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Home Offer Syndromes Heartburn / reflux disease (GERD, NERD)

Understanding and combating heartburn.

Heartburn and GERD are two common esophageal problems that can cause discomfort. Here are insights into causes, symptoms and effective measures for relief.

What is heartburn and GERD/NERD?

Heartburn is a burning sensation in the chest caused by the reflux of stomach acid into the esophagus. When this symptom becomes chronic, it is called gastroesophageal reflux disease (GERD), a long-term and more serious form of heartburn. If it is silent reflux without inflammation in the oesophagus, it is called non-erosive reflux disease (NERD).

What are the causes of heartburn and GERD?

Heartburn occurs when the sphincter muscle between the oesophagus and stomach, which normally prevents the reflux of acid, does not function properly. This can be triggered by fatty foods, large meals, smoking or obesity, among other things.

What symptoms does heartburn and GERD cause?

The main complaint of heartburn is the burning sensation behind the breastbone. GERD can cause additional symptoms such as acid regurgitation, difficulty swallowing and a persistent cough.

How can heartburn and GERD be treated?

  • Lifestyle changes: Avoid large meals before bedtime, reduce consumption of fatty foods and alcohol, and quit smoking.
  • Drug therapy: Antacids, H2 blockers and proton pump inhibitors can help reduce acid production and relieve symptoms.
  • Weight management: if you are overweight, weight loss can help reduce pressure on the stomach and minimize reflux.
  • Interventions: In addition to surgical options (fundoplication), there is also the option of endoscopic reconstruction of the gastric inlet for selected patients . TheTIF 2.0 procedure can help by lengthening and strengthening the lower esophageal sphincter by creating a 3 cm long 270° sphincter. Another minimally invasive treatment option for reflux is anti-reflux mucosectomy (ARMS).

When to see a doctor?

If heartburn occurs regularly or is associated with GERD symptoms, a medical examination is important. Untreated GERD can lead to more serious complications such as Barrett's esophagus.

Conclusion:

Heartburn and GERD can be effectively treated with targeted measures and lifestyle adjustments. If symptoms persist, consult your doctor to find the best possible treatment strategy and promote your long-term health.