A direct link between stress and GERD has not been established, however, studies have reported that among individuals with GERD, a feeling of continued stress was the most common reported lifestyle factor.[1] A high risk for GERD symptoms is also found among individuals reporting high job demands and job strain and low job control.[2]
Whether stress “causes” GERD is unknown. It has been suggested that, rather than stress causing more acid production, stress and anxiety may make individuals more sensitive to acid, causing them to perceive GERD symptoms as more painful.[3][4]
References
- ^Haruma K, Kinoshita Y, Sakamoto S, Sanada K, Hiroi S, Miwa HLifestyle factors and efficacy of lifestyle interventions in gastroesophageal reflux disease patients with functional dyspepsia: primary care perspectives from the LEGEND study.Intern Med.(2015)
- ^Jansson C, Wallander MA, Johansson S, Johnsen R, Hveem KStressful psychosocial factors and symptoms of gastroesophageal reflux disease: a population-based study in Norway.Scand J Gastroenterol.(2010)
- ^Bradley LA, Richter JE, Pulliam TJ, Haile JM, Scarinci IC, Schan CA, Dalton CB, Salley ANThe relationship between stress and symptoms of gastroesophageal reflux: the influence of psychological factors.Am J Gastroenterol.(1993-Jan)
- ^Fass R, Naliboff BD, Fass SS, Peleg N, Wendel C, Malagon IB, Mayer EAThe effect of auditory stress on perception of intraesophageal acid in patients with gastroesophageal reflux disease.Gastroenterology.(2008-Mar)