Living Well with GERD: A Comprehensive Management Guide

Understanding and Controlling Gastroesophageal Reflux Disease

Gastroenterology

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Last updated: Mar 24, 2025

Understanding Your Condition

Gastroesophageal Reflux Disease (GERD) occurs when stomach acid frequently flows back into your esophagus, causing symptoms that affect your daily life. This guide will help you manage your condition effectively.

Key Lifestyle Modifications

Dietary Changes

  • Foods to Avoid:
    • Citrus fruits and juices
    • Tomato-based products
    • Chocolate
    • Mint
    • Fatty or fried foods
    • Spicy foods
    • Coffee and carbonated beverages

Eating Habits

  • Eat smaller meals more frequently
  • Avoid lying down for 3 hours after meals
  • Maintain a healthy weight
  • Wear loose-fitting clothes

Medical Management

Medications

  1. Over-the-counter options:

    • Antacids for quick relief
    • H2 blockers
    • Proton pump inhibitors (PPIs)
  2. Prescription medications:

    • Long-term PPIs
    • Other acid-reducing medications

Lifestyle Adjustments

Sleep Modifications

  • Elevate the head of your bed 6-8 inches
  • Use a wedge pillow
  • Sleep on your left side

Activity Guidelines

  • Avoid strenuous exercise after meals
  • Time workouts appropriately
  • Maintain good posture

When to Seek Medical Attention

Contact Your Healthcare Provider If:

  • Symptoms worsen or don't improve with treatment
  • You experience difficulty swallowing
  • You have persistent chest pain
  • You develop persistent hoarseness

Tracking Your Progress

Maintain a symptom diary including:

  • Trigger foods
  • Symptom frequency
  • Medication effectiveness
  • Lifestyle changes implemented

Long-term Management

Regular follow-up with your healthcare provider is essential for:

  • Monitoring symptom control
  • Adjusting treatment as needed
  • Preventing complications
  • Ensuring optimal management

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