Understanding GERD Treatment Options
GERD, or gastroesophageal reflux disease, occurs when stomach contents repeatedly flow back into the esophagus. Symptoms may include heartburn, regurgitation, chest discomfort, chronic cough, throat irritation, or difficulty swallowing.
Treatment depends on the severity of symptoms, the presence of a hiatal hernia, prior surgery, medication response, and findings from diagnostic testing. A personalized plan may include:
- Lifestyle and nutrition changes, such as adjusting meal timing, portion size, trigger foods, and sleep position
- Acid-reducing medication when recommended by a qualified clinician
- Upper endoscopy, imaging, pH testing, or other evaluation when symptoms persist or warning signs are present
- Minimally invasive anti-reflux surgery for appropriately selected patients
For some patients with persistent GERD, a significant hiatal hernia, or inadequate symptom control despite appropriate medical treatment, laparoscopic Nissen fundoplication may be considered. This procedure repairs the hiatal hernia when present and reinforces the valve between the esophagus and stomach.
Learn more about laparoscopic Nissen fundoplication.
JourneyLite evaluates each patient individually. A consultation can help determine whether continued medical management, additional testing, or surgical treatment is the most appropriate next step.