Gastroesophageal Reflux Disease (GERD) Center

The Gastroesophageal Reflux Disease (GERD) Center at Phyathai Hospital is dedicated to addressing the growing prevalence of GERD, a condition often linked to lifestyle habits such as eating patterns, sleeping routines, and other behaviors. If left untreated, GERD can lead to serious complications, including esophageal stricture and, in severe cases, esophageal cancer.

Understanding GERD

GERD occurs when stomach acid flows back into the esophagus, causing chronic acid reflux. This can damage the esophagus, leading to inflammation, bleeding, and narrowing. Over time, persistent irritation can alter the esophageal lining, increasing the risk of esophageal cancer.

Causes of GERD

- Malfunction of the lower esophageal sphincter.

- Alcohol consumption and smoking.

- Certain foods and medications.

- Overweight and obesity.

- Stress.

- Abnormal esophageal or gastric motility.

Symptoms Indicating GERD

Esophageal and Throat Symptoms:

- Difficulty or pain during swallowing.

- Sore throat, phlegm, or constant throat irritation, especially in the morning.

- Chest and epigastric burning pain.

- Frequent burping, nausea, or a feeling of food or acid backing up into the throat.

- Bitter or sour taste in the mouth.

Non-Esophageal Symptoms:

- Bad breath, tooth sensitivity, or decay.

- Chronic cold, persistent hoarseness, or voice changes.

- Chronic cough, choking on saliva, or nighttime breathing difficulties.

- Worsening asthma, chest pain, or recurring pneumonia.

Confirming GERD Diagnosis

Given that gastrointestinal symptoms can overlap with other conditions, accurate diagnosis may require additional tests:

- Esophageal Manometry: Measures esophageal muscle function.

- Esophageal pH Monitoring: Assesses acid reflux levels.

- Gastroscopy: Endoscopic examination of the esophagus and stomach.

Managing GERD Through Lifestyle Adjustments

1. Behavioral and Lifestyle Changes:

- Avoid stress, quit smoking, and wear loose clothing.

- Maintain a healthy weight and avoid lying down or exercising immediately after meals.

2. Dietary Changes:

- Opt for low-fat foods and avoid triggers like fried foods, chocolate, and caffeine.

- Eat moderate portions and avoid overeating.

3. Sleeping Habits:

- Elevate the head of the bed to reduce nighttime symptoms.

Medication for GERD

Approximately 90% of GERD patients can manage their symptoms with medication. It is crucial to:

- Take medication as prescribed and attend follow-up appointments.

- Avoid self-medicating, as some drugs can exacerbate GERD symptoms.

Surgical Treatment for GERD

For patients who do not respond to medication or prefer not to take long-term medication, surgery is an option. Fundoplication surgery corrects the lower esophageal sphincter, addressing the root cause of GERD. Pre-surgical assessments determine patient eligibility for the procedure.

At the GERD Center, we are committed to helping patients manage GERD effectively, prevent complications, and improve their quality of life through accurate diagnosis, appropriate treatment, and lifestyle modifications.

The GERD Center at Phyathai Hospital offers comprehensive care for GERD, including diagnosis with tests like esophageal manometry and pH monitoring. Services focus on lifestyle modifications, medication management, and surgery, such as fundoplication, to prevent complications and enhance patient well-being.