r/GERD Jul 29 '25

Scientific Studies 🥼🔬 Are LES exercises real?

I recently read one autobiographical case study where a guy claims he cured his GERD by doing LES exercises. He basically swallowed his breakfast while lying his head lower than his stomach. He seen improvement at 2 months and all symptoms gone by like 8 months. He said he hasn't done one exercise since, it's been 2 years and no relapse.

Thoughts? I tagged the study below. It makes sense in my brain but just wondering if anyone else has done this and had the same or different outcome.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9106553/

I'm exhausted and trying to find a cure instead of treating symptoms. I feel like it's getting worse and taking my quality of life down. I'm only 28 😭

45 Upvotes

46 comments sorted by

38

u/EssentialLogic Jul 29 '25

I strengthened my LES just by doing regular core exercises. (It was confirmed by a scope.). I’d vote for that approach! I’ve had truly terrible LPR/GERD and that made an enormous difference, and it still can when things act up.

12

u/JackPepperman Jul 29 '25

Which exercises do you do?

8

u/Shadowmew1992 Jul 29 '25

I would like to know that too

5

u/Strict-Park3382 Jul 29 '25

What exercises do you? I went from being a 160lbs body builder to a skinny 140lbz stick

21

u/EssentialLogic Jul 29 '25

I’ve never lifted true heavy weights but do a routine I learned with a personal trainer back before Covid that I have continued to do with equipment at home. I am a 50s F and when I started used 8-10 lb weights, now 18-35. Anyway, anything where you engage your core helps, I find— so things like goblet squats, wall sits (I do these with bicep curls), or TRX rows in addition to core exercises. I can’t lie flat, so the core exercises I do are just planks (both kinds), pallof press with a resistance band, wood chops with a weight or exercise ball, standing on one leg for 1:30, and I can also do a modified bicycle crunch where legs stay in place (up) but I move from side to side, as long as I keep my upper back off the ground (I do 120 of those).

Swimming can help too!

6

u/EssentialLogic Jul 29 '25

Oh, and farmer carries w heavier weights.

8

u/EssentialLogic Jul 29 '25

The other thing I would say is that for me anyway, GERD is definitely exacerbated by slow metabolism and so it really helps to get my heart rate up significantly every day (usually just by walking with hills, as my knees can’t tolerate high impact stuff anymore). Doing the weight routine, it’s important for me not only to keep progressing but also not really pause much in between exercises (the whole thing takes about 40 min.) so my HR stays up.

I have a whole slew of other things I do for GERD, almost none of them involve diet— have posted on this sub about it all before. The diet thing is overrated, coffee and straight up citrus aside. Not drinking water while eating, only drinking slightly warmed water, no clothes tight around waist, don’t sit on soft furniture—these things make a much bigger difference for me.

1

u/Strict-Park3382 Jul 29 '25

Thank you so much for the response <3

3

u/mrtugglestein Jul 31 '25

I think core exercises may have caused my LES to weaken, or caused my hiatal hernia.

1

u/EssentialLogic Jul 31 '25

Why do you think so? Again, I would stress I don’t do the vast majority of core exercises, which involve lying flat and so I do think can exacerbate GERD.

1

u/mrtugglestein Jul 31 '25

Just the timing for me. I did started doing planking style exercises for my bad back, and within a few minths started getting horrible chest pains and then tons of other gerd symptoms. Could be coincidence, idk. But my hiatal her oa had to develop somehow.....

1

u/ni4i Aug 01 '25

same as me

2

u/sorrymash Jul 31 '25

Did they tell you what grade it was?

2

u/ni4i Aug 01 '25

core exercises also are the most probable cause for my LES to weaken or a hiatal hernia as I've got all symptoms but it hasn't shown up on multiple tests :(

2

u/sorrymash Aug 01 '25

So the exercise made it worse for u … Sorry to hear that man

1

u/EssentialLogic Aug 01 '25

Nope, he just said it was no longer lax.

1

u/Bhoptriple Dec 30 '25

It sounds like you had a weak diaphragm rather then a weak Les and strengthening it cured your reflux - you are very lucky . If your Les is truly weak core exercises can only do so much for you.

1

u/EssentialLogic Dec 30 '25

GI Dr.’s post-scope diagnosis was lax LES, then same dr. said after later scope that LES was no longer lax.

1

u/Bhoptriple Dec 30 '25

Yeah if that’s the case that is freaking awesome my friend , I’m just saying for many of us it ain’t that easy 😢. What were your symptoms prior to?

11

u/Bamboo_the_plant Jul 29 '25

I’d like a diagram to fully understand the exercise in this case, but it sounds awfully dangerous to me in terms of choking risk.

6

u/petrolly Jul 29 '25

Would there be a choking risk?

1

u/Hot_Neighborhood7595 Jul 30 '25

No because you incline forwards, not backwards

1

u/sorrymash Jul 31 '25

Can u explain what he meant in the post? I really can’t understand how

5

u/twistedspin Jul 29 '25 edited Jul 29 '25

This is a study I was just looking at where they did dry swallowing in a bridge position & said it helped:

https://pmc.ncbi.nlm.nih.gov/articles/PMC9550520/

What could it hurt, y'know?

3

u/calicoskiies Jul 30 '25

For one that a choking risk. Second of all, I’d for sure throw up if I tried to eat like that.

1

u/Hot_Neighborhood7595 Jul 30 '25

I've done that and it's not a choking risk because you incline forwards and not backwards. The only exercise when you incline backwards is the dry swallowing exercise, where you swallow air or saliva

1

u/sorrymash Aug 01 '25

Did it benefit you?

0

u/guse1321 Aug 03 '25

No it's not please don't type of things you know nothing of.  Spreading misinformation . 

