Almost everyone gets heartburn now and then — that burning behind the breastbone after a big or late meal. It becomes a medical issue when it happens often, and the difference matters more than most people realize.
Reflux vs. GERD
Acid reflux is the backward flow of stomach acid into the esophagus. When it happens frequently — a common rule of thumb is more than twice a week — or starts to affect your daily life, it is called gastroesophageal reflux disease, or GERD. GERD is not just "bad heartburn"; it is a chronic condition worth managing.
Signs it is worth getting checked
- Heartburn more than twice a week, or reflux that wakes you at night
- Trouble or pain when swallowing, or a feeling that food gets stuck
- A chronic cough, hoarseness, or sore throat that does not otherwise explain itself
- Needing over-the-counter antacids most days to get through
- Any unintended weight loss, vomiting, or black/bloody stools — these need prompt evaluation
Why untreated GERD matters
Over time, repeated acid exposure can inflame and damage the lining of the esophagus. In some people it leads to a condition called Barrett's esophagus, which carries a small increased risk of esophageal cancer. That is the reason ongoing GERD deserves real evaluation rather than an endless supply of antacids.
What evaluation looks like
A gastroenterologist will start with your history and symptoms. When it is warranted, an upper endoscopy (EGD) lets the doctor look directly at the esophagus and stomach, check for damage, and take biopsies if needed. Many people also get real relief from targeted lifestyle changes and medication once the problem is properly assessed.
If heartburn is a regular part of your week, don't just live with it. Call AGI Gastroenterology at (718) 435-3489 to have it evaluated.