Heartburn

What causes heartburn? Heartburn occurs when stomach acid refluxes, or backs up, into the esophagus. For most Americans, occasional heartburn and acid reflux is part of everyday life. However, if left untreated, severe heartburn and acid reflux can lead to serious risks including:

  • Scarring of the esophagus  
  • Difficulty swallowing
  • Increased risk of esophageal cancer and other conditions

If you have heartburn, acid reflux or indigestion on most days for three weeks or more, or if it’s getting worse, it’s time to see a doctor.

Heartburn Symptoms
Heartburn symptoms are often mild to moderate, but can become severe if left untreated. These symptoms include:

  • Burning sensation behind breastbone
  • Increased pain while lying or bending over
  • Bitter taste in the back of mouth

 

Heartburn Treatment
Relief is possible through lifestyle changes like an acid reflux diet or over-the-counter heartburn medications. Your gastroenterologist can help you identify triggers and come up with a comprehensive plan to start feeling better.

If your heartburn continues or worsens with treatment, it could be a sign of Gastroesophageal Reflux Disease (GERD).

 

 

GERD

GERD is a common disorder that occurs when stomach contents and acid reflux into the esophagus. Some reflux is normal and occurs, without symptoms, shortly after a meal. However, if you experience persistent heartburn symptoms or injury to the esophagus is found, it becomes GERD.

GERD Symptoms
GERD symptoms are often more severe and persistent than other digestive issues, like acid reflux. Symptoms include:

  • Frequent heartburn
  • Nausea
  • Vomiting
  • Tooth erosion
  • Abdominal pain
  • Regurgitation
  • Dry, chronic cough
  • Difficulty or painful swallowing
  • Sore throat
  • Hoarseness of voice
  • Breathing issues
  • Bitter taste in back of mouth

Diagnosis
GERD is diagnosed based on your symptoms and response to treatment. If you are experiencing persistent acid reflux or severe heartburn two or more times per week, ask your physician about GERD.

GERD Treatment
GERD treatment is also approached through a combination of diet and lifestyle changes, over-the-counter and prescription medications. Talk to your gastroenterologist about the right GERD diet and treatment plan for you.

If, despite treatment, your physician notices more severe symptoms such as weight loss, vomiting blood, black tarry stool or family history of stomach cancer, further testing may be ordered.