Not Just Simple Heartburn: Understanding GERD

Gastroesophageal Reflux Disease (GERD), also known as acid reflux, develops when stomach acid repeatedly flows back into the esophagus, irritating its lining. This causes a burning sensation in the chest, commonly known as heartburn.

Occasional heartburn can be uncomfortable, but it is not a disease. According to the Cleveland Clinic, when it occurs two or more times a week for three months or longer, it may already indicate GERD. Chronic acid reflux can interfere with daily activities and, over time, may cause lasting damage to the affected tissues.

In the Philippines, GERD has become an increasingly common concern. Local studies show a growing number of Filipinos affected by this condition, highlighting the need for early detection, proper guidance, and timely care.

What are the Symptoms of GERD

Symptoms may start off as occasional discomfort but become more frequent if left unmanaged. According to the Mayo Clinic, symptoms may include:

Burning feeling in the center of the chest
Sour or bitter taste at the back of the mouth
Food or liquid coming back up after eating
Tightness or pain in the upper belly or chest
Pain or difficulty when swallowing
Ongoing cough, throat irritation, or hoarse voice
A constant feeling of something stuck in the throat
Onset or worsening asthma

Why GERD Needs Medical Attention

Ignoring repeated acid reflux can lead to complications that affect both comfort and long-term health, such as:

Irritation and swelling of the esophagus
Scar formation that narrows the swallowing passage
Open sores or bleeding in the esophagus
Barrett’s esophagus (the lining of the esophagus slowly changes after long-term irritation), which raises the risk of esophageal cancer
Poor sleep quality and recurring breathing or throat problems

Who Is More Likely to Develop GERD

Several lifestyle, physical, and medical factors can increase the risk of GERD, including:

Regular intake of oily, spicy, or acidic foods
Excess body weight or rapid weight gain
Cigarette smoking and frequent alcohol consumption
Pregnancy
Use of certain medications, including some pain relievers and muscle relaxants

How GERD Is Diagnosed

Healthcare providers often begin with a review of symptoms and medical history, followed by an evaluation of the esophagus. If needed, additional tests may be advised, such as:

Esophagram – An X-ray test that shows how food moves down your esophagus while you swallow.
Upper endoscopy – A small camera is used to look inside your esophagus while you are relaxed or asleep.
Esophageal pH test – A small wireless receiver is used to measure how much stomach acid goes up into your esophagus.
Esophageal manometry – A thin tube with sensors is used to check how well the muscles in your esophagus work when you swallow.

How is GERD Treated and Managed

Managing GERD usually requires a mix of daily habit changes and proper medical guidance. Many people find relief by making simple changes such as eating smaller portions, spacing meals throughout the day, and avoiding foods that trigger symptoms, especially close to bedtime. Avoiding lying down immediately after meals, raising the head while sleeping, and keeping a healthy body weight can also help reduce acid backflow.

When lifestyle changes are not enough, doctors may recommend medications that help neutralize or reduce stomach acid. In cases where symptoms remain severe or persistent despite treatment, further procedures may be discussed as possible options.

At Medicare Plus, members can have access to comprehensive healthcare in the Philippines, ensuring that digestive conditions are addressed early and managed properly.

When to Seek Medical Advice

You should consider seeing a doctor if heartburn happens often, chest discomfort does not go away, swallowing becomes difficult, or symptoms continue despite using non-prescription remedies. Getting checked early allows proper treatment and lowers the risk of long-term problems.

As one of the top HMOs in the Philippines, Medicare Plus is committed to connecting members with the right care at the right time. With access to expert guidance and dependable medical services, individuals can manage GERD more effectively and enjoy greater comfort and confidence in their daily lives.

Bottomline

GERD is more than occasional heartburn. When symptoms become frequent or persistent, they signal a condition that needs proper medical attention. With early diagnosis, lifestyle adjustments, and expert care, GERD can be effectively controlled, allowing individuals to maintain comfort, productivity, and quality of life.

FREQUENTLY ASKED QUESTIONS

1. Is GERD the same as hyperacidity?

Not exactly. Hyperacidity can be occasional, while GERD involves repeated acid reflux that occurs over a longer period and may cause complications.

2. Can GERD go away on its own?

Mild symptoms may improve with lifestyle changes, but persistent GERD often requires medical guidance to prevent complications.

3. Are chest pains from GERD dangerous?

GERD-related chest pain can feel similar to heart pain. Any ongoing or severe chest discomfort should always be checked by a doctor.

4. Do I need lifelong medication for GERD?

Not always. Some patients manage GERD with lifestyle changes alone, while others may need medication for symptom control, depending on severity

5. When should I seek emergency care?

Seek immediate help if chest pain is severe, spreading, or accompanied by shortness of breath, dizziness, or sweating, as these may indicate a heart-related condition.

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