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GERD Treatment In Rewari


Gastroesophageal reflux, commonly known as GERD, occurs when the normal antireflux barrier of the lower esophageal sphincter system fails, allowing stomach contents to flow back into the esophagus. This reflux can cause a range of symptoms, from mild heartburn to more severe issues like esophageal ulcerations and bleeding. One contributing factor to GERD is a condition called hiatus hernia, which hampers the function of the lower esophageal sphincter.

GERD treatment hospital in rewari

I. The Spectrum of GERD

GERD manifests in various forms, ranging from mild heartburn with no visible issues during endoscopy to severe cases involving esophageal ulcerations, bleeding, stricture, and difficulty swallowing (dysphagia). Prolonged GERD may even lead to Barrett’s esophagus, a condition that increases the risk of esophageal dysplasia and cancer.

II. Recognizing GERD Symptoms

Common symptoms of GERD include:

1. Retrosternal Burning Pain: A burning sensation behind the breastbone.

2. Dysphagia: Difficulty in swallowing.

3. Odynophagia: Pain during eating.

4. Upper GI Bleed: Bleeding in the upper gastrointestinal tract.

III. Diagnosis of GERD

For those with classic GERD symptoms, diagnosis is usually straightforward, requiring no further testing. However, in severe cases involving symptoms like dysphagia and bleeding, endoscopy becomes essential to confirm the diagnosis and rule out other potential causes.

Additional diagnostic tests include:

1. Barium Swallow: A special X-ray to visualize the esophagus.

2. 24-Hour pH Testing: Monitoring acidity levels in the esophagus over a day.

3. Manometry: Assessing the function of the esophagus muscles.

IV. Treatment Options

Lifestyle Modification: Simple lifestyle changes can significantly alleviate GERD symptoms:

1. Stop Smoking and Alcohol: Both can contribute to reflux.

2. Avoid Tight Clothing: Loose-fitting clothes reduce pressure on the abdomen.

3. Raise Head of Bed: Elevating the head end of the bed helps prevent nighttime reflux.

4. Weight Reduction: Losing excess weight can reduce pressure on the stomach.

5. Avoid Bedtime Snacks: Eating close to bedtime increases the risk of reflux.

6. Avoid Trigger Foods: Steer clear of tea, coffee, cola, and citrus fruits.

V. Medications

1. Proton Pump Inhibitors (PPIs): Effective in controlling symptoms by reducing stomach acid.

2. Prokinetic Agents: Help improve esophageal motility.

Surgery (Fundoplication)

For cases where medications are not ideal, or in situations like recurrent strictures in younger patients, surgery may be considered. Fundoplication is a procedure that corrects the physiological processes causing GERD.

When Surgery is Indicated

Preference to Avoid Long-Term Medication: Some individuals prefer surgery over prolonged medication use.

Young Patients with Recurrent Stricture: Surgery may be a more suitable option for those experiencing recurrent strictures.

GERD is a condition that ranges in severity, with symptoms that can impact daily life. Early recognition and appropriate management, whether through lifestyle changes, medications, or surgical intervention, can significantly improve the quality of life for individuals dealing with GERD. If you suspect you may have GERD or are experiencing persistent symptoms, consult with a healthcare professional for a personalized assessment and guidance on the most suitable treatment plan.

GERD doctor in rewari
GERD doctor in rewari


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