Materiały źródłowe

• #1 Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959

  A healthcare professional is likely to recommend trying lifestyle changes and nonprescription medicines as a first line of treatment. If you don’t experience relief within a few weeks, prescription medicine and additional testing may be recommended. […] Options include: […] Antacids that neutralize stomach acid. Antacids containing calcium carbonate, such as Mylanta, Rolaids and Tums, may provide quick relief. But antacids alone won’t heal an inflamed esophagus damaged by stomach acid. Overuse of some antacids can cause side effects, such as diarrhea or sometimes kidney complications. […] Medicines to reduce acid production. These medicines known as histamine (H-2) blockers include cimetidine (Tagamet HB), famotidine (Pepcid AC) and nizatidine (Axid). H-2 blockers don’t act as quickly as antacids, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours. Stronger versions are available by prescription.

• #1 9 home treatments for gastroesophageal reflux disease (GERD) – Harvard Health

  https://www.health.harvard.edu/newsletter_article/9-ways-to-relieve-acid-reflux-without-medication

  If you are sounding a little hoarse and have a sore throat, you may be bracing for a cold or a bout of the flu. But if you’ve had these symptoms for a while, they might be caused not by a virus but by a valve your lower esophageal sphincter. […] The medical term for this process is gastroesophageal reflux; the backward flow of acid is called acid reflux. Acid reflux can cause sore throats and hoarseness, and may literally leave a bad taste in your mouth. […] When acid reflux produces chronic symptoms, it is known as gastroesophageal reflux disorder, or GERD. Symptoms of GERD can include: heartburn pain in the upper abdomen and chest is the most common symptom of GERD. […] If not treated, GERD can lead to more serious health problems. In some cases, you might need medicines or surgery. However, many people can improve their symptoms of GERD through self-care and lifestyle changes.

• #1 Gastroesophageal Reflux Disease (GERD) Home Remedies

  https://www.healthline.com/health/gerd/home-remedies

  Home remedies, including sitting up after eating and eating certain foods, may help relieve sporadic heartburn. But it occurs often, a doctor may recommend a prescription medication. […] If you experience acid reflux more than twice per week, you may have gastroesophageal reflux disease (GERD). In this case, heartburn is just one of many symptoms, along with coughing and chest pain. […] GERD is typically treated with over-the-counter (OTC) medications, such as antacids, and lifestyle or dietary measures. In severe cases, prescription medications may be needed to prevent damage to the esophagus. […] While medication is the most common form of GERD treatment, there are some home remedies you can try to reduce instances of acid reflux. […] Manage your weight with a balanced diet and regular exercise. Speak with your doctor if losing weight may be an option for helping GERD symptoms.

• #1

  https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/gastroesohageal-reflux-gerd

  When acid reflux starts to happen frequently and you have other symptoms, you may have developed gastroesophageal reflux disease (GERD). […] Consult your doctor for frequent heartburn, or if acid reflux symptoms dont get better with over-the-counter medications. […] If you have gastroesophageal reflux disease, your Aurora team will work with you to determine the best GERD treatment options for relief. […] GERD and acid reflux may be treated successfully with dietary and lifestyle changes like these: Maintain healthy weight, Eat smaller more frequent meals, Avoid citrus fruits, fatty or spicy foods, chocolate, caffeine, alcohol, carbonated drinks, and peppermint, Don’t smoke, Avoid lying down for two to three hours after eating, When lying down, elevate your head by six inches with a pillow wedge.

• #1 GERD: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/14085

  GERD is a chronic disease that requires long-term management. Doctors often treat GERD with medications and by suggesting lifestyle changes. If symptoms do not improve, doctors may suggest surgery. […] Lifestyle modifications are the cornerstone of GERD treatment because they can help improve symptoms. These modifications may include: losing weight for people who are overweight or had a recent weight gain, sleeping in an inclined position, modifying diet and avoiding food triggers, avoiding eating meals at least 3 hours before going to bed. […] Medications used to treat GERD suppress acid production. Of the available options, PPIs are considered the most effective in treating both erosive and nonerosive GERD. They can help heal the lining of the esophagus. […] If lifestyle changes and medications do not significantly improve the symptoms of GERD, a gastroenterologist may recommend surgery. […] Surgical treatments include: Fundoplication: The surgeon sews the top of the stomach around the esophagus. This adds pressure to the lower end of the esophagus and is generally successful at reducing acid reflux.

