Excess Stomach Acid: Causes and Solutions for Digestive Issues - Gastroenterology and Hepatology

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Excess stomach acid can be a significant concern, especially when it leads to symptoms such as bloating, vomiting, and discomfort. In your father's case, where he has resorted to only consuming milk powder due to digestive issues with other foods, several factors could be at play.

Firstly, the production of stomach acid is a normal physiological process that aids in digestion. However, when there is an imbalance—either an overproduction of acid or a failure of the protective mechanisms of the stomach lining—problems can arise. Stress, anxiety, and certain dietary choices can exacerbate acid production. In your father's situation, it is possible that his digestive system is reacting negatively to solid foods, leading to an overproduction of gastric acid as a response to irritation or inflammation in the stomach lining.

One potential cause for his symptoms could be gastritis, which is the inflammation of the stomach lining. This condition can be triggered by various factors, including excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or even bacterial infections such as Helicobacter pylori. Gastritis can lead to symptoms like bloating, nausea, and vomiting, particularly after meals.

Another possibility is gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, causing heartburn and discomfort. This condition can be aggravated by certain foods, leading individuals to avoid solid meals altogether, as your father has done.
Additionally, food intolerances or sensitivities could be contributing to his digestive distress. For instance, lactose intolerance could explain why he experiences discomfort with certain foods but finds milk powder more tolerable, as it may be easier to digest in its processed form.
To address these issues, it is crucial for your father to seek medical attention, despite his reluctance. A healthcare professional can perform necessary evaluations, such as an endoscopy, to assess the condition of his stomach lining and rule out serious conditions. They may also recommend dietary adjustments, medications to reduce stomach acid, or treatments for any underlying conditions.

In the meantime, here are some general recommendations that may help alleviate his symptoms:
1. Dietary Modifications: Encourage him to consume smaller, more frequent meals rather than three large ones. This can help reduce the burden on his digestive system. He should also avoid trigger foods that may exacerbate his symptoms, such as spicy foods, caffeine, and high-fat meals.

2. Hydration: Ensure he stays well-hydrated, as this can aid digestion. However, he should avoid drinking large amounts of fluids during meals, as this can dilute stomach acid and impair digestion.

3. Stress Management: Since stress can significantly impact digestive health, incorporating relaxation techniques such as deep breathing, meditation, or gentle exercise may be beneficial.

4. Probiotics: Introducing probiotics through supplements or fermented foods may help restore balance to his gut microbiome, potentially improving digestion.

5. Avoiding Lying Down After Eating: Encourage him to remain upright for at least two to three hours after meals to prevent acid reflux.

In conclusion, while your father's symptoms may stem from excess stomach acid, the underlying causes could be multifaceted, including gastritis, GERD, or food intolerances. It is essential for him to consult with a healthcare provider to receive a proper diagnosis and treatment plan tailored to his specific needs. Ignoring these symptoms could lead to more severe complications, so proactive management is key to restoring his digestive health.