Whats the difference between acid reflux and heart burn

Whats the difference between acid reflux and heart burn

It’s Taco Tuesday and you’re basking in the glow of your last fish taco when it hits — that burning sensation that rises from your stomach into the back of your throat. It’s not an unfamiliar sensation, but you’re tired of the pain ruining your favorite foods. So what gives?

There’s a strong ring of muscle called the lower esophageal sphincter where your esophagus connects to the stomach. This muscle helps keeps food and digestive juices in the stomach where they belong. If the sphincter muscle relaxes when it shouldn’t, stomach fluids leak back up the esophagus. Stomach acids are very irritating to throat tissue, creating that familiar burning feeling.

Read More: Heartburn or Heart Attack? What Women Should Know

The Difference Between Heartburn, Acid Reflux and GERD

Though unpleasant, the occasional heartburn that can ruin your meals every now and then is common and usually not cause for concern. When it occurs more frequently, however, heartburn indicates a more serious issue, such as acid reflux disease and gastroesophageal reflux disease (GERD).

“Heartburn, acid reflux and GERD are related, but with some important differences,” says Dr. John Crisologo, FACG, a board-certified gastroenterologist at Beaufort Memorial Lowcountry Medical Group Specialty Care. “Acid reflux is what causes the burning feeling of heartburn. In most cases, heartburn is temporary and triggered by certain foods. Acid reflux disease causes chronic heartburn. GERD is a more severe, long-lasting form of acid reflux, and heartburn is just one of the symptoms.”

Another key difference is that GERD does not get better on its own. Left untreated, GERD can cause a variety of complications including Barrett’s esophagus, a condition that increases the risk of developing esophageal cancer.

Read More: Pain in the Gut

Options to Tame the Flames

Thankfully, there are a number of effective treatments for heartburn, acid reflux disease and GERD. Lifestyle changes, such as managing weight, eating smaller portions, and avoiding triggers (usually spicy, greasy or acidic foods) can help prevent heartburn symptoms. Over-the-counter antacid medications also provide relief for occasional heartburn.

If you have heartburn more than twice a week, or over-the-counter heartburn remedies no longer provide relief, it may be time to see a doctor. Prescription medications can help block the production of stomach acid and strengthen a weakened esophageal sphincter muscle, giving the esophagus a chance to heal. In the most severe cases, gastrointestinal surgery may be needed.

Find a gastroenterologist who can help you decode stomach pain or ask your primary care provider for a referral.

Answer From Purna Kashyap, M.B.B.S.

Acid reflux and gastroesophageal reflux disease (GERD) are closely related, but the terms don't necessarily mean the same thing.

Acid reflux, also known as gastroesophageal reflux (GER), is the backward flow of stomach acid into the tube that connects your throat to your stomach (esophagus). During an episode of acid reflux, you might feel a burning sensation in your chest (heartburn). This can occur after eating a big meal or drinking coffee or alcohol.

Sometimes acid reflux progresses to GERD, a more severe form of reflux. The most common symptom of GERD is frequent heartburn — two or more times a week. Other signs and symptoms can include regurgitation of food or sour liquid, difficulty swallowing, coughing, wheezing, and chest pain — especially while lying down at night.

If you have occasional acid reflux, lifestyle changes can help. Lose excess weight, eat smaller meals, don't eat two to three hours before bedtime, raise the head of your bed, and avoid foods that seem to trigger heartburn — such as fried or fatty foods, chocolate, and peppermint. Don't wear tight clothing around your abdomen, and avoid alcohol and tobacco.

If necessary, occasional acid reflux can be treated with over-the-counter medication, including:

  • Antacids, such as Tums or Maalox
  • H-2-receptor blockers, such as cimetidine (Tagamet HB) or famotidine (Pepcid AC)

If you suspect that you have GERD, your signs and symptoms worsen, or you have nausea, vomiting or difficulty swallowing, talk to your doctor. Prescription medications might help. In a few cases, GERD might be treated with surgery or other procedures.

With

Purna Kashyap, M.B.B.S.

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Sept. 16, 2021

  1. Acid reflux (GER & GERD) in adults. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/all-content?dkrd=hispt0225. Accessed June 25, 2019.
  2. Acid reflux. American College of Gastroenterology. https://gi.org/topics/acid-reflux/. Accessed June 25, 2019.
  3. Gastroesophageal reflux disease (GERD). American Gastroenterological Association. https://www.gastro.org/practice-guidance/gi-patient-center/topic/gastroesophageal-reflux-disease-gerd. Accessed June 25, 2019.
  4. Kahrilas PJ. Medical management of gastroesophageal reflux disease in adults. https://www.uptodate.com/contents/search. Accessed June 26, 2019.

See more Expert Answers

See also

  1. Belching, intestinal gas, gas pains and bloating
  2. Breastfeeding and medications
  3. Eosinophilic esophagitis
  4. Heartburn
  5. Heartburn or chest pain?
  6. Scleroderma
  7. Symptom Checker
  8. Integrative approaches to treating pain
  9. Nutrition and pain
  10. Pain rehabilitation
  11. Self-care approaches to treating pain
  12. Upper endoscopy
  13. Endoscopy
  14. Fundoplication
  15. Heartburn and hiatal hernia
  16. X-ray

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Is heartburn same as acid reflux?

The terms acid reflux, heartburn, and GERD are often used interchangeably, but they actually mean different things. Acid reflux is the backflow of stomach contents into the esophagus. The feeling of acid reflux is heartburn: a mild burning sensation in the mid-chest, often occurring after meals or when lying down.

How do I know if it's heartburn?

Symptoms of heartburn include: A burning pain in the chest that usually occurs after eating and may occur at night. Pain that worsens when lying down or bending over. A bitter or acidic taste in the mouth.

What do acid reflux feels like?

It's a painful burning sensation in the middle of your chest caused by irritation to the lining of the esophagus caused by stomach acid. This burning can come on anytime but is often worse after eating. For many people heartburn worsens when they recline or lie in bed, which makes it hard to get a good night's sleep.

What are the 4 types of acid reflux?

GERD is broken down into different stages based on how serious your symptoms are and how often they occur:.
Stage 1: Mild GERD. Minimal acid reflux occurs once or twice a month. ... .
Stage 2: Moderate GERD. ... .
Stage 3: Severe GERD. ... .
Stage 4: Precancer or cancer..