• #1 9 home treatments for gastroesophageal reflux disease (GERD) – Harvard Health

  https://www.health.harvard.edu/newsletter_article/9-ways-to-relieve-acid-reflux-without-medication

  Avoid vigorous exercise for a couple of hours after eating. […] Ideally, your head should be six to eight inches higher than your feet. […] Increased weight spreads the muscular structure that supports the lower esophageal sphincter, decreasing the pressure that holds the sphincter closed. This leads to reflux and heartburn. […] Nicotine may relax the lower esophageal sphincter. […] Some including postmenopausal estrogen, tricyclic antidepressants, and anti-inflammatory painkillers can relax the sphincter, while others particularly bisphosphonates like alendronate (Fosamax), ibandronate (Boniva), or risedronate (Actonel), which are taken to increase bone density can irritate the esophagus. […] Heartburn can be difficult to cope with but many people manage it quite well. However, other people spend countless hours and untold sums of money looking for a way to spell relief. This Harvard Medical School Guide: Cooling Heartburn, explains the causes of heartburn, and what you can do to prevent and treat it.

• #1 Acid Reflux (GERD) Treatment & Symptoms

  https://health.amazon.com/onemedical/Heartburn-acid-reflux-treatment/dp/B0BVC77J8N

  Depending on the severity of your symptoms, your provider may recommend a step-up approach or a step-down approach for treating the symptoms of GERD. […] A number of lifestyle and dietary changes can relieve acid reflux symptoms. Though strategies should be individualized, experts generally recommend that you do the following if you suffer from heartburn: Lose weight Stay upright for 2-3 hours after eating Sleep with your head elevated about 6-8 inches Avoid food and drink that trigger your symptoms (e.g., caffeine, soda, chocolate, spicy foods) Wear looser clothes Chew sugarless gum Quit smoking Strengthen your diaphragm with abdominal breathing exercises.

• #1 Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959

  Potassium-competitive acid blockers (P-CABs). This new class of medicines may be recommended for someone with severe acid reflux if other medicines haven’t worked. They include vonoprazan (Voquezna) and tegoprazan (K-Cab). […] A technique known as diaphragmatic breathing may help improve GERD symptoms for some people. This exercise is done after eating. It involves breathing deeply into the diaphragm rather than shallowly into the chest. Diaphragmatic breathing techniques should ideally be taught by a trained medical professional. […] GERD can usually be controlled with medicine. But if medicines don’t help or you wish to avoid long-term medicine use, a healthcare professional might recommend: […] Fundoplication. The surgeon wraps the top of the stomach around the lower esophageal sphincter, to tighten the muscle and prevent reflux. Fundoplication is usually done with a minimally invasive, called laparoscopic, procedure.

• #1 Heartburn – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heartburn/diagnosis-treatment/drc-20373229

  Many nonprescription medications can help relieve heartburn. The options include: […] Antacids, which help neutralize stomach acid. Antacids may provide quick relief. But they can’t heal an esophagus damaged by stomach acid. […] H2 blockers, which can reduce stomach acid. H2 blockers don’t act as quickly as antacids, but they may provide longer relief. Examples include cimetidine (Tagamet HB) and famotidine (Pepcid AC). […] Proton pump inhibitors, which also can reduce stomach acid. Examples include esomeprazole (Nexium 24HR), lansoprazole (Prevacid 24HR) and omeprazole (Prilosec OTC). […] If nonprescription treatments don’t work or you rely on them often, see your health care provider. You may need prescription medication and further testing. […] Try lifestyle changes to control your symptoms until you see your doctor. For instance, avoid foods that trigger your heartburn and avoid eating at least two hours before bedtime.

• #1 Gastroesophageal Reflux Disease (GERD): Diagnosis & Treatment | NewYork-Presbyterian

  https://www.nyp.org/digestive/esophageal-diseases/gastroesophageal-reflux-disease-gerd/treatment

  Histamine 2 blockers. Reduces stomach acid production, which can help with symptoms of heartburn and regurgitation. This medication is available both over the counter (OTC) and through prescription for higher doses. […] Proton pump inhibitors (PPIs). These are stronger medication than H2 blockers and control the amount of acid your stomach makes over a longer period of time. […] Antacids. This OCT is typically used for occasional and mild acid reflux symptoms. But if you take antacids almost daily, you may need a stronger medication. […] Food triggers can make heartburn and regurgitation worse. Trying to avoid the following foods may help identify what causes your symptoms. Avoid the foods and beverages that make your symptoms worse. […] NewYork-Presbyterian’s gastroenterologists and surgeons have exceptional experience in the care of people with GERD. Some of the advanced endoscopic and surgical GERD treatments we offer include:

• #1 Acid Reflux: Top Medications, Symptoms & Risk Factors | Honeybee

  https://honeybeehealth.com/conditions/acid-reflux?srsltid=AfmBOorZ2bxfkKTrGAuhg8GkKN076v6nhuIMtZe7MDS1OwVFMlZCe21Z

  Lastly, no matter what medication you are taking, do not delay treatment or follow-up appointments with your doctor, as acid reflux medications can mask serious underlying conditions. Also, ask your doctor about whether it is necessary to use an imaging exam to rule out other causes of acid reflux. […] There are three types of medications commonly used to help treat acid reflux: Proton pump inhibitors (PPIs): esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (Aciphex), and dexlansoprazole (Dexilant) […] H-2-receptor blocks (H2RAs): famotidine (Pepcid) and cimetidine (Tagamet). […] Antacids: commonly contain calcium carbonate like Tums or Rolaids or magnesium like Milk of Magnesia, Mylanta, or Maalox. […] All three categories work to decrease stomach acid production, but antacids are the best option for quick relief and work within five minutes. That said, antacids have the shortest duration of action, meaning they only work for 30 to 60 minutes at best.

