In many cases, reflux can not be attributed to any particular cause. In others, the following disorders can contribute to the problem:

Hiatus hernia

The upper stomach makes its way through the diaphragm (main breathing muscle that separates the heart and lungs with stomach, liver and other abdominal viscera), causing them to rupture, leaving more open hole through which the esophagus going from the chest to the abdomen, thus preventing the muscle fibers of the diaphragm closing well the bottom of the esophagus. Therefore, the esophagus remains completely open, allowing stomach acid to enter into it, especially when the stomach is full digestive process.

Overweight

If you are overweight, the excess fat from the abdominal cavity increases the pressure inside the stomach with its contents rises into the esophagus. Conversely, weight loss reduces stomach acid reflux.

Pregnancy

The uterus increased in size during pregnancy, compresses the stomach to put pressure on him. This increases the tendency to reflux. In addition, the hormonal changes of pregnancy determine esophageal sphincter relaxation.

Meals

The more the stomach is distended by food, the greater the tendency to reflux. The trend also increases when making fatty foods since fat slows the emptying of the stomach. Try to avoid large meals, especially at night. This reduces the tendency to reflux.

Food

Chocolate, peppermint, tomato sauce, coffee, fruit juices and alcohol prevent the oesophageal sphincter from working properly.

Snuff

The snuff also prevents the esophageal sphincter to function properly, reduces the rate of gastric emptying and increases production of stomach acid.

Constipation

Patients with constipation have an increased risk of reflux, constipation and increased pressure inside the stomach.

At bedtime

The tendency to reflux increases when we go to bed. This is simply due to the force of gravity. A simple way to avoid this is to use an extra pillow or elevate the head of the bed about 10 cm, with blocks or by placing a couple of bricks or blocks under the legs at the head.