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Heartburn (Gastroesophageal Reflux Disease)

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If you have frequent heartburn, a sour taste in your mouth, chronic coughing, difficulty swallowing, or trouble sleeping because of upper belly or chest pain, you may have gastroesophageal reflux disease (GERD).

We offer a full range of treatments for GERD, from lifestyle changes and medications to advanced minimally invasive surgery. Our team works closely with specialists across multiple fields to find the right treatment for you.

Overview

What is GERD?

GERD happens when material from your stomach moves back up (refluxes) into your esophagus. This material can be acidic fluid, non-acidic fluid, food material, or a combination of all.

Common symptoms of GERD include:

  • Frequent heartburn
  • A sour or bitter taste in your mouth
  • Food or liquid coming back up after eating
  • Chronic coughing
  • Hoarseness or voice changes
  • Trouble sleeping because of reflux
  • Needing to sleep with your head elevated
  • Symptoms that worsen after certain foods or large meals

Without treatment, GERD can affect your quality of life and may lead to complications such as inflammation of the esophagus, narrowing of the esophagus, or changes to the cells that line the esophagus, which can develop into cancer.

When to Seek Treatment

You may benefit from a GERD evaluation if you: 

  • Have frequent heartburn or reflux symptoms; at least once per week
  • Take reflux medications regularly but still have symptoms
  • Have a chronic cough, hoarseness, or throat irritation that may be related to reflux
  • Have been diagnosed with a hiatal hernia
  • Experience symptoms that interfere with sleep or daily activities
  • Have changes in your esophagus found during testing

A consultation does not mean that you need surgery. Our goal is to help you understand your condition and learn about all available treatment options.

Our approach

GERD can affect more than just your digestive system. That's why we take a team-based approach to care.

Depending on your needs, your care team may work with specialists in gastroenterology, ear, nose, and throat (otolaryngology), pulmonology, radiology, nutrition, and weight management.

Your evaluation may include: 

  • A review of your symptoms and medical history
  • An upper endoscopy to look inside your esophagus and stomach
  • Imaging tests such as an esophagram (an x-ray test used to examine the upper digestive tract)

After testing is complete, we review the results with you and create a personalized treatment plan based on your symptoms, lifestyle, and goals.

Treatment Options

Treatment for GERD often starts with non-surgical options.

Lifestyle Changes

Simple changes can help reduce reflux symptoms, including: 

  • Avoiding large meals
  • Not eating close to bedtime
  • Sleeping with your head elevated
  • Limiting foods and drinks that trigger symptoms
  • Maintaining a healthy weight

Medications

Many people find relief with medications that reduce stomach acid. These medications can help control symptoms and allow irritated tissue to heal.

Surgery

For some people, surgery may provide longer-lasting relief, especially when symptoms continue despite medication or when a hiatal hernia is present.

We offer minimally invasive robotic procedures, including:

  • Hiatal hernia repair
  • Fundoplication, which strengthens the valve between the stomach and esophagus
  • LINX® device placement for select patients

Your surgeon will discuss which option may be best for you.

What to Expect During Surgery

If surgery is recommended, you’ll first complete testing to better understand the cause of your reflux.

Most patients go home the same day as surgery, while others may stay in the hospital overnight.

Most patients can: 

  • Return to desk work within a few days
  • Begin light activity and walking soon after surgery
  • Resume more strenuous activity after about six weeks

You may notice temporary swallowing difficulty during the first several weeks after surgery as swelling goes down. Your care team will provide detailed instructions about diet, activity, and recovery.

Long-term Results After Surgery

Many patients experience significant improvement in their symptoms after treatment. Some are able to reduce or stop taking reflux medications altogether.

Your care team will continue to follow up with you after treatment to monitor recovery and help ensure long-term success.

Referrals

A consultation is an opportunity to learn more about your symptoms, understand what may be causing them, and explore your treatment options.

While a physician referral is not required to schedule a consultation, patients are commonly referred by primary care providers, gastroenterologists, ear, nose, and throat (otolaryngology) specialists, pulmonologists, dentists, or other healthcare providers. We also welcome patients who are seeking a second opinion about their GERD diagnosis or treatment plan.

Our team will work closely with you and your referring provider (if applicable) to ensure you receive the care that best meets your needs.