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Know Acid Reflux or GERD

GERD or Acid Reflux  is reflux of gastric contents into the esophagus, It occur when the ­lower esophageal sphincter which normally prevents reflux of gastric contents into the esophagus is weak

Symptoms of Acid Reflux or GERD

Patient complain of heartburn. Reflux of food content into the esophagus. Patient can have extra-esophageal symptoms such as cough

Diagnosis of Acid Reflux or GERD

Upper GI Endoscopy is the first step which will show features of esophagitis. It will show associated hiatus hernia. The gold standard test is 24 hr pH study. It will show whether there is actual reflex or not. It is very important to confirm

Best doctor for GERD

Best doctor for GERD is Gastroenterologist who is specialized for diagnosis and treatment for GERD or acid reflux

Acid RefluxTreatment of Acid Reflux of GERD

Life style modification: It is the first step in treatment.Weight reduction by regular exercise if obese and healthy diet are very important. Patient is advised to have small frequent diet.As there is role of gravity in reflux patient is advised not to lie immediately after meal

Proton pump inhibitors such as pantaprazole which inhibit acid formation are advised. These will give relieve to the symptom of heartburn but it does not prevent reflux . Patients on proton pump inhibitors are  predisposed to cancer due to reflux . Upper GI endoscopy is advised to these patients who are on long term on proton pump inhibitors.

Surgery for GERD or Acid Reflux

Surgery is advised to those patients who on investigation are confirmed to have reflux disease. Patients who have extra-esophageal symptoms, young age, defective lower esophageal sphincter. Surgery performed is Laparoscopic Fundoplication.

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