In addition to issues like heartburn and nausea, persistent acid reflux or GERD can lead to vitamin deficiencies that, in some cases, have an adverse effect on your health. Oftentimes, the vitamin deficiencies are not because of the acid reflux itself, but the medicine you take for acid reflux.
Can GERD affect nutrient absorption?
People with GERD may not take in the nutrients they need because of the pain and discomfort associated with eating. As a result, GERD can be caused by an unbalanced diet and its symptoms can lead to a worsening of nutrient inadequacy, a viscious cycle that further compromises health.
Can GERD cause B12 deficiency?
B12 needs to interact with acid in the stomach to be bio-available in the rest of the body. So problems with indigestion and heartburn can be linked to B12 deficiency. In particular H-pylori infection, which causes excess stomach acid and ultimately ulcers, is a common cause of B12 deficiency.
What vitamins are not good for GERD?
High doses of vitamin B-6 can irritate the stomach or cause heartburn in some people. Cocoa may cause heartburn and gastritis in some people due to its caffeine and theobromine content. Arginine can potentially make the stomach contents more acidic and also cause heartburn.
Can acid reflux cause low vitamin D?
Similarly, we did not find any evidence of an association between GERD symptoms and vitamin D deficiency, hyperparathyroidism, or serum PTHrP concentration (Table 3).
Why am I suddenly B12 deficiency?
Some people can develop a vitamin B12 deficiency as a result of not getting enough vitamin B12 from their diet. A diet that includes meat, fish and dairy products usually provides enough vitamin B12, but people who do not regularly eat these foods can become deficient.
Can B12 help GERD?
B vitamins may be linked to a lower risk of complications caused by acid reflux. They may also relieve heartburn symptoms when paired with other compounds, but more research is needed.
What naturally heals GERD?
10 home remedies for heartburnEat a ripe banana. ... Chew sugar-free gum. ... Keep a food journal and avoid trigger foods. ... Resist the urge to overeat or eat quickly. ... Avoid late meals, snacking before bed and eating before exercising. ... Wear loose-fitting clothing. ... Adjust your sleep position.More items...•
What supplements hurt GERD?
Medications and dietary supplements that can irritate your esophagus and cause heartburn pain include:Antibiotics, such as tetracycline and clindamycin.Bisphosphonates taken orally, such as alendronate (Fosamax), ibandronate (Boniva) and risedronate (Actonel, Atelvia)Iron supplements.Quinidine.More items...
Can multivitamins worsen GERD?
The shape and size of vitamin pills can irritate the oesophagus, or allow stomach acid to creep back up the oesophagus when it enters the stomach leading to heartburn.
Why do I suddenly have vitamin D deficiency?
You can become deficient in vitamin D for different reasons: You don't get enough vitamin D in your diet. You don't absorb enough vitamin D from food (a malabsorption problem) You don't get enough exposure to sunlight.
What causes vitamin D to drop quickly?
Vitamin D deficiency is most commonly caused by a lack of exposure to sunlight. Some disorders can also cause the deficiency. The most common cause is lack of exposure to sunlight, usually when the diet is deficient in vitamin D, but certain disorders can also cause the deficiency.
What are the eight signs of a vitamin D deficiency?
Here are 8 signs and symptoms of vitamin D deficiency.Getting Sick or Infected Often. ... Fatigue and Tiredness. ... Bone and Back Pain. ... Depression. ... Impaired Wound Healing. ... Bone Loss. ... Hair Loss. ... Muscle Pain.
Can digestive problems cause B12 deficiency?
Digestive diseases: Diseases that affect the digestive system, like Crohn's disease and celiac disease, can prevent your body from fully absorbing vitamin B12.
What conditions can cause vitamin B12 deficiency?
Low levels of vitamin B-12 can be caused by:Diet. Vitamin B-12 is mainly found in meat, eggs and milk, so people who don't eat these types of foods may need to take B-12 supplements. ... Pernicious anemia. ... Gastric surgeries. ... Intestinal problems.
What is the most common cause of B12 deficiency?
Atrophic gastritis, in which your stomach lining has thinned. Pernicious anemia, which makes it hard for your body to absorb vitamin B12. Conditions that affect your small intestine, such as Crohn's disease, celiac disease, bacterial growth, or a parasite.
Can gastritis cause B12 deficiency?
Autoimmune gastritis (pernicious anemia) is the most common cause of severe vitamin B12 deficiency due to food-cobalamin malabsorption in the elderly, nevertheless use of medications, as proton pump inhibitors, histamine H2 blockers, metformin or cholestyramine can interfere with or reduce vitamin B12 absorption.
How to treat acid reflux?
There are three types of medications that are used to treat reflux by suppressing the production of acid in the stomach :
What are the best medications for acid reflux?
