Reflux (GERD)

Many patients complain of GERD. Remember that treatment and diagnostic steps include the following: 

1. Weight loss plan if overweight. 
2. Avoid eating within 3 hours of bed time or lying flat (especially fatty foods and alcohol). 
3. Diaphragm breathing exercises (https://www.coberhernia.com/other-services). 
4. No smoking or other inhalational agents. 
5. A short trial of PPIs or H2 blockers (e.g. Omeprazole over the counter for 2-4 weeks). 

If symptoms persist or there are risk factors for esophageal cancer (e.g. history for smoking, alcohol, or symptoms such as dysphagia), an esophagram with barium would be warranted which can also evaluate for a hiatal hernia. If indicated, we can also perform biopsies and direct visualization with an EGD. Sometimes reflux does go on to require surgery and we can offer the full spectrum of procedures including endoscopic techniques.