GERD
The acid reflux paradox. GERD is conventionally treated as "too much acid," but the root cause is often the opposite—too little stomach acid. When HCl is insufficient, food ferments, creating gas pressure that forces the sphincter open. The problem isn't acid quantity but acid location.
The Low Acid Theory
Insufficient HCl
Low stomach acid means poor protein digestion. Food sits and ferments, creating pressure.
Bacterial Overgrowth
Low acid allows bacteria to survive. They ferment carbs, produce gas, increase pressure.
LES Dysfunction
Lower esophageal sphincter opens when pressure builds. Acid goes up—wrong direction.
H. Pylori
Infection reduces acid production. Creates paradox: less acid, more reflux.
Age Factor
Stomach acid naturally declines with age. Reflux often increases with age.
PPI Problem
Acid blockers worsen root cause. Temporary relief, long-term problems.
Signs & Symptoms
Classic Symptoms
- Heartburn: Burning behind breastbone
- Regurgitation: Acid taste in throat
- Chest pain: Can mimic heart issues
- Difficulty swallowing: Food feels stuck
Atypical Symptoms
- Chronic cough: Especially at night
- Hoarseness: Laryngeal irritation
- Dental erosion: Acid damaging enamel
- Asthma-like: Aspiration of acid
Contributing Factors
Zinc Deficiency
Zinc needed for HCl production. Low zinc = low acid.
Stress
Chronic stress suppresses digestive function. "Rest and digest" not active.
Hiatal Hernia
Stomach pushes through diaphragm. Mechanical cause of reflux.
Obesity
Abdominal pressure increases. Pushes stomach contents up.
Eating Habits
Large meals, lying down after eating, eating too fast.
Food Triggers
Coffee, chocolate, alcohol, spicy/fatty foods relax LES.
Natural Approaches
Betaine HCl
Supplement stomach acid. Take with protein meals. Start low, increase gradually.
Apple Cider Vinegar
Diluted before meals. Increases acidity. Not for everyone.
Digestive Bitters
Stimulate digestive secretions. Traditional remedy. Before meals.
Zinc
Support HCl production. 15-30mg daily. With food.
DGL Licorice
Soothe esophageal lining. Deglycyrrhizinated form. Before meals.
Meal Hygiene
Smaller meals, chew well, don't drink with meals, don't lie down after.