Treatment FAQ

what is gerd treatment

by Claudie Satterfield Published 3 years ago Updated 2 years ago
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GERD can usually be controlled with medication. But if medications don't help or you wish to avoid long-term medication use, your doctor might recommend: Fundoplication. The surgeon wraps the top of your stomach around the lower esophageal sphincter, to tighten the muscle and prevent reflux.May 22, 2020

Medication

  • Avoid eating or drinking anything within 2 hours of bedtime.
  • Minimize brown liquid intake (coffee, colas, chocolate) with or without caffeine. ...
  • Avoid excess alcohol, especially before bedtime.
  • Avoid fatty meals, especially before bedtime.
  • Avoid mint, peppermint, and spearmint. ...

More items...

Procedures

What types of specialists treat GERD?

  • Gastroenterologist. Gastroenterologists are board certified physicians who receive specialized training to treat conditions of the gastrointestinal tract and liver.
  • Otolaryngologist. Based on your symptoms, your GP may instead recommend you see an otolaryngologist. ...
  • Nutritionist or dietitian. ...

Nutrition

Acid reflux or GERD is found in people who are overweight, obese, elderly, have eating disorders like anorexia and bulimia, or smoke then you also get acidity. Do men and women experience acid reflux differently? Children, adolescents, and pregnant women ...

How to cure Gerd without medication?

Try avoiding the following foods and beverages:

  • tomato sauce and other tomato-based products
  • high-fat foods, such as fast food products and greasy foods
  • fried foods
  • citrus fruit juices
  • soda
  • caffeine
  • chocolate
  • garlic
  • onions
  • mint

More items...

What doctor treats Gerd?

How to get rid of Gerd?

How to treat Gerd homeopathically?

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What is the most effective treatment for GERD?

PPIs: PPIs are the most effective medical therapy to treat GERD . PPIs work by blocking the mechanism that produces stomach acid. This lowers the acidity of the digestive fluids involved in reflux, and thus reduces reflux symptoms. PPIs are available in both prescription and over-the-counter strengths.

What is the main cause of GERD?

GERD is caused by frequent acid reflux. When you swallow, a circular band of muscle around the bottom of your esophagus (lower esophageal sphincter) relaxes to allow food and liquid to flow into your stomach. Then the sphincter closes again.

Can GERD be cured?

Yes, most cases of acid reflux, sometimes referred to as gastroesophageal reflux disease, or GERD, can be cured.

Is GERD that serious?

Is GERD (chronic acid reflux) dangerous or life-threatening? GERD isn't life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems: Esophagitis: Esophagitis is the irritation and inflammation the stomach acid causes in the lining of the esophagus.

What are the 4 types of GERD?

GERD is broken down into different stages based on how serious your symptoms are and how often they occur:Stage 1: Mild GERD. Minimal acid reflux occurs once or twice a month. ... Stage 2: Moderate GERD. ... Stage 3: Severe GERD. ... Stage 4: Precancer or cancer.

What foods should be avoided with GERD?

Items that people with GERD are often advised to avoid include:Alcohol.Caffeine.Carbonated beverages.Chocolate.Citrus fruits and juices.Tomatoes and tomato-based foods.Garlic.Mint.More items...

Does water help GERD?

Drinking water during the later stages of digestion can reduce acidity and GERD symptoms. Often, there are pockets of high acidity, between a pH or 1 and 2, just below the esophagus. By drinking tap or filtered water a little while after a meal, you can dilute the acid there, which can result in less heartburn.

Is milk good for GERD?

1. Dairy. Milk and dairy products are high in fat and tend to make heartburn worse. When you have frequent GERD symptoms, like heartburn, eating high-fat dairy products like cheese can aggravate your symptoms.

Does ginger help with GERD?

Ginger can reduce the likelihood of stomach acid flowing up into the esophagus. Ginger can also reduce inflammation. This may relieve symptoms of acid reflux.

How long does GERD take to heal?

Minor cases of GERD can heal in less than a month. More moderate cases can require 6 to 12 weeks of treatment. Some patients do not report good results even after treatment and require surgery. Some may prefer surgery over indefinite medication.

What foods cause GERD?

