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Suggest treatment for GERD

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Posted on Thu, 24 Jul 2014
Question: Hi,

My Mom is suffering from GERD disease kindly tell how this can be treated. Also provide the treatment and provide the hospitals for surgery in XXXXXXX
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Answered by Dr. Deepak Kishore Kaltari (47 minutes later)
Brief Answer:
Medical management should be tried

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Mr XXXXXXX

Surgery is the last resort for management of GERD.

Initially Medical treatment is given for sufficient time, if the individual does not respond to medical treatment surgery can be considered.

Following is the protocol for management of GERD

1. Detailed History and assessment 99 symptoms

2. Investigation: To document presence of Gerd and assess the severity.
Barium swallow, Endoscopy and 24 hour ph study is to be done.

Medical management include

1. PROTON PUMP INHIBITORS & GASTRIC MOTILITY INCREASING DRUG

2. Avoiding following: Caffeine, carbonated beverages, oily food and spicy food

3. Frequent small quantity meals

4. Avoid sleeping or lying immediately after food

5. Regular exercise and weight reduction


Ideally medical management is tried for 1 to 1 1/ 2 years.

Following are indication for Surgery

1. Individual is not compliant with medication
2. Failure of medical management
3. Reflux Oesophagus stricture
4. Life threatening apnea and prolonged airway hyper reactivity

It would be very helpful if you could discuss the issues with your physician. Surgery should be last resort


Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak XXXXXXX
MBBS, MS, MCh
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

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Suggest treatment for GERD

Brief Answer: Medical management should be tried Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Mr XXXXXXX Surgery is the last resort for management of GERD. Initially Medical treatment is given for sufficient time, if the individual does not respond to medical treatment surgery can be considered. Following is the protocol for management of GERD 1. Detailed History and assessment 99 symptoms 2. Investigation: To document presence of Gerd and assess the severity. Barium swallow, Endoscopy and 24 hour ph study is to be done. Medical management include 1. PROTON PUMP INHIBITORS & GASTRIC MOTILITY INCREASING DRUG 2. Avoiding following: Caffeine, carbonated beverages, oily food and spicy food 3. Frequent small quantity meals 4. Avoid sleeping or lying immediately after food 5. Regular exercise and weight reduction Ideally medical management is tried for 1 to 1 1/ 2 years. Following are indication for Surgery 1. Individual is not compliant with medication 2. Failure of medical management 3. Reflux Oesophagus stricture 4. Life threatening apnea and prolonged airway hyper reactivity It would be very helpful if you could discuss the issues with your physician. Surgery should be last resort Do get back to me if you need any further assistance, will be glad to assist you. Take care Best regards Dr Deepak XXXXXXX MBBS, MS, MCh