Understanding GERD Treatment Options: A Comprehensive Guide

From Lifestyle Changes to Advanced Therapies

Gastroenterology

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Last updated: Mar 24, 2025

Lifestyle Modifications

  • Dietary Changes

    • Avoid trigger foods (citrus, spicy foods, fatty foods)
    • Reduce caffeine and alcohol intake
    • Eat smaller meals
  • Weight Management

    • Maintain healthy BMI
    • Regular exercise program
  • Sleeping Habits

    • Elevate head of bed 6-8 inches
    • Avoid eating 2-3 hours before bedtime

Medication Options

Over-the-Counter Treatments

  1. Antacids

    • Quick symptom relief
    • Examples: Tums®, Rolaids®
  2. H2 Blockers

    • Moderate acid reduction
    • Examples: famotidine, ranitidine
  3. PPIs

    • Strong acid suppression
    • Examples: omeprazole, esomeprazole

Prescription Medications

  • Prescription-strength PPIs
  • Prokinetics
  • Baclofen for refractory cases

Surgical and Endoscopic Options

Surgical Procedures

  • Nissen Fundoplication
    • Gold standard surgical treatment
    • Laparoscopic approach

Minimally Invasive Options

  • LINX® device
  • TIF procedure
  • Stretta therapy

When to Seek Medical Attention

  • Persistent symptoms despite treatment
  • Difficulty swallowing
  • Weight loss
  • Chest pain

Long-term Management

  • Regular follow-up with healthcare provider
  • Monitoring for complications
  • Lifestyle maintenance

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