Does Gastroparesis Cause Heartburn?

Does Gastroparesis Cause Heartburn?

Denise from Humble sent us this question: “I have been diagnosed with gastroparesis, GERD, and gastritis. I’ve been dealing with burning in my stomach for 3 years. I take Nexium, Gaviscon and Pepcid, but I still have burning. Can the gastroparesis cause the burning in my stomach?”

Dear Denise,

Gastroparesis is associated with pain in the stomach especially after eating. Stomach pain may be burning in nature. Heartburn is defined as a burning sensation under the sternum or breastbone. Gastroparesis may result in acid reflux leading to heartburn and food regurgitation. Heartburn, unlike gastroparesis-related pain, responds to Nexium and Pepcid. Medical treatment of acid reflux disease has its limitations and in severe cases, surgery is recommended.

It is important to differentiate between advanced/end-stage acid reflux causing heartburn and severe gastroparesis causing heartburn. Advanced acid reflux is reliably and effectively treated with hiatal hernia repair and Nissen fundoplication. Severe refractory gastroparesis is treated with longitudinal gastrectomy along the greater curvature to promote gastric emptying.

I do recommend you get evaluated by the best acid reflux specialist in Humble or Houston to alleviate your symptoms and improve your quality of life.