Breathing fire sounds cool in theory. (Dragons are lit.) But IRL, it’s the pits. Folks with gastroesophageal reflux disease (GERD) know what we’re talking about.
GERD is a digestive disease that can cause chronic heartburn (among other annoying AF symptoms). This can include vomiting, trouble swallowing, chest pain, bitter or acidic taste in your mouth, gagging, laryngitis, and coughing. Here are the deets.
An estimated 20 percent of Americans have GERD. The two most common symptoms in adults are heartburn and regurgitation.
Other symptoms may include:
- chest pain
- pain when swallowing
- trouble swallowing (aka dysphagia)
- a bitter or acidic taste in your mouth
Hit up your doctor if you also experience:
- chest pain
- chronic cough
- tooth erosions
- a raspy, hoarse voice
- globus sensation (when you feel a lump in your throat that isn’t really there)
These symptoms might be a sign of a more serious case of GERD or an underlying condition.
Babies are known to have yak attacks on the reg. Around 70 to 85 percent of 2-month-old bébés regurgitate daily. While it’s usually nothing to worry about, there are some GERD symptoms to look out for.
- refusal to eat
- frequent vomiting
- trouble swallowing
- arching their back during or after a feeding
FYI: Some of these symptoms can be a sign of tongue-tie. Your pediatrician can let you know what’s what.
Nighttime GERD symptoms are similar to daytime symptoms but tend to be more intense. It also increases your risk for:
- a chronic cough
- trouble sleeping
This might be because:
- Gravity. It’s easier for stomach acid to come up when you’re lying down.
- Salvia. Spit, which helps neutralize stomach acid, isn’t produced as much at night.
- You swallow less at night. Swallowing can help push stomach acid back down.
Pro tip: Have your last nosh at least 3 hours before bedtime. This might reduce your risk of a late-night GERD flare-up.
Reminder: The most common GERD symptoms are heartburn and regurgitation. Other symptoms can include:
- dysphagia (trouble swallowing)
- odynophagia (painful swallowing)
- upper abdominal pain
- a bitter taste in the back of your mouth
To ease these symptoms, you can try an OTC option such as:
- Antacids to help neutralize stomach acid.
- H2 receptor blockers to help reduce stomach acid.
- Proton pump inhibitors (PPIs) to help reduce and block stomach acid production.
Your doc might prescribe a stronger medication if OTC treatments don’t do the trick.
Do I need surgery to heal GERD?
You may need surgery if your GERD symptoms don’t improve with OTC or Rx treatments.
Possible procedures include:
- Linx surgery. This works by strengthening the LES (lower esophageal sphincter) with magnetic beads.
- Fundoplication. This surgery reinforces and tightens the LES.
- Stretta procedure. It can strengthen the LES muscle and block nerves from responding to acid.
- TIF (transoral incisionless fundoplication). A portion of your stomach is wrapped around the esophagus. This recreates the valve between your stomach and esophagus, which can prevent acid reflux.
GERD can be triggered by lots of lifestyle factors. Some common causes include:
- Diet. Certain foods can trigger a GERD flare-up. It varies from person-to-person, but common culprits include fatty foods, spicy stuff, caffeinated drinks (e.g., coffee, tea, or soda), and acidic fruits like pineapples, tomatoes, or citrus.
- Alcohol. Alcohol can increase your risk of GERD. Certain booze — like beer or wine — can make you produce more gastric acid. Also, alcohol relaxes your muscles which might make it easier for acid to creep up the esophagus. It’s sort of like Thanos and Voldemort team up to ruin $1 shot night.
- Pregnancy. Your chance of getting GERD goes up when your eggo is preggo. In fact, as many as 45 percent of pregnant peeps get frequent heartburn. This might be due to hormonal fluctuations (especially in the first trimester).
- Anxiety. Research shows anxiety can take your GERD to the next level. A 2013 study found that anxiety can increase symptoms such as upper abdominal pain and heartburn.
Lots of folks dig OTC antacids, H2 receptor blockers, or proton pump inhibitors (PPIs). But these options only provide temporary relief.
For long-term GERD, you might need to make some lifestyle changes. Here are some top tips:
- Don’t smoke. Smoking is associated with higher rates of GERD. If you smoke, quitting can reduce your symptoms and improve your overall health.
- Keep it loose. Uber tight clothing can put extra pressure on the abdomen which can increase your risk of indigestion. So let it all hang out, honey.
- Tweak your diet. Ditch drinks or foods that trigger your GERD. If you’re not sure which noms are to blame, keep a food diary or use an app. This helps you keep track of your symptoms.
- Aim for a moderate body weight. Being overweight or having obesity can put extra pressure on your abdomen. This might increase your risk of GERD.
There’s not a lot of research to prove herbal remedies can cure GERD 💯. But lots of folks have reversed the burn with:
- licorice root
- slippery elm
- marshmallow root
You can take them as a tincture, supplement, or tea.
PSA: Talk with your doc first! Some herbal remedies can interfere with medications you might already be taking.
Here’s a recap of common GERD symptoms, triggers, and treatments.
|GERD symptoms in adults||GERD symptoms at night||GERD symptoms in babies||Foods to avoid with GERD||Activities to avoid with GERD||Over-the-counter (OTC) GERD medications|
|heartburn||heartburn||frequent vomiting||acidic fruits (e.g., citrus, tomatoes, or pineapple)||drinking alcohol||antacids like Rolaids, Tums, or Mylanta|
|vomiting||vomiting||gagging||caffeinated drinks like coffee, tea, soda, or energy drinks||smoking||proton pump inhibitors (PPIs) like Prevacid 24h, Nexium 24h, Prilosec, or Zegerid|
|issues or pain swallowing||trouble sleeping||trouble swallowing||fatty or fried foods||eating before bed||H2-blockers like Tagamet HB, Pepcid Complete, Axid AR, or Zantac|
|chest pain||chronic cough||wheezing||spicy food||overeating|
|bitter or acidic taste in your mouth||bitter or acidic taste in your mouth||coughing||mint|
|laryngitis (inflammation of your voice box)||refusal to eat||onions|
|trouble sleeping||arching their back during or after a feeding||garlic|
|colic (crying that lasts more than 3 hours)||chocolate|
GERD symptoms can range from slightly uncomfortable to hella painful. Sometimes an OTC acid reflux treatment can help reduce discomfort. But you should talk with your doctor if you get heartburn more than twice a week.