Hi, there. I'm not sure exactly what causes GERD/reflux, but usually the culprit is a malfunction of the LES (lower esophageal sphincter). At least that was my problem, which can only be corrected via surgery. What causes malfunction of the LES? Who knows - could be born with it, could be related to hiatal hernia, etc. Things like smoking, caffeine, alcohol, chocolate, peppermint, "gassy" foods, can also make it worse. Heartburn is no simple condition for some people - sometimes you can feel like you want to die. Find a good caring doctor and get the help you need - whether it's medication or surgery.
Good luck,
Katie G
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