Managing GERD: Your Questions Answered

Expert Guidance on Gastroesophageal Reflux Disease Management

Gastroenterology

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Last updated: Mar 24, 2025

What is GERD?

Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus, causing symptoms like heartburn and chest pain.

Common GERD Management Questions

What lifestyle changes can help manage GERD?

  • Maintain a healthy weight
  • Avoid lying down for 2-3 hours after meals
  • Elevate the head of your bed by 6-8 inches
  • Avoid trigger foods (spicy, fatty, acidic)
  • Quit smoking
  • Wear loose-fitting clothes

Which medications are used to treat GERD?

  1. Antacids

    • Provide quick relief
    • Best for occasional symptoms
  2. H2 Blockers

    • Reduce acid production
    • Work within an hour
  3. Proton Pump Inhibitors (PPIs)

    • Most effective for severe GERD
    • May require long-term use

When should I see my doctor?

Seek medical attention if you experience:

  • Persistent symptoms despite medication
  • Difficulty swallowing
  • Unexplained weight loss
  • Chronic cough or hoarseness
  • Chest pain

What complications can occur if GERD is untreated?

  • Barrett's esophagus
  • Esophageal strictures
  • Dental erosion
  • Chronic respiratory issues

Prevention Strategies

  • Eat smaller, more frequent meals
  • Maintain food diary to identify triggers
  • Stay upright after meals
  • Practice stress management
  • Regular exercise (avoiding heavy meals before)

Long-term Management

Work with your healthcare provider to develop a comprehensive treatment plan that may include:

  • Regular monitoring
  • Medication adjustments
  • Lifestyle modifications
  • Periodic endoscopic examinations if needed

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