Personalized Gastroesophageal Reflux Disease Treatments Plan

GERD or Gastroesophageal reflux disease or Acid reflux is a very common digestive problem affection a significant percentage on Indian population. Unfortunately, it is increasing rapidly due to the stressful and unhealthy way of living of our urban culture. The good thing is that in majority the problem is kept well under control with changes in diet and lifestyle and a short duration of medications, as part of GERD and acid reflux treatment.
In a small number of unfortunate patients suffering from GERD and acid reflux, this problem leads to a long-term suffering affecting their diet, nutrition, sleep, mental health and overall quality of life. The routine short duration of Gastroesophageal reflux disease treatments is not sufficient for these patients. Many of them suffer despite optimum Acid reflux treatment while other become dependent on PPI antacid medications that are given as part of Gastroesophageal reflux disease treatment.
All such patients need help of an acid reflux specialist, who understand this problem who can evaluate the patient’s problem in detail and make a treatment plan. Surely, with a proper evaluation and a appropriate GERD acid reflux treatment plan, almost all patients can lead a normal healthy life.
Steps to Create a Successful Treatment Strategy for GERD and Acid Reflux

A thorough evaluation would include going into the details of the patient’s problems; since how long the patient suffering, what the specific symptoms, how effective has been the past treatment, is it affecting diet intake, nutrition, sleep, work, social life?
After understanding these aspects of the patient’s problems, we need to get some investigations to confirm that the patient is having GERD or Acid reflux and how severe is the gastroesophageal reflux. The investigations that are needed are an Upper GI endoscopy, Esophageal manometry, 24 hr pH Impedance study, some blood tests and in certain patients gastric emptying studies.
It is not just enough to get the test done, but is also necessary that these tests are done properly and their reports are interpreted by an expert. Because we routinely see patients who have got all these tests done in bits and pieces at different time at different hospitals, some of which are done by technicians and being reported in a casual manner. And finally, they are not giving enough information about the patient’s disease and thus making the reflux disease treatment difficult. My general advice to patients suffering from GERD and acid reflux is that you should bet all the test done at one hospital and try to get the treatment at the same place. This will improve your GERD acid reflux treatments outcome. Research well before you get the investigations about where you want to get your treatment done, and choose your Acid reflux specialist wisely.
Different Treatment Options for Gastroesophageal Reflux Disease Treatments (GERD)
1.Diet and lifestyle changes:
Following a healthy diet is the most integral part of reflux disease treatment. This not just means avoiding certain unhealthy food that can trigger acid reflux episodes. When to eat, in what quantity to eat, to eat is a relaxed state of mind and at a slow speed with proper chewing is also equally important in gastroesophageal reflux disease treatments.
2. Sleep and Stress management:
Disturbed sleep is a very common factor seen in patients with acid reflux. Poorly controlled symptoms of acid reflux even on reflux disease treatment affect patients sleep, with frequent episodes of awakening at night and finding difficulty to get back to sleep. And this poor sleep acts as a trigger of acid reflux in return. This makes a vicious cycle that reduces the effectiveness of reflux disease treatment.
All such patient’s need optimization of gastroesophageal reflux disease treatments to get a constant control of their symptoms along with medications to improve patients sleep. This combined strategy with improve the acid reflux symptoms as well as sleep, will help get patient back to normal health where all medications can be gradually stopped. In case the acid reflux is severe, such patina’s may need a laparoscopic fundoplication surgery as part of their GERD and acid reflux treatment.
Stress management by way or regular stress reliving breathing exercise is also very important part of reflux disease treatment, which unfortunately many patients ignore in spite of repeated counselling.
3. Medications:
Antacid medications like PPI (Pantoprazole, Rabeprazole, Omeprazole, Esmoprazole), H2 blocker (Ranitidine, Famotidine) are the main component of gastroesophageal reflux disease treatment. In majority of patients, few weeks of these medications is enough to solve their problems
Some patients having associated functional upper GI problems need additional medications like prokinetic medications (Domperidone, Itopride, levosulpiride) or neuromodulators (clinidium bromide, Amitriptyline, Escitalopram), laxatives (lactulose, Isabgol husk)
4. GERD and acid reflux surgery (Laparoscopic fundoplication surgery)
Laparoscopic fundoplication surgery is considered in patients who are having GERD since a long time (more than a year). And either are unable to stop medications or are having poor control of their problems even on medications. It should be done after thorough evaluation of GERD problem by an esophageal manometry and 24 hr pH Impedance study.
When done after proper evaluation and by an acid reflux specialist and followed by a good diet and lifestyle, this surgery is a very important part of GERD and acid reflux treatment in patient with complex acid reflux problems
Reasons to Only Choose us for GERD Acid Reflux Disease Treatments



ADROIT is a one stop solution for GERD, acid reflux and other digestive problems. We are among the pioneer in evaluation (esophageal manometry and 24 hr pH Impedance study) and GERD acid reflux treatments in India(medications, surgery, diet and stress management). We have a large experience of managing these problems and laparoscopic fundoplication. Treating these problems for more than a decade we are blessed with the love and trust of a large number of our happy and healthy patients. Under the guidance and leadership of our acid reflux specialist Dr Chirag Thakkar, we aim at improving the lives of all those suffering from GERD and acid reflux.
Dr Chirag Thakkar is a gastrointestinal surgeon. He has been carrying out gastrointestinal and weight loss surgery for the past 18 years. Surgery for GERD, hiatus hernia and Obesity are his core areas of interest and expertise.

Dr. Chirag Thakkar
Founder Director of ADROIT centre for Digestive and Obesity surgery
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