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
Treatment 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.