Saudi Arabia
A 31-year-old male asked:
I have a (gerd) and i'm suffering, i i have made three endoscope all dr said you can't make a surgery !now i eat nexium (esomeprazole) 40 mg tow time a day useless.?
2 doctor answers • 4 doctors weighed in
Dr. David Earleanswered
General Surgery 33 years experience
Treatment: Treatment for gerd includes lifestyles changes, medication, endoscopic therapy, and surgical therapy. There are some tests required to make sure you are a candidate for endoscopic or surgical treatment. You should see a general surgeon with significant experience treating gerd surgically for a consultation.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
Dr. Shaban Faruquianswered
Specializes in Gastroenterology
Need w/u confirm GER: You should see Gi to confirm that your symptoms are from acid reflux.Recognizing nonerosive reflux (NERD) as a distinct presentation of GERD was one of the most important developments in the field of GERD in the last decade. NERD disorder accounts for the majority of the GERD patients and those who failed PPI Rx. Esophageal impedance + pH has led to the assessment of other forms of GER -NERD
Created for people with ongoing healthcare needs but benefits everyone.
163 viewsReviewed >2 years ago
Dr. Shaban Faruqui commented
Specializes in Gastroenterology
Provided original answer
Furthermore, due to the close relationship between GERD and body mass index ,BMI, it is highly likely that the prevalence of GERD will closely follow the increase in BMI that is expected in the future.. NERD and erosive esophagitis clearly diverge when it comes to response to antireflux treatment. NERD patients have a significantly lower response rate to proton pump inhibitor therapy.
Jun 23, 2019
Last updated Jun 26, 2019
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