Gastroenterologist Questions Gastroenterologist

Can you fix GERD without medication?

I have GERD and want to treat it. Can you heal GERD without medication?

2 Answers

GastroenterologistGastroenterologist
If you have inflammation of the esophagus from GERD esophagitis, it may take a long time to heal it without medication such as omeprazole or famotidine. Here are some natural remedies that may speed up healing: https://www.tsmp.com.au/blog/best-natural-remedies-for-healing-esophagus-damage-after-acid-reflux.html#:~:text=Try%20Aloe%20Vera%20Juice,repair%20on%20the%20esophagus%20walls. But, honestly, taking medication such as Pepcid (famotidine) is very safe, it does not cause rebound increase in stomach acid as proton-pump inhibitors (i.e. omeprazole) sometimes can, and it will definitely speed up healing. It may be the middle road between nothing and proton pump inhibitors. Acid reflux i.e. GERD by itself cannot be "healed" but it can be effectively managed by: * Weight loss of ~10% of body weight * Avoiding certain medications that relax the sphincter (closing muscle) between esophagus and stomach. Here is a good list: https://www.hopkinsmedicine.org/health/wellness-and-prevention/gerd-diet-foods-that-help-with-acid-reflux-heartburn * Not eating for 3-4 hours before lying down. * Sleeping in a position with the head elevated on a wedge. https://www.sleepfoundation.org/best-pillows/best-wedge-pillow * Avoid certain medications that worsen reflux. https://www.mayoclinic.org/diseases-conditions/gerd/expert-answers/heartburn-gerd/faq-20058535 Best!
Yes, you can fix GERD with surgery (Nissen fundoplication) or with a newer technique called LINX. A surgeon can advise you better on this.