This upward bulge of the stomach prevents the diaphragm from helping fully close the esophageal sphincter to the stomach. A hiatal hernia is caused by the stomach pushing up into the hole. It has a small opening (called a hiatus) where the esophagus passes food into the stomach. The diaphragm is the muscle that separates your chest from your abdomen. In some patients, GERD is a result of a hiatal hernia. GERD can also cause a large amount of stomach acid to leak into the esophagus, causing more severe symptoms. It is unclear as to why this happens, but people who have GERD might have a loose esophageal sphincter that doesn’t adequately seal the esophagus off from the stomach. GERD is diagnosed in patients who frequently experience severe heartburn symptoms and other complications. GERD is a more serious version of acid reflux. Your esophagus can become inflamed and painful if it’s frequently corroded by stomach acid. Heartburn symptoms are very common, and about 20 out of every 100 people living in a Western country regularly experience symptoms of heartburn or regurgitation. A small amount of your stomach’s contents rising into the back of your throat, also known as regurgitation 1.A sour taste in your mouth while lying down.Symptoms that disrupt your sleep, especially if you’ve eaten within two hours of going to bed.Discomfort that occurs after eating, while lying down, or while bending over. The most common symptom of heartburn is a burning sensation in your chest, right behind your breastbone. When this acid reflux occurs, it can cause discomfort that you might experience as heartburn. However, if the muscle doesn’t fully close, some of the acid from your stomach may flow up, or reflux, into your esophagus. It stays closed but opens to let food pass from your esophagus into your stomach. The feeling of heartburn is caused by digestive acid from your stomach moving up into your esophagus 1, the tube that moves chewed food from your throat to your stomach.Īt the bottom of your esophagus at the entrance to your stomach, a circular muscle called the lower esophageal sphincter keeps the contents of your stomach separate from your esophagus. Nexium 24HR is indicated by the FDA for the treatment of frequent heartburn, that is, heartburn that occurs two or more days a week in adults (ages 18 and up).
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