A Patient’s Story
Lewis, a 32-year-old marathon runner from central London, noticed burning in his chest after long runs. He also experienced regurgitation and discomfort after high-intensity sessions. Despite following general diet and hydration advice, his symptoms persisted.
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At LSDC Healthcare, we see many athletes like James. Understanding the causes of exercise-related reflux and having a structured assessment is key to staying active without discomfort.
What is Acid Reflux?
Acid reflux or GERD happens when stomach acid flows back into the esophagus, the tube linking your mouth and stomach. Normally, the lower esophageal sphincter (LES) opens to let food in and closes to keep acid out.
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Symptoms can include:
Heartburn
Regurgitation
Chest discomfort
Difficulty swallowing
Untreated reflux can cause esophageal irritation or, rarely, Barrett’s esophagus.
Clinical Insight from LSDC
Athletes often report reflux triggered by specific sports. Running, weightlifting, and core workouts can increase abdominal pressure, pushing acid upward.
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Dietary factors such as large pre-workout meals, high-fat foods, caffeine, or alcohol can worsen symptoms.
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At LSDC, we focus on identifying triggers and confirming diagnosis. This ensures athletes manage reflux safely without losing performance.
Reflux vs Other Conditions
Reflux symptoms may mimic other conditions:
Cardiac pain: Always rule out heart issues.
Asthma or bronchospasm: Can appear as cough or throat irritation.
Hiatal hernia: Structural cause needing specialist evaluation.
Proper assessment prevents misdiagnosis and supports safe management.
Assessment-Focused Approach
At LSDC, we emphasise structured evaluation:
Symptom history and relation to exercise
Physical examination
Diagnostic tests if needed: endoscopy, pH monitoring, manometry
Correct diagnosis ensures targeted strategies rather than guesswork.
When to Seek Specialist Review
See a specialist if you have:
Frequent heartburn during or after exercise
Persistent regurgitation or nausea
Difficulty swallowing
Chest pain unrelated to exertion
Symptoms interfering with training or daily life