Foods That May Cause HeartburnFried food.Fast food.Pizza.Potato chips and other processed snacks.Chili powder and pepper (white, black, cayenne)Fatty meats such as bacon and sausage.Cheese.

Can GERD affect your heart?

People who have GERD are more likely than others to end up with heart disease, characterized by abnormal heartbeats, plaque buildup in the heart arteries or reduced blood flow to the heart. In 2010, heart disease caused one out of every four U.S. deaths. If you have abnormal signs or symptoms, go to the emergency room.

What is the procedure to treat GERD?

Treatment. Laparoscopic anti-reflux surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.

How to reduce acid reflux?

Lifestyle changes may help reduce the frequency of acid reflux. Try to: Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. Stop smoking. Smoking decreases the lower esophageal sphincter's ability to function properly.

What is the surgeon's job to wrap the stomach around the lower esophagus?

In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present. This reinforces the lower esophageal sphincter, making it less likely that acid will back up in the esophagus. Substitute for esophageal sphincter. Open pop-up dialog box.

How long does it take for a monitor to pass through your esophagus?

The monitor might be a thin, flexible tube (catheter) that's threaded through your nose into your esophagus, or a clip that's placed in your esophagus during an endoscopy and that gets passed into your stool after about two days. Esophageal manometry. This test measures the rhythmic muscle contractions in your esophagus when you swallow.

What is an endoscopy used for?

An endoscopy can also be used to collect a sample of tissue (biopsy) to be tested for complications such as Barrett's esophagus. Ambulatory acid (pH) probe test. A monitor is placed in your esophagus to identify when, and for how long, stomach acid regurgitates there. The monitor connects to a small computer that you wear around your waist ...

How to get heartburn out of bed?

If you regularly experience heartburn while trying to sleep, place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. If you can't elevate your bed, you can insert a wedge between your mattress and box spring to elevate your body from the waist up.

What is the procedure that involves inserting a long, flexible tube (endoscope) down your throat and into

Endoscopy. Endoscopy. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum). Your doctor might be able to diagnose GERD based on ...

How to reduce GERD symptoms?

Bariatric surgery can help you lose weight and reduce GERD symptoms. Endoscopy. In a small number of cases, doctors may recommend procedures that use endoscopy to treat GERD. For endoscopy, doctors insert an endoscope—a small, flexible tube with a light and camera—through your mouth and into your esophagus.

What is the best medicine for GERD?

Your doctor may prescribe one or more medicines to treat GERD. Antacids. Doctors may recommend antacids to relieve mild heartburn and other mild GER and GERD symptoms. Antacids are available over the counter. Antacids can help relieve mild symptoms.

What is the most common surgery for GERD?

Fundoplication is the most common surgery for GERD. In most cases, it leads to long-term improvement of GERD symptoms. During the operation, a surgeon sews the top of your stomach around the end of your esophagus to add pressure to the lower esophageal sphincter and help prevent reflux.

What is the best way to reduce GERD?

In open fundoplication, surgeons make a larger cut in the abdomen. Bariatric surgery. If you have GERD and obesity, your doctor may recommend weight-loss surgery, also called bariatric surgery, most often gastric bypass surgery. Bariatric surgery can help you lose weight and reduce GERD symptoms. Endoscopy.

Can GERD be treated with surgery?

Your doctor may recommend surgery if your GERD symptoms don’t improve with lifestyle changes and medicines, or if you wish to stop taking long-term GERD medicines to manage symptoms. You’re more likely to develop complications from surgery than from medicines.

Can you buy GERD medication?

Over-the-counter and prescription medicines. You can buy many GERD medicines over the counter. However, if you have symptoms that will not go away with over-the-counter medicines, you should talk with your doctor. Your doctor may prescribe one or more medicines to treat GERD. Antacids.

What does GERD mean?

GER D (Chronic Acid Reflux) When you have GERD (chronic acid reflux) your stomach acid persistently flows back up into your mouth through your esophagus. You may experience heartburn, acid indigestion, trouble swallowing, feeling of food caught in your throat and other problems. Appointments & Access. Contact Us.

What are the symptoms of GERD?

