Acid Reflux: More Than Just Heartburn

Did you know? Nearly 1 in 5 adults experiences acid reflux. If it happens more than twice a week, it may be GERD and should be evaluated.

Many people think they have “too much stomach acid.” In reality, the problem is often a weak valve between the stomach and esophagus that allows acid to flow backward.

Common Symptoms

● Heartburn

● Sour taste or acid coming up

● Chronic cough

● Hoarse voice

● Frequent throat clearing

● Feeling like food gets stuck

Interesting fact: Some people have silent reflux and never experience heartburn. Instead, they have a chronic cough, hoarse voice, or constant throat clearing.

Why It Matters

Untreated reflux can cause:

● Esophagitis (inflammation)

● Ulcers or bleeding

● Narrowing of the esophagus from scar tissue

● Barrett’s esophagus, which increases the risk of esophageal cancer

● Tooth enamel damage

● Poor sleep, chronic cough, and worsening asthma

Diet & Lifestyle Changes

Lifestyle changes are often just as important as medication.

● Lose weight if overweight.

● Avoid eating 2–3 hours before bed.

● Eat smaller meals and avoid overeating.

● Raise the head of your bed 6–8 inches.

● Stop smoking and limit alcohol.

Common trigger foods:

● Fatty or fried foods

● Spicy foods

● Chocolate

● Peppermint

● Coffee and caffeine

● Carbonated drinks

● Tomato-based foods

● Citrus, onions, and garlic

Choose more:

● Oatmeal

● Vegetables

● Whole grains

● Bananas and melons

● Lean proteins like chicken, fish, turkey, beans, and tofu

Everyone has different triggers, so pay attention to what affects you.

What About Acid-Reducing Medications?

PPIs such as omeprazole and pantoprazole work well but aren’t meant to be lifelong medications for everyone. Long-term use may increase the risk of vitamin B12 deficiency, low magnesium, fractures, certain intestinal infections, and kidney problems in some patients.

When to Seek Medical Care

See your doctor if you have:

● Difficulty swallowing

● Food getting stuck

● Weight loss

● Vomiting blood or black stools

● Chest pain

● Symptoms that don’t improve with treatment

Take-Home Message

Acid reflux is common, but it shouldn’t be ignored. The best long-term treatment combines healthy lifestyle habits with medication only when needed. Small changes today can protect your esophagus and improve your quality of life.

– Dr. Ga Geong Lee, Sunny Health DPC