Ask a doctor - Can stress or anxiety worsen heartburn symptoms?

Q. Can stress or anxiety worsen heartburn symptoms?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Yes, stress and anxiety can worsen heartburn symptoms and contribute to acid reflux. Here's how stress and anxiety can impact heartburn:

1. Relaxation of the Lower Esophageal Sphincter (LES): Stress and anxiety can lead to the release of stress hormones like cortisol. These hormones can cause the relaxation of the lower esophageal sphincter (LES), the muscular ring that separates the esophagus from the stomach. When the LES relaxes inappropriately, stomach acid is more likely to flow back into the esophagus, causing heartburn.

2. Slower Digestion: Stress and anxiety can slow down the digestive process by diverting blood flow away from the digestive system. When food remains in the stomach for longer periods, it increases the chances of acid reflux.

3. Overeating: Some individuals tend to overeat or make less healthy food choices when stressed or anxious, which can lead to an increased risk of heartburn.

4. Alteration of Gut Function: Stress can influence gut function and may lead to changes in gut motility and sensitivity, potentially contributing to heartburn symptoms.

5. Increased Acidity: Stress can stimulate the production of stomach acid, which can exacerbate heartburn symptoms.

6. Nervous Habits: Some people develop nervous habits such as smoking, overeating, or consuming alcohol in response to stress or anxiety, all of which can increase the risk of heartburn.

To manage and prevent heartburn related to stress and anxiety, consider the following strategies:

1. Stress Management: Engage in stress-reduction techniques such as deep breathing, meditation, yoga, or progressive muscle relaxation to help alleviate stress and anxiety.

2. Regular Exercise: Regular physical activity can help reduce stress and promote overall well-being.

3. Healthy Eating Habits: Maintain a balanced diet, and avoid overeating or consuming trigger foods, even during stressful times.

4. Adequate Sleep: Get enough restorative sleep, as sleep deprivation can exacerbate stress and worsen heartburn.

5. Limit Stimulants: Reduce or eliminate caffeine, nicotine, and alcohol, as they can increase stress and contribute to heartburn.

6. Consult a Healthcare Professional: If you find that stress and anxiety are significantly impacting your heartburn symptoms, consult with a healthcare professional who can provide guidance and, if necessary, recommend therapies or medications to manage stress and reduce acid reflux.

Managing stress and anxiety is not only beneficial for heartburn but also for overall physical and mental health. Reducing stress can help improve your quality of life and minimize the impact of heartburn symptoms.