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How Anxiety Causes Esophagus Problems

Faiq Shaikh, M.D.
How Anxiety Causes Esophagus Problems

Anxiety affects quite literally every part of your body. One of the areas it affects is the esophagus. Anxiety leads to many esophagus problems that are both real and perceived, and when it causes these symptoms it can sometimes lead to other symptoms and fears that create more anxiety.

The Problems in the Esophagus

Your esophagus is the area of your body that transports food from your mouth to your stomach. It's filled with little muscles, and extremely sensitive to change. 

While anxiety and stress really can lead to very distinct esophagus issues, what's interesting is that not all of the esophagus problems are physical. Some of them are perceptions based on the way that your brain translates information.

The best way to understand is to break the problems down into "real" and "perceived."

Real Esophagus Problems

By "real," we're talking about actual changes that can occur inside of the esophagus as a result of anxiety. The biggest is acid reflux. Anxiety doesn't actually create acid reflux, but what it does do is appear to exacerbate acid reflux symptoms. If you already had mild or moderate gastroesophageal reflux disorder (GERD, also known as simply "acid reflux"), anxiety appears to increase the amount of stomach acids in your body and thus increase your risk for more severe GERD symptoms.

This is a problem not only because acid reflux is a symptomatic disorder, but also because some people - especially those with panic attacks - may find that their anxiety is triggered more often as a result of this increase in GERD symptoms. GERD can cause chest pain, rapid heartbeat, and other symptoms that often trigger more anxiety.

Another problem, although this is currently being disputed, is that esophageal ulcers may also be the result of anxiety. Recently there has been some evidence that this is not the case, and that it is a combination of other, unrelated factors (it may actually be bacteria), but the risk may still be there.

Perceived Esophagus Problems

What is interesting however is that the biggest issues with esophageal problems aren't actual changes to the health of your esophagus; rather, they are perceived problems with the esophagus as a result of anxiety.

Anxiety causes two issues that lead to a perception of esophagus problems:

Neither of these are dangerous, because neither of these are actual changes to your health. They are simply your body misinterpreting things that are happening, and causing you to feel poorly as a result.

Addressing Esophageal Problems

Because GERD and other issues do exist, seeing a doctor is always a good idea. There is never any risk to getting your health checked out, and it is not possible to self-diagnose esophagus issues.

But once health problems have been ruled out, you will want to strongly consider taking action to address your anxiety. Only by combatting your anxiety can you hope to reduce this sensitivity, increase in acid reflux, and so on.

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