• Reviewed on 12/10
    By Dr. Hanna


    • Philip D Hanna, MD

      Philip Hanna, MD
      Dept. of Medicine
      Chief, Division of Gastroenterology


      View full profile

Gastroesophageal Reflux Disease (GERD): Causes


Each time you eat, stomach acids are released. Normally the lower esophageal sphincter acts as a guard to prevent stomach acids from backing up into the esophagus. An increase of the pressure in the stomach and/or relaxation of the muscle tone of the valve may cause reflux to occur.

Factors that cause an increase in pressure are:

  • Full stomach,

  • Obesity,

  • Lying down,

  • Bending forward,

  • Pregnancy and

  • Tight clothing. 

Factors that loosen the muscle tone of the valve can be caused by:

  • Pregnancy,

  • Nicotine,

  • Alcohol, Coffee, tea,

  • Chocolate,

  • Mint and

  • Fatty foods.

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Gastroenterology Program


There are many chronic diseases that have secondary symptoms affecting the digestive system. This program maximizes GI therapy for improved health. 

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