• #1 Acid Reflux: Top Medications, Symptoms & Risk Factors | Honeybee

  https://honeybeehealth.com/conditions/acid-reflux?srsltid=AfmBOorZ2bxfkKTrGAuhg8GkKN076v6nhuIMtZe7MDS1OwVFMlZCe21Z

  H-2 blockers block histamine, an inflammatory agent that stimulates the stomach to produce acid. H-2 blockers are only for short-term use and work best when taken up to an hour before food or drink that may cause your reflux. Because they are only good for short-term use, H-2 blockers usually stop working after a while because your stomach adjusts. […] When H-2 blockers arent working anymore or you have acid reflux for more than two weeks, its time to try a PPI such as omeprazole or esomeprazole. […] PPIs should be taken on an empty stomach 30 minutes to an hour before a meal (breakfast preferred) at the same time every day. PPIs work within 24 hours, so only need to be taken once a day. In some patients, it can take one to four days for the full effect. […] There are many lifestyle choices you can make to manage acid reflux disease and prevent symptoms. Some foods and drinks trigger acid reflux, especially fatty foods, fried foods, acidic foods, alcohol, coffee, chocolate, mint, garlic, onion, spicy foods, and dairy.

• #1 Heartburn Relief: Natural Remedies, Medication, Prevention

  https://www.healthline.com/health/gerd/heartburn-relief

  WITHDRAWAL OF RANITIDINE In April 2020, the Food and Drug Administration (FDA) requested that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be removed from the U.S. market. This recommendation was made because unacceptable levels of NDMA, a probable carcinogen (cancer-causing chemical), were found in some ranitidine products. If youre prescribed ranitidine, talk with your doctor about safe alternative options before stopping the drug. If youre taking OTC ranitidine, stop taking the drug and talk with your healthcare professional about alternative options. Instead of taking unused ranitidine products to a drug take-back site, dispose of them according to the products instructions or by following the FDAs guidance. […] Ranitidine, brand name Zantac, is now marketed as Zantac 360, which contains a different active ingredient (famotidine). Famotidine is in the same class as ranitidine and works the same way but has not been found to contain unacceptable levels of NDMA.

• #1 Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959

  Medicines that block acid production and heal the esophagus. These medicines known as proton pump inhibitors are stronger acid blockers than H-2 blockers and allow time for damaged esophageal tissue to heal. Nonprescription proton pump inhibitors include lansoprazole (Prevacid), omeprazole (Prilosec OTC) and esomeprazole (Nexium). […] Prescription-strength treatments for GERD include: […] Prescription-strength proton pump inhibitors. These include esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (Aciphex) and dexlansoprazole (Dexilant). […] Although generally well tolerated, these medicines might cause diarrhea, headaches, nausea or, in rare instances, low vitamin B-12 or magnesium levels. […] Prescription-strength H-2 blockers. These include prescription-strength famotidine and nizatidine. Side effects from these medicines are generally mild and well tolerated.

• #1 Over-The-Counter (OTC) Heartburn Treatment | FDA

  https://www.fda.gov/drugs/understanding-over-counter-medicines/over-counter-otc-heartburn-treatment

  Over-The-Counter (OTC) Heartburn Treatment […] There are three classes of OTC medications for the treatment of heartburn. […] Antacids relieve heartburn (indigestion). They work by changing the stomach acid that causes heartburn. Common OTC antacids include: Mylanta, Rolaids, Tums. […] H2 blockers relieve and prevent heartburn and work by reducing the amount of acid produced by the stomach. Common OTC H2-blockers include: Tagamet HB (cimetidine), Pepcid Complete or Pepcid AC (famotidine), Axid AR (nizatidine). […] OTC PPIs treat frequent heartburn (occurs 2 or more days a week) and are not intended for immediate relief of heartburn, as they may take one to four days for full effect. OTC PPIs are only intended for a 14-day course of treatment and can be used up to three times per year. Common OTC PPIs include: Prevacid 24HR (lansoprazole), Nexium 24HR (esomeprazole), Prilosec OTC (omeprazole magnesium), Zegerid OTC (omeprazole and sodium bicarbonate). […] If your heartburn symptoms persist even after taking these drugs, then talk to a health care professional.

