The Uncomfortable Truth About GERD
Breathing Fire: Not as Cool as It Sounds
Gastroesophageal reflux disease (GERD) is a digestive disease that can cause chronic heartburn, among other annoying symptoms. It’s a common condition that affects an estimated 20% of Americans. But what exactly is GERD, and how can you manage its symptoms?
GERD Symptoms in Adults
Heartburn and regurgitation are the two most common symptoms of GERD in adults. Other symptoms may include:
- Nausea
- Burping
- Chest pain
- Pain when swallowing
- Trouble swallowing (dysphagia)
- Bitter or acidic taste in the mouth
If you experience any of these symptoms, it’s essential to consult with your doctor. They may be a sign of a more serious case of GERD or an underlying condition.
GERD Symptoms in Babies
Babies often spit up, but in some cases, it can be a sign of GERD. Look out for:
- Colic
- Gagging
- Wheezing
- Coughing
- Refusal to eat
- Frequent vomiting
- Trouble swallowing
- Arching their back during or after a feeding
Your pediatrician can help determine if your baby’s symptoms are related to GERD or another condition.
Nighttime GERD Symptoms
Nighttime GERD symptoms can be more intense and increase your risk of:
- Laryngitis
- Chronic cough
- Trouble sleeping
This may be due to gravity, reduced saliva production, and decreased swallowing at night. Try to avoid eating at least three hours before bedtime to reduce your risk of a late-night GERD flare-up.
GERD Symptoms and Treatments
The most common GERD symptoms are heartburn and regurgitation. Other symptoms can include:
- Nausea
- Burping
- Dysphagia (trouble swallowing)
- Odynophagia (painful swallowing)
- Upper abdominal pain
- Bitter taste in the back of the mouth
To ease these symptoms, you can try over-the-counter (OTC) options such as antacids, H2 receptor blockers, or proton pump inhibitors (PPIs). If OTC treatments don’t work, your doctor may prescribe a stronger medication.
Surgery: A Last Resort
In some cases, surgery may be necessary to treat GERD. Possible procedures include:
- Linx surgery: Strengthens the lower esophageal sphincter (LES) with magnetic beads.
- Fundoplication: Reinforces and tightens the LES.
- Stretta procedure: Strengthens the LES muscle and blocks nerves from responding to acid.
- TIF (transoral incisionless fundoplication): Wraps a portion of the stomach around the esophagus to recreate the valve between the stomach and esophagus.
Lifestyle Changes to Manage GERD
While OTC treatments can provide temporary relief, making lifestyle changes can help alleviate GERD symptoms in the long run. Try:
- Quitting smoking: Smoking is associated with higher rates of GERD.
- Wearing loose clothing: Tight clothing can put extra pressure on the abdomen, increasing the risk of indigestion.
- Tweaking your diet: Identify and avoid foods that trigger your GERD symptoms.
- Maintaining a moderate body weight: Being overweight or obese can put extra pressure on the abdomen, increasing the risk of GERD.
Herbal Remedies: A Natural Approach
While there’s limited research on herbal remedies for GERD, some people have found relief with:
- Chamomile
- Licorice root
- Slippery elm
- Marshmallow root
However, it’s essential to consult with your doctor before trying any herbal remedies, as they may interact with medications you’re already taking.
Say Goodbye to GERD
GERD symptoms can range from uncomfortable to painful. While OTC treatments can provide temporary relief, making lifestyle changes and consulting with your doctor can help you manage GERD symptoms and improve your overall health.
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