Diseases & Conditions
Could stress be making my acid reflux worse?
Ask the doctors
Q. I have gastroesophageal reflux disease and I've been very stressed with work lately. My heartburn has gotten a lot worse. Could there be a connection?
A. Yes, it's possible. Emotional stress can increase acid production in the stomach, aggravating gastroesophageal reflux disease (GERD). In people with GERD, the lower esophageal sphincter muscle (which acts as a door between the stomach and the esophagus) doesn't work properly. This allows acid to rise up from the stomach and into the esophagus.
Lifestyle changes can help you manage your GERD. These include
- not smoking
- eating a healthy diet
- limiting coffee, tea, and cola drinks
- eating smaller meals
- avoiding meals close to bedtime.
You might also try relaxation strategies, such as mindful meditation, yoga, tai chi, massage, and deep breathing.
Cognitive behavioral therapy is another option for reducing chronic stress. Also try to exercise regularly. It's a natural stress buster and can also help you maintain a healthy weight, which can help with GERD. If your acid reflux doesn't improve, see your doctor. He or she might want to treat your condition using medication or other therapies.
Image: © Jamie Grill/Getty Images
About the Authors
Toni Golen, MD, Editor in Chief, Harvard Women's Health Watch; Editorial Advisory Board Member, Harvard Health Publishing; Contributor
Hope Ricciotti, MD, Editor at Large, Harvard Women's Health Watch
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