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Understanding GERD Symptoms and Management

Understand the symptoms of GERD (Gastroesophageal Reflux Disease) such as heartburn, acid reflux, and chest discomfort. Learn effective management strategies, lifestyle changes, and treatment options to relieve GERD symptoms.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Vasanthasree Nair MBBS

Last updated on 28th Aug, 2025

gerd

Gastroesophageal Reflux Disease (GERD) is a common digestive disorder that affects millions of people worldwide. If you’ve ever experienced a burning sensation in your chest after a meal or frequent acid regurgitation, you might be familiar with GERD. While occasional heartburn is normal, persistent symptoms can indicate GERD, which requires attention and proper management.

This article will help you understand GERD, its symptoms, causes, and practical ways to manage it effectively so you can enjoy a better quality of life.

What Is GERD?

GERD occurs when stomach acid frequently flows back into the esophagus (the tube connecting your mouth and stomach). This backward flow, called acid reflux, irritates the lining of the esophagus, leading to discomfort and potential complications if left untreated.

While occasional acid reflux is common (often referred to as heartburn), GERD is diagnosed when symptoms occur more than twice a week or interfere with daily life.

Consult top Gastroenterologist

Dr. Soham Doshi, Gastroenterology/gi Medicine Specialist

Dr. Soham Doshi

Gastroenterology/gi Medicine Specialist

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Nashik

Apollo Hospitals Nashik, Nashik

1100

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Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

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Common Symptoms of GERD

Recognizing the signs of GERD is the first step toward managing it. Symptoms can vary from mild to severe and may include:

  • Heartburn: A burning sensation in the chest, usually after eating, which may worsen at night.
  • Regurgitation: A sour or bitter-tasting acid backing up into the throat or mouth.
  • Difficulty swallowing (Dysphagia): Feeling like food is stuck in your throat.
  • Chronic cough or hoarseness: Irritation from stomach acid can affect the throat and vocal cords.
  • Chest pain: Sometimes mistaken for a heart attack (seek immediate medical help if chest pain is severe).
  • Nausea or vomiting: Especially after meals.

If you experience these symptoms regularly, it’s important to consult a doctor to avoid complications like esophagitis (inflammation of the esophagus) or Barrett’s esophagus (a precancerous condition).

What Causes GERD?

GERD occurs when the lower esophageal sphincter (LES), a muscular ring that acts as a valve between the esophagus and stomach weakens or relaxes abnormally. Several factors can contribute to this:

  • Diet: Spicy, fatty, or acidic foods (like citrus, tomatoes, chocolate, coffee, and alcohol) can trigger reflux.
  • Obesity: Excess weight increases abdominal pressure, pushing stomach acid upward.
  • Pregnancy: Hormonal changes and pressure on the stomach can cause reflux.
  • Hiatal hernia: A condition where part of the stomach pushes into the chest, weakening the LES.
  • Smoking: Weakens the LES and reduces saliva production, which helps neutralize acid.
  • Certain medications: Some pain relievers, blood pressure drugs, and sedatives may worsen reflux.

How to Manage GERD Effectively

While GERD can be uncomfortable, lifestyle changes and medications can significantly improve symptoms. Here are some practical tips:

1. Dietary Adjustments

  • Avoid trigger foods: Reduce intake of spicy, fried, citrusy, or caffeinated foods.
  • Eat smaller, frequent meals: Large meals increase stomach pressure.
  • Don’t lie down immediately after eating: Wait at least 2-3 hours before lying down or sleeping.
  • Chew slowly and mindfully: Eating too quickly can lead to swallowing excess air, worsening reflux.

2. Lifestyle Modifications

  • Maintain a healthy weight: Losing even a small amount of weight can reduce symptoms.
  • Elevate your head while sleeping: Use a wedge pillow or raise the head of your bed by 6-8 inches.
  • Quit smoking: Smoking weakens the LES and worsens reflux.
  • Wear loose-fitting clothes: Tight belts or waistbands can increase abdominal pressure.

3. Medications

  • Antacids: Provide quick relief by neutralizing stomach acid (e.g., Tums, Rolaids).
  • H2 Blockers: Reduce acid production (e.g., ranitidine, famotidine).
  • Proton Pump Inhibitors (PPIs): Stronger acid reducers for long-term management (e.g., omeprazole, pantoprazole).

Always consult a doctor before starting any medication.

