When Acid Reflux Becomes GERD

Do you experience heartburn after a big meal? Occasional heartburn after a large meal is common and usually nothing to worry about. However, if it occurs two or more times a week, it could be a sign of gastroesophageal reflux disease (GERD). An estimated one in five American adults suffers from GERD, which is caused by a weakening of the gastroesophageal valve. This allows stomach acid and other contents to flow backward into the esophagus, leading to a range of uncomfortable and sometimes serious symptoms. Board Certified General Surgeon Andrew Loveitt, D.O., specializes in reflux, “Our goal is to identify the root cause of your symptoms and create a personalized treatment approach that is right for you”.

If left untreated, GERD can become a lifelong condition. Symptoms can vary from mild to severe, depending on the individual. Over time, persistent reflux can cause ulcerations, esophageal narrowing (strictures), and even precancerous changes known as Barrett’s esophagus, which increases the risk of esophageal cancer.

If you’re reaching for antacids more than twice a week, it’s time to consult a doctor. Over-the-counter medications can provide short-term relief, but they don’t address the root cause of GERD. If standard medications aren’t effective, you may be a candidate for minimally invasive or outpatient endoscopic procedures. Today, more treatment options are available than ever, and a GERD specialist can help you find the one that best fits your needs.

It’s important to understand that GERD is primarily caused by an anatomical issue, not simply an excess of stomach acid. In fact, stomach acid plays a vital role in digestion, immune defense, and nutrient absorption—including iron and vitamin B12.

While acid-suppressing medications can help control symptoms initially, they do not stop or prevent reflux, nor do they protect against long-term complications like Barrett’s esophagus or esophageal cancer. Alarmingly, people who depend on daily medication may still develop severe GERD-related complications, even if their symptoms seem well-managed.

Typical symptoms of GERD include:

• A burning sensation in the chest (heartburn)
• Regurgitation of food or sour liquid
• Difficulty swallowing (dysphagia)

Atypical symptoms may include:

• A lump-in-the-throat sensation
• Chronic cough
• Shortness of breath or asthma
• Chronic sore throat
• Hoarseness or laryngitis
• Disrupted sleep
• Dental erosion
• Non-cardiac chest pain

If you recognize any of these symptoms—especially if they’re frequent or worsening—don’t ignore them. Talk to your healthcare provider about evaluation and treatment. GERD is common, manageable, and most importantly, treatable—especially when caught early.

Learn more about Reflux & Heartburn Care at CRMC.