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Chronic heartburn isn’t just annoying—it can lead to serious health problems. Learn the causes and dangers of GERD, why proton pump inhibitors (PPIs) can help, and when it’s time to take your symptoms seriously. Includes a free downloadable food & symptom journal.
Let’s Talk About That Burning Feeling
We all get heartburn sometimes—a spicy taco here, a glass of wine there. But if you’re brushing off that burning sensation in your chest several times a week, it’s time to stop “just dealing with it.” Persistent heartburn could be a sign of GERD—gastroesophageal reflux disease—and ignoring it can put your long-term health at risk.
Let’s break down what causes GERD, why it’s dangerous to leave it untreated, and when medications like PPIs might actually be a gut-saver—not a gut risk.
What Causes GERD?
GERD happens when stomach acid frequently flows back into your esophagus, irritating its lining. This acid reflux is usually caused by a weakened lower esophageal sphincter (LES), the muscle that’s supposed to keep acid in your stomach where it belongs.
Common GERD triggers include:
- Eating large or fatty meals
- Caffeine, alcohol, chocolate, and spicy foods
- Smoking
- Lying down too soon after eating
- Obesity
- Pregnancy
- Certain medications (NSAIDs, antihistamines, calcium channel blockers)
Why You Shouldn’t Ignore Chronic Heartburn
It’s tempting to chew an antacid and move on. But if you’re experiencing heartburn more than twice a week, it’s not just discomfort—it’s damage.
Dangers of Untreated GERD:
- Esophagitis: Chronic acid exposure can inflame the esophagus, causing pain and even bleeding.
- Barrett’s Esophagus: The lining of the esophagus may change, increasing the risk of esophageal cancer.
- Strictures: Scar tissue can form, leading to difficulty swallowing.
- Dental erosion: Stomach acid can damage your teeth over time.
- Chronic cough, hoarseness, or asthma-like symptoms from acid reaching the throat and lungs.
Long story short? GERD is more than a nuisance—it can change the structure of your esophagus and lead to life-threatening complications.
The Role of PPIs: Friend or Foe?
Proton Pump Inhibitors (PPIs) like omeprazole (Prilosec), pantoprazole (Protonix), and esomeprazole (Nexium) are often prescribed to manage GERD. They work by reducing stomach acid production, helping heal irritation and prevent further damage.
Benefits of PPIs:
- Allow damaged tissue in the esophagus to heal
- Reduce acid reflux symptoms
- Prevent progression to Barrett’s esophagus or cancer
- Improve quality of life when lifestyle changes aren’t enough
But what about the risks?
- Vitamin B12 and magnesium deficiency (with long-term use)
- Increased risk of C. diff infection or small intestinal bacterial overgrowth (SIBO)
- Possible kidney concerns or bone density issues with very long-term, high-dose use
- Increased risk of osteoporosis and bone fractures, especially in the hip, spine, or wrist with long-term high-dose use
- Rebound acid hypersecretion if PPIs are stopped suddenly
Important takeaway: PPIs aren’t meant to be taken forever without reevaluation—but when prescribed appropriately, they prevent much more dangerous outcomes.
Always talk with a healthcare provider about the lowest effective dose and whether you can transition to a step-down therapy like an H2 blocker (e.g., famotidine) or lifestyle management over time.
Lifestyle First: Know Your Triggers
Before jumping straight to meds, understanding your unique reflux triggers is key. That’s where journaling your food and symptoms can make all the difference.
Download my free Food & Symptom Journal to track what you eat, when heartburn strikes, and how severe it feels. Over time, patterns emerge—and so do solutions.
Be sure to check out the DIETS page to learn more! >>>
When to See a Provider
If any of the following apply, don’t wait:
- Heartburn 2+ times per week
- Difficulty swallowing
- Unexplained weight loss
- Chest pain not relieved by antacids
- Vomiting blood or black stool
- Chronic cough, hoarseness, or asthma symptoms
These red flags may point to serious complications, and early treatment can prevent irreversible damage.
The Bottom Line: Don’t Just Live With It
Chronic heartburn is your body waving a red flag, not something you should silence or ignore out of habit. If lifestyle changes aren’t enough, medications like PPIs can offer relief—and protection. The real danger? Doing nothing at all.
Start today by taking control of your reflux triggers.
Download your free Food & Symptom Journal now
Your esophagus deserves better than constant acid burn. Track your symptoms, uncover your triggers, and start feeling better— safely. Always talk to you medical provider before starting anything on your own.