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.

Treatment

• 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

• 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.

Reinforcement

• GERD may be treated with a surgical procedure called Nissen fundoplication which is used to tighten the lower esophageal sphincter and prevent reflux.

Barrier

• 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

• 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

• 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.