Medication is one of the most common ways to address acid reflux symptoms and provide relief to those suffering from GERD. There are three types of medications that are used to treat reflux by suppressing the production of acid in the stomach: 1 Proton pump inhibitors or PPIs (ex. Nexium, Prilosec) 2 H2 blockers (ex. Pepcid, Tagamet) 3 Antacids (ex. Tums, Maalox).
Why does H2 antagonist deplete the body?
So it makes sense that depletion with H2 antagonists happens because pH increases in the gut.
Can PPIs cause acid reflux?
Acid reflux medications like PPIs can reduce the acidity in your stomach and impact the pH levels of your stomach acid, which can result in vitamin deficiencies and other consequences.
Do you need to take supplements for acid reflux?
In any case, if you find that you do need to take medication for acid reflux, you might consider taking vitamins and supplements to cancel out the negative effects of these acid reflux medications. So, with that in mind, check out the list of supplements below and see which one is right for you:
Is acid reflux a chronic disease?
In fact, the chronic form of acid reflux, gastroesophageal reflux disease (GERD), is estimated to affect nearly one third of U.S. adults each week. But acid reflux can be responsible for health problems that extend beyond the outward symptoms of the condition. In addition to issues like heartburn and nausea, persistent acid reflux ...
Can you shut down acid reflux?
When you’re suffering from acid reflux, shutting down acid production in your stomach may seem like the best way to neutralize your symptoms. But, while this can provide some short-term relief, you can deplete your body of much needed nutrients in the long-term.
What is GERD in elderly?
Introduction: Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder encountered in the elderly patient . GERD is one of the highly prevalent diseases seen in the clinical practice. In the elderly population, few studies have addressed the prevalence of GERD. It is estimated that 20-30% ...
What is the best treatment for GERD?
Prescription treatments for GERD usually include proton pump inhibitors (PPIs) such as omeprazole/Prilosec, lansoprazole/Prevacid, pantoprazole/Protonix, or esomeprazole/Nexium and/or coating agents (sucralfate/Carafate) which coat membranes and provide a barrier to the gastric secretions [1, 3, 13, 14].
What is GERD in medicine?
According to the Merck Manual (2020), Gastroesophageal Reflux Disease (GERD) is the "incompetence of the lower esophageal sphincter [which] allows reflux of gastric contents into the esophagus". Reflux that occurs over a prolonged period of time leads to complications including inflammation of the esophagus (esophagitis), abnormal scarring, and stricture, and is also associated with throat, vocal irritation, or respiratory complications [1, 2]. Mild or new cases of GERD respond well to diet and lifestyles changes without medications; however, more serious GERD cases may require intensive therapies, medications and/or surgical interventions that can interfere with nutrient absorption, transport and/or utilization [2, 3].
What medications can cause acid reflux?
Medications typically used by older Americans may promote acid reflux include anticholinergics, calcium channel blockers, theophylline, tricyclic antidepressants, and sedatives as well as nonsteroidal anti-inflammatory drugs, steroids, iron sulfate, antibiotics, and potassium chloride tablets [5]. Prescription treatments for GERD usually include proton pump inhibitors (PPIs) such as omeprazole/Prilosec, lansoprazole/Prevacid, pantoprazole/Protonix, or esomeprazole/Nexium and/or coating agents (sucralfate/Carafate) which coat membranes and provide a barrier to the gastric secretions [1, 3, 13, 14]. Promotility drugs (metoclopramide/Reglan/Clopra/Maxolon and bethanechol/ Duvoid/ Urabeth/ Urecholine) also may be prescribed, which tighten the lower esophageal sphincter and promote rapid gastric emptying [1, 3, 13, 14]. Over-the-counter medications commonly used to treat GERD symptoms include antacids (Gaviscon, Maalox, Mylanta, and Tums), histamine-2 receptor blockers (H2 blockers) (cimetidine/ Tagamet, famotidine/ Pepcid, ranitidine/Zantac and nizatidine/Axid) [3, 14]. Most, if not all of the medications listed above have side effects which also might lead to vitamin and mineral deficiencies.
What is the role of low pH in the stomach?
Low pH in the stomach activates pepsinogen to pepsin, which cleaves peptide bonds at the aromatic (cyclic) amino acids [19]. Vitamin B12 is one of these enclosed vitamins.
How many people have GERD?
It is estimated that 20-30% of the US population experience weekly symptoms of GERD, and two out of five people experience heartburn or acid regurgitation at least once a month.
Where is vitamin D absorbed?
Vitamin D is absorbed in the small intestine and the absorption site is located very close to the stomach in the small intestine.
What happens if you don't take vitamin D?
This means a deficiency of vitamin D in the body can impair muscle cell functioning, including the functioning of the LES as well as the pyloric sphincter, which guards the lower end of the stomach that opens into the small intestines. If the pyloric sphincter is weak, material from the small intestines will move back into the stomach.
