(gastroesophageal reflux disease) is a digestive disorder. It’s caused when gastric acid
from your stomach flows back up into your food pipe (esophagus).
Heartburn is the most common symptom of GERD.
happens when gastric acid from your stomach backs up into your food pipe
muscle at the bottom of the esophagus opens to let food in. And it closes to keep food
in the stomach. This muscle is called the lower esophageal sphincter (LES). When your
LES relaxes too often or for too long, acid backs up into your esophagus. This causes
heartburn and may cause damage.
Some lifestyle issues that can cause GERD may include:
- Being overweight
- Eating foods such as citrus, chocolate, and fatty or spicy foods
- Having caffeine
- Having alcohol
aspirin and over-the-counter pain and fever medicines. These include nonsteroidal
anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.
Some health problems that may cause heartburn may include:
of your stomach lining (gastritis)
sores (ulcers) on the lining of your stomach or esophagus, or the first part of your
small intestine (duodenum)
allergic condition in the esophagus (eosinophilic esophagitis)
You may be more at risk for GERD if you:
- Have a
part of your stomach slide up out of the belly cavity next to your esophagus (hiatal
- Have a weak lower esophageal sphincter or LES
- Are obese
- Are pregnant
some medicines, such as aspirin or over-the-counter pain and fever medicines such as
- Smoke or are around secondhand smoke
- Drink alcohol
- Are older
Heartburn, also called acid indigestion, or acid reflux, is the most common symptom of
GERD. Heartburn is a burning chest pain that starts behind your breastbone and moves up
to your neck and throat. It can last as long as 2 hours. It often feels worse after you
eat. Lying down or bending over can also cause heartburn. Another common symptom of GERD
is bringing swallowed food up again to the mouth (regurgitation). Some people can have
Heartburn is not a GERD symptom for most children younger than 12 years old, and for
some adults. They may have a dry cough, asthma symptoms, or trouble swallowing
person’s symptoms may vary. GERD symptoms may seem like other health problems. Always
see your healthcare provider to be sure.
see if you have GERD, your healthcare provider will give you a physical exam and ask
about your past health. Some people with typical symptoms may be treated without more
tests for GERD may include:
- Upper GI (gastrointestinal) series, also called a barium swallow. This test looks at the organs of the top part of your digestive system. It checks your food pipe (esophagus), stomach, and the first part of your small intestine (duodenum). You will swallow a metallic fluid called barium. Barium coats the organs so that they can be seen on an X-ray.
endoscopy or EGD (esophagogastroduodenoscopy). This test looks at the lining
or inside of your esophagus, stomach, and duodenum. This test uses a thin, lighted
tube (endoscope). The tube has a camera at one end. The tube is put into your mouth
and throat. Then it goes into your esophagus, stomach, and duodenum. Your healthcare
provider can see the inside of these organs. He or she can also take a small tissue
sample (biopsy) if needed.
test. This test helps to see if your symptoms are caused by acid in your
esophagus. The test is done by dripping a mild acid through a tube placed in your
- Esophageal manometry. This test checks the strength of your esophagus muscles. It can see if you have any problems with backward flow of fluid (reflux) or swallowing. A small tube is put into your nostril, then down your throat and into your esophagus. The tube checks how much pressure your esophageal muscles make when they are at rest.
monitoring. This test checks the pH (acid level) in your esophagus. A thin,
plastic tube is placed into your nostril, down your throat, and into your esophagus.
The tube has a sensor that measures pH level. The other end of the tube outside your
body is attached to a small monitor that records your pH levels for 24 to 48 hours.
During this time you can go home and do your normal activities. You will need to keep
a diary of any symptoms you feel, and also of the food you eat. Your pH readings are
checked and compared to your activity for that time period.
Impedance testing. This test is able
to see reflux of acid, plus nonacid liquid and air. It is combined with pH
Treatment will depend on your child’s symptoms, age, and general
health. It will also depend on how severe the condition is.
many cases making diet and lifestyle changes can help reduce GERD symptoms. Always check
with your healthcare provider before making any changes.
you have GERD, be careful about what you eat and drink. Don’t have too much of
and fatty foods
fruit and juices
with caffeine, such as coffee, soda, and energy drinks
drink too much alcohol
- Wait a
few hours after eating before you lie down or go to bed
weight if needed
the head of your bed 6 inches (to do this, put bricks, cinderblocks, or bedrisers
under the bed legs at the head of the bed)
Check any medicines you are taking. Some may cause problems with the lining of your
stomach or esophagus. You may also want to talk with your healthcare provider about:
medicines to reduce your stomach acid (antacids)
medicines called H2-blockers and proton pump inhibitors. Taking these medicines
before eating may stop heartburn from happening.
medicines that help to empty food from your stomach (promotility medicines). You will
need a prescription for these. But these medicines are rarely used to treat reflux
disease unless there are other problems, too.
surgery called fundoplication. This is sometimes done to help keep the esophagus in
the right place and to stop the backward flow of fluid (reflux).
If GERD is not treated, it can lead to other health problems. These may include:
- Esophagitis. This is an irritation of the esophagus caused by the acid in your stomach contents.
- Narrowing of the esophagus, also called strictures. This can make it hard to swallow.
- Breathing problems. This happens when stomach contents from your esophagus go into your lungs.
- Barrett’s esophagus. This affects the lining of your esophagus. In some cases it can lead to esophageal cancer.
Some of the same diet and lifestyle
changes that are used to treat GERD can also help to prevent it.
Your healthcare provider will give you advice on how to manage your GERD symptoms. In most cases you will need to make some diet and lifestyle changes so that GERD pain won’t get in the way of your normal activities.
Call your healthcare provider if:
- Your GERD symptoms don’t get better with treatment, or they
- You have new symptoms
- You start vomiting
- You have involuntary weight loss
- You have trouble or pain with swallowing
- You have blood in your vomit or stool
- GERD is
a digestive disorder. It is caused by gastric acid flowing from your stomach back up
into your food pipe (esophagus).
- Heartburn is the most common symptom of GERD.
lifestyle issues that may cause GERD include being overweight, overeating, having
caffeine and alcohol, and eating chocolate and spicy foods.
are several tests that can be done to see if you have GERD.
- If it is
not treated, GERD can lead to other health problems.
diet and lifestyle changes can help reduce GERD symptoms. Some medicines may also
help reduce symptoms.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider
- At the visit, write down the name of a new diagnosis, and any new medicines,
treatments, or tests. Also write down any new instructions your provider gives
- Know why a new medicine or treatment is prescribed, and how it will help you. Also
know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or
- If you have a follow-up appointment, write down the date, time, and purpose for that
- Know how you can contact your provider if you have questions.