When to See a Doctor

If lifestyle changes and over-the-counter medications don’t help, or if you experience:

  • Severe chest pain
  • Difficulty swallowing
  • Unintentional weight loss
  • Vomiting blood or black stools

These could indicate complications requiring medical intervention.

Can GERD Be Cured?

While GERD is a chronic condition, proper management can keep symptoms under control. In rare cases, surgery (like fundoplication) may be recommended for severe GERD that doesn’t respond to medications.

If you’re struggling with persistent symptoms, consider booking a consultation with a gastroenterologist through Apollo 24|7 for expert guidance and personalized treatment.

Conclusion

GERD doesn’t have to disrupt your life. By making mindful dietary choices, maintaining a healthy weight, and following medical advice, you can significantly reduce discomfort and prevent complications.

Consult top Gastroenterologist

Dr. Soham Doshi, Gastroenterology/gi Medicine Specialist

Dr. Soham Doshi

Gastroenterology/gi Medicine Specialist

8 Years • MD medicine DNB Gastroenterology fellowship in Liver Transplant

Nashik

Apollo Hospitals Nashik, Nashik

1100

110 Cashback

1100

No Booking Fees

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

150 Cashback

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No Booking Fees

Consult top Gastroenterologist

Dr. Amit Pandita, Gastroenterology/gi Medicine Specialist

Dr. Amit Pandita

Gastroenterology/gi Medicine Specialist

10 Years • MBBS. MD (INTERNAL MEDICINE) DrNB (GASTROENTEROLOGY AND HEPATOLOGY)

Delhi

Apollo Hospitals Indraprastha, Delhi

1000

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Dr Vaibhav Somani, Gastroenterology/gi Medicine Specialist

Dr Vaibhav Somani

Gastroenterology/gi Medicine Specialist

8 Years • MBBS,DNB,DNB Medical Gastroenterology

Mumbai

Apollo Hospitals CBD Belapur, Mumbai

2300

No Booking Fees

Dr Piyush Vishwakarma, Gastroenterology/gi Medicine Specialist

Dr Piyush Vishwakarma

Gastroenterology/gi Medicine Specialist

11 Years • MBBS, MD, DrNB,

Delhi

Apollo Hospitals Indraprastha, Delhi

1000

150 Cashback

Dr. Soham Doshi, Gastroenterology/gi Medicine Specialist

Dr. Soham Doshi

Gastroenterology/gi Medicine Specialist

8 Years • MD medicine DNB Gastroenterology fellowship in Liver Transplant

Nashik

Apollo Hospitals Nashik, Nashik

1100

110 Cashback

1100

No Booking Fees

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

150 Cashback

1200

No Booking Fees

Consult top Gastroenterologist

Dr. Amit Pandita, Gastroenterology/gi Medicine Specialist

Dr. Amit Pandita

Gastroenterology/gi Medicine Specialist

10 Years • MBBS. MD (INTERNAL MEDICINE) DrNB (GASTROENTEROLOGY AND HEPATOLOGY)

Delhi

Apollo Hospitals Indraprastha, Delhi

1000

150 Cashback

Dr Vaibhav Somani, Gastroenterology/gi Medicine Specialist

Dr Vaibhav Somani

Gastroenterology/gi Medicine Specialist

8 Years • MBBS,DNB,DNB Medical Gastroenterology

Mumbai

Apollo Hospitals CBD Belapur, Mumbai

2300

No Booking Fees

Dr Piyush Vishwakarma, Gastroenterology/gi Medicine Specialist

Dr Piyush Vishwakarma

Gastroenterology/gi Medicine Specialist

11 Years • MBBS, MD, DrNB,

Delhi

Apollo Hospitals Indraprastha, Delhi

1000

150 Cashback

Dr. Soham Doshi, Gastroenterology/gi Medicine Specialist

Dr. Soham Doshi

Gastroenterology/gi Medicine Specialist

8 Years • MD medicine DNB Gastroenterology fellowship in Liver Transplant

Nashik

Apollo Hospitals Nashik, Nashik

1100

110 Cashback

1100

No Booking Fees

Dr. Ankit Vijay Agarwal, Gastroenterology/gi Medicine Specialist

Dr. Ankit Vijay Agarwal

Gastroenterology/gi Medicine Specialist

14 Years • MBBS(Osmania), DNB(Internal Medicine ), DM ( Osmania) Consultant Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

1200

150 Cashback

1200

No Booking Fees