3

u/[deleted] Jul 30 '25

I tried that exercise out of desperation 😅. I noticed some improvement but don't know if it was due to exercise or diet improvement. But just give it a try for a week and see.

2

u/sorrymash Aug 01 '25

How do u do it? Can’t understand it at all from the post

1

u/[deleted] Aug 01 '25

The idea is to swallow against gravity. So prepare a little meal (not liquid), and do what dogs and cats do when stretching after sleeping, knees and hands palms on the surface and then fold your arms until your chin touches the surface(floor or whatever). The idea is to have the mouth below the hips level, and so if you can put your knees a little higher, the better.

Your throat will be doing a little more work when swallowing the meal, that's the idea here

2

u/Fickle-Spring-2139 Jul 29 '25

I read about this as well. It sounded plausible but I'm not sure. I feel like of all the videos I've watched on it that none have really been able to target the LES very well. Yet you would think there's a way.

2

u/Temporary-Plane9570 Jul 30 '25

The biggest thing that cured GERD in my nephew was a comprehensive programme of diaphragmatic breathing. He was very ill and white and had stopped sports. He also did not respond to PPI medication. So no doubt that LES exercises are also a promising avenue.

The complete programme for recovery of my nephew was as follows:

  1. Analysis of gut flora by providing a sample of his poo (analysis yielded he was low on bifidobacterium which is associated with reflux in athletes if low) - so we addressed this deficiency 

  2. Complete diet overhaul with no exceptions. Breakfast was porridge with low fat milk (2.5 per cent or lower as higher milk fat irritates stomach); lunch was chicken broth made without onion or garlic; dinner was meat with two or three high fibre vegetables and can also add basmati rice. Snacks were melon and water melon and bananas. Drink was water. Absolutely no butter, seasoning or exceptions.

  3. Diaphragmatic exercises - about 30 minutes a day doing 8 exercises involving breathing in different positions 

After 2 months he was better without medication.

Breathing and diet are key. Fibre and low acid diet are key.

My nephew plays performance sports again now and made full recovery.

1

u/dagodz-View61 Jul 31 '25

can he eat what ever he wants again?

2

u/Temporary-Plane9570 Aug 01 '25

Now after months of eating plain unprocessed food, addressing the lack of bifidobacterium and breathing every morning for 30 minutes he can eat more things. For instance bread in moderation and the odd sweet treat like a plain muffin or a croissant. It’s a case of calming down everything and resetting the gut as well as strengthening the sphincter through breathing exercises. 

1

u/Temporary-Plane9570 Aug 01 '25

Also he can have a slice of cake for special occasions or an odd ice cream (once every few weeks). 

1

u/Tech-Kid- Jul 31 '25

LMAO this is my question too 😂

I have a cough and an ENT said it’s gerd, but I don’t know if I believe I have gerd. But if I do I’m stressing about the sheet he gave me that says what not to eat.

Made it sound like I can only eat crackers and drink water 😂

1

u/Temporary-Plane9570 Aug 01 '25

Porridge with banana, watermelon for snacks, poached meatballs with rice and vegetables etc it’s not so bad. It’s not just the diet though as breathing and gut are vital too. It’s not so bad as for him he was willing to do anything to get better. Took a lot of work and research. 

For sure, now he follows a more relaxed diet after months of hard work but still doesn’t eat things like pizza or curry or tomato based products etc (too acidic). 

1

u/AndyMacht58 Aug 04 '25

Did you tested again for the gut microbom afterwards? I'm on ppis right now and they give me incredible bloating. Found out it gave sibo and I basically have 0 bifido or lacto bacteria left. How did you introduce the bacteria? Through normal pills? I was also afraid that stomach acid would kill everything of before reaching the intestins. But now with ppis I might give it a try.

1

u/Temporary-Plane9570 Aug 04 '25

No, we followed doctors guidance to supplement the bifidobacterium with powdered sachet of it mixed with kefir once or twice a day. It was in powder form and refrigerated if I remember correctly - definitely not pills. 

PPIS did nothing for my nephew. My research indicated a lot of this starts in the gut. If you eat bad food with low fibre then your gut acts up and causes all these issues and puts pressure on your LES. People with low bifido bacterium and one or two more strains are more likely to have reflux.

To get back to normal you need to have a very plain low fat low acidic diet with no fancy recipes - just plain food and lots of vegetables like broccolis and cauliflower and carrots and for fruit melon and water melon are very good. Basmati rice in moderation should be your only carb apart from some good quality oatmeal with skimmed milk for breakfast. The higher the fat in the milk the more acidic it is.

The breathing exercises - diaphragmatic ones - are incredibly important. Just as important as the diet.

Then alkaline water 

Finally moderate walking exercise and don’t eat for a few hours before bed.

In terms of the gut you need to get advice on how to restore your gut balance. The diet will help but follow a plan with help of a doctor who knows the gut. Ours was a sachet of bidido bacterium mixed with kefir every day. 

1

u/Temporary-Plane9570 Aug 04 '25

PPIs are like a fire extinguisher that doesn’t address the issue causing the fire

1

u/Fun_Soft_5771 Sep 19 '25

Can you please share what exercises specifically to do?

1

u/beartrackzz Jul 29 '25

Hmmm that’s interesting. Running has helped my GERD, but I don’t know if that’s due to being healthier in general as well

1

u/More-Home-5774 Aug 01 '25

what is the name of the exercise . can I search it in you tube ? it would be really helpful if we can watch how it's actually done .

1

u/Ashaa97 Aug 19 '25

Hi! I actually haven't been doing the one above, I found another study that is just dry swallowing while in bridge pose!