Understanding Gastroesophageal Reflux Disease (GERD): Causes, Symptoms, and Remedies

July. 16,2025

This comprehensive overview of GERD covers its causes, symptoms, diagnostic methods, and lifestyle remedies. It emphasizes how lifestyle changes, alongside medical treatments, can help manage chronic reflux. Understanding these aspects can lead to better prevention and relief for those suffering from frequent acid reflux occurrences.

Understanding Gastroesophageal Reflux Disease (GERD): Causes, Symptoms, and Remedies

Understanding Gastroesophageal Reflux Disease (GERD): Causes, Symptoms, and Remedies

Gastroesophageal reflux disease (GERD) is a persistent digestive disorder that impacts the lower esophageal sphincter (LES), a muscle situated between the esophagus and stomach. When the LES malfunctions, stomach acids or bile can flow back into the esophagus, leading to irritation. Commonly, individuals with GERD experience frequent heartburn or acid regurgitation. Although prevalent, chronic GERD symptoms warrant medical attention to prevent complications.

What causes GERD?
Normally, the LES relaxes during swallowing, allowing food to enter the stomach, then closes tightly. However, if the sphincter relaxes abnormally or weakens, acid can reflux into the esophagus. Recurrent acid exposure causes inflammation, scarring, and possibly ulcers, leading to difficulty swallowing and more serious health issues.

Understanding GERD
This condition may also increase the risk of esophageal cancer over time.

Factors Increasing GERD Risk
Obesity, hiatal hernia, pregnancy, delayed stomach emptying, and connective tissue disorders like scleroderma are key risk factors. Lifestyle choices such as smoking, consuming large or late-night meals, caffeine, alcohol, and fatty foods can worsen symptoms too.

Common Symptoms
Heartburn is a primary sign, often worsening at night. Other symptoms include chest discomfort, a sensation of a lump in the throat, difficulty swallowing, and regurgitation of food or sour liquids. Nighttime reflux may cause coughing, hoarseness, sleep disruptions, or exacerbate asthma.

Diagnosis Methods
Medical history and physical exam are initial steps. Confirmatory tests include:

  • Acid monitoring test: A capsule records acid levels in the esophagus.
  • Endoscopy: A flexible tube with camera examines esophageal and stomach tissues.
  • X-ray imaging: Visualizes structural abnormalities in the upper digestive tract.
  • Esophageal manometry: Measures muscle contractions and sphincter strength.

Home Remedies and Management
Medical treatments like OTC and prescription medications are common. For chronic cases, discounts on medications such as Nexium® 24HR may be beneficial. Besides medications, lifestyle modifications can reduce symptoms:

  • Eat smaller meals: Larger meals increase pressure on the LES, promoting reflux.
  • Reduce carbohydrate intake: Low-carb diets may alleviate reflux by easing digestion issues.
  • Avoid caffeine: Caffeinated drinks can weaken the LES, worsening symptoms.
  • Limit raw onions: Onions can produce gas and increase reflux risk due to their fermentable fibers.