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Acid Reflux

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What is Acid Reflux?

Acid reflux occurs when stomach acid flows back into the oesophagus, causing irritation and discomfort. When this happens frequently or chronically, it is called gastro-oesophageal reflux disease (GORD).

It can affect anyone, and if left untreated, GORD may lead to oesophageal inflammation, ulcers, or long-term complications.

What Causes Acid Reflux?

Lifestyle Factors

  • Overeating or eating large meals
  • Lying down shortly after eating
  • Excessive alcohol consumption
  • Smoking

Medical Conditions

  • Hiatus hernia
  • Obesity
  • Pregnancy
  • Delayed stomach emptying

Triggers

  • Spicy, fatty, or acidic foods
  • Caffeine
  • Carbonated drinks

What Are the Common Symptoms of Acid Reflux?

  • Heartburn (burning sensation behind the breastbone)
  • Regurgitation of stomach acid into the mouth
  • Sore or burning throat
  • Chronic cough or hoarseness
  • Feeling of a lump in the throat
  • Nausea or bloating

How Is Acid Reflux Diagnosed?

A GP will ask about symptoms, diet, lifestyle, and medical history.

During an online consultation, a GP can:

  • Assess symptom patterns
  • Recommend lifestyle modifications
  • Prescribe acid-reducing medication if needed

In-person assessment may include:

  • Endoscopy to check oesophagus lining
  • pH monitoring or oesophageal manometry
  • Blood tests if complications suspected

How Long Does Acid Reflux / GORD Last?

  • Occasional reflux: resolves within hours
  • Chronic GORD: symptoms may persist for months or years without treatment
  • Recovery depends on medication adherence, lifestyle changes, and management of underlying conditions.

How to Feel Better and Recover Quickly

Self-Care at Home

  • Avoid lying down within 2–3 hours of eating
  • Eat smaller, more frequent meals
  • Limit trigger foods and drinks
  • Elevate the head of the bed
  • Maintain a healthy weight

Treatment from a GP

  • Antacids for immediate relief
  • H2 blockers or proton pump inhibitors (PPIs)
  • Lifestyle guidance for long-term symptom control

When Referral Is Needed

  • Persistent symptoms despite medication
  • Difficulty swallowing or unintentional weight loss
  • Suspected complications such as ulcers or Barrett’s oesophagus

When to Seek Urgent Medical Help

Go to A&E if you experience:

  • Vomiting blood
  • Black or tarry stools
  • Severe chest pain that may indicate a heart problem
  • Sudden difficulty swallowing or choking

Use urgent care instead of online GP services if:

  • Symptoms are severe or sudden
  • Symptoms interfere significantly with eating or drinking
  • Red-flag signs appear

How Dr.Online UK Can Help

  • Same-day online GP appointments
  • Advice and reassurance
  • Private prescriptions for antacids, H2 blockers, or PPIs
  • Referral letters for gastroenterology specialists if needed

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