Q: I have heartburn at least twice a week. What can be done to control it?
A: The heartburn you feel is actually gastric stomach acids in your esophagus. The muscle that blocks the opening between the stomach and esophagus is weakened. Obesity, alcohol, smoking, fatty foods, citrus foods, peppermint and chocolate are known contributors of GERD (gastro-esophogeal reflux disease) symptoms. Lifestyle modifications are the first line to controlling the heartburn symptoms. Obesity is a risk factor for GERD. The higher the BMI (body mass index), the higher the likelihood and severity of GERD and risk for developing other complications. Lifestyle changes that include weight loss, elevating the head of the bed and avoiding known contributors of heartburn are recommended. If those modifications do not work, there are acid reduction medications available. Chronic acid reflux can develop into a condition known as Barrett’s Esophagus, which must be managed by a doctor to ensure it doesn’t develop into cancer.
— Dr. Vijay Patel,
Digestive Health Associates, member Chattanooga-Hamilton County Medical Society
Readers: To submit an obesity-related question for a medical doctor, e-mail it to Clint Cooper at ccooper@timesfreepress.com. See this space each week for answers.