Acid reflux disease and heartburn are common designations for disorders of GERD, or gastroesophageal reflux disease. GERD is a chronic condition wherein the digestive fluids of the stomach back up into the esophagus. If untreated, this condition may cause esophageal damage or scarring which could require surgical intervention or become life-threatening. To avoid further complications from acid reflux, once medical treatment for acid reflux disease has begun, it is often or usually essential to follow treatment indefinitely. There are medications which can help to heal the damage but, if discontinued, the symptoms and their damage may recur.

Specifically, there is an opening as the esophagus passes through the diaphragm where the lower end of the esophagus joins the stomach and this junction is governed by a structure called the, "lower esophageal sphincter," or LES. When this structure fails to seal completely after food passes by, or it gets pushed open, stomach contents can flow back upward into the esophagus.

There is some disagreement as to the best way to contend with this, but the most common causes are well understood and, fortunately, most of them are things which the patient can control at least in some measure. Tension from the stomach and its contents can push on the LES permitting acid to leak out. Being overweight and eating large meals are two things which increase this pressure.

Excess acid can also cause damage to the LES, whether the acid comes from the food itself or is secreted by the stomach to digest the food. Large, rich or fatty meals take longer to digest and require more acid for digestion, therefore they can actually stir up problems in two ways.

One of the simplest, least restrictive ways to improve acid reflux disease is merely to eat a normal diet over the day in many small meals, as opposed to three large ones. This adjustment has also assisted lots of people to lose weight because they don't become ravenous and overeat before feeling satisfied.

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