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The first explanation for the cause of this condition is that because of the incompetence of the Lower Esophageal Sphincter (LES) acidic contents of the stomach are allowed up into the esophagus, which results in a burning sensation. The LES is a valve that is found at the lower end of the esophagus and separates it from the stomach and its contents but when this valve becomes dysfunctional, it allows the acidic content of the stomach to be regurgitated into the esophagus.

A separate school of thought believes that acidic reflux disease is caused by our eating habits. As it’s often said, living in the civilized world entails eating more junk food and packaged and processed food than the stomach can digest. So, when we put so much into the stomach, most of the food ends up undigested. These undigested food materials turn into acidic waste in the stomach. This waste causes stomach spasms or twitching that causes an increase in stomach gas that pops open the LES valve between the esophagus and stomach sending acidic contents up the esophagus.

Yet, acidic reflux disease can be traced to aging in adults. It is believed in some quarters that as we age, the activity of the stomach reduces, so also its ability to produce hydrochloric acid. The reduction in the stomach activity and acid content of the stomach creates a breeding ground for infections which in themselves cause stomach pain and acid production leading to further symptoms of acid reflux.

Whatever the cause of acid reflux disease, what is constant about it, is the fact that it is a chronic disease. Most medicines, which inhibit production of acid in the stomach, only help to relieve the burning effect and other symptoms and not actually cure the condition. As a matter of fact, these drugs help in relieving the symptoms quite effectively, but the other side of the coin is that these drugs also cause several side effects in the body by cutting down the acid production in your stomach. Some of their side effects are that they reduce the ability of the stomach to digest food efficiently, they make you more vulnerable to diseases and microbes transmitted through food, increases the risk of food poisoning and a host of others.

While there are many medications and natural methods to rid yourself of that burning sensation that accompanies each acid reflux bout, the first line of action should be a thorough assessment of the your food and lifestyle. Some food materials are known to aggravate acid reflux, some of the foods include; citrus, caffeine, chocolate, fatty fried foods, garlic, and onions. Cutting down or avoiding these foods as much as possible is a good first attempt at preventing future acid reflux bouts.

Additional lifestyle assessment and modification that can help reduce acid reflux episodes include:

- Losing weight if you are overweight

- Cutting down alcohol to the barest minimum

- Eating just enough food to keep hunger away

- Don’t go to bed until at least three hours after eating

- Raise your bed head six to eight inches

These very simple lifestyle improvements can keep you off those acid blockers and other acid reflux medications that cause almost the same amount of damage as the good they do to your body.

Further reading: Acid Reflux Symptoms.

Read more about what foods to avoid if you have acid reflux: Acid Reflux Diet.

More about acid reflux symptoms: What does acid reflux feel like?.

Perhaps this is an unnecessary statement of the obvious, but the point of insurance is to give people a financial safety net. Should an emergency or disaster strike, money you would struggle to find is paid out by your insurance company. But the squeeze has been on for the last decade as medical costs and the prices of essential drugs have been rising fast. In fact, so fast that the insurers cannot pass on all the increases to their policyholders. It was hard to raise premium rates while the economy was doing well. It became impossible to raise premiums when the recession hit without there being investigations by each state’s Commissioners for Insurance and complaints from everyone else. There comes a point when the insurer cannot get any more blood from the stone and has to sacrifice profits. This has left the medical profession, the hospitals and clinics in a winning position, while the pharmaceutical industry’s profits have continued to rise despite the recession. At the other end of the spectrum, the patients are the losers. There are some who discover the small print in their policies denies cover for the very illnesses they have. There are others whose savings are not enough to pay the deductibles and co-payments. And then there are those whose policies are cancelled when they make a claim for a chronic disease or disorder.

There is a new piece of research from the Commonwealth Fund, an independent, non-profit body. In 2007, it carried out a detailed survey among 2,600 people aged between 19 and 64. When their coverage was analysed, 20% were found significantly underinsured. Why was this happening? Because they were already spending more than 10% of their income on health coverage, whether as premiums, deductibles or both. When the underinsured were added to the uninsured, this represented 42% of adult Americans. Like the uninsured, this forces the underinsured to think twice before they have treatment with more than half either refusing treatment or struggling with debt because of treatment.

In the push for healthcare reform, the focus has been on the uninsured. But this fails to recognize the injustice suffered by the underinsured. No one should be forced to choose between refusing needed treatment and potential bankruptcy. It is therefore going to be an interesting year in prospect as the reform slowly comes into force. Both the poor and the middle class need access to cheap health insurance with reasonably comprehensive coverage. This will further squeeze the insurance industry because it will be denied the right to refuse coverage to those with pre-existing conditions and will be forced to establish group health insurance for those who have struggled to find affordable plans. In all of this, the key to success will be the ability of government and the insurers to impose more control over costs. President Obama has negotiated with the pharmaceutical industry and there is some agreement to hold down prices for those in Medicare and Medicaid. The for-profit healthcare industry also sees some self-interest in moderating its price increases and has given undertakings to the Administration. If some of the pressure is removed from the insurance industry, premium rates will stabilize and the reforms should offer a more fair system to all with a health plan. We can only hope for the best while we wait and see what happens.