HEARTBURN/GERD

GERD is a disorder of the digestive system in which the lower esophageal sphincter does not function properly.  The sphincter lies between the lower end of the esophagus where it opens into the stomach. This causes the backflow of contents of the stomach into the esophagus which irritates the esophageal lining.

Find Out More About Heartburn and G.E.R.D.

What is GERD?


GERD is a disorder of the digestive system in which the lower esophageal sphincter does not function properly. The sphincter lies between the lower end of the esophagus where it opens into the stomach. This causes the backflow of contents of the stomach into the esophagus which irritates the esophageal lining.

Most of the people try to manage the condition with over-the-counter medications. If left untreated, GERD can cause following complications:

  • Barrett esophagus
  • Esophageal structure
  • Esophageal ulcer




What are the signs & symptoms of GERD?


A patient with GERD presents with certain characteristic symptoms:

  • A burning sensation in chest after meals.
  • The heartburn increases at night
  • Chest pain
  • Regurgitation of food
  • Difficulty swallowing
  • Chronic cough
  • Laryngitis
  • Feeling of a lump in throat




What are the causes of GERD?


Lower esophageal sphincter only opens to allow the passage of food from esophagus into stomach. It remains closed rest of the time. When the sphincter becomes weak, it remains partially open all the time allowing the gastric contents to flow back into esophagus causing heartburn. There are certain risk factors which increase the risk for GERD development.

  • Obesity
  • Hiatal hernia
  • Pregnancy
  • Delayed stomach emptying
  • Connective tissue disorders like scleroderma

Apart from risk factors, there are certain factors which aggravate the symptoms of GERD. These include:

  • Smoking
  • Eating large meals
  • Excess coffee, spicy food
  • eating late at night
  • Eating too much fatty food
  • Alcohol abuse
  • certain medications like aspirin




How do we diagnose GERD?


A proposed diagnosis of GERD is made on the basis of complete medical history of the patient and his thorough physical examination.

  • For a definitive diagnosis, following methods are used:
  • Upper endoscopy.
  • Ambulatory acid (pH) probe test
  • Esophageal manometry
  • X-ray of your upper digestive system




How do we treat GERD?


The first step in the treatment of GERD involves lifestyle and diet modification. Over-the-counter medications are also used. These medications include:

  • Antacids that neutralize stomach acid
  • known as H-2-receptor blockers to reduce acid production
  • proton pump inhibitors which reduce acid production as well as heals esophageal lining
  • the ENDOSOCPY may be needed

Other procedures including surgery are also used as follows:

  • Fundoplication
  • Stretta





At NYC Gastroenterology and Nutrition, we do expert diagnosis and treatment of GERD. If you would like to book an appointment, you can call us at 646-957-2989 or book an appointment online.

What Patients are saying:

Dr. Oliner is very thorough and seems genuinely interested in helping me with my health issues. Upon meeting him, I was immediately put at ease by his friendliness and ability to truly listen to what I had to say. I have had 3 appointments with him so far and, unlike many doctors, I do not dread going in to see him

Michael H.

Dr. Charles Oliner, MD - NYC Gastroenterologist

Address: 247 3rd Avenue, Suite 201, New York, NY 10010
Phone: 646-957-2989  |  Fax: 212-228-2142
Email: droliner@newyorkcitygastro.com

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