The burning in your chest called heartburn is caused by the backflow of stomach acid into your esophagus. This backflow is called acid reflux. If you have chronic heartburn, you may have gastro esophageal reflux disease (GERD). GERD is common among people who have asthma and, in fact, occurs at a greater rate than among those in the general population. Coughing, choking, or wheezing during the night may also mean that you experience GERD during sleep. GERD may trigger asthma symptoms, and asthma symptoms and its management may worsen GERD.
Many studies have found a relationship between bronchospasms and acid reflux. However, researchers think that this relationship may be just one of several influencing factors that explain the higher rate of GERD among people with asthma. Another factor is theophylline usage, which is known to increase stomach acid. However, you should not stop taking any of your asthma medications without talking to your health care provider first.
How to Manage It
If you have frequent heartburn or poor control of your asthma symptoms at night, see your health care provider. He or she may you have a few tests to determine the cause of your heartburn and whether GERD is a problem. Your doctor may prescribe medications that suppress acid production and that prevent acid reflux. Several acid-sup pressing medications are now available over the counter. However, do not take these medications without first seeking the advice of your health care provider.
Prevention
- There are several steps you can take to prevent heartburn:
- Avoid eating or drinking 3 hours before going to bed.
- Raise the head of your bed on 6- to 8-inch blocks.
- Eat smaller meals at a relaxed pace.
- Maintain a healthy weight that is appropriate for your age, sex, and height. Being overweight places pressure on your esophagus.
- Do not lie down after eating.
