What should I do if I have gastroesophageal reflux disease (GERD)?

Sep 30, 2024 Source: Cainiu Health
Disease description:

I often feel acid reflux in my stomach, and after an examination, I learned that I have gastroesophageal reflux disease (GERD). Doctor, what should I do if I have GERD?

Doctor's answer (1)
Dr. Shen Yonghua

Gastroesophageal reflux disease (GERD) is a common digestive system disorder. The following are possible management approaches:

1. Lifestyle modifications: Maintain healthy eating habits, avoid overeating, especially at dinner, and refrain from eating within 2–3 hours before bedtime. Quit smoking and alcohol consumption, and reduce intake of foods that may trigger reflux, such as coffee, strong tea, and chocolate. Achieve appropriate weight loss and avoid obesity-related increases in abdominal pressure.

2. Medication: Under a doctor's guidance, use acid-suppressing medications, gastrointestinal prokinetic agents, and gastric mucosal protectants to control symptoms, reduce recurrence, and prevent complications.

3. Surgical treatment: A small number of patients who do not respond to medication may need to consider surgery, such as anti-reflux procedures to strengthen the lower esophageal sphincter and prevent acid reflux.

4. Regular follow-up: Even if symptoms are controlled, regular clinic visits are necessary to monitor disease progression and adjust treatment plans.

5. Psychological support: Prolonged discomfort may affect mental health; appropriate psychological counseling and support are recommended.

If you experience symptoms of gastroesophageal reflux, seek medical attention promptly.