Could Your Heartburn Turn Into Oesophageal Cancer?

by | Nov 15, 2017 | Health

By Ashley Mateo; Photograph by Dragana Gordic/Freepik

Persistent acid reflux can set off a chain reaction in your body with dire effects.

Almost everyone has suffered from heartburn at some point in their life, so it’s easy to write that painful burning sensation you get in the middle of your chest after a long run or housing a garlicky bowl of pasta as NBD. But heartburn, which is a symptom of acid reflux, can actually be a pretty big deal.

“Acid reflux is what happens when stomach contents go up the oesophagus,” explains Dr. Raja M. Flores, chairman for the Department of Thoracic Surgery for the Mount Sinai Health System and director of the Thoracic Surgical Oncology Program at The Tisch Cancer Institute. “The stomach secretes acidic fluid to digest food, but sometimes it also contains basic fluids like bile. Theo esophagus is only meant to go one way: down. So when stuff comes back up, like a mild form of vomiting, that can irritate the oesophagus.”

Irritation is not just annoying in the short-term; over time, acid reflux will scar the surface of the oesophagus, leading to a precancerous condition called Barrett’s oesophagus. With Barrett’s, all that scarring changes the lining of the oesophagus to more closely resemble the lining of the intestines—and that can eventually lead to cancer.

READ MORE: 7 Types Of Stomach Pain — And What They Mean

The problem with all this? Early stage oesophageal cancer feels like…nothing. It isn’t until people start having trouble swallowing—meaning the cancer has grown to the point where it’s blocking food from going down the oesophagus smoothly—that they start to question whether something’s wrong, says Flores.

But while acid reflux is common, oesophageal cancer is not. If you’re not sure whether you should be concerned about your heartburn, take note of its frequency. Twenty to 30 percent of adults experience some type of gastroesophageal reflux disease (GERD), like heartburn, weekly, and Flores says that’s nothing to worry about. “It’s the people who are experiencing it multiple times a day that are at risk of developing cancer,” he explains. “Not everyone who has heartburn or acid reflux will get cancer, but almost all of those who have cancer have experienced reflux.”

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Oesophageal cancer can take years to develop, which means catching it early can prevent you from experiencing a world of pain (it’s not necessarily a terminal cancer, but the surgery, which involves removing the esophagus, creating a new tube from your stomach, and sewing it up into your neck, is intensive and very invasive). So heartburn is not the kind of thing you want to self-diagnose. “A lot of people with reflux will take a ton of Rennies,” says Flores. “But that’s not the answer. If you’re taking a lot of Rennies, there’s a reason for it. Get to a doctor and get an endoscopy so a doctor can look directly in there and be sure there’s no cancer.”

There are also some things you can avoid to prevent acid reflux and the chain of health issues it can set off. “Smoking can lead to oesophageal cancer. Frequent alcohol consumption is also linked to oesophageal cancer, because alcohol causes injury to the lining of the oesophagus,” says Flores. Too much caffeine and chocolate can relax the sphincter that connects the oesophagus to the stomach, causing more stuff to go back up the oesophagus. Spicy foods, tomato products, smoked and cured meats, and citrus fruits have all been linked to acid reflux as well. Your weight could also be a factor. The rise in obesity rates has led to an increase in oesophageal cancer cases, says Flores—all that extra pressure on your abdomen forces fluid back up into the chest, which leads to more reflux.

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If you’re experiencing heartburn several times a week or on a daily basis, head to your doc to find out what’s up ASAP. Prevention is key when it comes to oesophageal cancer. “If you have reflux, get scoped so you can get put on meds to prevent more reflux, which can prevent you from developing cancer,” says Flores. It’s a simple as that. Staying ahead of the game here is what can save you from a whole lot of discomfort—and potentially save your life.

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