What does vitamin D do to the stomach?
In a 2008 study, Dr. Walter Stumpf, M.D., Ph. D., who had studied Vitamin D for several decades, outlines the impact of vitamin D receptors on many cells in the digestive system, including the esophagus, stomach and the pyloric sphincter. It is common knowledge that Vitamin D is vital for the proper functioning of muscle cells. This means a deficiency of vitamin D in the body can impair muscle cell functioning, including the functioning of the LES as well as the pyloric sphincter, which guards the lower end of the stomach that opens into the small intestines. If the pyloric sphincter is weak, material from the small intestines will move back into the stomach. This semi-digested material will then be fermented by bacteria causing gas formation, thus putting pressure on an already weakened LES. As a result, the LES opens backwards to allow acidic contents to reflux, causing heartburn.
How Much of Vitamin D Helps?
This should be done by vitamin D supplementation. A per week dosage of 60,000 IU of vitamin D (a single dosage once a week) is recommended for around 3 months. After three months, it is advisable to get your vitamin D3 levels checked. If they are adequate, you can continue either taking a lower dosed vitamin D supplement (like a multivitamin) or eat foods rich in vitamin D to get adequate amounts of the vitamin.
How does vitamin D affect muscle function?
Vitamin D acts on muscle cells via an extremely complex process. It regulates calcium transportation inside the cell. Calcium plays a vital role in the actual contraction of muscle fibers. By regulating calcium uptake by muscle cells, vitamin D indirectly regulates muscle function.
What is the vitamin D?
Vitamin D, also known as the “sunshine vitamin,” is a vital nutrient in many biochemical reactions in the body. It also helps in the absorption of other minerals like calcium, phosphate, magnesium and zinc. New research has shed light on many, hitherto unknown, targets for vitamin D action.
How to get enough vitamin D?
The easiest way to get enough vitamin D is from sunlight. Sunlight promotes the synthesis of vitamin D from cholesterol in the body. Apart from it, vitamin D can also be found from certain foods. Dietary sources of vitamin D are: Fatty fishes (salmon, tuna, mackerel, cod) Eggs. Mushrooms. Raw milk (and products made from it, like cheese)
Why is vitamin D important?
Sufficient amounts of Vitamin D are required for normal bodily functions. This vital nutrient supports biochemical functioning through an extremely complicated manner, assisting many other nutrients to do their jobs properly.
What is the name of the acid in the stomach?
hydrochloric acid (HCl) in the stomach [16, 17]. PPIs are the preferred
What is the most common upper gastrointestinal disorder in the elderly?
Introduction: Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder encountered in the elderly patient. GERD is one of the highly prevalent diseases seen in the clinical practice. In the elderly population, few studies have addressed the prevalence of GERD. It is estimated that 20-30% of the US population experience weekly symptoms of GERD, and two out of five people experience heartburn or acid regurgitation at least once a month. Methods: To ensure peer-review articles were used, the search engine, PubMed was utilized along with medical reference-related websites and US Department websites as well as professional organizations. Some medications used by older adults may promote acid reflux, prescription treatments include proton pump inhibitors (PPIs), coating agents, H2 blockers and over-the-counter medications that contain antacids or decreased dosages of the prescription strength H2 blockers and PPIs. Discussion: Decreased stomach acidity could be responsible for risk of nutrient deficiencies including vitamin B12 (cobalamin), vitamin C (ascorbate), calcium, iron and magnesium deficiencies or medications that are used to alleviate the symptoms of GERD may also be responsible for increasing the risk for deficiencies. The purpose of this review is to demonstrate and provide reasons why regular assessment, screening, testing, and/or clinically evaluating nutritional deficiencies common in older adults and relating to physical pathogenesis and/or drug treatments of GERD, should be added to the GERD treatment protocol for older adults.
Does vitamin C cause microcytic anemia?
with vitamin C, result in microcytic anemia. Lon g-term use (> 1 year) of
Is pepsin required for B12?
pepsin are not required for B12 supplement a bsorption. It has been
Can older adults get GERD?
of US older adults may experience GERD s y mptoms.
What percentage of reflux sufferers have ear problems?
And a survey last year showed 30% of reflux sufferers had ear problems, particularly the right ear.
Can stress cause stomach acid?
And, yes, stress may cause excess stomach acid - or your reaction to stress.
Does omeprazole help with acid reflux?
PPIs like omeprazole are the best way of dealing with excess acid. (NB They will not stop any reflux, they just make it less erosive.)
Is glue ear a reflux problem?
It's only within the last 12 years or so that I have finally figured out the problem all along was reflux. And, now, research papers are being produced that confirm links between reflux and ear problems - the most recent discuss " glue ear " (otitis nedia), and dizziness.
