Get to the heart of heartburn

November 27, 2023
Get to the heart of heartburn

Indigestion is a bummer. Relief from a pill seems easy.

But chronic acid reflux – and some treatments – can become serious health problems.

Reflux happens when stomach contents flow back into your esophagus. Blech, heartburn.

Occasional acid reflux is normal. (Lie down after a big meal? Burp.) But heartburn that happens twice a week or more for several weeks is chronic acid reflux, or GERD: gastroesophageal reflux disease.

GERD occurs when the mechanisms that keep acid out of your esophagus aren’t working right. GERD can damage esophagus tissue over time and lead to serious health problems such as esophageal tightening, Barrett’s esophagus, and even esophageal cancer.

Over-the-counter medicines like Prilosec, Omeprazole and Nexium can be good short-term treatment for occasional acid reflux. But long-term use can increase your risk of heart disease, kidney disease, bone fractures, some infections, and nutrient deficiencies.

If you have GERD, it’s important to get a clear diagnosis to 1) create a treatment plan with your provider, and 2) monitor your health.

GERD can be diagnosed via upper endoscopy (EGD), a simple out-patient procedure that uses a scope to look at your esophagus, stomach and the first part of your small intestine.

See your doctor if you have:

  • frequent indigestion
  • burning in the center of your chest
  • sour- or bitter-tasting fluid in your throat or mouth
  • acid in your throat when lying flat or bending over
  • early satiety (feeling very full after eating just a little)
  • unexplained weight loss
  • trouble swallowing

Lifestyle changes can help curb reflux, too. Manage your weight; quit smoking. Limit alcohol, caffeine, and spicy or fatty foods. Eat smaller meals; don’t eat three hours before bed. Raise the head of your bed. And review all medications with your doctor; some can trigger reflux.

Because better digestion just feels . . . better.

Learn more about Endoscopy.