Heartburn, acid reflux, and GERD: What’s the difference?
pylori. This infection can be diagnosed under the microscope by identifying the bacterium in biopsies from the stomach.
What makes it even more complicated is its overall prevalence. People of all ages, from infancy to the golden years, may experience and suffer from acid reflux, and many don’t know it. However, when the LES doesn’t close properly or tightly enough, a reflux (or regurgitation) of digestive juices and stomach contents can rise back into the esophagus. This leads to the usual acidic sensation and taste that characterizes heartburn. EndoscopyEndoscopy is a broad term used to described examining the inside of the body using an lighted, flexible instrument called an endoscope.
A doctor is a good place to start for an acid reflux or GERD diagnosis. Acid reflux is a common cause of chest pain, and it can be easy to confuse this pain with that of a heart attack. The muscle at the end of the food pipe is called the lower esophageal sphincter. It can weaken or relax, and potentially cause acid reflux, for several reasons. GERD is the term for chronic acid reflux.
There are theories that anxiety can slow digestion, increase stomach acid, or result in increased muscle tension that can put pressure on the stomach. Treating GERD and anxiety may require a combination of medications for both conditions, though acid-suppressing drugs commonly used to treat GERD have been found to be less effective in people whose symptoms are related to anxiety. Disrupted sleep is also a common symptom of both conditions.
In fact, indigestion and IBS may be overlapping diseases since up to half of patients with IBS also have symptoms of indigestion. A third distinct functional disorder is non-cardiac chest pain. This pain may mimic heart pain (angina), but it is unassociated with heart disease. In fact, non-cardiac chest pain is thought to often result from a functional abnormality of the esophagus. For unclear reasons, patients with LPR do not commonly experience heartburn.
So, if acidic stomach contents come into contact with the esophagus, the esophagus’ skin-like lining can be irritated or injured and result in the sensation known as heartburn. also increases the chances you’ll have acid reflux because both conditions put pressure on the stomach. That makes it more likely that acid will make its way up into the esophagus. heartburn , make it hard for you to swallow, or make you feel like you have a lump in your throat. It can also cause you to regurgitate some food or bile.
What Lifestyle Factors Cause Indigestion?
ERD, erosive reflux disease; NERD, non-erosive reflux disease; AEE, asymptomatic erosive esophagitis. The different clinical manifestations of gastroesophageal reflux disease (GERD) may be influenced by associated psychological factors.
Fructose intolerance and perhaps also FODMAP intolerance can be diagnosed with a hydrogen breath test using fructose and treated by elimination of fructose and/or FODMAP containing foods from the diet. Unfortunately, fructose and FODMAPs are widespread among fruits and vegetables, and fructose is found in high concentrations in many food products sweetened with corn syrup. Thus, an elimination diet can be difficult to maintain. Dietary fiber often is recommended for patients with IBS, but fiber has not been studied in the treatment of indigestion.
The value of lifestyle modifications in patients with refractory symptoms lies in avoidance of specific lifestyle activities that have been identified by patients or physicians to trigger symptoms. A low-bulk and low-fat diet along with small but more frequent meals should surely be recommended.
If the symptoms are typical for dyspepsia and have been present for many years without change, then there is less need for testing, or at least extensive testing, to exclude other gastrointestinal and non-gastrointestinal diseases. Since indigestion is very common, almost all doctors see and treat patients with indigestion, especially family practitioners, internists and even pediatricians.
GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week. In older children, a doctor may recommend an elimination diet of foods known to aggravate acid reflux (these foods tend to be the same for children and adults). Raising the head of a child’s bed may also help avoid acid reflux symptoms. The acid can also cause a change in the cells in the esophagus over time.
Some people are able to successfully treat GERD with lifestyle and diet changes or medications. For many people, however, these changes don’t stop reflux, they just lessen the symptoms. Acid reflux surgery can stop GERD for good by correcting the problem at its cause-the weakened lower esophageal sphincter. Dr. Preeti Malladi is a skilled surgeon who can help you live every day without the pain of acid reflux.
The symptoms of IBS are thought to originate primarily from the small intestine and/or colon. The symptoms of IBS include abdominal pain that is accompanied by alterations in bowel movements (defecation), primarily constipation or diarrhea.