What are the treatment options for GORD?

1. Life Style Changes
Changing diet, small dry meals and taking over-the-counter antacids can reduce the frequency and the severity of the symptoms. Losing weight, reducing or eliminating smoking and alcohol consumption, and altering eating and sleeping patterns can also help.

2. Medical Treatment
The easiest way to treat reflux symptoms is to block acid production in the stomach. In most cases, acid irritation causes the symptoms. Acid can be blocked by using several medications. More than half of all patients get better with acid-suppression therapy. Many physicians will treat a patient who has reflux with acid suppression for about two months before pursuing other treatment.

3. Surgery (Laparoscopic Fundoplication)
Laparoscopic (keyhole) fundoplication is very effective in correcting gastro-oesophageal reflux by repairing the lax stomach valve that is allowing acid to back up into the oesophagus.

Indications:
  • Need for lifelong medical therapy
  • Severe reflux-induced mucosal damage
  • Symptoms that do no improve on medical therapy
  • Return of symptoms upon stopping medical therapy
  • Volume reflux (regurgitation of food and burning in the throat)
  • The patient is unwilling or unable to take medication regularly for a prolonged time.