Surprising Eye Effects From GERD | GERD Awareness Week

When you think of the causes of eye issues, gastroesophageal reflux disease (GERD) probably does not come to mind, but researchers have found a possible link between certain eye problems and GERD. The week of November 21-27th is GERD Awareness Week. Continue reading to find out what GERD involves and how it can impact the eyes. 

What is GERD? 

GERD is gastroesophageal reflux disease. It involves acid from the stomach that comes back up into the esophagus. What happens is the esophageal sphincter does not close as it should. The sphincter allows the stomach acid to move back up into the esophagus.

GERD can cause a wide variety of symptoms that range from mild to severe. Symptoms of GERD include:

• A burning feeling in the chest
• A sensation of a lump in the throat
• Difficulty swallowing
• Regurgitation of food
• Chronic coughing
  
• Problems sleeping 

​

Can GERD affect the eyes? 

Gerd is not typically thought of as something that affects the eyes. While not everyone that has reflux develops eye issues, it can happen in some people. It is helpful to become aware of the GERD association, so you can address the problem.

Although additional research is needed, it appears ocular changes associated with GERD may occur due to an increase in a stomach enzyme. Pepsin is an enzyme in the stomach that is also found in the nasal cavity, sinuses, and salvia of people that have GERD. Researchers have also found it in tears. It is thought that pepsin in tears may lead to certain eye issues, such as blocked tear ducts and dry eyes.

Evidence also suggests that GERD can lead to sinus problems in some cases. If sinus inflammation develops, it can cause symptoms, such as a headache, facial pain, and a cough. Sinus issues may also cause sensitive eyes and swelling of the eyelids. Although eye problems do not interfere with vision, they can be uncomfortable. 
​

Treatment 

The best way to reduce the risk of problems with the eyes due to GERD is to treat the reflux. Treatment for GERD may include:

Lifestyle changes: Limiting eating certain foods that cause an increase in symptoms may help. Also, keeping your head elevated for a few hours after eating may help reduce symptoms. Maintaining a healthy weight and eating smaller meals may also be effective.

Antacids: Medications, such as antacids can help decrease mild symptoms. The medication helps neutralize stomach acid. Usually, antacids are not enough when symptoms are severe, but antacids are sold over the counter and may be a good first step in treatment. Possible side effects include constipation or diarrhea.

Proton pump inhibitors: Proton pump inhibitors decrease the amount of acid the stomach makes. They may also promote healing of the esophagus. Proton pump inhibitors are available in both over the counter drugs and prescription medications. This type of medication can interfere with the absorption of some vitamins, so talk with your doctor before taking it.

H2 blockers: Similar to proton pump inhibitors, H2 blockers also reduce the amount of stomach acid made. They are also available in prescription form as well as over the counter. Possible side effects include dry mouth, headache, and constipation.

If you have untreated GERD and develop eye issues, such as dry eyes, talk to your doctor. Treating the underlying reflux issue may help clear up eye problems related to GERD.

We hope the tips above will help you manage GERD and prevent related eye issues. If you would like to ask whether an appointment with one of our eye doctors would be appropriate at this time, call our office at 508-746-8600.