Reflux Isn't Just About Acid
If you've been struggling with heartburn, a burning sensation in your throat, sour taste, or that uncomfortable lump-in-the-throat feeling, chances are you've been told it's acid reflux - and handed a proton pump inhibitor (PPI) or antacid to "fix" it.
But here's the truth–
Most reflux isn't caused by too much stomach acid. In fact, it's often a sign of too little, combined with sluggish motility or an imbalance in your gut microbiome. What feels like excess acid is often your body's cry for better digestion, not less of it.
When Medications Miss the Mark
PPIs like omeprazole, Nexium, and pantoprazole can offer short-term relief - but when used long-term, they can create bigger problems:
- They reduce your ability to digest and absorb nutrients like B12, magnesium, calcium, and iron.
- They increase the risk of gut dysbiosis - an overgrowth of bacteria due to reduced acid defense.
- They interfere with protein digestion, potentially worsening symptoms over time.
- And they don't address the real reason your symptoms are happening.
To create lasting relief, we need to heal your gut - restore the terrain that keeps your digestive system functioning the way it was designed to.
What's Really Causing Your Reflux?
Chronic reflux is rarely just about acid. It can be triggered by:
- Low stomach acid (hypochlorhydria)
- Gut dysbiosis or SIBO
- A weakened lower esophageal sphincter
- Post-infection digestive changes
- Food sensitivities and inflammatory diets
- Stress or vagus nerve dysfunction
Most people are surprised to learn that reflux has more to do with gut function and microbial balance than with excess acid.
My Approach to Healing Reflux
Instead of suppressing symptoms, I work with clients to uncover the root causes and restore balance to the gut. My approach includes:
- A full digestive evaluation, including history, habits, and patterns
- Functional lab testing when needed to explore microbial balance, inflammation, and digestion
- Nutrition strategies to support healthy acid levels, gut lining repair, and microbiome restoration
- Nervous system support to regulate motility and reduce stress-driven symptoms
- Personalized guidance for reducing dependency on PPIs (in collaboration with your doctor)
This isn't about quick fixes. It's about rebuilding your gut health so reflux no longer rules your life.
Gentle Shifts You Can Start Today
- Eat slowly and chew thoroughly - digestion starts in the mouth.
- Avoid eating 2-3 hours before bedtime.
- Keep meals simple - too many ingredients can overwhelm a sensitive gut.
- Stay upright after eating - light movement helps with motility.
- Breathe before meals - calming your nervous system supports digestion.
The Risks of Long-Term PPI Use
It's important to be aware of what long-term acid-suppressing medication can do to your health. Research has linked chronic PPI use to:
- Osteoporosis and increased fracture risk due to impaired calcium and magnesium absorption. A 2020 study found an association between long-term PPI use and reduced bone mineral density, particularly in the hips.
- Cognitive decline and increased dementia risk. A study published in Neurology showed that those taking PPIs long-term had a significantly higher risk of developing dementia than non-users.
These risks are real - and while PPIs have a place, they're not meant to be a lifelong solution.
Let's Heal Your Gut and Get Your Life Back
If your reflux is disrupting your sleep, restricting your meals, or keeping you dependent on meds, there is a better way forward. Let's get to the root of what's really going on, heal your gut, and help you feel truly free in your body again.
Book a consult to start your journey.