17 Gastro Gaffes: When Ignoring GERD Gets Gravely Gutsy

15. Iron Deficiency Anemia

Chronic esophageal inflammation and ulcers caused by GERD can lead to slow, unrecognized blood loss over time. This can eventually result in iron deficiency anemia, especially in older adults. Symptoms may include fatigue, pale skin, dizziness, and shortness of breath. Routine blood work may reveal low hemoglobin and ferritin levels. In such cases, doctors often conduct upper GI endoscopy to identify and treat esophageal lesions. Iron supplements and targeted GERD therapy are used to correct the anemia and prevent recurrence.

16. Hoarseness and Voice Fatigue

Frequent acid reflux can lead to chronic hoarseness and vocal fatigue, especially in individuals who use their voice often. The acid irritates the tissues of the larynx, leading to swelling and inflammation that affects vocal cord vibration. Over time, patients may find it harder to project their voice or sustain speech without strain. The hoarseness is often worse in the morning or after meals and may be mistakenly attributed to allergies or respiratory infection. Treating GERD and using voice conservation techniques can significantly reduce symptoms and protect vocal health.