Heartburn: Does it Worsen with Age?

May 28, 2025

Heartburn: Does it Worsen with Age?

Remember that burning sensation creeping up your chest after a big meal? You're not alone. That nagging discomfort - heartburn - has become a constant companion for hundreds of millions worldwide. The numbers are staggering: more than 800 million people battle recurring heartburn or GERD annually, and your chances of dealing with heartburn shoot up dramatically as you age.

When things are working normally, the lower esophageal sphincter (LES) - a circular muscle located at the junction of the esophagus and stomach - acts as a valve to prevent stomach acid, from flowing back up into the esophagus and causing heartburn. As we age, the LES starts getting a bit lazy and doesn't shut as tightly as it used to. When heartburn shows up more than twice a week, your body might be waving a red flag, telling you it's time for a chat with your doctor.

The Science Behind Age-Related Heartburn

Your body's digestive system is like a well-oiled machine, but around age 40 you might start noticing some changes in the way your digestive processes behave such as:

  • Those muscular waves pushing food down? They're getting sluggish
  • Your esophagus walls aren't as stretchy as they used to be
  • The nerve cells controlling these movements are slowly disappearing
  • Even your saliva production takes a hit - and yes, that matters because saliva helps neutralize stomach acid - your mouth gets drier, so acid sticks around longer
  • Food moves through your system like it's stuck in slow motion
  • Your digestive muscles get confused about which way to push
  • Your stomach takes forever to empty

All of these changes can cause acid release into the esophagus causing pain and damage to the tissues.

Furthermore, it’s very common for older adults to take more medications than younger people. The medication puzzle makes things trickier. Many medications for common ailments like blood pressure, bone health, and mood can make heartburn worse.

Nighttime brings its own challenges. Lying flat removes gravity's helping hand, and a staggering 78% of people say nighttime reflux ruins their sleep. It's like your body's waiting until bedtime to remind you it's not as young as it used to be.

Long-Term Complications of Untreated Heartburn

That burning in your chest might feel like just an annoying dinner guest, but leave it untreated and it becomes a dangerous.

Your esophagus takes the first hit. Think of it like a garden hose constantly splashed with acid - first comes inflammation (esophagitis), then painful ulcers start forming. Your body tries to patch things up with scar tissue, but this creates its own problems - narrow spots that make swallowing a nightmare. The numbers tell a sobering story: 70-80% of adult esophageal strictures come from chronic acid reflux. In some very severe cases this can lead to cancer.

What To Do

Your lifestyle changes matter more than ever. When activity becomes harder, weight creeps up, putting extra pressure on your stomach. The good news? Weight loss can be a game-changer - 65% of people who followed a structured program kissed their heartburn symptoms goodbye. Even small weight gains can stir up trouble.

There are also very effective medications, many of them over the counter, that can help to control acid production and relieve heartburn. Make sure that you don’t ignore heartburn.

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