Do PPIs cause calcium malabsorption?
It's not so much the PPI s that cause malabsorption of minerals (including the calcium) but the hypochlorhydria they induce by being too good at doing what they're meant to do.
Can mineral deficiency cause reflux?
I get research alerts daily from numerous sources and have amassed quite an archive but have never seen any research paper that suggests reflux can be caused by mineral deficiency. Please check your source to ensure it is a proper scientific study and not someone's pet theories.
Do you need to reduce reflux?
You may need to reduce reflux rather than acid .
What is the effect of PPIs on the stomach?
As a result, PPIs can modify the bioavailability and absorption of essential vitamins and minerals both in the stomach and duodenum, which may also affect more distal absorption. Recent case reports and retrospective literature reviews have posited a potential adverse association between both short- and long-term PPI utilization and vitamin and mineral deficiencies. At present time, the clinical significance of this hypothesis remains largely unknown with regard to extrapolation to every day clinical practice, given a lack of large cohort, rigorous, prospective, outcomes-based trials examining both associated risk(s) and clinical symptomatology.
Can humans synthesize vitamin C?
Humans are unable to synthesize vitamin C and thus must rely upon obtaining adequate concentrations of the water-soluble vitamin from dietary intake. PPIs affect its bioavailability vialowering its concentration in gastric juices as well as the proportion of vitamin C in its active antioxidant form, ascorbic acid.
Does PPI affect calcium absorption?
Many studies examining the impact of PPIs on intestinal calcium absorption are limited by the evaluation of patients with renal failure on hemodialysis or those with hypo- or achlorhydria, two chronic conditions known to adversely affect calcium metabolism [Insogna, 2009]. Several short-term trials with small numbers of subjects evaluating the effects of PPIs on intestinal calcium absorption found no significant increase in serum calcium during PPI therapy, consistent with decreased calcium absorption [Hardy et al.1998; Graziani et al.2002; O’Connell et al.2005]. One particular study, in postmenopausal women who received calcium supplementation taken on an empty stomach, did not demonstrate decreased calcium resorption with concomitant PPI utilization [O’Connell et al.2005].
Does PPI affect vitamin B12?
Studies to date that have evaluated the relationship between PPI use and vitamin B12deficiency are predominantly case reports and cross-sectional observational trials. The results from these trials have not yielded consistent data to create either therapeutic guidelines or to offer recommendations for routine dietary supplementation. In a systematic review by Sheen and Triadafilopoulos, the authors summarize experimental evidence suggesting that PPIs reduce the absorption of protein-bound vitamin B12while not completely inhibiting the process, yet PPI therapy does not statistically affect the absorption of unbound and bound vitamin B12[Sheen and Triadafilopoulos, 2011; Koop, 1992; Schenk et al.1996].
Does omeprazole affect vitamin C?
Mowat C., Carswell A., Wirz A., McColl K. (1999) Omeprazole and dietary nitrite independently affect levels of vitamin C and nitrite in gastric juice. Gastroenterology116: 813–822 [PubMed] [Google Scholar]
Does ZES have iron deficiency?
While many patients with a history of vagotomy, gastric resection or atrophic gastritis have been shown to have iron deficiency anemia, a cohort of patients with ZES who received treatment with PPIs for over 10 years did not demonstrate clinically significant iron deficiency [Stewart et al.1998]. Several case reports have suggested an association between PPI use and iron deficiency anemia, with subjects not responding to iron replacement while on concomitant PPI therapy but responding favorably when PPI therapy was stopped [Sharma et al.2004; Hutchinson et al.2007].
Does PPI cause iron to be absorbed?
It has been postulated that chronic PPI therapy results in clinically significant iron malabsorption due to gastric acid hyposecretion and the risk of achlorhydria. Dietary iron is present in food as either nonheme (66%) or heme iron (32%) and absorption of nonheme iron is markedly improved by gastric acid.
What is the role of B-12 in the body?
Vitamin B -12 plays a vital role in the formation of red blood cells, as well as proper functioning and health of nerve tissue. Fixing acid reflux can actually create a host of new problems with nerve damage and other health effects due to Vitamin B-12 deficiency. According to one study in the journal of Neurology, ...
Can vitamin B12 cause problems?
Facts about Vitamin B12. Thousands of people take these medicines, but long-term use can have unintended consequences, including decreases in levels of vitamin B-12 and that deficiency can cause problems.
Is acid reflux a problem in midlife?
Acid reflux can become a serious problem as we reach midlife. Laurie WJN found an acid reflux vitamin B12 connection that’s been an essential part of keeping her digestive system healthy. Read more from Laurie on her blog. I have discovered that as I get older I am forced to deal with the domino effect in healthcare.
