a healthcare professional or a naturopathic doctor to determine the best course of treatment for your specific condition.

Identify and treat underlying conditions, such as H. pylori infection

Identifying and treating underlying conditions, such as H. pylori infection, is crucial for managing chronic inflammation of the gastroesophageal junction. H. pylori is a bacteria that infects the stomach and duodenum (upper part of the small intestine), and it is typically contracted during childhood. It is spread through direct contact with saliva, vomit, or stool, and it can also be transmitted via contaminated food or water. Living in crowded conditions, lacking access to clean water, and residing in developing countries are risk factors for H. pylori infection.

H. pylori infection can cause significant health issues, including sores and inflammation in the lining of the stomach and duodenum, known as gastritis. This inflammation can lead to discomfort, nausea, and vomiting. Moreover, the bacteria can damage the protective stomach lining, allowing stomach acid to create open sores called peptic ulcers. About 10% of people with H. pylori will develop these ulcers, which can be painful and sometimes bleed into the stomach or intestines.

The treatment for H. pylori-induced ulcers involves a combination of antibiotics and proton pump inhibitors (PPIs). Antibiotics such as amoxicillin, clarithromycin, metronidazole, and tetracycline are used to eradicate the bacteria. Meanwhile, PPIs like lansoprazole, omeprazole, and rabeprazole reduce stomach acid production, aiding the healing process. Bismuth subsalicylate may also be added to protect the stomach lining.

In addition to medical treatment, lifestyle changes are recommended to reduce the risk of stomach cancer, a rare but possible long-term complication of H. pylori infection. Increasing the consumption of fruits, vegetables, and fiber is advised. Regular check-ups and following healthcare providers' recommendations are crucial for managing H. pylori-related conditions and reducing the risk of cancer.

Consider surgery for severe cases, such as fundoplication or LINX

While making dietary changes is an important part of managing chronic inflammation of the gastroesophageal junction, in some severe cases, surgery may be required. Two surgical options for treating this condition are fundoplication and LINX.

Fundoplication is a common surgery for gastroesophageal reflux disease (GERD), which involves wrapping the top of the stomach around the lower oesophagus and securing it with stitches to tighten the junction between them. This procedure can be performed as a laparoscopic surgery, which involves smaller incisions and a shorter recovery time. The surgery typically takes 2 to 4 hours, and most people experience a significant decrease in acid reflux symptoms afterward.

However, fundoplication surgery does carry some risks, including possible complications such as piercing the lining or walls of the oesophagus, stomach, or tissues around the lungs. Additionally, some people may experience side effects such as chronic dysphagia (difficulty swallowing), gas bloating, and an inability to belch.

The LINX procedure is a newer, less invasive option that involves implanting a ring of tiny magnets around the junction between the stomach and oesophagus. This creates a barrier that helps keep the junction closed and prevents acid reflux. The procedure is performed laparoscopically under general anaesthesia and has been shown to be highly effective in decreasing oesophageal acid exposure, reducing GERD symptoms, and improving patients' quality of life.

Both fundoplication and LINX surgeries are generally safe and effective options for treating severe cases of chronic inflammation of the gastroesophageal junction. However, it is important to consult with a healthcare professional to determine the most appropriate treatment plan for each individual case.

Manage symptoms with medication and lifestyle changes

Chronic inflammation at the gastroesophageal junction, also known as carditis, is often associated with Helicobacter pylori (H. pylori) infection and gastroesophageal reflux disease (GERD). GERD is a condition where acid reflux occurs at least twice a week for several weeks, causing chronic acid reflux in the oesophagus.

Managing symptoms of chronic inflammation at the gastroesophageal junction involves a combination of medication and lifestyle changes, including dietary modifications:

Medications:

• In cases of H. pylori infection, which is a common cause of carditis, antibiotics may be prescribed to eradicate the bacteria.
• Proton pump inhibitors (PPIs) are often used to reduce stomach acid production and protect the oesophagus from acid damage.
• Prokinetics may be prescribed to strengthen the lower oesophageal sphincter (LES) and improve its function, preventing acid reflux.
• For pain management, simple analgesics like paracetamol can be used to alleviate any discomfort associated with the inflammation.

Lifestyle Changes:

• A soft diet is recommended to reduce friction in the oesophagus and allow it to heal. This involves consuming soft, easily digestible foods that are gentle on the oesophagus, such as soups, smoothies, yoghurt, mashed potatoes, and well-cooked vegetables.
• Avoid irritants such as spicy and acidic foods, alcohol, and smoking. These substances can irritate the oesophagus and trigger acid reflux.
• Take small bites of food and chew well before swallowing. This reduces the burden on the oesophagus and lowers the risk of acid reflux.
• Stay hydrated with water or soothing teas like marshmallow and slippery elm. Fluids help to dilute stomach acids and can provide a protective coating for the oesophagus.
• Consume ginger in the form of tea or supplements. Ginger has medicinal properties and is alkaline and anti-inflammatory, helping to ease irritation in the digestive tract.
• While lemon juice is acidic, a small amount mixed with warm water and honey has an alkalizing effect, neutralising stomach acid. Honey also contains natural antioxidants that promote cell health.
• If overweight or obese, consider weight loss through a balanced diet and regular exercise. Excess abdominal fat can put pressure on the stomach and increase the risk of acid reflux.

Frequently asked questions