GERD & Acid Reflux — treatment in Lahore
Also known as: Acid Reflux Disease · Chronic Heartburn · GORD · Gastro-Oesophageal Reflux Disease
Gastroesophageal Reflux Disease (GERD) is a chronic condition in which stomach acid frequently flows back into the esophagus, causing heartburn and, if untreated, lasting damage to the esophageal lining.
Overview
Persistent acid reflux is more than discomfort — left untreated, it can damage the esophagus. We diagnose the cause, calm the symptoms, and protect the lining for the long term.
Signs & symptoms of GERD & Acid Reflux
If you recognize one or more of these, it may be worth a consultation:
- Frequent heartburn (twice a week or more)
- Sour or bitter taste in the mouth
- Regurgitation of food
- Difficulty swallowing
- Chronic cough or hoarseness
- Chest discomfort after meals
Causes & risk factors
Several factors can contribute to GERD & Acid Reflux. Identifying yours guides the treatment plan.
- Weak or relaxed lower esophageal sphincter (LES)
- Hiatal hernia
- Obesity and increased abdominal pressure
- Pregnancy
- Smoking and alcohol
- Late-night meals or large portions
- Trigger foods: spicy, fatty, citrus, chocolate, caffeine, mint
- Certain medications (NSAIDs, calcium-channel blockers, some anti-anxiety drugs)
How GERD & Acid Reflux is diagnosed
We order tests selectively — only what changes the plan.
- Upper GI endoscopy
- 24-hour pH monitoring (when indicated)
- H. pylori testing
Treatment options
Treatment for GERD & Acid Reflux is personalized — the right plan depends on your symptoms, test results, and life situation.
- 1 Lifestyle changes (head-of-bed elevation, weight reduction, late-meal avoidance)
- 2 Proton-pump inhibitors (PPIs) for 4–8 weeks initially
- 3 H2 blockers as adjunct or for mild symptoms
- 4 H. pylori eradication when present
- 5 Upper GI endoscopy if alarm symptoms or treatment failure
- 6 Anti-reflux surgery in selected refractory cases
GERD is highly treatable. Most patients achieve full symptom control with lifestyle changes and short-term PPI therapy. Untreated long-term GERD can lead to Barrett's esophagus and rarely esophageal cancer — early treatment matters.
Can GERD & Acid Reflux be prevented?
Simple, evidence-based steps that reduce your risk.
- Avoid eating within 3 hours of lying down
- Lose excess weight if BMI is elevated
- Identify and avoid your personal trigger foods
- Quit smoking; minimize alcohol
- Sleep with the head of the bed raised 6–8 inches
- Eat smaller, more frequent meals
When should you see a doctor about GERD & Acid Reflux?
Reach out without delay if you notice any of the following.
- Heartburn more than twice a week
- Symptoms not relieved by over-the-counter antacids
- Difficulty swallowing or food sticking
- Unexplained weight loss
- Vomiting blood or black/tarry stools
- Chronic cough or hoarse voice
Frequently asked questions about GERD & Acid Reflux
Is GERD the same as heartburn? +
Heartburn is a symptom — the burning sensation behind the breastbone. GERD is the chronic disease that causes it. Occasional heartburn after a heavy meal is not GERD; symptoms two or more times a week likely are.
Can GERD be cured permanently? +
GERD is usually a chronic condition, but most patients can become symptom-free with treatment and lifestyle changes. A subset of patients with hiatal hernia or refractory disease may benefit from anti-reflux surgery, which can provide a more permanent solution.
Are PPIs safe to take long term? +
PPIs are well-studied and safe for most patients when used appropriately. Long-term use is associated with small increased risks of certain infections, nutrient deficiencies (B12, magnesium, calcium), and bone fractures. We use the lowest effective dose and review the need every 6–12 months.
What foods should I avoid with GERD? +
Common triggers include spicy food, fatty meals, citrus, tomato-based dishes, chocolate, caffeine, peppermint, alcohol, and carbonated drinks. Triggers vary by person — a 2-week food diary often reveals your specific list.
Can GERD cause cancer? +
Long-standing untreated GERD can lead to Barrett's esophagus, a precancerous change in the esophageal lining. The cancer risk is small but real, which is why we recommend endoscopic surveillance for patients with chronic GERD plus risk factors.
Related services
How we treat GERD & Acid Reflux at Javaid Poly Clinic.
Useful self-check tools
Free, evidence-based — try them before your visit.
Dr Usman Javaid
Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.
This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.
Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of GERD & Acid Reflux or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.