If you struggle with obesity, you may have noticed that heartburn or acid reflux is a recurring problem. What you might not realize is that the two are closely linked. Research shows that obesity is one of the most significant risk factors for gastroesophageal reflux disease (GERD), a condition where stomach acid leaks into the esophagus, causing discomfort and potentially leading to more severe health issues if left untreated.
At NJ Advanced Surgical Solutions, we understand the challenges of managing obesity and its associated complications, such as GERD. By understanding how obesity contributes to GERD and how weight loss can alleviate symptoms, you can take meaningful steps toward improving your health and quality of life.
What is GERD?
Gastroesophageal reflux disease (GERD) is a chronic digestive disorder caused by stomach acid frequently flowing back into the esophagus, the tube connecting the mouth and stomach. This acid reflux irritates the lining of the esophagus, causing symptoms such as heartburn, regurgitation, chest pain, and difficulty swallowing. While occasional acid reflux is common, GERD is diagnosed when these episodes happen more than twice a week.
If left untreated, GERD can lead to more serious complications, including esophageal inflammation, ulcers, or Barrett’s esophagus, which increases the risk of esophageal cancer. Understanding GERD and its triggers, such as obesity, helps you take proactive steps to manage symptoms and protect your long-term health. At NJ Advanced Surgical Solutions, we can help you address GERD through weight management and other targeted interventions.
Signs and symptoms of GERD:
- Frequent heartburn or burning sensation in the chest
- Regurgitation of food or sour liquid into the throat or mouth
- Difficulty swallowing or feeling of food stuck in the throat
- Chronic cough, especially at night or after meals
- Hoarseness or sore throat unrelated to a cold
- Chest pain that may mimic a heart attack
- Sensation of a lump in the throat
- Worsening symptoms when lying down or bending over
- Persistent bad breath despite good oral hygiene
- Nausea or discomfort after eating meals
How does obesity lead to GERD?
Increased likelihood of hiatal hernia
Obesity significantly raises the risk of developing a hiatal hernia, in which part of the stomach pushes through the diaphragm into the chest cavity. The diaphragm typically acts as a barrier to keep stomach acid in place, but a hernia weakens this mechanism, making it easier for acid to escape into the esophagus. The risk of a hiatal hernia increases as excess weight puts pressure on the abdominal area, disrupting the natural function of the digestive system.
Increased intra-abdominal pressure
Carrying excess weight, particularly around your abdomen, increases intra-abdominal pressure (IAP). This can force stomach contents, including acid, back up into the esophagus. The more fat you carry, the greater the pressure on your stomach and lower esophageal sphincter (LES), the valve that separates the stomach and esophagus. A weakened or overburdened LES is less effective at keeping acid where it belongs, leading to frequent acid reflux episodes.
Increased secretion of GERD-causing chemicals
Obesity is associated with high levels of visceral fat, which surrounds your internal organs. Visceral fat secretes adipocytokines, chemicals that are linked to inflammation and GERD. These can directly affect the LES, reducing its strength and functionality. Additionally, they may increase acid production in the stomach, compounding the risk of acid reflux.
How does losing weight help with heartburn?
Reduced abdominal pressure
Losing weight helps decrease the amount of fat stored around the abdomen, which in turn reduces intra-abdominal pressure. With less pressure on the stomach, the likelihood of acid being forced into the esophagus diminishes. This reduction can provide significant relief from GERD symptoms and improve the overall function of the digestive system.
Decreased visceral fat stores
As you lose weight, you also reduce your visceral fat levels. This reduction leads to fewer adipocytokines being released, easing inflammation and improving the function of the LES. A healthier LES is better equipped to prevent stomach acid from escaping into your esophagus. By addressing the root cause of GERD, weight loss offers long-term benefits.
Improved lower esophageal sphincter function
Weight loss has been shown to restore some of the functionality of the LES. When your LES isn’t under constant strain from excess weight or intra-abdominal pressure, it can close more effectively after food enters your stomach. This improved function prevents acid from refluxing into your esophagus, reducing the frequency and severity of GERD symptoms.
Lose excess weight and resolve your heartburn
Understanding the link between obesity and GERD empowers you to take charge of your health. At NJ Advanced Surgical Solutions, we specialize in comprehensive care for individuals struggling with obesity and related conditions. From personalized weight loss strategies to advanced bariatric surgery options, we offer a holistic path to your ideal weight. If you suffer from frequent heartburn due to your weight, please schedule a consultation today to explore your weight loss options and improve your quality of life.