Persistent heartburn symptoms can lead to Barrett’s esophagus which is a precursor to esophageal cancer. Gastroesophageal reflux disease,commonly referred to as GERD, is a condition in which the acidic juices in your stomach splash back into your esophagus (“acid reflux”), irritating the esophageal lining. This burning sensation is also called heartburn. Persistent GERD symptoms or new onset of acid reflux symptoms should always be evaluated with a thorough consultation and examination by a physician or acid reflux doctor for an accurate diagnosis and to exclude other causes. Persistent heartburn symptoms can lead to Barrett’s esophagus which is a precursor to esophageal cancer. Our NYC Gastroenterologists and GERD specialists at our offices commonly evaluate and treat this condition.
★ ★ ★ ★ ★I came in for a consultation for an issue I’ve been having with my stomach for about 2 months. Dr. Yakubov was very kind, informative and made me feel at ease about my current situation. He really took his time to explain to me what the issue could be and answered all of my questions and concerns. The office is very beautiful and clean as well.
What Is GERD?
Gastroesophageal reflux disease (GERD) is a digestive dysfunction affecting the lower esophageal sphincter (LES), a bundle of muscles between the stomach and the esophagus. There are many people who suffer from symptoms of heartburn or acid indigestion that are caused by GERD. Your esophagus transfers food from your mouth to your stomach. It has two sphincters, one at the top in your throat and one at the bottom where it connects to your stomach. Normally, the lower esophageal sphincter (or LES) maintains a strong grip, allowing the one-way flow of food into your stomach. If the LES weakens or doesn’t close properly, however, the digestive enzymes and acid in your stomach can escape back up into your esophagus.
Your gastroenterologist can help diagnose the condition and place you on the correct medication or prescribe lifestyle modification as needed.Many people experience acid reflux symptoms after eating certain foods. In these instances, over-the-counter medications may work well to temporarily calm the symptoms of GERD such as a burning throat. Your gastroenterologist or GERD doctor can help diagnose the condition and place you on the correct medication or prescribe lifestyle modification as needed.
What Are the Symptoms of Acid Reflux?
Other GERD symptoms involve unexplained chest pain, symptoms of shortness of breath, chest pain or radiating arm pain. These can be signs of a heart problem and you should seek immediate medical attention and call 911. More worrisome symptoms include difficulty swallowing, unexplained weight loss and blood in the stool and others which should be immediately evaluated.
Your GERD symptoms should be evaluated with a thorough consultation and examination by a physician or GERD specialist in NYC for an accurate diagnosis and acid reflux treatment plan and to excluded any other conditions. Chronic GERD symptoms can result in Barrett’s esophagus which is a precursor to esophageal cancer and can be diagnosed with upper endoscopy.
What Causes Acid Reflux and the symptoms of Heartburn?
Gastroesophageal reflux disease occurs when the muscle between your stomach and esophagus (the LES) weakens. There are many causes of acid reflux, most of them are lifestyle-related and include obesity, pregnancy, diabetes, cigarette smoking, asthma, alcohol abuse, and consuming certain foods and beverages such as:
- Carbonated beverages
- Citrus drinks, including juices
- Fatty foods
- Tomato-based products
Another possible cause is the presence of a hiatal hernia, which allows part of your stomach to move past your diaphragm into your chest. Not everyone with a hiatal hernia will experience GERD symptoms, but the hernia makes the disease more likely to occur. Heartburn is a symptom of GERD and is the result of the acid refluxing back into the esophagus.
How Is GERD Diagnosed?
An upper endoscopy allows your gastroenterologist or acid reflux specialist to visually detect any damage to your esophageal lining. If necessary, they can take a tissue biopsy for further testing. Your gastroenterologist will decide based on your consultation if this test will be part of the work-up and if may need additional tests for our top GERD doctors to make an accurate diagnosis.
During the endoscopy, our heartburn doctors use an endoscope, a small tube with a light at the end, to examine your esophagus and stomach, as well as the upper portion of your small intestine, called the duodenum. pH testing can also be a valuable part of the workup. pH testing allows for us to measure the amount of acid in your esophagus. Our top GERD doctors in NYC can perform this test by either attaching a small sensor in your esophagus during an endoscopy or placing a thin, flexible probe into your esophagus. The probe or sensor transmits its information to a small device you wear on your belt and can provide valuable information.
How to Treat GERD?
Acid reflux symptoms sometimes disappear on their own if you reduce or eliminate certain dietary or lifestyle excesses. In addition to avoiding the foods and beverages listed above, you also can follow these tips to treat your heartburn symptoms:
- Avoid eating within three hours of bedtime
- Maintain a healthy weight
- Prop up the head of your bed four to six inches
- Quit cigarette smoking
Our gastroenterologists encourage you to make an office visit with our heartburn specialist in NYC for an evaluation and examination for an accurate diagnosis and to determine if further evaluation is necessary or to evaluate if screening for barrett’s esophagus is indicated.
Over-the-counter medications decrease acid production in your stomach and are safe and suitable for treating mild cases. Other medications, called proton pump inhibitors, are also effective for treating your symptoms of GERD while helping your body heal. These medications block certain acid production in your stomach. Medication management should be guided by the advice of your gastroenterologist. Advanced endoscopic procedures or surgery are considered for certain cases. If the NYC gastroenterologist recommends surgery, an operation known as fundoplication is an option. This procedure wraps part of your stomach around the lower end of your esophagus to strengthen the barrier between your esophagus and stomach. Other surgical and endoscopic options are also available for difficult to treat patients and can be discussed during your consultation.
Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a GI doctor about your specific condition. Only trained, experienced gastroenterologists like our GERD doctors can determine an accurate diagnosis and proper heartburn treatment.
As best in class NYC gastroenterologists, our heartburn doctors provide highly personalized and comprehensive care.For more information about the GI conditions we treat including Heartburn / GERD Treatment or to schedule a consultation with one of our GI doctors, please contact our Union Square/Chelsea, Midtown or Upper East Side NYC offices.
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