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What's the Difference Between Acid Reflux, Heartburn, and GERD?

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2016-03-26 11:06:58
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The terms acid reflux, heartburn, and GERD are often used interchangeably, but there is a difference among these three digestive disorders:

  • Acid reflux is the reason you have heartburn. It is the underlying condition that allows stomach acid to escape into the esophagus. Reflux is the result of a malfunctioning lower esophageal sphincter (LES). The LES is a group of muscles that allows food and fluid to pass into the stomach and block any of the stomach contents from getting into the esophagus.

    Acid reflux is not necessarily a chronic condition. Any time your LES malfunctions, you're experiencing reflux. So, even if you get reflux only once a year, you're still considered to have acid reflux.

  • Heartburn is a symptom and not a disease or condition. Heartburn is one of the most common symptoms of acid reflux and gastroesophageal reflux disease (GERD). It's a burning sensation in the chest that results from the esophagus being exposed to stomach acid.

  • GERD is a chronic condition. Most doctors will diagnose you with GERD if you experience heartburn or other reflux symptoms two or more times a week. Acid reflux may not require treatment, but GERD usually will.

About This Article

This article is from the book: 

About the book author:

Patricia Raymond, MD, FACG, is one of the most respected voices in patient education on digestive health, including acid reflux.

Michelle Beaver has served as editor-in-chief or associate editor for magazines that serve surgeons, endoscopic nurses, nephrologists, and primary-care physicians.