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Justin Dicks
Superintendent Pharmacist
GPhC Number 2038305
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Acid reflux occurs when stomach acid flows back up into the oesophagus, causing a burning sensation in the chest known as heartburn. This happens when the lower oesophageal sphincter (a ring of muscle at the top of the stomach) becomes weak or relaxes at the wrong time. Occasional reflux is common, but frequent symptoms may indicate a more chronic condition such as gastro-oesophageal reflux disease (GORD).
Acid reflux is often caused by lifestyle factors such as eating large meals, lying down too soon after eating, smoking, or being overweight. Certain foods like spicy dishes, chocolate, caffeine, and alcohol can also trigger symptoms. In some people, medical conditions such as hiatal hernia or pregnancy may make reflux more likely.
The common triggers include eating fatty or spicy foods, drinking coffee or alcohol, smoking, or eating too close to bedtime. Stress and lack of sleep can also increase the likelihood of symptoms. Identifying your personal triggers can help you manage acid reflux more effectively.
The main symptom is heartburn – a burning or uncomfortable feeling in the chest or throat after eating. You might also experience regurgitation (a sour taste in the mouth), bloating, hiccups, or a persistent cough. If symptoms occur frequently, it’s worth speaking to a healthcare professional.
Overproduction of stomach acid can be linked to certain foods, stress, or medical conditions like Zollinger-Ellison syndrome. In many cases, the problem is not excessive acid itself but the acid escaping the stomach and irritating the oesophagus. Treatments like omeprazole, esomeprazole, or lansoprazole work by reducing the amount of acid your stomach produces.
High stomach acid can cause frequent heartburn, indigestion, nausea, and abdominal discomfort. You may also notice a burning sensation in your stomach or throat after meals. Persistent symptoms could indicate an underlying issue and should be checked by a healthcare provider.
Treatment often involves a combination of lifestyle changes and medications. Proton pump inhibitors (PPIs) such as omeprazole, esomeprazole, or lansoprazole, and H2 blockers like famotidine or nizatidine, help reduce acid production and allow healing. Avoiding trigger foods and maintaining a healthy weight can also make a big difference.
For many people, mild acid reflux may only last a few hours after eating. However, chronic acid reflux or GORD can be an ongoing condition that requires regular management. With the right treatment, most people find their symptoms improve within a few days to weeks.
Acid reflux becomes serious when it occurs frequently, disrupts sleep, or causes pain and difficulty swallowing. Persistent reflux can damage the lining of the oesophagus and lead to complications such as ulcers or Barrett’s oesophagus. If you experience symptoms several times a week, you should seek medical advice.
Occasional acid reflux often goes away on its own or with short-term treatment. However, if symptoms persist, it may indicate GORD, which usually requires ongoing management. With the right medication and lifestyle adjustments, most people can control their symptoms effectively.
There’s no guaranteed permanent cure for acid reflux, but it can often be managed successfully long-term. Lifestyle changes such as avoiding trigger foods, losing weight, and taking prescribed medication can significantly reduce symptoms. Many patients experience long periods without discomfort when following a consistent treatment plan.
During pregnancy, acid reflux is common due to hormonal changes and pressure on the stomach. Lifestyle measures like eating smaller meals and avoiding lying down after eating often help. Some treatments, such as antacids or certain H2 blockers, may be safe, but you should always check with a doctor or pharmacist before taking any medication while pregnant.
If acid reflux is left untreated, repeated exposure to stomach acid can irritate and damage the oesophagus. This can cause inflammation, ulcers, or in severe cases, precancerous changes. Treating reflux early helps prevent these complications and keeps symptoms under control.
Anyone can experience acid reflux, but it’s more common in people who are overweight, smoke, or eat large or fatty meals. Pregnancy, certain medications, and conditions that weaken the oesophageal sphincter can also increase risk. Identifying and managing these factors can help reduce symptoms.
Yes, small changes can make a big difference. Eating smaller meals, avoiding late-night eating, cutting back on alcohol and caffeine, and elevating your head while sleeping can all help. Combining these with medication often provides the best relief for ongoing acid reflux.