The feeling of food caught in your throat. Coughing. Chest pain. Problem swallowing. Vomiting. Sore throat and hoarseness. Infants and children can experience similar symptoms of GERD, as well as: Frequent small vomiting episodes. Excessive crying, not wanting to eat (in babies and infants).

What is the name of the condition where acid-containing contents in your stomach leak back up into your eso

GERD (gastroesophageal reflux disease, or chronic acid reflux) is a condition in which acid-containing contents in your stomach persistently leak back up into your esophagus, the tube from your throat to your stomach. Acid reflux happens because a valve at the end of your esophagus, the lower esophageal sphincter, ...

Why does acid reflux happen?

Acid reflux happens because a valve at the end of your esophagus, the lower esophageal sphincter, doesn’t close properly when food arrives at your stomach. Acid backwash then flows back up through your esophagus into your throat and mouth, giving you a sour taste. Acid reflux happens to nearly everyone at some point in life.

How do you know if you have GERD?

Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning or trouble swallowing. You may feel like you have food stuck in your throat, or like you are choking or your throat is tight.

Why does my stomach acid reflux?

If it relaxes when it shouldn’t, your stomach contents rise back up into the esophagus. Stomach acids flow back up into the esophagus , causing reflux. Factors that can lead to this include: Too much pressure on the abdomen.

Why do pregnant women get heartburn?

Some pregnant women experience heartburn almost daily because of this increased pressure. Particular types of food (for example, dairy, spicy or fried foods) and eating habits. Medications that include medicines for asthma, high blood pressure and allergies; as well as painkillers, sedatives and anti-depressants.

What is the best treatment for GERD?

Your doctor may recommend over-the-counter or prescription medications to treat your symptoms. Antacids: These drugs can help neutralize acid in the esophagus and stomach and stop heartburn.

How to reduce GERD symptoms?

Stopping smoking is important to reduce GERD symptoms. Elevate your head: Raising the head of your bed on 6-inch blocks or sleeping on a specially designed wedge lets gravity lessen the reflux of stomach contents into your esophagus. Don’t use pillows to prop yourself up.

What is the difference between gastroesophageal reflux and gastroesophageal reflux?

GERD Causes. The term “gastroesophageal” refers to the stomach and esophagus. Reflux means to flow back or return. Gastroesophageal reflux is when what’s in your stomach backs up into your esophagus. In normal digestion, your LES opens to allow food into your stomach.

What is the ring between the esophagus and stomach called?

This ring is called the lower esophageal sphincter (LES). If you have it, you may get heartburn or acid indigestion.

How does LINX surgery work?

LINX surgery: Your doctor wraps a band of magnetic titanium beads around the place where your stomach and esophagus meet. The magnetic attraction of the beads keeps it loose enough to let food pass through into the stomach, but tight enough to stop reflux. GERD Complications.

How long do you need to take antacids for heartburn?

If you need antacids for more than 2 weeks , talk to your doctor. H2 blockers: For chronic reflux and heartburn, the doctor may recommend medications to reduce acid in the stomach. These medicines include H2 blockers, which help block acid secretion in the stomach.

How to stop reflux from stomach?

Fundoplication: This is a procedure that raises the pressure in your lower esophagus. The doctor will wind the top of your stomach around the LES. This tightens the muscle and raises pressure in your lower esophagus to stop reflux.

What is GERD in medical terms?

GERD is a chronic type of acid reflux that can cause complications if left untreated. Find out the differences and links between heartburn, acid reflux, and GERD. Last medically reviewed on December 7, 2018.

What are the complications of GERD?

Potential complications of GERD include: esophagitis, an inflammation of your esophagus. esophageal stricture, which happens when your esophagus narrows or tightens. Barrett’s esophagus, involving permanent changes to the lining of your esophagus.

How to tell if a baby has GERD?

Other potential signs and symptoms of GERD in infants includes: refusal to eat. trouble swallowing . gagging or choking . wet burps or hiccups . irritability during or after feeding. arching of their back during or after feeding. weight loss or poor growth. recurring cough or pneumonia.

How many people have GERD?

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), GERD affects about 20 percent of people in the United States. If left untreated, it can sometimes cause serious complications.

