PULSE Fall 2024 5 Is your heartburn actually GERD? It’s not unusual to have indigestion once in a while, especially after a big meal. But heartburn that happens frequently—or comes on with other symptoms—could be a sign of something more serious called gastroesophageal reflux disease (GERD). GERD is a digestive disorder that occurs when food and acid from the stomach excessively flow back into the esophagus. It’s uncomfortable and, when left untreated, can increase the risk of esophageal inflammation and cancer. GERD can also contribute to breathing problems like asthma, wheezing, loss of voice or pneumonia. Bill Kim, MD Contact us for your digestive health needs! Central Peninsula Gastroenterology 240 Hospital Place, Soldotna 907-714-6120 www.cpgh.org/gastroenterology (or scan the QR code) Heartburn vs. GERD: What’s the difference? GERD is often marked by frequent heartburn—a painful, burning feeling in the chest or back of the throat. But GERD can cause other symptoms too. These include: ● Bad breath. ● Chest or abdominal pain. ● Nausea or vomiting. ● Chronic coughing. ● In some cases, trouble swallowing or tooth erosion. Anyone can have GERD. Being overweight or smoking can significantly raise a person’s risk, though. Pregnant women and those taking certain medications (like some sedatives, antidepressants, NSAIDs or high blood pressure drugs) are also more likely to be affected. Get help for GERD GERD has the potential to cause health problems over time. Getting the condition under control is the best way to start feeling better and lower your risk for possible complications. Start by talking with your primary care provider. Together you can come up with a GERD management plan that includes lifestyle changes. For example: ● Identifying and avoiding heartburn-triggering foods, such as things that are spicy or acidic. ● Eating a lower-fat diet. ● Trading large meals for smaller, more frequent meals. ● Losing weight if needed. ● Quitting smoking if you smoke. ● Elevating your head while you sleep. Over-the-counter and prescription drugs can help too. Surgery can be another option when lifestyle changes and medicines aren’t enough. Recent guidelines recommend an upper endoscopy in men with chronic heartburn and a BMI over 30. Sources: Academy of Nutrition and Dietetics; American Academy of Family Physicians; National Institutes of Health
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