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Beyond Antacids: Why Your Frequent Heartburn Needs a Doctor
25 Nov
Summary
- Persistent heartburn may indicate serious acid reflux, not just indigestion.
- Untreated acid reflux can lead to precancerous changes like Barrett's esophagus.
- Seek medical advice if heartburn occurs over twice weekly or with swallowing issues.

Persistent heartburn, often dismissed as indigestion, can be a significant warning sign of underlying health issues. When the lower esophageal sphincter fails to close properly, stomach acid can repeatedly flow back into the esophagus. This chronic exposure to acid can cause inflammation and lead to precancerous changes, including Barrett's esophagus, a condition that elevates the risk of developing esophageal cancer.
Occasional heartburn after rich meals is common and can often be managed with simple measures like dietary adjustments, avoiding late-night meals, and sleeping on the left side. However, medical experts emphasize that heartburn occurring more than twice weekly, or symptoms like difficulty swallowing, regurgitation, or a persistent cough, should prompt a visit to a gastroenterologist. These signs may indicate gastroesophageal reflux disease (GERD).
Long-term management strategies for chronic reflux include lifestyle modifications, medications like proton pump inhibitors (PPIs) to reduce acid production, and in some cases, surgical procedures to strengthen the esophageal valve. Regular medical follow-ups are essential for individuals with chronic reflux to monitor their condition, ensure effective healing, and detect any potential complications early.




