Patient's Query
Hello doctor,
I am a 37-year-old woman who frequently experiences a burning sensation in my chest, particularly after evening meals. At times, I also notice a sensation of food or acid rising into my throat. Although I have been using antacids, the symptoms continue to recur.
I am wondering whether this could be gastroesophageal reflux disease (GERD). The discomfort seems to worsen when I lie down or after drinking coffee. I am also concerned about the potential long-term effects if this condition is not properly treated.
Additionally, as I am planning to become pregnant, I would like to know whether medications used to treat acid reflux are safe during pregnancy.
Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
Your symptoms, such as a burning feeling after meals, throwing up, and getting worse when you drink coffee or lie down, are all signs of gastroesophageal reflux disease (GERD). If GERD happens a lot and isn't addressed, it can develop problems, including inflammation of the esophagus, ulcers or bleeding, narrowing of the esophagus that makes it hard to swallow, and in some people, Barrett's esophagus, which is a condition that can lead to cancer.
If you have warning signals like problems swallowing, unexplained weight loss, anemia, vomiting blood, black stools, or symptoms that don't go away after six to eight weeks of proper therapy, you should see a doctor. These may need more tests, like an endoscopy.
Management usually starts with changes to daily life, like not eating heavy or late meals, not eating within three hours of going to bed, eating smaller portions, avoiding foods that trigger symptoms like coffee, chocolate, mint, and alcohol, not wearing tight clothes around the waist, losing weight if necessary, and raising the head of the bed with a wedge or bed blocks. Sleeping on your left side might also assist with reflux symptoms.
Reflux symptoms often get worse during pregnancy; there are treatments that are often employed. Lifestyle changes and antacids or alginate-based treatments are usually the first things that people try. Many people use drugs like famotidine if symptoms don't go away. If symptoms are severe, proton pump inhibitors like Omeprazole or Pantoprazole may be an option. Talking to your obstetrician or gastroenterologist about your drug options is the best thing to do. If you can control your reflux before you are pregnant, it can make the pregnancy more comfortable.
I hope this helps.
Thank you.
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Answered byDr. Syed Asif Rafiq
Medically reviewed byiCliniq medical review team
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