Understanding Acidity & GERD: Why It Happens and How I Help My Patients Manage It

As a gastroenterologist, one of the most common complaints I see in my clinic is acidity or GERD (Gastroesophageal Reflux Disease). Many patients come worried about burning in the chest, throat irritation, chronic cough, or a sour taste in the mouth.

Why Does GERD Happen?

GERD occurs when stomach acid flows back into your food pipe due to a weak lower esophageal valve. This can happen due to:

• Irregular eating habits
• Eating late at night
• Excess tea/coffee
• Stress
• Obesity
• Smoking or alcohol
• Certain medications

Symptoms You Should Never Ignore

• Burning sensation in chest (heartburn)
• Bitter taste in throat
• Constant burping
• Feeling of food stuck in the throat
• Night-time cough or hoarseness

My Treatment Approach

I always start by understanding the patient’s lifestyle, food pattern, and triggers. Treatment usually includes:

• Acid-reducing medications
• Lifestyle modifications
• Dietary corrections
• Weight management (if required)

Simple Remedies I Recommend to My Patients

• Eat early dinners
• Avoid spicy, oily, or acidic foods
• Reduce tea/coffee intake
• Sleep with head elevated
• Avoid lying down for 2 hours after meals
• Maintain a healthy weight

If symptoms persist for more than a few weeks, it’s important to evaluate further — simple acidity can sometimes mask ulcers or other issues.