What Are the Treatments for Common GERD?
GERD, or gastroesophageal reflux disease, occurs when stomach acid or bile backs up into the esophagus. Symptoms include trouble swallowing and a burning feeling in the chest. GERD can be treated with over-the-counter medicines, but prescription drugs or surgery may also be needed.
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Treatment
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Initial treatment of GERD includes over-the-counter medicines to neutralize stomach acid. These include antacids such as Tums, H-2-receptor blockers such as Pepcid AC, and proton pump inhibitors such as Prilosec OTC.
Prescriptions
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Prescription medicines used to treat GERD include H-2 receptor blockers such as Zantac, proton pump inhibitors such as Nexium, and medicines to strengthen the esophageal sphincter.
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Reinforcement
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GERD may be treated with a surgical procedure called Nissen fundoplication which is used to tighten the lower esophageal sphincter and prevent reflux.
Barrier
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EndoCinch endoluminal gastroplication is a surgical procedure in which a pair of stitches is placed near the weakened sphincter to block stomach acid from getting to the esophagus.
Scar Tissue
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The Stretta surgical procedure involves using electrode energy to heat esophageal tissue. This creates scar tissue and damages nerves that respond to refluxed acid.
Lifestyle/Alternatives
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Lifestyle changes such as avoiding foods that trigger heartburn, maintaining a healthy weight, and not smoking can help relieve GERD symptoms. Alternative treatments include acupuncture, relaxation techniques, and herbal remedies such as chamomile.
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