Gastroesophageal Reflux (GERD)
What is gastroesophageal reflux disease (GERD)?
What causes GERD?
A ring of muscle keeps the end of your esophagus closed. GERD happens when that muscle doesn't work properly. When the muscle is weak or relaxes at the wrong time, or if there is too much pressure in your stomach, your stomach contents can flow back up into your esophagus.
GERD is not usually caused by having too much acid in your stomach. The problem is the acid backing up into the esophagus. The esophagus doesn't have a lining like the stomach to protect it from the acid.
What are the risk factors for GERD?
What are the symptoms of GERD?
What are the complications of GERD?
Over time, acid reflux can hurt your esophagus and cause:
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Long-term inflammation (esophagitis)
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Ulcers (open sores)
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Narrowing of your esophagus (esophageal stricture)
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Abnormal cells in your esophagus that may become cancer (called Barrett esophagus)
GERD can also affect your voice box, windpipe, and lungs.
How can doctors tell if I have GERD?
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Usually, doctors can tell based on your symptoms, and you won't need any tests
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They may need to look down your esophagus with a flexible tube (endoscopy)
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Rarely, doctors will need to measure the amount of acid in your esophagus using a thin, flexible tube with a sensor at the end (esophageal pH test)
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Sometimes, doctors may test the muscle at the end of your esophagus to see if it's working (esophageal manometry)
How do doctors treat GERD?
Doctors may recommend the following steps:
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Don't eat foods that make GERD worse, such as chocolate, tomato sauce, fatty or deep-fried foods, and salad dressings made with vinegar
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Don't drink alcohol, coffee, and acidic drinks, such as colas and orange juice
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Avoid eating for 2 to 3 hours before going to bed
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Don't smoke
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Raise the head of your bed about 6 inches
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Lose weight if you're overweight
If these steps don't help, you may need medicines that decrease the acid in your stomach.
Doctors may recommend surgery if medicines aren’t helping. The surgery is called fundoplication. The surgeon wraps part of your stomach around the bottom of your esophagus, which stops stomach contents from flowing back up.