• #1

  https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/gastroesohageal-reflux-gerd

  Your doctor may also recommend over-the-counter acid reflux medicines such as: Antacids. These will address symptoms but won’t fix any damage stomach acid has caused in the esophagus, H-2 receptor blockers. This heartburn medication reduces the amount of acid the body makes. They can help relieve symptoms for longer periods of time, Proton-pump inhibitors. These block the acid the body makes, which allows the esophagus to heal. […] If over-the-counter acid reflux medicines don’t work, your doctor may recommend prescription medications for GERD treatment such as: Prescription-strength H-2 receptor blockers, Prescription-strength proton-pump inhibitors, Prokinetic agents to tighten the muscle between the stomach and esophagus (esophageal sphincter) and help the stomach empty faster. […] Medications will reduce symptoms for most people, but not all. And they dont repair the damage done by gastroesophageal reflux disease over the long term. Surgery may be a good choice for GERD treatment for you if you: Still have persistent acid reflux or other symptoms while taking medication, Develop side effects from taking medication, Notice your symptoms return when you stop taking medication, Have damage to your esophagus such as bleeding or narrowing (stricture), Cant afford medication or prefer not to take lifelong medication.

• #1 GERD Treatment: Medications, Lifestyle Tips, and Surgery Options

  https://www.gastromedclinic.com/comprehensive-guide-to-managing-gerd-effective-treatments-and-lifestyle-changes-for-lasting-relief/

  Managing GERD is all about combining medications, lifestyle changes, and some smart choices in your daily habits. Lets look at each treatment option. […] Antacids: These are the most common over-the-counter medications for heartburn. They work by neutralizing stomach acid to quickly relieve the burning feeling. Some popular brands are Tums and Rolaids. But, they dont work well for long-term GERD treatment. […] H2 Blockers: These medications, like Zantac and Pepcid, reduce the amount of acid your stomach produces. Theyre better for longer-lasting relief than antacids and can help if your symptoms are more than occasional. […] Proton Pump Inhibitors (PPIs): These powerful drugs, such as Prilosec and Nexium, block the enzyme that produces stomach acid. PPIs are often used for more serious GERD and can give long-term relief when used correctly.

• #1 Heartburn: What It Feels Like, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9617-heartburn-overview

  Heartburn is treatable. […] You can treat occasional heartburn at home with over-the-counter (OTC) medications and lifestyle adjustments. But for frequent heartburn, you might need prescription medications. Medications reduce the acid coming out of your stomach into your esophagus. But they dont fix the original problem with your lower esophageal sphincter. If medications dont work, you might need additional treatment. […] Heartburn is treatable. In the best-case scenario, you may be able to manage it by making some diet and lifestyle adjustments and keeping some antacids handy for occasional use. If you need them, long-term prescription medications are also very effective for acid reflux. Functional disorders can be trickier to manage, but with persistence and a combination of different therapies, they often improve over time.

• #1 Acid Reflux Disease Symptoms, Causes, Tests, and Treatments

  https://www.webmd.com/heartburn-gerd/what-is-acid-reflux-disease

  Acid reflux disease is also known as gastroesophageal reflux disease (GERD). […] In many cases, lifestyle changes combined with over-the-counter medications are all you need to control the symptoms of acid reflux disease. […] Antacids, such as Alka-Seltzer, Maalox, Mylanta, Rolaids, or Riopan, can neutralize the acid from your stomach. […] If antacids don’t help, your doctor may try other medications. […] If medications don’t stop your acid reflux disease symptoms, and the symptoms are severely interfering with your life, your doctor could suggest surgery. […] Doctors only do these procedures as a last resort for treating acid reflux disease after medical treatment hasn’t helped. […] One of the most effective ways to treat acid reflux disease is to avoid the foods and beverages that trigger symptoms.

• #1 Gastroesophageal Reflux/Heartburn – North Raleigh Gastroenterology

  https://nrgi.org/education/gastroesophageal-reflux-heartburn

  In many cases, doctors find that infrequent heartburn can be controlled by lifestyle modifications and proper use of over-the-counter medicines. […] For infrequent episodes of heartburn, take an over-the-counter antacid or an H2 blocker, some of which are now available without a prescription. […] Over-the-counter medications have a significant role in providing relief from heartburn and other occasional GI discomforts. […] If you are using an over-the-counter product more than twice a week, you should consult a physician who can confirm a specific diagnosis and develop a treatment plan with you, including the use of stronger medicines that are only available with a prescription. […] When symptoms of heartburn are not controlled with modifications in lifestyle, and over-the-counter medicines are needed two or more times a week, or symptoms remain unresolved on the medication you are taking, you should see your doctor. You may have GERD.

