GERD and acidity
Also called Acid reflux, Heartburn, Gastroesophageal reflux disease
GERD (gastroesophageal reflux disease) is when stomach acid flows back into the food pipe often enough to cause symptoms or damage. Occasional acidity after a heavy meal is common; heartburn more than twice a week, or acidity with difficulty swallowing, weight loss or vomiting, should be checked by a gastroenterologist.
Symptoms
- Burning behind the breastbone, often after meals or lying down
- Sour or bitter taste, regurgitation of food
- Chronic cough, hoarseness or throat clearing
- Upper abdominal discomfort and bloating
Common causes
- Weak lower oesophageal sphincter or a hiatus hernia
- Excess weight, late or large meals
- Smoking, alcohol, and some medicines
- Pregnancy
How it is diagnosed
- Consultation and a trial of treatment when symptoms are typical
- Upper GI endoscopy if symptoms persist or warning signs are present
- 24-hour pH impedance monitoring when the diagnosis is unclear
Treatment
- Lifestyle changes: smaller meals, no food 2–3 hours before bed, raising the head of the bed, weight loss
- Acid-reducing medicines, used at the lowest effective dose
- Treatment of complications such as strictures or Barrett's oesophagus
Questions patients ask
How is GERD different from regular acidity?
Acidity is a symptom anyone can have occasionally. GERD is a lasting condition in which reflux happens often enough to cause regular symptoms or inflammation of the food pipe.
Can I take antacids every day?
Frequent need for antacids is a sign to see a doctor. Long-term acid medicines should be reviewed regularly so you take only what you need.
Related care
Get gerd and acidity checked
Book a consultation with Dr. Anil Kumar Mannava. No referral needed.