Reflux

Acid reflux triggers are foods that either increase the acid in the stomach by their natural acid content or reduce the pressure in the lower esophageal sphincter (LES), which allows more acid into the esophagus. In this post, we will clear up some of the confusion between food allergies, food intolerance and acid reflux triggers. Acid reflux is caused by a weakening of the valve at the top of the stomach which keeps the stomach contents (swallowed food mixed with hydrochloric acid secreted into your stomach) contained in your stomach. The muscle at the bottom of the food pipe acts as a kind of door into the stomach – so when food or milk travels down, the muscle opens allowing the food into the stomach. However, while this muscle is still developing in the first year, it can open when it shouldn’t (usually when your baby’s tummy is full) allowing some food and stomach acid to travel back up again.

Cow’s milk protein is one of the most common food triggers for adverse reactions in infancy. More recent research suggests that there is a higher prevalence of cow’s milk protein intolerance in infants with GORD compared to infants without. In one study, up to 30% of infants with diagnosed GORD who did not respond to medical intervention (omeprazole) were diagnosed with cow’s milk protein intolerance based on an elimination diet. The risk was higher in those with a family history of atopic disease.

After the initial treatment with omeprazole, two thirds of the cases (54 patients, 66.7%) responded well, and all of their symptoms were resolved. Cow’s milk was eliminated from the diets of the remaining 27 patients. All signs and symptoms of GERD were resolved in this group after a 4 week elimination of cow’s milk from the diet. Heartburn can limit your menu choices, interrupt your sleep, and interfere with your daily activities. Keeping tabs on what you eat and when you eat will help your doctor determine what’s causing your symptoms.

2. If evidence of poor weight gain, distress with feeding, blood in stools or vomit, eczema or strong family history of allergic disease then consider a cow’s milk and soya free diet and review after 2-4 weeks to see if there has been any improvement. In this diet, all sources of protein are removed from the diet. The patient receives their nutrition from an amino acid formula as well as simple sugars and oils.

Acid reflux is very common but despite this, the causes of acid reflux are not always easy to identify. It occurs when your stomach acid leaves the stomach and makes its way into the oesophagus leading to heart burn, pain, nausea and a whole range of unpleasant acid reflux symptoms. Cow’s milk allergy may also cause baby sleep problems–specifically more arousals, shorter sleep cycles, and dramatic reductions in total sleep time (Kahn et al 1988; Kahn et al 1989). Studies estimate that cow’s milk allergy–an intolerance to a protein found in cow’s milk–affects between 2% and 7% of infants (Host 1997).

However, these tests may have limited use in identifying foods causing or driving EoE. Foods such as dairy products, egg, soy and wheat are the main causes of EoE. However allergies to these foods often cannot be easily proven by conventional allergy tests (skin tests, patch tests or blood tests). This is because most food allergy reactions in EoE are delayed, caused primarily by immune mechanisms other than classical IgE-mediated food allergy.

Because this study was not focused on acid reflux, more research is needed to clarify if probiotic-rich yogurt or probiotics in general help acid reflux management. Jennifer Mitchell Wilson is a dietitian and mother of three girls. Two of her children have dealt with acid reflux disease, food allergies, migraines, and asthma. She has a Bachelor of Science in dietetics from Harding University and has done graduate work in public health and nutrition through Eastern Kentucky University. In addition to writing for HealthCentral, she does patient consults and serves on the Board of Directors for the Pediatric Adolescent Gastroesophageal Reflux Association.

This test can be helpful in certain conditions linked to food allergies. While there are limitations to both prick testing as well as blood testing for allergy in EoE, some studies have suggested that prick testing is more helpful than blood testing in EoE, but these studies are few in number and additional research will be needed in this area. There are also a number of types of blood testing to look for IgE to foods, and it is possible that research may reveal that some methods may be more helpful than others. Other diseases can also result in eosinophils in the esophagus.

Acid in the stomach is normal and a necessary part of the digestion process – it helps break down food. To check for an intolerance to dairy, I was put on a three-week “exclusion” diet, which involved removing every trace of dairy from my diet, then reintroducing them in a four-day “challenge” of a pint of milk a day. If the symptoms returned, an intolerance would be likely. So, did my symptoms subside?

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