Hypochlorhydria: What To Know About The Condition Masquerading As GERD

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woman with hypochlorhydria rests hands over stomach
woman with hypochlorhydria rests hands over stomach

Are you struggling with bloating, indigestion, or nutrient deficiencies? If you said yes, you might be dealing with hypochlorhydria, a condition where your stomach produces too little acid. Hypochlorhydria can lead to a range of digestive issues and long-term health problems. Keep reading to learn how Balanced Body Health and Wellness can help you restore your digestive health.

What Is Hypochlorhydria?

Hypochlorhydria is a condition that means you have low levels of stomach acid (hydrochloric acid, or HCI). Stomach acid plays an important role in digestion, helping to break down food, absorb nutrients, and protect the body from harmful bacteria. When stomach acid levels are too low, these processes can be disrupted, leading to a range of digestive issues and other health problems.

What Causes Hypochlorhydria?

Hypochlorhydria can have several underlying causes, including:

  • Aging: As people age, stomach acid production naturally decreases, leading to hypochlorhydria in older adults.
  • Chronic Stress: Prolonged stress can negatively impact digestive function, including the production of stomach acid.
  • Helicobacter pylori Infection: This bacterial infection, commonly associated with ulcers, can damage the stomach lining and reduce acid production.
  • Medications: Long-term use of acid-suppressing drugs like proton pump inhibitors (PPIs) and H2 blockers can lead to decreased stomach acid levels.
  • Autoimmune Conditions: Autoimmune diseases like pernicious anemia can damage the stomach’s parietal cells, which produce stomach acid.
  • Nutrient Deficiencies: Deficiencies in zinc or B vitamins, especially vitamin B12, can impair the stomach’s ability to produce acid.
  • Surgical Procedures: Gastric surgeries, such as gastric bypass, can reduce the stomach’s ability to produce acid.
  • Chronic Illness: Certain chronic conditions, like hypothyroidism or diabetes, may affect stomach acid production.
  • Dietary Factors: Poor diet, including a lack of protein or an overconsumption of processed foods, may also contribute to low stomach acid.
  • Infections and Inflammation: Conditions like gastritis (inflammation of the stomach lining) can impair acid production.

What Are the Symptoms of Hypochlorhydria?

The symptoms of hypochlorhydria can be varied but can include:

  • Bloating and belching after meals
  • Indigestion and heartburn
  • Nausea
  • Fatigue
  • Undigested food in the stool
  • Nutrient deficiencies, particularly of iron, calcium, and vitamin B12
  • Frequent infections, particularly of the gastrointestinal tract
  • Hair loss or brittle nails

These symptoms often overlap with those of other digestive disorders, which can make hypochlorhydria difficult to diagnose without proper testing.

How Do You Treat Hypochlorhydria?

Treatment for hypochlorhydria typically involves increasing stomach acid production to aid in digestion and nutrient absorption.

  • Changing your diet, such as eating smaller and more frequent meals and avoiding foods that can decrease stomach acid, such as processed foods, can help.
  • Betaine HCI supplements can be used to increase stomach acid levels, especially before meals.
  • Ginger, apple cider vinegar, and bitters can stimulate stomach acid production naturally.
  • Probiotics can help improve gut health, which in turn could support normal acid levels.

It’s important to work with a healthcare provider to determine the best course of action based on individual needs.

How Common Is Hypochlorhydria?

Hypochlorhydria is more common than many people realize, particularly among older adults. In fact, an estimated 30% of adults aged 60 and over may have low stomach acid. 

Hypochlorhydria vs Achlorhydria?

While hypochlorhydria refers to low levels of stomach acid, achlorhydria is the complete absence of stomach acid. Both conditions can cause similar symptoms, but achlorhydria is more severe and can lead to more significant health issues, including a higher risk of infections and nutrient deficiencies. 

What Happens if You Have Low Stomach Acid?

Low stomach acid can have several adverse effects on the body, including:

  • Without adequate stomach acid, food isn’t properly broken down, leading to bloating, gas, and discomfort.
  • Low stomach acid can result in nutrient deficiencies and related health problems.
  • Stomach acid serves as a barrier against pathogens. Low levels increase the susceptibility to infections, particularly in the gastrointestinal tract.

Hyperchlorhydria Misdiagnoses

One of the challenges in diagnosing hypochlorhydria is that its symptoms are often similar to hyperchlorhydria (high stomach acid). As a result, patients may be misdiagnosed and given proton pump inhibitors or other antacids, which decrease stomach acid. This can worsen the condition and lead to additional complications. It’s important to differentiate between low and high stomach acid to ensure appropriate treatment.

How Do You Test for Hypochlorhydria?

Testing for hypochlorhydria can be done through a few methods:

  • The Heidelberg test is a specialized test that measures the pH of the stomach and determines acid levels.
  • The Betaine HCI challenge test is a simple at-home test where patients take Betaine HCI with a meal to see if it improves symptoms.
  • Blood tests can check for nutrient deficiencies that may suggest low stomach acid.
  • Stool tests help assess digestion and absorption of nutrients.

Functional Medicine Clinic in Omaha

Balanced Body Health And Wellness is a top functional medicine clinic in Omaha. We specialize in personalized care, offering comprehensive testing and natural treatment options to restore optimal digestive health and overall wellness. If you are experiencing bothersome digestive symptoms that aren’t improving with antacids, please contact our office or go online to schedule a free 15-minute Discovery Call. 

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Sherri Griggs

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