Treatment FAQ

what is treatment for gerd

by Barbara Daniel DDS Published 2 years ago Updated 2 years ago
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Proton pump inhibitors (PPIs).
PPIs are better at treating GERD symptoms than H2 blockers, and they can heal the esophageal lining in most people with GERD. You can buy PPIs over the counter, or your doctor can prescribe one. Doctors may prescribe PPIs for long-term GERD treatment.

Medication

What are my OTC treatment options?

  • Antacids. Antacids relieve heartburn (indigestion). ...
  • Histamine-2 (H2) blockers. ...
  • Proton pump inhibitors (PPIs) OTC PPIs treat frequent heartburn (occurs 2 or more days a week) and are not intended for immediate relief of heartburn, as they may take one ...

Procedures

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...

Nutrition

What to eat:

  • Nutrient-dense, whole foods, which will maximize your nutrient intake
  • Fermented foods with probiotic effects like yogurt and kefir or, if you can’t tolerate dairy or it’s too high-carb, raw sauerkraut, pickles, and kombucha
  • Bone broth, which is rich in collagen, gelatin, glutamine, and proline—all helpful for healing the gut ( 23, 24)

What is the best over the counter medicine for GERD?

Our Editor 10 diet for gerd Review:

  1. The Acid Watcher Diet: A 28-Day Reflux Prevention and Healing Program
  2. Acid Reflux Diet: 101 Best Foods To Treat & Cure GERD
  3. The Complete Acid Reflux Diet Plan: Easy Meal Plans & Recipes to Heal GERD and LPR

More items...

What home remedies help with Gerd?

What to eat to improve Gerd?

What type of diet is best for GERD?

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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 normal treatment for GERD?

These medications — known as H-2-receptor blockers — include cimetidine (Tagamet HB), famotidine (Pepcid AC) and nizatidine (Axid AR). H-2-receptor blockers don't act as quickly as antacids, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours.

What is the first line treatment for GERD?

Lifestyle modifications and acid-suppressive therapy through the use of antacids, H2RAs, or PPIs remain first-line treatment options for the management of GERD despite limited supporting data.

Can GERD be cured?

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

What are the 8 symptoms of GERD?

What are the symptoms of GERD (chronic acid reflux)?Heartburn.Regurgitation (food comes back into your mouth from the esophagus).The feeling of food caught in your throat.Coughing.Chest pain.Problem swallowing.Vomiting.Sore throat and hoarseness.

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.

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 does GERD pain feel like?

The most common symptom of GERD is heartburn (acid indigestion). It usually feels like a burning chest pain that starts behind your breastbone and moves upward to your neck and throat. Many people say it feels like food is coming back into the mouth, leaving an acid or bitter taste.

What's the difference between GERD and acid reflux?

The terms heartburn, acid reflux, and GERD are often used interchangeably. They actually have very different meanings. Acid reflux is a common medical condition that can range in severity from mild to serious. Gastroesophageal reflux disease (GERD) is the chronic, more severe form of acid reflux.

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...•

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.

How can I treat GERD at home?

8 Home Remedies for Acid Reflux/GERDA healthy weight.Foods and drinks to avoid.Smaller meals.Dietary changes.Quit smoking.Herbal remedies.Avoid tight clothing.Relaxation.

What is the treatment for GERD?

Treatment for GERD includes: Lifestyle and dietary changes. Medication. Endoscopic therapy. Surgery.

How to treat GERD?

Dietary and lifestyle changes are the first step in treating GERD. Certain foods make the reflux worse. Suggestions to help alleviate symptoms include: 1 Lose weight if you are overweight — of all of the lifestyle changes you can make, this one is the most effective. 2 Avoid foods that increase the level of acid in your stomach, including caffeinated beverages. 3 Avoid foods that decrease the pressure in the lower esophagus, such as fatty foods, alcohol and peppermint. 4 Avoid foods that affect peristalsis (the muscle movements in your digestive tract), such as coffee, alcohol and acidic liquids. 5 Avoid foods that slow gastric emptying, including fatty foods. 6 Avoid large meals. 7 Quit smoking. 8 Do not lie down immediately after a meal. 9 Elevate the level of your head when you lie down.

What is a TIF for GERD?

Transoral incisionless fundo plication (TIF) is an option to address GERD. TIF can mean a shorter treatment time, less pain and faster recovery compared to laparoscopic surgery. The procedure involves using a special TIF device to create a passageway for a flexible, tube-like imaging instrument called an endoscope. The procedure allows the physician to use preloaded tweezers and fasteners to repair or recreate the valve that serves as a natural barrier to reflux.#N#Currently, there are clinical trials testing the efficacy of endoscopic therapy for GERD. One form of therapy uses an endoscopic sewing machine to place sutures in the stomach and increase the anti-reflux barrier.

What is the purpose of surgery for reflux?

The goal of surgery for reflux disease is to strengthen the anti-reflux barrier. During a procedure known as a Nissen fundoplication, your surgeon wraps the upper part of your stomach around the lower esophagus. This enhances the anti-reflux barrier and can provide permanent relief from reflux.

How to help with reflux?

Suggestions to help alleviate symptoms include: Lose weight if you are overweight — of all of the lifestyle changes you can make, this one is the most effective. Avoid foods that increase the level of acid in your stomach, including caffeinated beverages.

What is the best medicine for reflux?

Antacids. Over-the-counter antacids are best for intermittent and relatively infrequent symptoms of reflux. When taken frequently, antacids may worsen the problem. They leave the stomach quickly, and your stomach actually increases acid production as a result.

Can you have surgery for GERD?

Surgery for GERD. If your symptoms did not improve with lifestyle changes or drug therapy, you may be a candidate for surgery. Some patients prefer a surgical approach as an alternative to a lifetime of taking medications. The goal of surgery for reflux disease is to strengthen the anti-reflux barrier.

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.

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 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 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.

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 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.

What is the best way to sleep after eating?

eating certain types of foods, such as deep fried or spicy foods. drinking certain types of beverages, such as soda, coffee, or alcohol. using nonsteroidal anti-inflammatory drugs (NSAIDS ), such as aspirin or ibuprofen.

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 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.

Can antacids cause diarrhea?

But long-term use of antacids can bring side effects, including diarrhea, altered calcium metabolism (a change in the way the body breaks down and uses calcium), and a buildup of magnesium in the body.

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 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.

Can you eat mint with acid reflux?

"We've evolved from the days when you couldn't eat anything," Dr. Wolf says. 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. If you eat any of these foods regularly, you might try eliminating them to see if doing so controls your reflux, and then try adding them back one by one. The Foodicine Health website at www.foodicinehealth.org has diet tips for people with acid reflux and GERD as well as for other gastrointestinal disorders.

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Lifestyle Changes

Over-The-Counter and Prescription Medicines

Surgery and Other Medical Procedures

Overview

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.

Side effects

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Your doctor might be able to diagnose GERDbased on a physical examination and history of your signs and symptoms. To confirm a diagnosis of GERD, or to check for complications, your doctor might recommend: 1. Upper endoscopy.Your doctor inserts a thin, flexible tube equipped with a light and camera (endoscope) down y…
See more on mayoclinic.org

Symptoms

Causes

Treatment

Safety

Prevention

  • 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 ...
See more on niddk.nih.gov

Medical uses

  • 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 leads to long-term impr…
See more on niddk.nih.gov

Pharmacology

Results

Diagnosis

Preparation

Advantages

Risks

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