What is the LES in the esophagus?

The lower esophageal sphincter (LES) is a circular band of muscle at the end of your esophagus. When it’s working properly, it relaxes and opens when you swallow. Then it tightens and closes again afterwards.

What happens if you breathe stomach acid into your lungs?

asthma, chronic cough, or other breathing problems, which may develop if you breath stomach acid into your lungs. tooth enamel erosion, gum disease, or other dental problems. To lower your chances of complications, it’s important to take steps to prevent and treat the symptoms of GERD.

Can you get heartburn if you have acid reflux?

Most people experience it from time to time, and in general, occasional heartburn isn’t a cause for concern. But if you get heartburn more than twice a week, you might have GERD . GERD is a chronic type of acid reflux that can cause complications if left untreated.

How to manage GERD?

There are several surgical options that may help to relieve GERD symptoms and manage complications. Speak with your doctor for guidance on the best approach to manage your condition. If your GERD requires surgery, you should be sure and discuss the cost of your surgery with your doctor and the hospital. The costs vary greatly depending on your ...

What is the name of the disease that causes heartburn and GERD?

Acid Reflux and GERD. Acid reflux occurs when stomach acid flows backward into the esophagus. This causes heartburn and other symptoms. Chronic or severe acid reflux is known as gastroesophageal reflux disease (GERD). Mild or moderate reflux symptoms can often be relieved with diet and lifestyle changes.

What is the valve at the bottom of the esophagus called?

This valve is called the lower esophageal sphincter (LES). A weak or damaged LES is what causes GERD. Untreated GERD can develop into a condition called Barrett’s esophagus.

How long does it take to recover from fundoplication surgery?

The fundoplication surgery is the most common. The traditional or open surgery requires about a week in the hospital and then about six weeks before you are able to return to work. The laparoscopic fundoplication surgery requires only a few days in the hospital with the patient able to return to work after one week.

What is fundoplication surgery?

The upper part of the stomach is wrapped around the outside of the lower esophagus to strengthen the sphincter. Fundoplication can be performed as an open surgery.

What is the procedure called when you have a long incision in your stomach?

During an open surgery , the surgeon makes a long incision in your stomach to access the esophagus. It can also be performed as laparoscopic surgery. This type of surgery involves several smaller incisions. Miniaturized instruments are used to make the process less invasive.

What is a tube that can be threaded into the esophagus?

This is a thin, flexible tube that can be threaded into your esophagus. An electrode at the end of the tube heats your esophageal tissue and creates tiny cuts in it. The cuts form scar tissue in the esophagus. This blocks the nerves that respond to refluxed acid.

How to get rid of esophagus?

1. Eat sparingly and slowly. When the stomach is very full, there can be more reflux into the esophagus. If it fits into your schedule, you may want to try what is sometimes called "grazing"—eating small meals more frequently rather than three large meals daily. 2.

How to get acid out of your stomach?

Don't drink carbonated beverages. They make you burp, which sends acid into the esophagus. Drink flat water instead of sparkling water. 4. Stay up after eating. When you're standing, or even sitting, gravity alone helps keeps acid in the stomach, where it belongs. Finish eating three hours before you go to bed.

What is the backward flow of acid called?

The medical term for this process is gastroesophageal reflux; the backward flow of acid is called acid reflux. Acid reflux can cause sore throats and hoarseness and may literally leave a bad taste in your mouth. When acid reflux produces chronic symptoms, it is known as gastroesophageal reflux disorder, or GERD.

What medications relax the sphincter?

Some—including postmenopausal estrogen, tricyclic antidepressants, and anti-inflammatory painkillers—can relax the sphincter, while others—particularly bisphosphonates like alendronate (Fosamax), ibandronate (Boniva), or risedronate (Actonel), which are taken to increase bone density—can irritate the esophagus.

What foods cause reflux?

But there are still some foods that are more likely than others to trigger reflux, including mint, fatty foods, spicy foods, tomatoes, onions, garlic, coffee, tea, chocolate, and alcohol.

Can you be a sore throat from gastroesophageal reflux?

