Reflux and heartburn can strike at the most inconvenient times. Whether after a large meal or during periods of stress, that uncomfortable burning sensation in your chest is something most Australians will experience at least once.

In fact, about 70% of Australians will deal with reflux or indigestion at some point in their lives. Remember, chest pain can be a sign of a serious issue, so it is important to seek medical help right away.

So, what causes that burning feeling? Reflux occurs when stomach acid flows back into the oesophagus, resulting in discomfort and sometimes pain. This sensation, often referred to as heartburn, usually starts in the lower chest and can move upwards towards the neck. It’s especially common after eating large or rich meals, drinking alcohol or coffee or during pregnancy. Stress and anxiety can also be triggers, but let’s take a look at some of the main suspects.

Man with heartburn

What causes reflux?

Reflux happens when the lower oesophageal sphincter – the muscle at the bottom of your oesophagus – doesn’t close properly, allowing stomach acid to escape. While many cases are mild, persistent reflux can lead to gastroesophageal reflux disease (GORD), a condition that requires medical attention as it can cause complications like inflammation, ulcers or even bleeding in the oesophagus. Obviously, you want to avoid any of these issues, so it may be best to have a chat with your community pharmacist sooner rather than later about your reflux or heartburn issues.

Common triggers include:

  • Large meals
  • Fatty or spicy foods
  • Chocolate
  • Coffee and soft drinks
  • Alcohol
  • Cigarettes
  • Peppermint

Recognising the symptoms

Symptoms of reflux can vary, but some of the most common include:

  • A burning sensation in the chest or throat
  • A sour taste in the mouth
  • Burping or bloating
  • Feeling of food being stuck in the throat
  • Discomfort when lying down
  • An ongoing cough or sore dry throat

Any of these sound familiar? If these symptoms persist for a few days or occur frequently, it’s worth consulting a community pharmacist, especially if it’s affecting your quality of life.

How to manage and prevent reflux

While reflux can be uncomfortable, there are ways to manage it:

  • Watch your diet: Some foods are known to trigger reflux. Large meals, fatty foods, chocolate, and caffeine are common culprits. It’s helpful to keep track of which foods cause problems for you and try to avoid them.
  • Eat smaller, more frequent meals: Rather than having three large meals, try eating smaller meals throughout the day to reduce pressure on the stomach.
  • Avoid eating before bed: Give your body time to digest your food by waiting at least 2 hours after a meal before lying down.
  • Manage stress: Anxiety and stress can worsen reflux symptoms, so try relaxation techniques to manage these triggers.
  • Quit smoking and limit alcohol: Both of these can weaken the muscles that keep acid in the stomach and out of the oesophagus.
  • Visit your community pharmacist: Visit your community pharmacist for expert advice and effective treatment options for managing heartburn and reflux, to find relief tailored to your needs.

When to see your pharmacist or GP

While many cases of reflux can be managed at home, there are times when professional help is needed. If your symptoms are new, persist or worsen, or if you’re experiencing severe pain, it’s important to seek medical advice. Untreated reflux, especially if it develops into GORD, can lead to more serious complications, such as oesophageal ulcers.

How your community pharmacist can help

Your community pharmacist is an excellent resource when it comes to managing reflux and heartburn. They can offer advice on over-the-counter treatments, such as antacids or acid blockers, and guide you on how to prevent symptoms from occurring. If needed, they can refer you to a GP for further medical treatment.

Your community pharmacist can also help you understand which foods or lifestyle factors might be triggering your symptoms, ensuring you have a plan in place to manage and prevent future discomfort.

Your community pharmacist can do more for you

Reflux may be a common condition, but you don’t have to suffer in silence. If you’re struggling with heartburn, other digestive issues, or any other everyday health conditions, visit your local community pharmacist. They’re ready to provide expert advice on treatments, offer tips for prevention, and ensure you feel your best. Whether it’s a simple remedy or guidance on managing more chronic conditions, your pharmacist is here to help.

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