The following steps may reduce reflux. You receive sedation then a flexible probe with a tiny camera on the end is passed down your throat. The camera allows the doctor to see damage to the esophagus, how severe the GERD is, and to rule out serious complications of GERD or unexpected diseases. With GERD, however, the sphincter relaxes between swallows, allowing stomach contents (gastric reflux) and corrosive acid to well up and damage the lining of the esophagus. The prognosis for acid reflux (GERD) is good in mild to moderate cases.
However, this doesn’t mean I’m “cured” of my GERD. I still have to use antacids on the rare occasions that I eat too close to bedtime or have too large of a meal. It’s still there, waiting for me to slip back into bad habits, and it always will be. It’s just like any other chronic disease. I just wish I had learned earlier that heartburn is not something you have to live with, that treatments and lifestyle changes exist that can help.
In a few people, especially where there is severe inflammation of the oesophagus, there is a risk of complications that can include internal bleeding and narrowing of the gullet. One in ten people with acid reflux have Barrett’s Oesophagus 12, 13 . This is a condition that can, very rarely, progress to cancer of the lower oesophagus. If you are worried about these complications, discuss them with your GP.
Treatment of GERD
The surgeon described it as a grade one (the lowest of 4 grades, I believe). Nevertheless, he has instructed me to double up on the PPI at least until he schedules a repeat endoscopy in 6 months (and I strongly suspect he will then recommend my staying on that regimen for life.) He claims that many my age (77) are on this dosage of a proton pump inhibitor for the long term without ill effect, and he says my complete lack of symptoms is due to the fact that my reflux does not reach high enough for me to be aware of it. Still, I am very apprehensive about this high dosage every day, although after a week on this increased dosage I have experienced only slight, intermittent stomach pain but more frequent nighttime bloating and gas.
I will forever have to deal with this, and I don’t even know how I will. I can’t imagine my life without chocolate. I stopped seeing the specialists because they couldn’t find a diagnosis.
Knowing what is safe for you to eat and what you need to avoid is as important for eating out in restaurants as it is for eating at home. You need to know what to ask for and what you should avoid. When you ask how the food is prepared, avoid certain beverages, and watch portion sizes, you can prevent the heartburn. Even when you and doctor decide on for your GERD treatment, it’s also important to know what not to do as it is to know what to do.
3.2. Gastric acid secretion
Most of these are rare, but GERD can be the first step toward any of them. The best treatment for any of these is prevention. Don’t eat large meals.
I began seeing a doctor who is a regular primary care doctor, not a specialist! He sat and talked with me for about 1/2 hour.
I have acid reflux and I can get heartburn and such when I eat /drinks items with lots of citric acid (orange juice, tomato sauce, etc.) Drinking large amounts of beer can trigger it once in awhile too. I usually take an acid reducer before consumption of said items. Sometimes GERD can cause serious complications.
More Answers On Heartburn/GERD
I had to have more endoscopies to dilate my esophagus. I had to have many more prescriptions (always the best, not covered by insurance) many more ultra sounds, a 24 hr pH study, and the worst, an esophageal manometry 2 times. Finally I ended up with a Nissen Fundoplication in 2003. They said it was a temporary fix. My original symptoms started when I was about 10 years old.