At what point should a patient seek medical attention for acid reflux or heartburn?

If they just have acid reflux or heartburn and nothing else they can try over-the-counter things and see if that helps. If they are unsure of what over-the-counter medications are available, or what lifestyle changes are needed to help with this disease then they should see their medical doctor also. There are certain alarm features that patients should see their doctors for immediately. They include painful or difficult swallowing, bleeding out either end. Recurrent vomiting or anemia, which is a low blood count or unexplained weight loss.