• #1 Management of Gastroesophageal Reflux Disease | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/1001/p1311.html

  The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid suppression through the use of lifestyle modifications (e.g., elevating the head of the bed, modifying the size and composition of meals) and pharmacologic agents (a histamine H2-receptor antagonist [H2RA] taken on demand or a proton pump inhibitor [PPI] taken 30 to 60 minutes before the first meal of the day). The preferred empiric approach is step-up therapy (treat initially with an H2RA for eight weeks; if symptoms do not improve, change to a PPI) or step-down therapy (treat initially with a PPI; then titrate to the lowest effective medication type and dosage). In patients with erosive esophagitis identified on endoscopy, a PPI is the initial treatment of choice. […] Antireflux surgery, including open and laparoscopic versions of Nissen fundoplication, is an alternative treatment in patients who have chronic reflux with recalcitrant symptoms. Newer endoscopic modalities, including the Stretta and endocinch procedures, are less invasive and have fewer complications than antireflux surgery, but response rates are lower.

• #1 Acid Reflux (GERD) Treatment & Symptoms

  https://health.amazon.com/onemedical/Treatment-Symptoms-prescription-medicine-heartburn/dp/B0BVC77J8N

  Amazon One Medical offers multiple ways to get care from the comfort of your own home. If you’re a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. […] Depending on the severity of your symptoms, your provider may recommend a step-up approach or a step-down approach for treating the symptoms of GERD. A step-up treatment approach involves starting with a low dose of medication, then raising it until symptoms stop. […] A number of lifestyle and dietary changes can relieve acid reflux symptoms. Though strategies should be individualized, experts generally recommend that you do the following if you suffer from heartburn: Lose weight, Stay upright for 2-3 hours after eating, Sleep with your head elevated about 6-8 inches, Avoid food and drink that trigger your symptoms (e.g., caffeine, soda, chocolate, spicy foods), Wear looser clothes, Chew sugarless gum, Quit smoking, Strengthen your diaphragm with abdominal breathing exercises.

• #1 Surgical Treatments – About GERD

  https://aboutgerd.org/treatment/surgery/surgical-treatments/

  Surgical therapy is also an option for the treatment of GERD. The main indication for surgical therapy is failure of medical management when symptoms persist despite appropriate medical therapy. Another indication for antireflux surgery is personal preference. Some people do not want to take lifelong acid suppression medication or have too many side-effects from these medications and may want to consider antireflux surgery. […] Surgery for GERD is known as antireflux surgery and involves a procedure called a fundoplication. The goal of a fundoplication is to reinforce the LES to recreate the barrier that stops reflux from occurring. This is done by wrapping a portion of the stomach around the bottom of the esophagus in an effort to strengthen, augment, or recreate the LES valve. The most common type of fundoplication is a Nissen fundoplication in which the stomach is wrapped 360 degrees around the lower esophagus.

• #1 Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959

  The LINX device. A ring of tiny magnetic beads is wrapped around the junction of the stomach and esophagus. The magnetic attraction between the beads is strong enough to keep the junction closed to refluxing acid, but weak enough to allow food to pass through. […] Transoral incisionless fundoplication (TIF). This new procedure involves tightening the lower esophageal sphincter by creating a partial wrap around the lower esophagus using polypropylene fasteners. TIF is performed through the mouth by using an endoscope and requires no surgical incision. Its advantages include quick recovery time and high tolerance. […] Because obesity can be a risk factor for GERD, a healthcare professional could suggest weight-loss surgery as an option for treatment. Talk with your healthcare team to find out if you’re a candidate for this type of surgery.

• #1 Acid Reflux Treatment Mansfield | GERD Treatment

  https://www.methodisthealthsystem.org/methodist-mansfield-medical-center/medical-services/heartburn-treatment-center/treatment-for-gerd/

  Another approach to the treatment of GERD is to directly restore the function of the damaged LES. Restoring LES function can stop the reflux, eliminate symptoms as well as the need for medications. There are several procedures intended to accomplish this. […] The gold standard to which all reflux procedures are compared is the laparoscopic Nissen fundoplication (Nissen). This minimally invasive surgical procedure is performed under general anesthesia through 5 small incisions to inches long. […] A successful laparoscopic Nissen fundoplication stops the reflux approximately 80-85% of the time and 90% of patients are satisfied with the procedure after 5 years. […] A new procedure now available is called the LINX Reflux Management System. This is performed using the same minimally invasive technique as the Nissen, however it is much less complex.

• #1 Acid Reflux Treatment Mansfield | GERD Treatment

  https://www.methodisthealthsystem.org/methodist-mansfield-medical-center/medical-services/heartburn-treatment-center/treatment-for-gerd/

  The procedure takes approximately 30 minutes and the hospital stay is overnight. Full activity and a normal diet are resumed immediately. Reflux is stopped in most patients but the side effects are minimal. […] Transoral Incisionless Fundoplication (TIF) , is a procedure where the poorly functioning lower esophageal sphincter is reconstructed using an endoscopic approach. This procedure reconstructs the sphincter from the inside of the esophagus using a highly specialized instrument and therefore avoids any abdominal incisions. […] Suitability for the TIF procedure is determined during the Heartburn Treatment Center diagnostic evaluation.

