When is GP consultation recommended for acid reflux?

Acid reflux occurs when stomach contents move back up into the oesophagus, causing burning behind the breastbone, a sour taste, regurgitation or an irritating cough. Occasional symptoms may settle with simple changes, but recurrent reflux can inflame the oesophagus and may resemble other causes of chest or upper-abdominal discomfort. During a consultation, the GP may ask about timing, triggers, night symptoms, medicines and any effect on swallowing. They can then discuss lifestyle measures, suitable treatment and whether further assessment is needed.

Write down when symptoms occur and whether they follow large meals, lying down, particular drinks or spicy foods. Try leaving a gap between eating and going to bed, and raise the head end of the bed if night reflux is a problem. Avoid stopping prescribed medicines without advice; some medicines can worsen reflux, while others may irritate the oesophagus. A pharmacist can help you choose short-term relief, but recurring symptoms deserve a review so that repeated treatment does not hide a different problem.

Seek urgent emergency help for chest pressure or pain with breathlessness, sweating, faintness, or pain spreading to the arm, jaw or back, because these symptoms can signal a heart problem rather than reflux. Arrange prompt medical review for food sticking, painful swallowing, persistent vomiting, vomiting blood, black stools, unexplained weight loss, or symptoms that are progressively worsening. These features need assessment regardless of how often heartburn occurs.

Ask whether your symptoms fit acid reflux, whether another cause should be checked, how long to try the recommended treatment, and which symptoms should prompt an earlier review. Mention all medicines and supplements, including products taken for heartburn, and tell the GP whether reflux wakes you or affects your ability to swallow.