Proton pump inhibitors (PPIs). PPIs lower the amount of acid your stomach makes. PPIs are better at treating GERD symptoms than
GERD can usually be controlled with medication. But if medications don't help or you wish to avoid long-term medication use, your doctor might recommend: Fundoplication. The surgeon wraps the top of your stomach around the lower esophageal sphincter, to tighten the muscle and prevent reflux.
As chronic GERD continues untreated, the stomach acid can scar the lining of the esophagus. As the scar tissue increases, it makes the esophagus more narrow in certain spots. It becomes difficult to eat and drink and may lead to dehydration and weight loss. Ask Digestive Health Services about an available treatment.
GERD is considered a chronic disease and may not be entirely curable. Working with your doctor on a treatment plan that aligns with your stage of GERD will help manage your symptoms and halt the progression of the condition.
Some research suggests that inflammation in the esophagus (esophagitis) from gastroesophageal reflux disease (GERD) can take up to 8 weeks to heal with successful lifestyle changes and medications. However, these measures will not fully cure GERD.
In some people the burning sensation calms down after just a few minutes, but that is not a rule, and it can last up to a few days in some other cases. However, if heartburn lasts even longer and if it occurs even more frequently, we recommend that you see your doctor as soon as possible.
If heartburn does not resolve after taking antacids, a person should visit a doctor for evaluation. They may recommend stronger medications, lifestyle modifications, or an endoscopy procedure to further evaluate symptoms.
When your acid reflux symptoms are not being controlled by medication, it's time to see a gastroenterologist to discuss your options, specialists say.
Stage 3 (severe): A person has regular heartburn, a chronic cough, regurgitation, a hoarse voice, and regurgitation of food. Stage 4 (esophageal cancer or precancerous lesions): A person has the same symptoms as stage 3, plus food getting stuck in the back of their throat when eating.
Alarm symptoms include dysphagia (difficulty swallowing) and odynophagia (painful swallowing), which may represent presence of complications such as strictures, ulceration, and/or malignancy. Other alarm signs and symptoms include, but are not limited to, anemia, bleeding, and weight loss.
More serious complications may emerge, such as the precancerous condition known as Barrett's esophagus, as well as esophageal adenocarcinoma. These GERD complications can result in hospitalizations for anti-reflux surgery, such as Nissen fundoplication.
And it can be very painful — even mistaken for a heart attack. It is not infrequent that Dr. Dowd's colleagues in the emergency department see patients for GERD-related heart attack symptoms. The first step in these cases is to assess the patient for a cardiac issue and then treat them accordingly.
But doctors at NYU Langone may recommend surgery if GERD symptoms, such as heartburn, chest pain, and hoarseness, persist or if diagnostic tests show that GERD is caused by a hiatal hernia—a hole in the diaphragm that allows part of the stomach to enter the chest cavity.
If the pain is not relieved shortly after taking antacids, or is accompanied by these symptoms, seek emergency medical care: Squeezing/tightening in the chest. Feeling out of breath. Pain, aching or discomfort radiating from the chest to the arms, back or neck.
GERD can give you a burning feeling in your mouth. It can cause you to have a sore throat or to have trouble swallowing. You may feel like food is sticking in your throat. GERD may also make you feel like you're choking or that your throat is tight.
Patients with GERD symptoms may exhibit a spectrum of endoscopic findings ranging from normal endoscopy (EGD negative) to severe ulcerative esophagitis. Recent evidence indicates that a large proportion of patients with GERD have normal endoscopy.
If you've had trouble with heartburn, regurgitation and acid reflux for more than five years, then you should ask your doctor about your risk of Barrett's esophagus.
Medically Qualifying for Disability Benefits with GERD
If your combined symptoms from multiple medical conditions (including GERD) cause serious complications, then it may be considered disabling. You will need to show decreased workability due to GERD or acid reflux to qualify for LTD benefits.
Gastroesophageal reflux disease (GERD) is the most common upper gastrointestinal disorder seen in the elderly. The worldwide incidence of GERD is increasing as the incidence of Helicobacter pylori is decreasing. Although elderly patients with GERD have fewer symptoms, their disease is more often severe.
The duration of GERD symptoms can vary from person to person. In some cases, symptoms may occasionally last a few hours. In other cases, symptoms may be more frequent and persist for several days or weeks.
Gastroesophageal reflux (acid reflux) is when stomach acid flows into the esophagus where it doesn't belong. Over time, that acid can cause damage, irritation, and symptoms will get progressively worse.