• #1 Gastroesophageal Reflux Disease Treatment & Management: Approach Considerations, Lifestyle Modifications, Pharmacologic Therapy

  https://emedicine.medscape.com/article/176595-treatment

  Lifestyle modifications are the first line of management in pregnant women with GERD. Advise patients to elevate the head of the bed; avoid bending or stooping positions; eat small, frequent meals; and refrain from ingesting food (except liquids) within 3 hours of bedtime. […] H2 receptor antagonists are the first-line agents for patients with mild to moderate symptoms and grades I-II esophagitis. […] PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. […] The FDA approved vonoprazan (Voquezna), a potassium-competitive acid blocker, in 2023 for treatment and maintenance of erosive esophagitis. […] Prokinetic agents are somewhat effective but only in patients with mild symptoms; other patients usually require additional acid-suppressing medications, such as PPIs.

• #1 Gastroesophageal Reflux Disease Treatment & Management: Approach Considerations, Lifestyle Modifications, Pharmacologic Therapy

  https://emedicine.medscape.com/article/176595-treatment

  Treatment of gastroesophageal reflux disease (GERD) involves a stepwise approach. The goals are to control symptoms, to heal esophagitis, and to prevent recurrent esophagitis or other complications. The treatment is based on (1) lifestyle modification and (2) control of gastric acid secretion through medical therapy with antacids or PPIs or surgical treatment with corrective antireflux surgery. […] Approximately 80% of patients have a recurrent but nonprogressive form of GERD that is controlled with medications. Identifying the 20% of patients who have a progressive form of the disease is important, because they may develop severe complications, such as strictures or Barrett esophagus. For patients who develop complications, surgical treatment should be considered at an earlier stage to avoid the sequelae of the disease that can have serious consequences.

• #1 Heartburn & Acid Reflux | Causes, Symptoms & Treatment | Guts UK

  https://gutscharity.org.uk/advice-and-information/symptoms/heartburn-and-reflux/

  What treatments are available for Heartburn & Acid Reflux? Most treatments revolve around lifestyle changes as your symptoms are likely to lessen if you take measures to reduce the amount of reflux that you have. For example, stopping smoking and drinking less alcohol can all make a big difference to the discomfort you experience. […] There are also a variety of medicines you can buy at your local pharmacy to help lessen your reflux symptoms. […] The most effective therapies are Proton Pump Inhibitors (PPI) in managing the symptoms of heartburn and reflux. These are remarkably safe and among the most commonly taken medicines worldwide. There is a slightly increased risk of bowel infections while taking them but no other proven side effects from long term consumption. Your doctor may initially prescribe up to 8 weeks of a PPI depending on the severity of your reflux and how quickly the symptoms reduce.

• #1 Heartburn & Acid Reflux | Causes, Symptoms & Treatment | Guts UK

  https://gutscharity.org.uk/advice-and-information/symptoms/heartburn-and-reflux/

  It is recommended that PPIs are taken for the shortest time at the lowest dose. So your doctor may advise coming off the medication. If your symptoms return the doctor may adjust your dose to the lowest effective dose to manage your symptoms. Exceptions to this are those patients who have confirmed (at endoscopy) to have severe gastro-oesophageal reflux disease, an oesophageal stricture or Barrett’s oesophagus. Speak to your GP, Pharmacist, Endoscopist or Gastroenterology Specialist they will be able to discuss with you any concerns you have regarding your acid medication.

• #1 Gastroesophageal Reflux Disease (GERD) | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/digestion-and-metabolic-health/gastroesophageal-reflux-disease-gerd.html

  If surgery is your best option for GERD symptom relief, our gastrointestinal specialists try to use minimally invasive surgical techniques to provide effective treatment. […] Our surgeons are experienced in advanced laparoscopic and other surgical techniques, including: […] Stanford researchers actively participate in the latest clinical trials for GERD. Currently, we’re exploring a new device, EndoStim, and an injectable substance, both of which may help prevent acid reflux from occurring. […] At Stanford, our gastrointestinal specialists offer several ways to effectively manage GERD symptoms and treat the underlying cause of the condition. Your doctor may first recommend lifestyle and dietary changes, followed by certain medications if those changes do not work. Depending on your specific needs, our specialists may recommend minimally invasive and traditional surgical treatment options if other therapies are not effective.

