The Silent Burn: Understanding GORD Beyond Heartburn

That burning sensation in your chest might be more than just occasional heartburn. Gastroesophageal reflux disease (GORD) affects one in five Australian adults and can profoundly impact quality of life when left untreated.in an interview where Dr Gavin Nimon (Orthopaedic Surgeon and host) interviews A/Prof Harsh Kanhere, Head of Upper GI Surgery at Royal Adelaide Hospital, takes us beyond the common understanding of reflux to explore its true complexity. While heartburn remains the hallmark symptom, many patients experience atypical presentations including respiratory issues, chest pain that mimics cardiac conditions, and even iron deficiency anaemia that can lead to delayed diagnosis and treatment.The conversation delves into the fascinating protective mechanisms that normally prevent reflux and how they fail. A/Prof Harsh Kanherer explains the critical role of the lower oesophageal sphincter and how anatomical disruptions like hiatus hernias create the perfect conditions for acid to travel where it shouldn't. This understanding forms the foundation for both medical and surgical approaches to treatment.Weight gain, smoking, and excessive caffeine emerge as the unholy trinity of reflux risk factors, with obesity particularly significant in our current health landscape. A/Prof Harsh Kanhere shares practical insights on management strategies ranging from lifestyle modifications to medication options and surgical interventions. The modern laparoscopic approach to anti-reflux surgery has transformed what was once a major operation requiring lengthy hospital stays into a procedure some patients can recover from in just a day.Perhaps most valuable is the discussion of Barrett's oesophagus – the potentially pre-cancerous condition that can develop from chronic reflux – and strategies for monitoring and prevention. Whether you're experiencing symptoms yourself or treating patients with this common condition, this episode provides essential knowledge delivered with clarity and practical wisdom.Listen now to understand the science behind your symptoms and discover the most effective approaches to finding relief from this common but potentially serious condition. 🎙️ Proudly Supported By Our SponsorsAussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi HealthHealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShareAvant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit AvanteMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDEDBetter Medical- GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedicalThanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page