A few lifestyle changes are worth trying before resorting to drugs for controlling gastroesophageal reflux. If you are sounding a little hoarse and have a sore throat, you may be bracing for a cold or a bout of the flu. But if you've had these symptoms for a while, they might be caused not by a virus ...

Is the CDC relaxed?

The CDC has relaxed some prevention measures, particularly for people who are fully vaccinated, and especially outdoors. Meanwhile, scientists continue to explore treatments and to keep an eye on viral variants. Stay Informed. View Coronavirus COVID-19 Resource Center.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Generally, the treatment begins with over-the-counter medication to control the stomach acid. If the pain prolongs for a few weeks the doctor may prescribe other treatments which include medications and surgery.
Medication

Antacids: Acts by neutralizing stomach acids, thereby providing quick relief.

Omeprazole . Aluminium hydroxide/Magnesium hydroxide/Simethicone . Magnesium Hydroxide


H-2 receptor blockers: H-2-receptor blockers do not act as quickly as antacids, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours.

Cimetidine . Famotidine

Procedures

Linx surgery: Surgeon wraps a ring of tiny beads around LES, strong enough to keep the opening closed to refluxing acid but food can pass through it.

Nissen fundoplication: The upper part of the stomach is wrapped around the lower esophageal sphincter. This prevents the refluxes back in the esophagus.

Nutrition

Foods to eat:

  • Vegetables
  • Ginger
  • Oatmeal
  • Noncitrus fruits
  • Lean meats and egg whites.

Foods to avoid:

  • High fat foods
  • Tomatoes and citrus fruits
  • Chocolates
  • Garlic, onion and spicy foods
  • Caffeine and mint

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.

Alternative Medicine

Lifestyle Changes

  • Your doctor is likely to recommend that you first try lifestyle modifications and over-the-counter medications. If you don't experience relief within a few weeks, your doctor might recommend prescription medication or surgery.
See more on mayoclinic.org

Over-The-Counter and Prescription Medicines

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Surgery and Other Medical Procedures

  • Lifestyle changes may help reduce the frequency of acid reflux. Try to: 1. Maintain a healthy weight.Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. 2. Stop smoking.Smoking decreases the lower esophageal sphincter's ability to function properly. 3. Elevate the head of your bed.If y...
See more on mayoclinic.org

Overview

  • No alternative medicine therapies have been proved to treat GERDor reverse damage to the esophagus. Some complementary and alternative therapies may provide some relief, when combined with your doctor's care. Talk to your doctor about what alternative GERDtreatments may be safe for you. The options might include: 1. Herbal remedies. Licorice and chamomile ar…
See more on mayoclinic.org

Side effects

  • Lifestyle changes may reduce your symptoms. Your doctor may recommend 1. losing weight if you’re overweight or have obesity 2. elevating your head during sleep by placing a foam wedge or extra pillows under your head and upper back to incline your body and raise your head off your bed 6 to 8 inches 3. quitting smoking External link, if you smoke 4. changing your eating habits a…
See more on niddk.nih.gov

Symptoms

  • You can buy many GERD medicines over the counter. However, if you have symptoms that will not go away with over-the-counter medicines, you should talk with your doctor. Your doctor may prescribe one or more medicines to treat GERD. Antacids. Doctors may recommend antacids to relieve mild heartburn and other mild GER and GERD symptoms. Antacids are available over the …
See more on niddk.nih.gov

Causes

  • Your doctor may recommend surgery if your GERD symptoms don’t improve with lifestyle changes and medicines, or if you wish to stop taking long-term GERD medicines to manage symptoms. You’re more likely to develop complications from surgery than from medicines. Fundoplication. Fundoplication is the most common surgery for GERD. In most cases, it lea...
See more on niddk.nih.gov

Treatment

Safety

Prevention

Medical uses

Pharmacology

Results

Diagnosis

Preparation

  • Proton pump inhibitors include omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix), rabeprazole (Aciphex), and esomeprazole (Nexium), which are all available by prescription. Proton pump inhibitors are more effective than H2 blockers and can relieve symptoms in almost everyone who has GERD.
See more on my.clevelandclinic.org

Advantages

Risks

Overview

Definition

Pathophysiology

Signs and symptoms

Treatment

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