Gastroesophageal Reflux Disease (GERD) or Heartburn
GERD occurs when stomach acid flows back into your esophagus, the tube connecting your mouth and stomach. This backwash, called acid reflux, can irritate the lining of your esophagus. Many people experience acid reflux from time to time. Most people can manage the discomfort caused by GERD with lifestyle changes and over-the-counter medications. Some people with GERD may need stronger medications or surgery to ease the symptoms.
What are the symptoms of GERD?
Common symptoms of GERD include:
- Heart burn or regurgitation of food or liquid
- Difficulty swallowing
- Chest pain*
- Sensation of a lump in your throat
- Chronic cough or laryngitis
- New or worsening asthma
- Disrupted sleep
*Chest pain also can be a sign of a heart attack. You should go immediately to the nearest hospital emergency department.
What is Barrett’s esophagus?
Over time, regular exposure of your esophagus to stomach acid can cause inflammation and narrowing and can even change cell composition, causing a condition called Barrett’s esophagus. In this case, normal cells in your esophagus will change into cells that resemble those found in your small intestine. This cellular change increases your risk for developing esophageal cancer.
Risk factors contributing to Barrett’s esophagus include being overweight or obese, heavy alcohol use, tobacco use and chronic, long-term GERD.
How is GERD treated?
No matter the severity of your GERD symptoms, experts in our reflux treatment program can help. If you have persistent acid reflux, our specialists will perform testing to determine the health of your esophagus, then create a custom treatment plan for you. GERD can often be controlled with medication, such as antacids, H2 blockers and proton pump inhibitors. If medications are not effective, our specialists may recommend acid reflux surgery procedures such as fundoplication – a surgical technique that assists the lower esophageal sphincter, or LINX – a minimally-invasive surgery.