A healthy living blog from Marshfield Clinic Health System

Get the word on GERD

Get the word on GERD

If you frequently feel a burning sensation in your neck or throat, you should find out more about GERD.

If you frequently feel a burning sensation in your neck or throat, you should find out more about GERD.

This acronym stands for gastroesophageal reflux disease, a long term for a digestive disorder. It occurs when stomach acid or stomach contents backs up into the esophagus, the tube that carries liquids, foods and saliva from your mouth to your stomach. This causes irritation of the esophagus lining.

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Pain you can’t ignore

Heartburn is a common symptom most people experience, but when this symptom occurs at least twice a week or interferes with daily life you may have GERD.

A muscle at the bottom of the esophagus opens to let food into the stomach and closes to keep it there. When this muscle relaxes too often or for too long, acid backs up into your esophagus. You feel this as heartburn and something you can’t ignore.

Your doctor may refer you to a gastroenterologist, a specialist in digestive system disorders. This doctor will ask questions about your symptoms, your overall health and your family health history.

Watch for symptoms

Almost everyone gets heartburn occasionally, often because of something they ate.  But if you are experiencing this burning pain on a regular basis, get it checked out.  Other symptoms that could be related to GERD include food coming up into the esophagus, difficulty swallowing or a feeling of food getting stuck, painful swallowing, frequent burping, pain in the upper abdomen, feeling a lump in the throat, hoarseness, or chronic cough.

“We can treat most cases of GERD.  If left unchecked, GERD can cause permanent damage to the esophagus due to difficulty swallowing, pain, and bleeding.  It can also increase the risk of cancer of the esophagus,” said Jennifer Clements, a Marshfield Clinic Health Systems nurse practitioner in gastroenterology.

Try lifestyle changes first

Your provider may first recommend lifestyle changes that may improve GERD symptoms. These include maintaining a healthy body weight, avoid eating large meals, avoid lying down for at least 2 to 3 hours after eating; avoidance of fatty or spicy foods, chocolate, alcohol, caffeinated and carbonated beverages, mint, citrus and tomato-based foods, spicy foods, fried and fatty foods; and smoking cessation.

“We know that these practical steps help many of our GERD patients,” Clements said.

There are also many treatment options available for GERD patients. Based on symptoms, we may advise the use of antacids, H2 blockers, or proton pump inhibitors.

Others may need additional evaluation and specialized testing, such as passing a camera into the esophagus, stomach, and small intestine to locate the problem and see how advanced it is. Also, if other treatments fail to relieve symptoms, surgery may be needed.

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