10. Gastroesophageal Reflux: Beyond Heartburn

Unlike the occasional acid reflux many experience, those with gastroparesis have a constant battle. As food lingers in the stomach, mixed with gastric juices, the likelihood of it flowing back into the esophagus increases. This isn’t just about a burning sensation; it’s about undigested food, bile, and acid collectively making their way up.
Constant reflux isn’t something to be dismissed. Over time, the lining of the esophagus gets exposed to these harsh stomach contents.
This can lead to conditions like Barrett’s esophagus, where the tissue lining the esophagus changes, increasing the risk of esophageal cancer. Additionally, there’s the risk of aspiration – where the refluxed contents make their way into the lungs, leading to conditions like pneumonia.
Addressing this symptom often requires a series of changes. This includes dietary modifications like reducing fatty foods, avoiding late-night meals, and elevating the head while sleeping. These interventions aim to reduce the volume of reflux and the associated discomfort. (10)