Everything You Need to Know About Acid Reflux and GERD

March 28, 2023
By Brian Alba
6 min read

Acid reflux and GERD (Gastroesophageal Reflux Disease) are digestive disorders affecting millions worldwide. Both conditions are caused by the backward flow of stomach acid into the esophagus, causing symptoms such as heartburn, coughing, and nausea.

Everything You Need to Know About Acid Reflux and GERD

Acid Reflux vs. GERD: What Is the Difference?

While acid reflux is a common and usually mild condition, GERD is a more severe form of acid reflux that can lead to serious complications if left untreated.

Acid Reflux

Acid reflux, or gastroesophageal reflux (GER), is a common problem in which stomach acid flows back into the food pipe connecting your throat and stomach. You may experience heartburn during an episode of GER—burning sensations radiating from your chest after eating heavily or consuming coffee/alcohol.

GERD

Frequent bouts of heartburn are the primary symptom indicating that acid reflux may have progressed to a more severe form, known as Gastroesophageal Reflux Disorder (GERD). Other telltale signs include regurgitated food or sour liquids, difficulty swallowing, and coughing or wheezing. Chest pain is also an ailment that might be felt, especially when lying at night.

Acid Reflux vs. Gerd: What Are Symptoms?

Acid reflux and GERD cause similar symptoms, making it difficult to distinguish between them without proper medical evaluation. These symptoms can range from heartburn and regurgitation to coughing and difficulty swallowing. Other symptoms include:

  • Foul-smelling breath
  • Persistent coughing
  • Chest discomfort
  • Raspy voice
  • Difficulty swallowing
  • Upset stomach

Acid Reflux vs. Gerd: What Are the Possible Triggers?

GERD is triggered by a malfunction in the lower esophageal sphincter (LES), which typically opens and closes after swallowing to prevent digestive contents from rising back up your esophagus.

However, when not working correctly, it fails to close properly, resulting in stomach acids traveling upwards into the food pipe—causing unpleasant symptoms of acid reflux.

Other potential contributing factors include:

  • Going to bed soon after consuming large meals. Reduced pressure creates an ideal environment in which the LES can perform optimally.
  • Hiatal hernia. A hiatal hernia occurs when a portion of the stomach rises above the diaphragm, potentially weakening it. This can make it difficult for your lower esophageal sphincter to keep food and acid in their correct places.
  • Consuming large meals frequently. The digestion process can be affected when the upper portion of a person's stomach is abnormally enlarged. This weakened pressure on their Lower Esophageal Sphincter (LES) can result in food and acids escaping from the stomach into the esophagus.

Acid Reflux vs. Gerd: What Are the Risk Factors?

Several factors can increase your likelihood of developing GERD, including:

  • Slowed digestion of food in the stomach
  • Pregnancy
  • Conditions affecting connective tissue, such as scleroderma
  • Obesity

Acid Reflux vs. Gerd: What Are The Potential Complications?

Over time, if left unchecked, chronic inflammation can wreak havoc on your esophagus—leading to a host of health issues, such as:

  • Precancerous changes to the esophagus (Barrett's esophagus). Acid damage to the tissue lining of the lower esophagus can create dangerous changes that put individuals at a heightened risk for developing esophageal cancer.
  • Narrowing of the esophagus (Esophageal Stricture). Stomach acid corrodes the esophageal tissue, leaving residual scarring that constricts food's passageway and causes difficulty swallowing.
  • Inflammation of the tissue in the esophagus (Esophagitis). Stomach acid can be destructive, leading to inflammation in the esophagus and potentially creating ulcers. This condition, Esophagitis, often causes pain, making swallowing difficult.

Food items that May worsen GERD symptoms: Particular food and drink items may serve as triggers for those diagnosed with GERD, causing symptoms to arise. Triggers can vary significantly from person to person, but some commonly reported foods tend to trigger GERD symptoms more frequently, such as:

  • Coffee
  • Minty foods or drinks
  • Fatty foods
  • Onions
  • Soda
  • Citrus fruits and juices
  • Tomatoes and tomato sauces

Acid Reflux vs. Gerd: How Is It Diagnosed?

Diagnosing acid reflux and GERD involves a range of tests to determine the underlying cause of symptoms. One such test is an X-ray of the abdomen or upper digestive tract, which allows doctors to visualize any blockages that might be present. Endoscopy is another option that examines the gastrointestinal tract and allows tissue samples to be taken if necessary.

In addition to these tests, other diagnostic methods for acid reflux and GERD include pH monitoring to measure stomach acid levels, manometry to evaluate muscle contractions, and impedance monitoring to assess food movement through the digestive system and changes air pressure during swallowing.

These tests provide crucial information to help healthcare providers make an accurate diagnosis and determine the best course of treatment.

Acid Reflux vs. Gerd: What Are Your Treatment Options?

Treatment for acid reflux and GERD typically depends on the severity and frequency of symptoms. Lifestyle changes, such as eating smaller, more frequent meals and avoiding triggers like fatty foods and late-night eating, can often relieve mild cases. Relieving symptoms by neutralizing excess stomach acid using over-the-counter antacids, such as calcium carbonate and magnesium hydroxide, is also possible.

Prescription medications, such as proton pump inhibitors and H2 receptor blockers, may be required for managing more severe cases of acid reflux and GERD. These medications work by reducing the amount of acid produced by the stomach.

Surgery, such as a Nissen fundoplication, may be recommended to prevent acid from flowing back into the esophagus. Working closely with a healthcare provider to determine the best treatment plan for your needs is essential.

Acid Reflux vs. Gerd: Home Remedies to Avoid

Self-medication may provide brief relief for those experiencing chronic heartburn but is not likely a lasting solution. Consulting with your doctor is the best way to personalize a treatment plan for long-term health and well-being.

Some home remedies commonly suggested for acid reflux may be harmful and are best avoided, including:

  • Ingesting milk. While milk may seem like a promising home remedy to alleviate heartburn discomfort, its natural alkalinity can worsen symptoms over time due to the fat and protein it contains. Low-fat versions may relieve individuals who experience persistent reflux symptoms from regular milk consumption.
  • Consuming ginger. Despite its everyday use at home as a remedy for nausea and digestive issues, the extent to which ginger can help heartburn remains uncertain. In addition, some scientific studies have suggested that too much spice may cause burning sensations in those who consume it.
  • Consuming a mixture of baking soda and water. Baking soda is an excellent asset in neutralizing acidity and can be safe to consume, but caution must be taken as it contains high sodium levels. Overconsumption could result in adverse effects on the body.
  • Chewing gum. Chewing gum to neutralize acidity in the mouth and throat has been suggested as a potential remedy. Still, findings from a limited-sized study have made it difficult to draw reliable conclusions.

Don't Let Acid Reflux Hold You Back

Acid reflux doesn't have to be a constant in your life. Sure, everyone experiences it occasionally, but if it's happening regularly, it may be a sign that you need treatment for Gastroesophageal Reflux Disease (GERD).

If you're experiencing persistent acid reflux, don't hesitate to contact your doctor. They can work with you to create a personalized plan that fits your lifestyle and needs, whether over-the-counter medications or surgery in more severe cases. Don't let acid reflux hold you back—take control and live your life to the fullest!

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