• #1 Management of Gastroesophageal Reflux Disease | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/1001/p1311.html

  The goals of radiofrequency heating of the gastroesophageal junction (Stretta procedure) and endoscopic gastroplasty (endocinch procedure) are to reduce medication use, improve quality of life, and decrease reflux symptoms in patients who have GERD, without the costs and risks associated with conventional antireflux surgery.

• #1

  https://www.hcafloridahealthcare.com/specialties/gastroenterology/heartburn-and-reflux

  Reflux, also known as acid reflux, occurs when stomach acid travels back up the esophagus and into the mouth. Heartburn, a burning sensation in the chest, is a symptom of reflux. Treatments for reflux range from lifestyle changes to surgery. […] You may find yourself needing to constantly take medication and battle the symptoms of heartburn and indigestion. […] At our digestive health centers, they work together to provide you with a streamlined and comprehensive approach to your care. […] Our gastroenterology services include comprehensive GI diagnostics. Using these tests, your doctor can better understand your heartburn and reflux symptoms and their effects on your body. […] Often, over-the-counter medications, dietary changes and lifestyle changes can help control or limit the symptoms associated with GERD. However, if lifestyle changes and noninvasive treatments do not relieve your symptoms, surgery may be an effective option.

• #1 Acid Reflux | Baylor Scott & White Health

  https://www.bswhealth.com/conditions/acid-reflux

  In many cases, symptoms of GERD can be relieved through home remedies, like diet and lifestyle changes, as well as quitting smoking, avoiding overeating, losing weight and decreasing alcohol intake. GERD is also treated with prescription medications or sometimes surgery, depending on its severity. We’ll help decide which from diet modification and medication therapy to surgery is best for you. […] Treatment plans for patients will be determined by their care team based on age, medical history, type of GERD and personal preferences. Options for GERD treatment may include: […] At the Heartburn and Acid Reflux Center at Baylor Scott White Clinic Round Rock 302 University, we’ve developed a comprehensive approach for the diagnosis and treatment of acid reflux, combining highly skilled physicians and the latest technology to provide effective solutions.

• #1 Gastroesophageal reflux disease and heartburn Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/report/gastroesophageal-reflux-disease-and-heartburn

  Gastroesophageal reflux disease (GERD) is a condition in which gastric contents and acid flow up from the stomach into the esophagus (food pipe) due to poor stomach emptying, poor valve function, and problems with the esophagus. […] The hallmark symptoms of GERD may occur several times per day and include: Heartburn. A burning sensation in the chest and throat. […] Early diagnosis and treatment is best in order to avoid complications such as changes in the esophagus that can lead to cancer. […] Long-term use of PPIs has been linked to an increased risk of hip, wrist, and spine fractures. […] Medication Warnings […] Acid suppression continues to be the mainstay for treating GERD that does not respond to lifestyle changes and treatment. […] Most cases of gastroesophageal reflux (GER) are mild and can be managed with lifestyle changes, over-the-counter medications, and antacids.

• #1 GERD Acid Reflux: Its Definition, Causes & Treatments

  https://www.verywellhealth.com/gerd-acid-reflux-11697899

  Untreated GERD may cause long-term problems with the esophagus (ulcers or scarring), increase the risk of esophageal cancer, and lead to tooth decay. Effective treatments are available for GERD. […] Making some changes in daily living can help avoid symptoms in some cases. For the most part, changes can be made at home, with the support of a healthcare provider, if needed. These include: Avoiding foods that cause symptoms, Raising the head and upper back 6 to 8 inches (such as with a wedge pillow) when lying down or sleeping, Seeking treatment for overweight or obesity, Stopping smoking. […] There are both prescription and over-the-counter medications for GERD. Some options are available both over-the-counter and as a prescription. Medications include: Antacids (Tums, Maalox, Rolaids, or Mylanta), Baclofen (a prescription muscle relaxant), Bismuth subsalicylate (Pepto-Bismol), H2-receptor blockers such as nizatidine (prescription), Zantac 360 or Pepcid AC (famotidine), Tagamet (cimetidine), Proton pump inhibitors (PPIs), such as Nexium (esomeprazole), Prevacid (lansoprazole), and Prilosec (omeprazole), Prokinetic agents (prescriptions that stimulate the movement of food through the digestive tract).

• #2 Heartburn: What It Feels Like, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9617-heartburn-overview

  Heartburn is treatable. […] You can treat occasional heartburn at home with over-the-counter (OTC) medications and lifestyle adjustments. But for frequent heartburn, you might need prescription medications. Medications reduce the acid coming out of your stomach into your esophagus. But they dont fix the original problem with your lower esophageal sphincter. If medications dont work, you might need additional treatment. […] Heartburn is treatable. In the best-case scenario, you may be able to manage it by making some diet and lifestyle adjustments and keeping some antacids handy for occasional use. If you need them, long-term prescription medications are also very effective for acid reflux. Functional disorders can be trickier to manage, but with persistence and a combination of different therapies, they often improve over time.

