Understanding and Managing GERD Flare-Ups

Posted on by Advanced ENT & Allergy

Gastroesophageal reflux disease (GERD) causes stomach acid to repeatedly flow back into the esophagus, resulting in symptoms including a burning sensation in the chest, bitter backwash, stomach pain or nausea, trouble swallowing, sore throat, ongoing cough and hoarseness.

GERD flare-ups can ruin your appetite, disrupt your sleep and adversely affect your overall comfort. Let’s look at a few common GERD triggers and what you can do to manage your flare-ups.

Common GERD Triggers

Woman with GERD holding her chest.

A few common factors that can lead to GERD flare-ups include:

  • Certain foods. Alcohol, acidic fruits like lemons or oranges, coffee or caffeinated tea, spicy food, garlic and onions, mint and fatty foods are common acid reflux triggers. If your symptoms arise after eating one or more of these foods, try cutting them out one at a time.
  • Large meals. Large meals can cause your stomach to expand, increasing the likelihood of acid reflux. Instead of three large meals, try eating four smaller ones throughout the day to minimize your symptoms.
  • Eating too late. Going to bed right after you eat can lead to reflux. Avoid lying down immediately after eating. Give yourself a few hours between your last meal and bedtime to allow proper digestion and reduce GERD symptoms.
  • Wearing tight clothing. Tight clothing can put pressure on the abdomen and lower esophageal sphincter, leading to GERD symptoms. Opt for loose-fitting clothing, especially while sleeping.

Medical and Surgical Options

If lifestyle changes cannot effectively manage GERD, there are a few over-the-counter medications available, including antacids to neutralize stomach acid and alginates to create a physical barrier on top of the stomach acid, preventing it from reaching the esophagus. While antacids and alginates can effectively manage symptoms, they shouldn’t be used too frequently. If over-the-counter medications are insufficient, your ENT specialist may prescribe stronger options like H2 blockers, proton pump inhibitors or baclofen (a muscle relaxant).

For severe GERD, your ENT provider may recommend surgical options, including Nissen fundoplication or a LINX device implant. Nissen fundoplication involves wrapping the top of your stomach around the lower esophagus and securing it with stitches, tightening the connection to prevent acid backwash. A LINX device is a ring with tiny magnets placed around the junction of the stomach and esophagus to close it, preventing reflux.

By identifying and avoiding triggers and seeking help from an ENT specialist, you can effectively manage GERD flare-ups. Contact Advanced ENT & Allergy to schedule an appointment with one of our experts.