Acid Reflux or GERD: What I Need to Know, Do and Watch Out?
Acid reflux or GERD (“Gastro-Esophageal Reflux Disease”) is reflux of stomach acid into the esophagus. This usually occurs due to a weak or “loose” sphincter muscle between the lower end of esophagus and the stomach. Symptoms of GERD include heartburn (burning sensation in chest), sour or acid taste in mouth, swallowing problem, vomiting, chest pain, sensation of lump in throat, hoarse voice, asthma or cough.
A few things you can do to improve acid reflux symptoms:
- Avoid late night meals. Do not lie down with a full stomach for 3 hours after a meal
- Weight loss (if overweight)
- Avoid smoking and drinking alcohol
- Raise the head of your bed during sleep
- Avoid foods which worsen your symptoms (fatty food, coffee, chocolate, tomatoes)
You may use over-the-counter antacids or acid-reducing medications for mild GERD. Avoid prolonged use of these medications due to risk of adverse effects.
You should see a gastroenterologist if you have:
- Severe or prolonged symptoms not controlled with medications
- Difficult or painful swallowing
- Unintentional weight loss
- Chest pain
- Vomiting with blood
Your GI doctor may recommend an upper endoscopy exam to determine damage and severity of GERD. During endoscopy, your doctor will also check for Barrett’s esophagus which results from repeated acid damage to the lining of esophagus. If you are diagnosed with Barrett’s esophagus, you will require periodic endoscopy to monitor for cancer of esophagus.
If you have any questions, please contact us to schedule a consultation and discuss your symptoms.