• #2 9 home treatments for gastroesophageal reflux disease (GERD) – Harvard Health

  https://www.health.harvard.edu/newsletter_article/9-ways-to-relieve-acid-reflux-without-medication

  If you’ve been having repeated episodes of heartburn or any other symptoms of acid reflux you might try the following: […] When the stomach is very full, there can be more reflux into the esophagus. […] People with acid reflux were once instructed to eliminate all but the blandest foods from their diets. […] But there are still some foods that are more likely than others to trigger reflux, including: mint, fatty foods, spicy food, tomatoes, onions, garlic, coffee, tea, chocolate, alcohol. […] If you eat any of these foods regularly, you might try eliminating them to see if doing so controls your reflux, and then try adding them back one by one. […] They make you burp, which sends acid into the esophagus. […] When you’re standing, or even sitting, gravity alone helps keeps acid in the stomach, where it belongs.

• #2 Gastroesophageal Reflux Disease (GERD) Home Remedies

  https://www.healthline.com/health/gerd/home-remedies

  By limiting or avoiding these triggers, you may experience fewer symptoms. You may also want to keep a food journal to help identify problem foods. […] Eating smaller meals puts less pressure on the stomach, which can prevent the backflow of stomach acids. […] The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends elevating your head with pillows to avoid nighttime heartburn. […] First, the American Academy of Family Physicians recommends low fat, high protein meals. Reducing dietary fat intake can decrease your symptoms while getting enough protein and fiber will keep you full and prevent overeating. […] If you smoke and have heartburn or GERD, quitting smoking can help your condition. […] The following herbs have been used for GERD: chamomile, licorice, marshmallow, slippery elm.

• #2 Gastroesophageal reflux disease (GERD) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/gerd/diagnosis-treatment/drc-20361959

  Medicines that block acid production and heal the esophagus. These medicines known as proton pump inhibitors are stronger acid blockers than H-2 blockers and allow time for damaged esophageal tissue to heal. Nonprescription proton pump inhibitors include lansoprazole (Prevacid), omeprazole (Prilosec OTC) and esomeprazole (Nexium). […] Prescription-strength treatments for GERD include: […] Prescription-strength proton pump inhibitors. These include esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (Aciphex) and dexlansoprazole (Dexilant). […] Although generally well tolerated, these medicines might cause diarrhea, headaches, nausea or, in rare instances, low vitamin B-12 or magnesium levels. […] Prescription-strength H-2 blockers. These include prescription-strength famotidine and nizatidine. Side effects from these medicines are generally mild and well tolerated.

• #2 Gastroesophageal Reflux Disease Treatment & Management: Approach Considerations, Lifestyle Modifications, Pharmacologic Therapy

  https://emedicine.medscape.com/article/176595-treatment

  Lifestyle modifications are the first line of management in pregnant women with GERD. Advise patients to elevate the head of the bed; avoid bending or stooping positions; eat small, frequent meals; and refrain from ingesting food (except liquids) within 3 hours of bedtime. […] H2 receptor antagonists are the first-line agents for patients with mild to moderate symptoms and grades I-II esophagitis. […] PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. […] The FDA approved vonoprazan (Voquezna), a potassium-competitive acid blocker, in 2023 for treatment and maintenance of erosive esophagitis. […] Prokinetic agents are somewhat effective but only in patients with mild symptoms; other patients usually require additional acid-suppressing medications, such as PPIs.

• #2 Heartburn & Acid Reflux | Causes, Symptoms & Treatment | Guts UK

  https://gutscharity.org.uk/advice-and-information/symptoms/heartburn-and-reflux/

  It is recommended that PPIs are taken for the shortest time at the lowest dose. So your doctor may advise coming off the medication. If your symptoms return the doctor may adjust your dose to the lowest effective dose to manage your symptoms. Exceptions to this are those patients who have confirmed (at endoscopy) to have severe gastro-oesophageal reflux disease, an oesophageal stricture or Barrett’s oesophagus. Speak to your GP, Pharmacist, Endoscopist or Gastroenterology Specialist they will be able to discuss with you any concerns you have regarding your acid medication.

• #2

  https://www.hcafloridahealthcare.com/specialties/gastroenterology/heartburn-and-reflux

  In these cases, we offer specialized surgical options, including Nissen fundoplication and transoral incisionless fundoplication (TIF). […] If your gastroenterologist suggests GERD surgery, they will discuss with you which option will be effective for your unique condition. […] Our teams will be with you throughout your surgical experience from preoperative care to recovery to ensure you feel secure and well-informed throughout your treatment. […] By working collectively and collaboratively, our GI doctors, abdominal surgeons and abdominal pain specialists provide you with excellent, multidisciplinary GI services.

Zobacz więcej