Blood Test Results: Can GERD Affect Your Health? - Pulmonology

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Hello Doctor, a few days ago I went to the emergency room due to fever, chest tightness, pain, and difficulty breathing.
I had blood tests and an X-ray.
It was found that my white blood cell count was slightly elevated, and my troponin (Tn) level was over a thousand, while other indices were normal.
Is it possible that gastroesophageal reflux could cause these elevated levels? What should I be aware of?

An An, 20~29 year old female. Ask Date: 2020/06/21

Dr. Zhang Youzheng reply Pulmonology


Hello: Upon checking, there is no Tn index.
Please confirm if the value is correct.
Thank you!

Reply Date: 2020/06/21

More Info


Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid or bile flows back into the esophagus, leading to symptoms such as heartburn, chest pain, and difficulty swallowing. While GERD primarily affects the digestive system, it can have broader implications for your health, particularly when it comes to your overall well-being and how it interacts with other medical conditions.

In your case, the blood test results indicated a slightly elevated white blood cell (WBC) count and a significantly high troponin (Tn) level. Elevated WBC counts often suggest an inflammatory response or infection, while high troponin levels can indicate heart muscle injury. It is important to note that while GERD itself does not directly cause elevated troponin levels, the symptoms associated with GERD, such as chest pain, can sometimes mimic cardiac issues. This can lead to further investigations to rule out any serious heart conditions.

When you experience chest pain, it is crucial to differentiate between cardiac-related issues and gastrointestinal problems. GERD can cause chest pain that may be mistaken for angina or other heart-related conditions. Therefore, if you have GERD and present with chest pain, it is essential to seek medical attention to ensure that your heart is functioning properly. In your case, the elevated troponin level warrants further evaluation by a healthcare professional to rule out any cardiac events.

In terms of managing GERD, lifestyle modifications can significantly improve symptoms and overall health. Here are some recommendations:
1. Dietary Changes: Avoid foods and beverages that trigger your symptoms, such as spicy foods, citrus, chocolate, caffeine, and alcohol. Eating smaller, more frequent meals can also help reduce reflux.

2. Weight Management: If you are overweight, losing weight can alleviate pressure on the stomach and reduce the frequency of reflux episodes.

3. Elevate the Head of Your Bed: Sleeping with your head elevated can help prevent nighttime reflux.

4. Avoid Lying Down After Meals: Wait at least three hours after eating before lying down to allow your stomach to empty.

5. Quit Smoking: Smoking can weaken the lower esophageal sphincter, exacerbating GERD symptoms.

6. Medications: Over-the-counter antacids, H2 blockers, or proton pump inhibitors (PPIs) can help manage GERD symptoms. However, it is essential to consult with your healthcare provider before starting any medication.

7. Regular Follow-ups: Given your elevated troponin levels and WBC count, regular follow-ups with your healthcare provider are crucial to monitor your heart health and manage your GERD effectively.

In conclusion, while GERD itself may not directly cause elevated blood test results, the symptoms associated with it can lead to significant health concerns that require careful evaluation. It is vital to address both your GERD and any potential cardiac issues with your healthcare provider to ensure comprehensive management of your health. If you continue to experience symptoms or have concerns about your blood test results, do not hesitate to seek further medical advice.

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