An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and for 1 last update 2020/01/19 the beginning of your small intestine (duodenum).
An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum).
Your doctor might be able to diagnose GERD based on a physical examination and history of your signs and symptoms.
To confirm a diagnosis of GERD, or to check for complications, your doctor might recommend:
- Upper endoscopy. Your doctor inserts a thin, flexible tube equipped with a light and camera (endoscope) down your throat, to examine the inside of your esophagus and stomach. Test results can often be normal when reflux is present, but an endoscopy may detect inflammation of the esophagus (esophagitis) or other complications. An endoscopy can also be used to collect a sample of tissue (biopsy) to be tested for complications such as Barrett''s threaded through your nose into your esophagus, or a clip that''acces-list-container rc-list''t experience relief within a few weeks, your doctor might recommend prescription medication or surgery.
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The options include:
- Antacids that neutralize stomach acid. Antacids, such as Mylanta, Rolaids and Tums, may provide quick relief. But antacids alone won''t act as quickly as antacids, but they provide longer relief and may decrease acid production from the stomach for up to 12 hours. Stronger versions are available by prescription.
- Medications that block acid production and heal the esophagus. These medications — known as proton pump inhibitors — are stronger acid blockers than H-2-receptor blockers and allow time for damaged esophageal tissue to heal. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24 HR) and omeprazole (Prilosec OTC, Zegerid OTC).
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- Prescription-strength H-2-receptor blockers. These include prescription-strength famotidine (Pepcid), nizatidine and ranitidine. These medications are generally well-tolerated but long-term use may be associated with a slight increase in risk of vitamin B-12 deficiency and bone fractures.
- Prescription-strength proton pump inhibitors. These include esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), rabeprazole (Aciphex) and dexlansoprazole (Dexilant). Although generally well-tolerated, these medications might cause diarrhea, headache, nausea and vitamin B-12 deficiency. Chronic use might increase the risk of hip fracture.
- Medication to strengthen the lower esophageal sphincter. Baclofen may ease GERD by decreasing the frequency of relaxations of the lower esophageal sphincter. Side effects might include fatigue or nausea.
Surgery and other procedures
GERD can usually be controlled with medication. But if medications don''acces-list-container rc-list''s Surgery
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or for 1 last update 2020/01/19 manage this disease. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.
Lifestyle and home remedies
Lifestyle changes may help reduce the frequency of acid reflux. Try to:
- Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus.
- Stop smoking. Smoking decreases the lower esophageal sphincter''t elevate your bed, you can insert a wedge between your mattress and box spring to elevate your body from the waist up. Raising your head with additional pillows isn''t lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
- Eat food slowly and chew thoroughly. Put down your fork after every bite and pick it up again once you have chewed and swallowed that bite.
- Avoid foods and drinks that trigger reflux. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
- Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter.
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In addition to the questions that you''t hesitate to ask questions during your appointment anytime you don''s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Jan. 17, 2017. AskMayoExpert. Gastroesophageal reflux disease (GERD) (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. Schwaitzberg SD. Surgical management of gastroesophageal reflux in adults. http://www.uptodate.com/home. Accessed Jan. 17, 2017. Townsend CM Jr, et al. Gastroesophageal reflux disease and hiatal hernia. In: Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Jan. 17, 2017. Kahrilas PJ. Complications of gastroesophageal reflux in adults. http://www.uptodate.com/home. Accessed Jan. 17, 2017. Kahrilas PJ. Medical management of gastroesophageal reflux in adults. http://www.uptodate.com/home. Accessed Jan. 17, 2017. Vakil NB. Antiulcer medications: Mechanism of action, pharmacology, and side effects. http://www.uptodate.com/home. Accessed Jan. 17, 2017. Zak Y, et al. The use of LINX for gastroesophageal reflux. Advances in Surgery. 2016;50:41. Licorice. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/databases/food,-herbs-supplements/professional.aspx?productid=881. Accessed Jan. 17, 2017. German chamomile. Natural Medicines. https://naturalmedicines.therapeuticresearch.com/databases/food,-herbs-supplements/professional.aspx?productid=951. Accessed Jan. 17, 2017. Rakel D. Gastroesophageal reflux disease. In: Integrative Medicine. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Jan. 17, 2017. Ravi K, et al. Esophageal impedance monitoring: Clinical pearls and pitfalls. American Journal of Gastroenterology. 2016;111:1245. Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Jan. 24, 2017.