04-08-2023
Understanding The Difference Between Heartburn And Acid Reflux Disease (GERD)

Heartburn and Acid Reflux Disease (GERD) are two terms often used interchangeably to describe the discomfort and burning sensation in the chest and throat that can occur after eating certain foods or lying down. However, these are two distinct stomach problems with different causes, symptoms, and treatments.

Heartburn, also known as acid indigestion, is a common digestive problem that occurs when stomach acid backs up into the esophagus, causing irritation and inflammation of the lining. This can be caused by a variety of factors, including spicy or fatty foods, alcohol, caffeine, smoking, stress, and certain medications.

The main symptom of heartburn is a burning sensation in the chest that can also spread to the throat and neck, often after eating or lying down. Other symptoms may include regurgitation of food or sour liquid, difficulty swallowing, and a feeling of fullness or bloating in the stomach.

On the other hand, acid reflux disease (GERD) is a more severe and chronic form of heartburn that occurs when the stomach acid repeatedly flows back into the esophagus, causing damage and inflammation to the lining. This can be caused by a variety of factors, including obesity, hiatal hernia, pregnancy, smoking, and certain medications.

The main symptom of acid reflux disease (GERD) is a persistent and severe burning sensation in the chest and throat, often accompanied by a sour or bitter taste in the mouth and difficulty swallowing. Other symptoms may include nausea, bloating, burping, and coughing.

While heartburn can usually be treated with over-the-counter antacids or lifestyle changes such as avoiding trigger foods and losing weight, acid reflux disease (GERD) may require prescription medications such as proton pump inhibitors (PPIs) or surgery in severe cases.

It is important to understand the difference between heartburn and acid reflux disease (GERD) and to seek medical advice if the symptoms persist or worsen. Here are some tips on how to distinguish between the two and how to manage the symptoms:

  • Identify the triggers: Keep a food diary to identify the foods and drinks that trigger your heartburn or acid reflux disease (GERD) symptoms, and avoid them as much as possible. Common trigger foods include spicy, fatty, or fried foods, citrus fruits, tomatoes, chocolate, caffeine, alcohol, and carbonated drinks.
  • Eat smaller, more frequent meals: Instead of eating three large meals a day, try eating smaller, more frequent meals throughout the day to reduce the pressure on your stomach and minimize the chances of reflux.
  • Avoid lying down after meals: Wait at least three hours after eating before lying down or going to bed to allow your stomach to empty and reduce the risk of acid reflux disease (GERD).
  • Elevate the head of your bed: Use a wedge pillow or raise the head of your bed by 6 to 8 inches to prevent the stomach acid from flowing back into the esophagus while you sleep.
  • Quit smoking: Smoking can weaken the lower Esophageal Sphincter (LES) muscle that controls the flow of stomach acid into the esophagus and worsen the symptoms of heartburn and acid reflux disease (GERD).
  • Manage stress: Stress can increase the production of stomach acid and exacerbate the symptoms of heartburn and acid reflux disease (GERD). Practice relaxation techniques such as deep breathing, yoga, or meditation to reduce stress and promote digestion.
  • In conclusion, heartburn and acid reflux disease (GERD) are two different stomach problems that can cause discomfort and burning sensation in the chest and throat. While heartburn is usually a mild and occasional problem that can be managed with over-the-counter remedies and lifestyle changes, acid reflux disease (GERD) is a more severe and chronic condition that may require medical treatment.

    Doctor
    Dr.Sharad Dev
    Consultant
    Department of Gastroenterology
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