Gastro-oesophageal reflux

Very low urgency
Very common-

It is the passage of contents from the stomach into the oesophagus.

It is caused due to the lower oesophageal sphincter failing to close properly. Between the factors that prompt its appearance, the existence of a hiatal hernia, certain foods, adopting a horizontal position after eating, pressure in the abdomen and some medications are included.

It causes a burning or acidic sensation in the chest and throat, often leaving an acidic or bitter taste known as pyrosis when reflux reaches the mouth.

The diagnosis is reached through reviewing the patient's medical history and a complete physical examination. It is confirmed through tests that measure the acidity of the gastrointestinal tract.

Treatment is based on avoiding the causes and reducing the amount of gastric acid by means of medication (gastric protectors).

Bibliographic references
  1. Ronnie Fass, MD. Approach to refractory gastroesophageal reflux disease in adults. UpToDate. Jun 07, 2016.
  2. Peter J Kahrilas, MD. Medical management of gastroesophageal reflux disease in adults. UpToDate. Mar 31, 2016.
  3. Aziz Q, Fass R, Gyawali CP, et al. Functional Esophageal Disorders. Gastroenterology 2016.
  4. Katz PO, Gerson LB, Vela MF. Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol 2013; 108:308.
  5. Mearin Manrique F. Enfermedades del esófago. Farreras Rozman. Medicina Interna. Volumen 1. 12º edición: 43 y 48.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Acidity in oesophagus


    Heartburn in pit of the stomach


    Burning sensation in throat


    Dry cough


    Regurgitates frequently and/or in significant amounts

Symptoms to watch out for

Vomit with blood
Fever (temperature higher than 38 ºC)
Dark/black stools
Abdominal pain that increases rapidly
History of immunodeficiency (HIV, diabetes mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Reduce alcohol consumption.
Avoid taking over-the-counter medications like non-steroidal anti-inflammatories.
Avoid fatty foods like red meat, butter, fried foods and cheese.
Eat small meals every day, rather than 2 or 3 large meals.
Take an antacid 30 to 60 minutes before breakfast.