GERD: Controlling Heartburn by Changing Your Habits
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Symptoms of gastroesophageal reflux disease (GERD) can be painful and, if allowed to continue, can lead to complications including esophagitis. Esophagitis is irritation or inflammation of the esophagus.
You can make changes to your lifestyle to help relieve your symptoms of GERD. Here are some things to try:
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See a picture of the esophagus.
GERD occurs when the valve between the lower end of the esophagus and the stomach (the lower esophageal sphincter) does not close tightly enough. When this valve is not closed all the way, the contents of the stomach can move back (or reflux) into the esophagus. The main symptom of GERD is a frequent uncomfortable feeling of burning, warmth, heat, or pain just behind the breastbone, and it is commonly referred to as heartburn. Overeating or bending forward after eating sometimes causes heartburn and a sour taste in the mouth. Occasional heartburn does not mean you have GERD. In GERD, the reflux—and heartburn—last longer and occur more often.
Treatment for GERD is aimed at reducing reflux of stomach acid and juices into the esophagus. Treatment can prevent injury to the lining of the esophagus or help the esophagus heal if injury has already occurred. Preventing GERD from recurring and preventing other complications of GERD are also treatment goals.
Test Your Knowledge
Heartburn and gastroesophageal reflux disease (GERD) are the same thing.
Although changes to your lifestyle probably will not cure your gastroesophageal reflux disease (GERD), they can provide some relief from symptoms and make you more comfortable. Heartburn, the main symptom of GERD, can cause significant pain and discomfort during the day, keeping you from being productive at work and from leading an active life at home. Changes to your lifestyle that reduce GERD symptoms can help you stay focused at your job and make other activities more enjoyable.
In addition to discomfort during the day, GERD symptoms can keep you awake at night and can affect your sleep in the long term. Changing your sleeping position and habits can help you avoid GERD symptoms at night, allowing you to sleep better.
GERD symptoms that go untreated or persist despite treatment can turn into more serious problems. GERD can cause irritation, inflammation, or wearing away (erosion) of the lining of the esophagus (esophagitis), as well as crater-shaped sores (ulcers) in the lining of the esophagus. Some people who have symptoms of GERD may develop a condition called Barrett's esophagus that can lead to cancer of the esophagus.
Test Your Knowledge
Making lifestyle changes will not have any effect on your GERD symptoms.
There are many changes you can make to your lifestyle that can help to relieve or reduce symptoms of gastroesophageal reflux disease (GERD). These are some suggestions.
Quitting tobacco use
If you smoke or chew tobacco, stop. The nicotine from tobacco relaxes the valve between the esophagus and stomach (lower esophageal sphincter). This can allow stomach acid and juices, the chemicals that break down food in the stomach, to back up (reflux) into the esophagus, which causes heartburn.
Because the nicotine in tobacco is addicting, stopping the use of tobacco is more difficult than simply changing a habit. Those who successfully quit using tobacco usually use a combination of strategies that may include:
Using more than one of these strategies greatly improves your chances of successfully quitting. Quitting tobacco use may require several attempts.
For more information, see the topic Quitting Smoking.
Changing your eating habits
Developing healthier eating habits, losing weight if necessary, and avoiding foods that increase symptoms of GERD may make heartburn less likely to occur. Take your spouse or partner along with you when you go to your doctor to discuss diet habits. It will be easier to make changes in your diet if your family understands what you need to do and why.
Changes you may want to make include avoiding chocolate, peppermint, and alcohol. These can all make GERD worse by relaxing the valve between the esophagus and the stomach. It also may be a good idea to eat smaller, more frequent meals.
If you are overweight, lose weight. Being overweight puts additional pressure on your stomach and increases the likelihood of heartburn occurring. Losing just 5 to 10 pounds can help.
Certain foods can be associated with reflux. Though they will not cause GERD, eating these foods can make the symptoms worse, and avoiding them can help reduce heartburn. These include citrus fruits, fatty and fried foods, garlic and onions, spicy foods, and tomato-based foods like spaghetti sauce and pizza. Some people notice that their symptoms get worse after drinking coffee or soda. If you notice that your symptoms are worse after eating a specific food, you may want to stop eating it and see if your symptoms get better.
Reducing pressure on your stomach
Putting pressure on your stomach may push stomach juices into your esophagus, causing heartburn. Some ways to reduce heartburn include the following:
Improving sleep position and habits
Raising the head of your bed 6 in. (15 cm) to 8 in. (20 cm) will help keep stomach acid from flowing into your esophagus when you are sleeping. You can do this by putting blocks underneath your bed frame or by placing a foam wedge under the head of your mattress. Using extra pillows will not work.
Lying down soon after eating will also increase the chance of getting heartburn. After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren't a good idea.
Test Your Knowledge
Being overweight can make GERD symptoms worse.
Quitting smoking is good for me, but it will not affect symptoms of GERD.
Now that you have read this information, you can begin to make some lifestyle changes to relieve your GERD symptoms. If you have any questions about these changes or need help making them, contact your doctor.
If you would like more information about GERD, the following resources are available:
eMedicineHealth Medical Reference from Healthwise
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