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Gastroesophageal Reflux Disease (GERD)

Diagnosis, symptoms, and treatment methods.

General Information About Reflux

Gastroesophageal reflux is a chronic digestive system disease caused by the backward flow of stomach acid and contents into the esophagus due to the relaxation of the lower esophageal sphincter. It presents with heartburn and regurgitation of bitter fluid into the mouth. In our Gastroenterology clinic, after an endoscopic evaluation, it is treated with acid-suppressing medications or anti-reflux surgery (fundoplication).

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Reflux?

It is the backflow of burning acid and digestive fluids from the stomach upwards into the esophagus as a result of the muscular valve (sphincter) at the junction of the esophagus and stomach failing to perform its duty properly.

What Causes It?

Obesity, hiatal hernia, pregnancy, smoking/alcohol consumption, and the habit of eating right before going to bed are the most common causes that relax the stomach valve and lead to reflux.

What are the Symptoms?

Severe burning (heartburn) felt behind the rib cage and rising toward the throat, regurgitation of bitter/sour fluid into the mouth, belching, chronic dry cough, and hoarseness.

Does It Carry a Risk of Cancer (Barrett's Esophagus)?

Yes. Reflux that goes untreated for years burns the cells at the lower end of the esophagus, causing them to undergo changes (Barrett's Esophagus). This condition is a very important precursor lesion that paves the way for esophageal cancer.

How is it Diagnosed?

If the symptoms are typical, medication can be started immediately. However, an Endoscopy is performed to definitively observe the damage and detect a hiatal hernia. If necessary, a 24-hour acid (pH) measuring device is placed in the esophagus.

How is it Treated?

The first step is lifestyle changes (losing weight, sleeping with the head elevated, cutting out coffee/acidic foods). PPI (Stomach Protector) pills, which neutralize stomach acid, completely relieve the symptoms. If the valve is completely defective, a minimally invasive Nissen Fundoplication (wrapping the stomach around the valve) surgery is performed.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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