Known to most of us as heartburn, GERD (gastro-esophageal reflux) is said to be running rampant in this country. It can range from mild to severe, from a burning sensation rising up to the chest to excruciating burning pain which in some cases may lead the sufferer into thinking that they are having a heart attack. An individual may also experience nausea, excessive burping, indigestion, discomfort when laying down, feeling full after even a light meal, and so on. These symptoms are due to stomach acids going up through the diaphragm into the esophagus. In Chinese medicine we refer to this as a syndrome caused by "rebellious stomach Qi." The Qi or energy of the stomach is going up instead of down. Left unattended acid reflux-GERD can lead to severe problems. The esophagus can be damaged or become ulcerated, it can cause Barrett's Esophagus, and can severely impair a person's lifestyle.

There are many possibilities and theories as to the causes for GERD. Among them, poor dietary habits, overeating, emotional stress, excess consumption of spicy foods, lack of certain digestive enzymatic processes, overuse of NSAIDS, food allergies to name a few. It can also be a symptom of a mechanical problem such as a hiatal hernia or esophageal stenosis. Therefore, it is important, especially in chronically severe cases, to undergo some testing such as an upper G.I. series of x-rays, acid tests, or even a scope.

GERD is most commonly treated with antacids of varying degrees of potency. There are side effects to most of these drugs but for some people they can be very effective in offering relief. Most of the symptoms, however, will usually return when the prescription drug is discontinued.

In my clinical practice I see many cases of GERD. Even if the individual is under the care of a G.I. doctor and taking medications to abate the symptoms, Acupuncture can be of great help to redirect and move the Qi. In Chinese Medicine we look at the individual as a whole and, accordingly, points may be chosen to cool the stomach, balance the emotions, sedate the liver, reduce phlegm accumulation, etc. If the patient is not taking any other medications, I might recommend an herbal combination to address not only their symptoms, but to help heal the esophagus and balance the digestive system. I might also test them for food sensitivities if I feel this is a strong factor in their particular case.