The Wellness Way

When to See a Doctor for Reflux Disease: Warning Signs and Treatment Options

Pool/GettyImages

While occasional acid reflux is common, persistent or severe symptoms may indicate a more serious condition. Recognizing when to seek medical help is crucial for proper diagnosis and treatment. Here’s what to look for and the options available.

When GERD Becomes a Concern
You should consider seeing a doctor if:

  • You experience reflux symptoms more than twice a week.
  • Over-the-counter medications provide little or no relief.
  • You have difficulty swallowing (dysphagia) or feel like food is getting stuck.
  • There’s unexplained weight loss or frequent vomiting.
  • You experience chest pain, especially if it’s accompanied by shortness of breath or radiates to the jaw or arm. This could indicate a heart attack rather than reflux.

Potential Complications of Untreated GERD
Ignoring severe or chronic reflux can lead to complications, such as:

  • Esophagitis: Inflammation of the esophagus that can cause bleeding and ulcers.
  • Barrett’s Esophagus: A condition where the esophageal lining changes, increasing the risk of esophageal cancer.
  • Strictures: Narrowing of the esophagus due to scar tissue, making swallowing difficult.

Diagnostic Tests
Your doctor may recommend tests to diagnose GERD and assess any damage to the esophagus:

  • Endoscopy: A flexible tube with a camera is used to examine the esophagus and stomach lining.
  • pH Monitoring: A probe measures the amount of acid in the esophagus over 24-48 hours.
  • Esophageal Manometry: This test checks the strength and function of the esophageal muscles.

Treatment Options

  • Medications: Prescription-strength PPIs, H2 blockers, or prokinetics may be necessary for more severe cases. Your doctor will work with you to find the best combination.
  • Surgery: If lifestyle changes and medications fail, surgical options like fundoplication or the LINX procedure may be considered. Surgery can provide long-term relief for patients with severe GERD.

Reflux disease is interfering with your daily life or causing severe symptoms, it’s time to see a doctor. Early intervention can prevent complications and improve your quality of life. Discuss all treatment options with your healthcare provider to find the most effective solution for your needs.