Gastroesophageal Reflux Disease (GORD) is a condition in which stomach acid and other contents of the stomach flow back into the esophagus, causing irritation and inflammation. The most effective treatment for GORD is a combination of lifestyle changes, medications, and, in some cases, surgery.
Lifestyle changes are the primary treatment for GORD. These include avoiding foods that trigger reflux, such as spicy, fatty, or acidic foods; avoiding lying down right after eating; and avoiding beverages that may cause reflux, such as alcohol, coffee, and carbonated beverages. Eating smaller meals and elevating the head of the bed can also help reduce symptoms.
Medications are often used to reduce the symptoms of GORD. Over-the-counter antacids can be taken on an as-needed basis. Proton pump inhibitors (PPIs) and H2 receptor blockers can be taken daily to reduce the amount of acid in the stomach. In some cases, prokinetics can be used to help strengthen the lower esophageal sphincter, which helps keep stomach contents from entering the esophagus.
Surgery may be necessary for severe cases of GORD that do not respond to lifestyle changes and medications. Surgery involves wrapping the upper portion of the stomach around the lower portion of the esophagus to form a tight valve that prevents stomach contents from flowing back into the esophagus.
GORD can be a difficult condition to manage, and it is important to work with your doctor to find the best treatment approach. A combination of lifestyle changes, medications, and, if necessary, surgery, can be effective in managing the symptoms of GORD.