Health Risks Associated with Heartburn and Reflux

January 13, 2023by Phenix Health

Heartburn and reflux are common conditions that can cause discomfort or pain in the chest and throat. Heartburn is a burning sensation that is often felt in the middle of the chest or just behind the breastbone. It is caused by acid reflux, which occurs when stomach acid flows back up into the esophagus.

Reflux, also known as gastroesophageal reflux disease (GERD), is a chronic condition in which stomach acid flows back up into the esophagus. This can cause symptoms such as heartburn, chest pain, and difficulty swallowing. In some cases, reflux can also lead to complications, such as damage to the esophagus or an increased risk of developing esophageal cancer.

Treatment for heartburn and reflux may include lifestyle changes, such as avoiding certain foods and drinks that can trigger symptoms, and medications, such as antacids and proton pump inhibitors. In some cases, surgery may be needed to treat severe reflux. It is important to talk to a healthcare provider if heartburn and reflux are frequent and severe, as this may be a sign of a more serious condition.

Causes of Heartburn and Reflux

Heartburn and reflux are caused by acid reflux, which occurs when stomach acid flows back up into the esophagus. This can happen when the lower esophageal sphincter (LES), a ring of muscle at the bottom of the esophagus, is weakened or relaxed. When this happens, stomach acid can flow back up into the esophagus, causing symptoms such as heartburn and chest pain.

There are several factors that can increase the risk of developing heartburn and reflux, including the following:

  • Diet: Eating certain foods and drinks, such as spicy foods, fatty foods, and caffeine, can increase the risk of heartburn and reflux.
  • Obesity: Being overweight or obese can increase the risk of heartburn and reflux. This is because excess body fat can put pressure on the stomach, making it more likely for acid to flow back up into the esophagus.
  • Pregnancy: Pregnancy can increase the risk of heartburn and reflux due to the changes in hormones and the pressure of the growing baby on the stomach.
  • Smoking: Smoking can increase the risk of heartburn and reflux by damaging the LES and reducing the amount of saliva in the mouth, which can help neutralize stomach acid.
  • Medications: Some medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and calcium channel blockers, can increase the risk of heartburn and reflux.

It is important to talk to a healthcare provider if heartburn and reflux are frequent and severe, as this may be a sign of a more serious condition.

Health Risks Associated with Heartburn and reflux

Heartburn and reflux can cause discomfort and pain, but they can also lead to more serious health problems. Some of the potential health risks associated with heartburn and reflux include the following:

  • Esophagitis: This is a condition in which the esophagus becomes inflamed, often due to repeated exposure to stomach acid. Symptoms of esophagitis can include difficulty swallowing, chest pain, and nausea.
  • Barrett’s esophagus: This is a condition in which the tissue lining the esophagus is damaged and replaced with abnormal tissue. It is a risk factor for developing esophageal cancer.
  • Esophageal stricture: This is a condition in which the esophagus becomes narrowed, often due to scarring from repeated exposure to stomach acid. Symptoms of esophageal stricture can include difficulty swallowing and chest pain.
  • Pulmonary complications: Acid reflux can sometimes cause stomach acid to enter the lungs, leading to complications such as pneumonia and asthma.
  • Tooth erosion: Acid reflux can cause stomach acid to enter the mouth, leading to tooth erosion and other oral health problems.

It is important to manage heartburn and reflux to reduce the risk of these and other potential health problems. This may include making lifestyle changes, such as avoiding foods and drinks that can trigger symptoms, and taking medications as prescribed by a healthcare provider.

Treatment of Heartburn and reflux

The treatment of heartburn and reflux depends on the severity and frequency of symptoms. In many cases, lifestyle changes and over-the-counter medications, such as antacids and proton pump inhibitors, can help manage symptoms. In more severe cases, or if over-the-counter treatments are not effective, a healthcare provider may prescribe stronger medications or recommend surgery.

Some common treatment options for heartburn and reflux include the following:

  • Lifestyle changes: Making lifestyle changes, such as avoiding foods and drinks that can trigger symptoms, losing weight if needed, and quitting smoking, can help reduce the frequency and severity of heartburn and reflux.
  • Over-the-counter medications: Antacids, such as calcium carbonate and magnesium hydroxide, can help neutralize stomach acid and relieve heartburn symptoms. Proton pump inhibitors, such as omeprazole and lansoprazole, can help reduce the amount of acid produced by the stomach.
  • Prescription medications: In more severe cases, a healthcare provider may prescribe stronger medications, such as H2 receptor antagonists or prokinetic agents, to help manage symptoms.
  • Surgery: In some cases, surgery may be needed to treat severe reflux. One example is a procedure called fundoplication, in which the top part of the stomach is wrapped around the lower esophageal sphincter to help prevent acid reflux.

It is important to follow the treatment plan recommended by a healthcare provider, even if symptoms improve. This can help prevent complications and reduce the risk of long-term health problems.

In conclusion, heartburn and reflux are common conditions that can cause discomfort and pain. They are caused by acid reflux, which occurs when stomach acid flows back up into the esophagus. Risk factors for heartburn and reflux include diet, obesity, pregnancy, smoking, and certain medications. Treatment may include lifestyle changes, over-the-counter medications, and in some cases, prescription medications or surgery. It is important to manage heartburn and reflux to reduce the risk of complications and other potential health problems.