Struggling with heartburn despite taking antacids regularly? It may be time to look deeper. Persistent acid reflux, even after using antacids, is a red flag worth investigating.
Hidden Culprits Behind Persistent Heartburn
Dr. Saurabh Sethi, a California-based gastroenterologist trained at Harvard and Stanford, has explained the hidden culprits behind this condition. In a recent newsletter, he stated, "In clinic, I often see patients who are treating symptoms daily, but we haven't fully explored the underlying driver."
Two Missed Contributors
Dr. Sethi identified two often-overlooked causes: lactose intolerance and H. pylori infection. However, he stressed that these are not necessarily the cause for every reflux case. "But in patients with persistent symptoms, they're worth evaluating," he said.
Clinical Recommendations
If lactose intolerance is suspected, Dr. Sethi recommends a trial of lactose-free or plant-based alternatives and monitoring symptom response. If H. pylori is suspected, he suggests non-invasive testing (breath or stool test), followed by appropriate treatment if positive. In some cases, further evaluation such as endoscopy may be required, especially if there are alarm symptoms or poor response to therapy.
Dr. Sethi noted, "I've had patients treated for H. pylori whose long-standing symptoms improved significantly. The key is identifying the right cause."
When to Consult a Doctor
According to Dr. Sethi, if heartburn persists despite antacids, consult a physician about further evaluation. "Treat the root cause, not just the symptom," he reminded.
If you are struggling with acid reflux despite long-term antacid use, it is time to book an appointment. It is not a minor inconvenience; it could be a warning sign your body is waving, and you should not ignore it.
Disclaimer: This article is for educational purposes only and not medical advice. Always consult a qualified healthcare professional before making changes to your diet or health routine.
