Dear Roopashree,
How does the problem of acidity and heartburn develop and how can one cure it naturally?
Ankita S

Ans: Avoid high fat and sugar foods, fries, spices, chocolates, garlic, raw onions, coffee (caffeine) as these are triggers for acidity. Restrain from soft drinks, fruit juices, alcohol which would add to your fat percentage and act as triggers for acidity. Reduce the total consumption of fat in the diet. Lack of sleep does cause gastroesophageal reflux disease (GERD). As non veg food contains high fat levels, it may cause heart burn especially if consumed in large quantities.

Ans: Small frequent Timely meals, balanced nutrition and early dinner will address the overall acid peptic mucous balance. Medicine need to be prescribed by your family doctor who knows your cultural, ethnic and family lineage background

Ans: - Eat more simple home cooked meals
- shift from Refined oil to Cold-pressed oil/ghee
- Eat small meals.
- include curd& buttermilk in ur meals
- Early dinner, a gap of 2-3hrs between dinner and bed time
- Avoid raw foods
- Deep breath prior to ur meal
- chew ur food thoroughly
- eat slowly
- Avoid green chillies

Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi