Asthma and GERD

Overview

GERD is found in many people who have asthma.

Gastroesophageal reflux disease (GERD) is the abnormal backflow, or reflux, of stomach juices into the esophagus, the tube that leads from the throat to the stomach.

Some experts debate whether or to what extent GERD makes asthma worse. Studies have shown conflicting results as to whether GERD triggers asthma.

Those experts who believe GERD does trigger asthma theorize that the abnormal backflow of stomach juices irritates nerves in the esophagus. This could make the smooth muscles of the bronchial tubes tighten, causing airway narrowing. Or food may back up into the throat and airway, causing direct irritation of the bronchial tubes.

People with asthma who have heartburn—after meals, when they bend over, or when they lie down—may need to be treated for GERD. If you have persistent nighttime asthma symptoms, especially coughing and wheezing, GERD could be making your asthma symptoms worse. Steps you can take that may reduce the symptoms of GERD include losing weight (if needed), eating a low-fat diet, raising the head of your bed, and not eating for at least 3 hours before you go to bed.