Understanding Heartburn and Acid Reflux

A Comprehensive Guide to Gastroesophageal Reflux Disease (GERD)

Gastroenterology

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Last updated: Mar 24, 2025

What Is Heartburn?

Heartburn is a burning sensation in the chest, usually occurring after eating. Despite its name, it's not related to your heart - it's a digestive system issue.

What Is Acid Reflux?

Acid reflux occurs when stomach acid flows back into your esophagus. When this happens regularly, it's called Gastroesophageal Reflux Disease (GERD).

Common Symptoms

  • Burning sensation in chest (heartburn)
  • Regurgitation of food or sour liquid
  • Difficulty swallowing
  • Chronic cough
  • Chest pain
  • Disrupted sleep

Risk Factors

  • Obesity
  • Pregnancy
  • Smoking
  • Certain medications
  • Eating large meals
  • Lying down soon after eating

Treatment Options

Lifestyle Changes

  • Maintain healthy weight
  • Avoid trigger foods
  • Eat smaller meals
  • Wait 3 hours after eating before lying down
  • Elevate head of bed

Medications

  1. Over-the-counter options:

    • Antacids
    • H2 blockers
    • Proton pump inhibitors (PPIs)
  2. Prescription medications:

    • Stronger versions of above medications
    • Prokinetics

When to See a Doctor

Seek medical attention if you experience:

  • Severe chest pain
  • Difficulty swallowing
  • Chronic hoarseness
  • Persistent symptoms despite OTC medications

Prevention Tips

  • Avoid trigger foods (spicy, fatty, acidic)
  • Don't eat close to bedtime
  • Wear loose-fitting clothes
  • Quit smoking
  • Limit alcohol and caffeine

Possible Complications

Untreated chronic acid reflux can lead to:

  • Esophagitis
  • Barrett's esophagus
  • Esophageal strictures
  • Dental problems

Always consult with your healthcare provider for personalized medical advice.

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