Acid Reflux and Heartburn: which doctor should you see?
Short answer: most cases of chronic heartburn and acid reflux are handled by a Gastroenterologist. Read on for the exceptions.
What this symptom means
Heartburn is a burning feeling behind the breastbone, often after eating or when lying down. Occasional heartburn is common and not concerning. When it happens more than twice a week, it is generally classified as gastroesophageal reflux disease (GERD) and deserves proper evaluation rather than indefinite antacid use.
Common causes
- Gastroesophageal reflux disease (GERD)
- Hiatal hernia
- Certain foods, alcohol, and caffeine
- Eating large meals or lying down after eating
- Pregnancy
- Some medications
Which doctor treats chronic heartburn and acid reflux?
Frequent heartburn is treated by a gastroenterologist, who can determine whether the esophagus has been affected. Because reflux and cardiac pain can feel similar, any chest burning that comes with exertion, sweating, or breathlessness should be treated as a possible heart problem first. A primary care physician can start treatment for straightforward cases.
When it may be urgent
- Difficulty or pain when swallowing
- Vomiting blood or material resembling coffee grounds
- Black or tarry stools
- Unintentional weight loss
- Chest pain with sweating, breathlessness, or pain in the arm or jaw
Frequently asked questions
- Which doctor treats acid reflux?
- A gastroenterologist treats chronic acid reflux and GERD. A primary care physician can manage mild or intermittent cases.
- When does heartburn become GERD?
- Heartburn occurring more than twice a week, or requiring daily medication, is generally considered GERD and should be evaluated.
- How do I know if it is heartburn or my heart?
- You often cannot tell from symptoms alone. Burning that comes with exertion, sweating, breathlessness, or pain spreading to the arm or jaw should be treated as a possible cardiac emergency.
Related symptom guides
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Sources
- MedlinePlus, U.S. National Library of Medicine (medlineplus.gov)
- Centers for Disease Control and Prevention (cdc.gov)
- Relevant national medical specialty association guidance