Clinical Nutrition for Heartburn & GERD

Naturopathic Approach to Heartburn & GERD

Naturopathic treatment for heartburn and GERD focuses on healing esophageal tissue, restoring proper digestive function, and addressing underlying mechanical or physiological dysfunction. Assessment identifies contributing factors including food triggers, stress patterns, eating habits, and potential H. pylori infection or hiatal hernia. Esophageal healing is supported through demulcent herbs including slippery elm, marshmallow root, and deglycyrrhizinated licorice (DGL) which coat and protect irritated tissues. Addressing stomach acid balance is crucial—many GERD patients actually have low stomach acid. Supporting adequate acid production when appropriate through bitter herbs or betaine HCl strengthens the lower esophageal sphincter and improves digestion. Prokinetic botanicals including ginger and artichoke support proper stomach emptying and reduce reflux episodes. Dietary modifications include eating smaller, more frequent meals, avoiding trigger foods, not eating within 3 hours of bedtime, and reducing foods that relax the lower esophageal sphincter such as caffeine, alcohol, chocolate, and mint. Lifestyle interventions include elevating the head of the bed 6-8 inches, weight loss if indicated, stress management, and avoiding tight clothing around the abdomen. Postural exercises and breathing techniques may help address hiatal hernia in some cases. This comprehensive approach aims to heal damaged tissue, restore comfortable digestion, and eliminate the need for long-term acid suppression.