Acid Reflux: Symptoms, Treatments, and When to Seek Help

Q: Acid Reflux: Symptoms, Treatments, and When to Seek Help

Hello： If the symptoms persist, it is certainly recommended to undergo an upper gastrointestinal endoscopy. <br>Additionally, it is advised to avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. <br>It i

Gastroesophageal reflux disease (GERD)

Hello, doctor.
I have been experiencing acid reflux for about three to four years.
I have seen both an ENT specialist and a gastroenterologist.
Two years ago, I underwent an endoscopy, which only revealed Helicobacter pylori, and there were no significant issues.
I took medication for H.
pylori for a week.
Over the past few years, I have tried both traditional Chinese medicine and Western medicine, which provided some improvement for a period, but the symptoms have recurred after stopping the medication.

Primarily, I feel a sensation of something stuck in my throat, along with a foreign body sensation.
Occasionally, I experience a slight acid regurgitation in my mouth and a feeling of reflux in my chest, but I have no other symptoms.
Recently, for the past four to five days, the sensation of something stuck in my throat has persisted.
Lying down alleviates it significantly.
Since last week, I have been coughing up phlegm more frequently, and this week, the sensation in my throat has returned, with the first day being more severe.
I have been drinking a lot of water, and it has improved somewhat over the following days, but the sensation remains.

At night, when I lie down to sleep, the sensation disappears, but when I wake up in the morning until the afternoon, it starts again.
I do not feel any difficulty swallowing when eating; it just feels like something is stuck in my throat, and it feels dry.
I have seen a gastroenterologist and took medication for three days, but the foreign body sensation persists.
I have also purchased antacids, which provide some relief after taking them.

Doctor, do you think I should undergo another endoscopy? I am concerned about the possibility of developing any unusual growths.

gossip, 30~39 year old female. Ask Date: 2022/05/27

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If the symptoms persist, it is certainly recommended to undergo an upper gastrointestinal endoscopy.
Additionally, it is advised to avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods.
It is recommended to have a light dinner (mainly consisting of bland and easily digestible foods), avoid late-night snacks, eat slowly, and not overeat.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/05/27

More Info

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a common condition that occurs when stomach acid flows back into the esophagus, leading to various symptoms. Understanding the symptoms, treatments, and when to seek medical help is crucial for managing this condition effectively.

Symptoms of Acid Reflux
The symptoms of acid reflux can vary from person to person, but common signs include:
1. Heartburn: A burning sensation in the chest, often after eating or when lying down.

2. Regurgitation: A sour or bitter taste in the mouth due to stomach acid backing up into the throat or mouth.

3. Dysphagia: Difficulty swallowing or the sensation of a lump in the throat.

4. Chronic cough: A persistent cough that may worsen at night or when lying down.

5. Hoarseness or sore throat: Irritation of the throat due to acid exposure.

6. Asthma-like symptoms: Wheezing or difficulty breathing, which can be exacerbated by acid reflux.

In your case, the persistent sensation of a lump in your throat and the feeling of acid regurgitation are indicative of acid reflux. The fact that lying down alleviates your symptoms suggests that gravity plays a role in your condition, as lying flat can exacerbate reflux.

Treatments for Acid Reflux
Treatment for acid reflux typically involves lifestyle changes, medications, and in some cases, surgical interventions. Here are some common approaches:
1. Lifestyle Modifications:
- Dietary Changes: Avoiding trigger foods such as spicy foods, citrus, chocolate, caffeine, and fatty foods can help reduce symptoms.

- Weight Management: Losing weight if overweight can significantly alleviate symptoms.

- Eating Habits: Eating smaller, more frequent meals rather than large meals can help. Avoid eating close to bedtime.

- Elevating the Head of the Bed: Raising the head of your bed can help prevent nighttime symptoms.

2. Medications:
- Antacids: Over-the-counter antacids can provide quick relief by neutralizing stomach acid.

- H2 Blockers: Medications like famotidine reduce acid production and can provide longer-lasting relief.

- Proton Pump Inhibitors (PPIs): These are stronger medications that block acid production and promote healing of the esophagus.

3. Surgical Options: In severe cases, surgical procedures such as fundoplication may be considered to strengthen the lower esophageal sphincter.

When to Seek Help
You should consider seeking further medical evaluation if:
- Symptoms persist despite treatment.

- You experience difficulty swallowing or persistent vomiting.

- There is unintentional weight loss.

- You have symptoms that are worsening or changing in nature.

- You have a family history of gastrointestinal cancers, as this may warrant further investigation.

Given your history of acid reflux and the recent persistent symptoms, it may be prudent to undergo another endoscopy (gastroscopy). This procedure can help visualize the esophagus and stomach lining, allowing your doctor to check for any abnormalities such as inflammation, ulcers, or Barrett's esophagus, which can occur due to chronic acid exposure.

Conclusion
In summary, acid reflux is a manageable condition with appropriate lifestyle changes and medical treatment. Your symptoms of throat discomfort and regurgitation are consistent with acid reflux, and it is advisable to consult with your healthcare provider regarding the need for further evaluation, such as an endoscopy, especially given your ongoing symptoms. Early intervention can prevent complications and improve your quality of life.

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