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The Call-On-Doc Guide to GERD

Published on Mar 20, 2025 | 3:46 PM

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That uncomfortable burning in your chest after a meal isn’t just annoying—it could be a sign of a bigger issue.

 

Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus, causing irritation, discomfort, and potential long-term damage.

 

While occasional heartburn is normal, GERD happens regularly and can interfere with daily life if left untreated. Knowing the symptoms, causes, and treatment options can help you take control of your digestive health and prevent serious complications.

What Is GERD? A Closer Look

What Is GERD

GERD is a long-term digestive condition where stomach acid frequently backs up into the esophagus, irritating its lining.

 

Normally, a muscle called the lower esophageal sphincter (LES) keeps acid in the stomach, but when it weakens or relaxes too often, acid escapes into the esophagus. This can lead to discomfort, inflammation, and over time, potential damage to the esophagus.

What’s the Difference Between GERD and Heartburn?

Heartburn is a burning sensation in the chest caused by acid reflux, and it can happen occasionally to anyone. GERD, however, is when acid reflux occurs regularly, causing ongoing symptoms and potential complications like esophageal damage.

 

If you experience heartburn more than twice a week, you may have GERD and should consider speaking with a doctor.

What Are the Symptoms of GERD?

GERD can present a range of symptoms, from mild discomfort to severe and persistent issues that affect daily life. While occasional acid reflux is common, GERD occurs when these symptoms become frequent and chronic, often requiring medical attention.

Common Symptoms of GERD

The most noticeable and frequent symptoms of GERD in adults include:¹,²

  • Frequent Heartburn: A burning sensation in the chest, typically after eating, that may worsen when lying down or bending over.
  • Regurgitation: A sour or bitter-tasting fluid rising from the stomach into the throat or mouth, sometimes accompanied by food particles.

Less Common Symptoms of GERD

GERD can also cause symptoms beyond the digestive system, which may not be immediately recognized as reflux-related: ¹,²

 

  • Chest Pain: GERD-related chest pain can mimic heart-related pain, but it usually occurs after eating and improves with antacids.
  • Chronic Cough: A persistent dry cough, often worse at night, caused by stomach acid irritating the throat and airways.
  • Sore Throat or Hoarseness: Irritation from acid exposure can lead to throat pain, voice changes, or a raspy, hoarse voice.
  • Bad Breath (Halitosis): The backflow of stomach contents, including acid and undigested food, can contribute to foul-smelling breath.
  • Water Brash: A sudden increase in saliva production due to excessive stomach acid, causing a sour or bitter taste in the mouth.
  • Feeling of a Lump in the Throat (Globus Sensation): A persistent sensation of something stuck in the throat, even when swallowing normally.

More Serious Symptoms of GERD

More serious GERD symptoms, sometimes called alarm symptoms, may signal an underlying condition and should be addressed immediately:²

  • Bleeding: Vomiting blood or passing black, tarry stools could indicate gastrointestinal bleeding and requires urgent medical attention.
  • Difficulty Swallowing (Dysphagia): A sensation of food getting stuck in the throat or trouble moving food from the mouth to the stomach.
  • Pain When Swallowing (Odynophagia): A burning or sharp pain when swallowing, often due to esophageal irritation or damage.
  • Nausea or Vomiting: Frequent nausea or episodes of vomiting, which may indicate complications like esophagitis.
  • Anemia: Chronic acid exposure may cause esophageal bleeding, leading to iron deficiency anemia.
  • Unintentional Weight Loss: Losing weight without trying could suggest esophageal damage or an underlying issue affecting digestion.

What Causes GERD?

What Causes GERD

Several factors can contribute to this weakening of the lower esophageal sphincter (LES) and the development of acid reflux symptoms, including:¹,²

  • Consumption of acidic, spicy, or fatty foods
  • Obesity or excess body weight
  • Hiatal hernias
  • Smoking
  • Pregnancy
  • Calcium channel blockers
  • Antihistamines
  • Some asthma medications
  • Alcohol and caffeine
  • Connective tissue disorders

How Do Doctors Diagnose GERD?

GERD is typically diagnosed based on symptoms such as frequent heartburn, regurgitation, and difficulty swallowing. If symptoms improve with lifestyle changes or medications, further testing may not be necessary.

 

However, diagnostic tests may be recommended if symptoms persist despite treatment, if there are complications like difficulty swallowing, unexplained weight loss, or signs of esophageal damage.

 

In such cases, an upper endoscopy (EGD) may be performed to check for inflammation, ulcers, or Barrett’s esophagus, while pH monitoring can measure acid levels in the esophagus over 24 hours.

 

Esophageal manometry may be used to assess muscle function and lower esophageal sphincter (LES) strength, and a barium swallow (esophagram) can help detect structural abnormalities.

 

While these tests are not always required, they are sometimes used to confirm a GERD diagnosis and rule out more serious conditions when symptoms are severe or unresponsive to treatment.

How Is GERD Treated?

GERD treatment primarily focuses on relieving symptoms and preventing their recurrence.
 

Common steps to manage heartburn include:¹,²

  • Lifestyle changes such as avoiding trigger foods, losing weight, and quitting smoking
  • Over-the-counter antacids
  • Prescription medications
  • Elevating your head when sleeping
  • Eating smaller, more frequent meals
  • Choosing more bland and healthier meals
  • Avoiding lying down immediately after eating
  • Surgery (if other options do not work)

GERD FAQs

What natural remedies help with GERD?

Some claim that apple cider vinegar can balance stomach acid and baking soda with water can neutralize it, but their effectiveness varies. It’s best to consult a doctor, as some remedies may worsen GERD symptoms.

Is GERD the same as acid reflux?

Acid reflux happens when stomach acid flows back into the esophagus, causing occasional heartburn or discomfort. GERD is a chronic condition where acid reflux occurs frequently, leading to persistent symptoms and potential complications.

Does GERD go away on its own?

Untreated GERD can cause esophageal damage, leading to ulcers, strictures, or Barrett’s esophagus. Over time, it may increase the risk of esophageal cancer.

Is GERD curable?

GERD can often be managed with lifestyle changes and medication, but it may not be permanently cured. In severe cases, surgical options like fundoplication can provide long-term relief.

How do you prevent GERD?

Avoiding acidic, spicy, and fatty foods, maintaining a healthy weight, and not smoking can help prevent GERD. Managing stress and eating at least three hours before bed can also reduce the risk of reflux.

Get Relief From GERD—Fast, Easy, and Online

Living with GERD can be frustrating, but you don’t have to suffer through constant heartburn and discomfort.

Managing your symptoms early can help prevent complications and improve your quality of life. With Call-On-Doc, you can skip the wait at the doctor’s office and get fast, online GERD treatment from licensed medical professionals.

We prescribe effective GERD medications, including esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), and more to help reduce acid production and provide long-term relief.

Don’t let GERD control your life—get the treatment you need today with a simple online consultation!

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Wayne C. Hahne,

English graduate and Call-On-Doc’s medical resource guide, Wayne C. Hahne is an experienced and passionate medical education content expert. Through diligent research, provider interviews and utilizing the industry's leading resources for wellness information, it is Mr. Hahne’s personal mission to educate the general public on medical conditions with in-depth and easy-to-understand written guides.

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