Understanding Acid Reflux Triggers, Prevention, and When to Seek Medical Help

Foods that trigger acid reflux, how to prevent it and when to consult a doctor

Millions of individuals have acid reflux, mistakenly attributed to mere post-meal discomfort. However GERD symptoms extend far beyond the typical heartburn that comes and goes, greatly affecting the quality of life for approximately 20% of Americans.

Dr. Jon LaPook, a gastroenterologist at NYU Langone Health and CBS News’ chief medical correspondent, recently spoke to this common problem on “CBS Mornings Plus.” He said acid reflux occurs when stomach acid flows back up into the esophagus, the pipe that carries food from the mouth to the stomach. The stomach is designed to deal with acid, but the esophagus is not, which causes agonizing symptoms.

What Causes Acid Reflux?

The cause of acid reflux lies in a malfunctioning valve between the stomach and the esophagus. This valve typically prevents stomach acid from traveling upward, but when it loosens, acid can escape and cause heartburn, chest pain, and even a persistent cough. “The esophagus hates acid,” says Dr. LaPook. “When it gets exposed to it, that’s when you feel discomfort.”

Typical Causes of Acid Reflux

Acid reflux can be brought on by particular meals and lifestyle decisions. Dr. LaPook names several offenders, such as:

  • Nicotine
  • Alcohol
  • Foods high in fat
  • Coffee
  • Chocolate
  • Mint
  • Hot dishes

These treats are known to irritate the esophagus and cause acid to bubble up, even if they may offer momentary pleasure. “It’s anything that gives you even an iota of pleasure,” LaPook says.

How to Avoid Acid Reflux?

There are more ways to reduce the risk of acid reflux besides avoiding trigger foods. Antacids and other medications can quickly reduce stomach acid by neutralizing it. More potent acid-reducing medications can be needed for more chronic cases. “Taking antacids can reduce stomach acid, and liquid medications tend to work faster,” says Dr. LaPook, who also offers another practical solution.

Lifestyle changes may also have a significant effect. The Sleep Foundation advises waiting two to three hours after eating before going to bed to prevent reflux during sleep. Raising the head of your bed not only increases comfort and quality of sleep but also reduces nighttime symptoms.

When Is the Right Time to See a Doctor?

Most individuals can manage their acid reflux with medications, diet changes, and weight. However, Dr. LaPook points out that one should speak with a medical professional if the symptoms are severe or do not go away. “When you’ve got something new happening, particularly a new symptom, speak with your healthcare provider,” advises him. “Acid reflux can be a sign of something more serious.”

GERD, for example, can be the source of chest pain, but it can also be an indicator of gallbladder disease, ulcers, or even heart trouble. A proper diagnosis, according to Dr. LaPook, requires that all symptoms be put on the table with your doctor.

Although acid reflux may seem like a minor annoyance, if it is not treated, it can cause long-term problems. You can manage the disease and enhance your well-being by monitoring triggers, taking preventative action, and seeking medical advice when necessary.