Acid reflux occurs when the contents of your stomach rise up your esophagus, the tube that connects your mouth to your stomach.
Most people experience mild reflux from time to time. The risk of complications is generally low when the reflux is minor.
In contrast, frequent acid reflux can be a sign of a condition known as gastroesophageal reflux disease (GERD).
Although GERD itself isn’t a life threatening condition, it can lead to more serious health issues and complications if it’s left untreated.
Read on to find out about the more serious complications of GERD.
Mild or occasional acid reflux isn’t usually cause for concern. While it may cause temporary discomfort, it doesn’t present any major health risks.
People who experience acid reflux more than twice a week may have GERD, a condition that’s associated with more symptoms and complications.
Common symptoms of GERD include:
In some cases, GERD may lead to complications. Some of them can be serious, especially if they’re left untreated. Many of these complications are related to each other.
Let’s take a closer look at some of the more serious health issues that can arise due to GERD.
Frequent acid reflux can trigger inflammation in the esophagus, a condition known as esophagitis.
Esophagitis makes swallowing difficult and sometimes painful. Other symptoms include:
Chronic, untreated esophagitis may cause esophageal ulcers and strictures. It may also increase your risk for esophageal cancer.
Stomach acid can damage the lining of the esophagus, causing a painful ulcer. This type of peptic ulcer is known as an esophageal ulcer.
It may cause symptoms, such as:
However, not everyone who has an esophageal ulcer has symptoms.
If left untreated, an esophageal ulcer can lead to more serious complications, such as an esophageal perforation (a hole in the esophagus) or a bleeding ulcer.
When GERD is left untreated, it can trigger inflammation, scarring, or abnormal tissue growth (neoplasia) in your esophagus. As a result, your esophagus can become narrower and tighter.
This condition, known as esophageal stricture, often makes it difficult or painful to swallow. It can also make it harder for food and liquids to pass from your esophagus to your stomach, and breathing can feel constricted.
In some cases, solid or dense foods can get lodged in the esophagus. This may increase your risk for choking. Plus, if you can’t easily swallow foods and liquid, it may lead to malnutrition and dehydration.
Stomach acid that rises to your throat or mouth can be inhaled into your lungs. This can lead to aspiration pneumonia, a lung infection that causes symptoms like:
Aspiration pneumonia can become serious and even fatal if left untreated.
Treatment usually involves antibiotics and, in more severe cases, hospitalization and supportive care for breathing.
Ongoing damage to the esophagus caused by stomach acid can trigger cellular changes to the lining of the esophagus.
With Barrett’s esophagus, the squamous cells that line the lower esophagus are replaced by gland cells. These cells are similar to the ones that line your intestines.
Barrett’s esophagus develops in about
There’s a slight risk that these gland cells can become cancerous and cause esophageal cancer.
People who have GERD are at a slightly increased risk of a certain type of esophageal cancer known as adenocarcinoma of the esophagus.
This cancer affects the lower part of the esophagus, causing symptoms like:
Esophageal cancer often doesn’t cause symptoms in its early stages. People usually only notice symptoms once the cancer has reached a more advanced stage.
Besides GERD, other factors that may increase your risk for esophageal cancer include:
You may be able to reduce acid reflux and prevent complications by adopting the following habits:
You should see a doctor if you experience GERD symptoms more than a couple times a week, even if your symptoms are mild.
You should also see your doctor if you regularly take over-the-counter antacids or medication for heartburn. These drugs can help neutralize stomach acid, but they won’t heal inflammation in the esophagus.
Also, overuse of these medications may cause side effects.
There are a range of treatments for acid reflux caused by GERD. Your doctor may suggest a combination of lifestyle changes and medication.
Common medications used to treat acid reflux include:
If these treatments don’t help, your doctor might recommend surgery.
There are a few different types of procedures used to control GERD. Most are focused on improving the function of the sphincter that keeps stomach acid from rising up the esophagus.
Occasional acid reflux isn’t usually associated with long-term or serious complications.
However, when acid reflux occurs frequently and is left untreated, it can lead to conditions such as esophagitis, ulcers, strictures, aspiration pneumonia, and Barrett’s esophagus.
People who have frequent episodes of acid reflux are also at a slightly increased risk for developing esophageal cancer.
Seeking treatment for acid reflux can help decrease the likelihood of developing serious or life threatening complications.
Last medically reviewed on August 4, 2020
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