What Is GERD?

Gastroesophageal reflux disease is chronic backflow of stomach acid into the esophagus, causing heartburn and potential esophageal injury.

Why Do I Need Treatment?

Untreated GERD can lead to esophagitis, strictures, Barrett’s esophagus, and increased cancer risk.

Treatment Approach

  1. Lifestyle: Weight loss, head-of-bed elevation, avoid triggers (spicy foods, caffeine).
  2. Medical:
    • Antacids for mild symptoms
    • H2 blockers (famotidine)
    • Proton-pump inhibitors (omeprazole) for moderate to severe GERD
  3. Endoscopic: Radiofrequency (Stretta), endoscopic fundoplication (TIF).
  4. Surgical: Nissen fundoplication for refractory cases.

What Can I Expect Afterwards?

  • Symptom improvement in days to weeks.
  • Tapering PPI dose under physician guidance.

Risks & Possible Complications

  • Long-term PPI side effects (B12 deficiency, bone density loss)
  • Dysphagia post-fundoplication (10–15%)

Follow-Up

  • Endoscopy for persistent or alarm symptoms (dysphagia, weight loss, bleeding).