Burning in the chest. Stomach pain after meals. Nausea. These symptoms overlap between acid reflux and gastritis — but they are different conditions requiring different treatments. Understanding the distinction can save you from self-medicating incorrectly and help you seek the right care from a gastritis treatment specialist in time.
What is Acid Reflux (GERD)?
Gastroesophageal Reflux Disease (GERD) occurs when stomach acid flows backward into the esophagus (food pipe), irritating its lining. Key features:
- Heartburn: A burning sensation in the chest, often after meals or when lying down
- Regurgitation: Sour or bitter taste in the mouth
- Chest pain (can mimic cardiac chest pain)
- Difficulty swallowing (in severe or chronic cases)
- Chronic cough or hoarseness (from acid reaching the throat)
What is Gastritis?
Gastritis is inflammation of the stomach lining itself. It can be acute (sudden) or chronic (long-standing). Common causes include H. pylori bacterial infection, NSAIDs (aspirin, ibuprofen), alcohol, or stress. Key features:
- Upper abdominal pain or burning (not in the chest — in the stomach area)
- Nausea and vomiting
- Feeling full quickly after eating small amounts
- Loss of appetite
- Dark or tarry stools (in erosive gastritis — a warning sign)
Key Differences at a Glance
| Feature | Acid Reflux (GERD) | Gastritis |
|---|---|---|
| Location of pain | Chest (behind breastbone) | Upper abdomen (epigastric area) |
| Main symptom | Heartburn, regurgitation | Nausea, stomach pain, fullness |
| Common trigger | Lying down, large meals, citrus | H. pylori, NSAIDs, alcohol |
| Diagnosis | Clinical, pH monitoring, endoscopy | Endoscopy, H. pylori test, biopsy |
| Treatment | PPIs, antacids, lifestyle changes | Antibiotics (if H. pylori), PPIs |
When Should You See a Doctor?
See a gastroenterologist if you experience:
- Symptoms that persist for more than 2 weeks despite antacids
- Difficulty swallowing or painful swallowing
- Unexplained weight loss
- Vomiting blood or dark, tarry stools
- Severe, worsening abdominal pain
See a Specialist at Farazy Hospital
Farazy Hospital’s gastroenterology department offers diagnostic endoscopy, H. pylori breath and stool tests, and expert consultation for both acid reflux and gastritis. Don’t self-medicate chronic symptoms — get a proper diagnosis and treatment plan.
📞 Book a gastro consultation: 01777-317772 | Banasree, Dhaka 1219


