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A 35-year-old male asked:

If ppis and diet only help a little with heartburn and other gerd symptoms, can anything else be done besides surgery?

1 doctor answer6 doctors weighed in
Dr. Ankush Bansal
Internal Medicine 18 years experience
Yes: On diet, want to ensure cutting back drastically on caffeine, coffee, alcohol, fatty/fried foods, too much acidic or spicy foods (some good), red meats. Lose weight. Keep blood pressure and diabetes (if applicable) in control. Exercise daily. Stay sitting or standing at least 30 min after any meal. Sleep on a regular schedule. Control stress. These all help with GERD unless hiatal hernia present.
Dr. Faiz Shakir
Dr. Faiz Shakir commented
Gastroenterology 16 years experience
Agree with above but it sounds like he has already tried diet and lifestyle changes, which help to an extent. It is important to differentiate between gerd and nerd (nonerosive reflux disease) which consists of functional causes.
Oct 25, 2015

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