What Causes Acid Reflux?

December 9, 2025

Acid reflux happens when stomach acid flows back up into your esophagus, the tube connecting your mouth to your stomach. This common condition affects millions of people and can range from occasional discomfort to a chronic problem called gastroesophageal reflux disease (GERD).

What Causes Acid Reflux

The main cause of acid reflux is a weak or relaxed lower esophageal sphincter (LES). This ring of muscle sits at the bottom of your esophagus and normally opens to let food pass into your stomach, then closes tightly. When it doesn't close properly, stomach acid can escape upward.

Several factors can weaken or affect this muscle:

  • Hiatal hernia (part of the stomach pushes through the diaphragm)
  • Being overweight or obese
  • Pregnancy
  • Smoking
  • Certain medications (sedatives, blood pressure drugs)

Foods and drinks can also trigger acid reflux, including fatty or fried foods, spicy dishes, citrus, tomatoes, chocolate, coffee, and alcohol.

What Does Acid Reflux Feel Like

The most common symptom is heartburn—a burning sensation that rises from your upper stomach or lower chest toward your throat. You might also notice:

  • A sour or bitter taste in your mouth
  • Food or liquid coming back up (regurgitation)
  • Difficulty swallowing
  • A feeling of a lump in your throat
  • Chronic cough, especially at night

Symptoms often get worse after eating, when lying down, or when bending over.

What Helps With Acid Reflux

Lifestyle changes are often the first step:

  • Maintain a healthy weight
  • Avoid trigger foods
  • Don't lie down for 2-3 hours after eating
  • Raise the head of your bed
  • Quit smoking

Over-the-counter medications can provide relief. Antacids neutralize stomach acid quickly. H2 blockers like famotidine reduce acid production and provide longer-lasting relief. Proton pump inhibitors (PPIs) like omeprazole are stronger acid reducers for more frequent symptoms.

When to See a Doctor

See a healthcare provider if you have heartburn more than twice a week, difficulty swallowing, persistent nausea or vomiting, or unexplained weight loss. Seek immediate help for severe chest pain, especially with arm or jaw pain or trouble breathing—these could signal a heart attack.

Untreated chronic acid reflux can damage your esophagus over time. With proper management through lifestyle changes and medications when needed, most people can control their symptoms effectively.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting any new skincare treatment, especially if you have underlying health conditions, are pregnant, or are taking medications.

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