(646) 760-6627

Gastroesophageal Reflux Disease (GERD)
Supporting Ease and Balance in Digestion
Understanding Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) is a condition where stomach contents regularly move back into the esophagus. This backflow occurs when the lower esophageal sphincter (LES), the muscle separating the stomach and esophagus, does not close or coordinate as effectively as it should.
When this happens, stomach acid and partially digested food can irritate the esophageal lining. While GERD is commonly described as an acid problem, it is often influenced by digestive timing, stomach pressure, nervous system signaling, and how efficiently food is broken down.
Recognizing GERD Symptoms
What’s Behind Ongoing GERD and Acid Reflux?
GERD develops when the systems that regulate digestion, pressure, and reflux protection fall out of balance. Addressing these patterns together helps restore comfort and reduce ongoing irritation.
Digestive Pressure
Large meals, delayed stomach emptying, or excess gas can increase pressure in the stomach, making it easier for contents to move upward into the esophagus.
Lower Esophageal Sphincter (LES) Dysfunction
When the LES does not close or coordinate effectively, stomach acid and food can reflux into the esophagus instead of staying contained.
Dietary Triggers
Foods such as fried or fatty meals, spicy foods, caffeine, chocolate, alcohol, citrus, and carbonated beverages can relax the LES or increase irritation.
Low Stomach Acid
Insufficient stomach acid can impair digestion, leading to fermentation, gas buildup, and reflux sensations that mimic excess acid.
Microbial Imbalance
Imbalances in gut bacteria, including SIBO, can increase gas and pressure in the digestive tract, worsening reflux symptoms.
Stress and Nervous System Strain
Chronic stress can interfere with digestion, slow stomach emptying, and disrupt LES function, increasing reflux risk factors over time.
A Naturopathic Approach to GERD

Foundational Support for Reflux Relief
Care at Flora begins by addressing daily patterns that influence reflux and digestive comfort. These foundational strategies are guided and adjusted based on how your symptoms show up.
- Meal size and timing guidance to reduce stomach pressure that pushes contents upward
- Support identifying reflux-triggering foods that relax the lower esophageal sphincter or increase irritation
- Coaching around eating habits that support digestion, including slower eating and thorough chewing
- Postural guidance after meals, staying upright and avoiding lying down too soon
- Nighttime reflux strategies, such as elevating the head of the bed
- Nervous system support, helping improve coordination between digestion and LES function

Targeted Support for Persistent GERD Symptoms
When additional support is needed, we may incorporate targeted naturopathic therapies to help calm irritation, support tissue healing, and improve digestive efficiency.
- Botanicals chosen to soothe irritated esophageal tissue
- Nutrients used to support gut lining repair and resilience
- Probiotic support to rebalance the digestive microbiome
- Digestive enzymes to support more complete food breakdown
- Nervous system support when stress plays a role in reflux patterns
In some cases, conventional testing such as esophageal manometry or an esophageal pH test (pH test) may be discussed to better understand reflux patterns and rule out complications like esophageal stricture.


