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and development. Acid reflux can have a dramatic impact on the quantity and quality of sleep leading to problems such as insomnia and sleep apnea. While both insomnia and Sleep Apnea are recognized sleep disorders, they are distinctly different conditions. Insomnia is a condition where an individual has difficulty falling asleep or staying asleep. The signs and symptoms of insomnia include waking up too early in the morning, the inability to fall back to sleep, and going through episodes of uncomfortable or disturbed sleep. Sleep Apnea involves pauses in breathing during sleep. The periods of stopped breathing are called apneas, which are caused by an obstruction of the upper airway. Apneas may be interrupted by a brief arousal that does not awaken you completely and you often do not even realize that your sleep was disturbed. The signs of Sleep Apnea are chronic snoring, choking, and gasping for breath. Some of the lifestyle changes that may help prevent insomnia and sleep apnea include avoiding distractions during sleep, avoiding or shortening of the duration of naps during the daytime, and consuming a light diet at night among others. Management of Acid Reflux! Acid reflux can make eating and the time after meals very unpleasant. However, with the right diet and management of some lifestyle factors, you can eradicate the symptoms of acid reflux and improve your quality of life. The foods that trigger acid reflux may vary from person to person. If you're not ful- ly sure what foods set off your symptoms, start a food/symptom journal. Write down everything you eat, the symptoms that fol- low and the severity of the symptoms. Re- view your journal and see if you can make any connections. Take a well-balanced diet: A well-balanced diet is essential to the management of acid reflux. Work to include a variety of foods into your diet to help keep your body health and reduce symptoms. A well- balanced diet is one that features foods from all food groups including: protein, fruits, vegetables and whole grains. In addition, the diet should comprise of a wide variety of foods from each group throughout the week. Limit gas-producing foods: Some foods are known to cause more gas and bloating compared to others. It’s advisable to limit such foods since they can cause an increased production of gas in your intestines. Some of the examples include: cauliflower, dairy products etc. Keep a food or symptom journal: The foods that trigger acid reflux may vary from person to person. If you're not fully sure what foods set off your symptoms, start a food/symptom journal. Write down everything you eat, the symptoms that follow and the severity of the symptoms. Review your journal and see if you can make any connections. Drink adequate fluids: In addition to eating the right types of foods, you need to drink an adequate amount of fluids. Water is the best type of fluid you can drink. Aim for at least 2 litres of water per day. Other Important Lifestyle Factors…. Don't lie down immediately after you eat: If you lie down, the acid can trickle up your esophagus and throat. Wait at least two hours before going to sleep after you've finished dinner or your last meal. You may also want to try elevating your head or resting on multiple pillows to help keep acid down. Stress Management: A stressful lifestyle can be a serious contributor to the flare up of your symptoms. Even small or mild stressors can set off a whole host of symptoms. To help reduce your stress, consider: reading a good book, talking to a friend, or going for a walk. If you're having difficulty managing your stress and it continues to cause symptoms, consider seeking additional help from a counselor. Stop smoking: Another irritant that can cause continued symptoms is smoking. Quit smoking immediately to help reduce some of the symptoms associated with acid reflux. Smoking decreases the function of a ring of muscle between your esophagus and stomach, allowing acid to be pushed upwards into the back of your throat. Kepha Nyanumba is a Consultant Nutritionist working with Crystal Health Consultants Limited. You can commune with him on this or related matters vide email at: Ke p h a n y a nu m b a @ g m a i l . c o m , follow him on twitter: @knyanumba or Blog: kephanyanumba.blogspot. com. 72 MAL32/19 ISSUE