Q: What is GERD and how would I know if I had it?

A: It is Gastroesophageal Reflux Disease. Transient relaxation of the esophageal sphincter, which is located at the bottom of the esophagus, causes contents of the stomach to enter into the esophagus. The most common symptom is heartburn or a burning like sensation in the chest. Sometimes regurgitation occurs, most commonly within 60 minutes after eating, especially after consuming a large or fatty meal. Symptoms are usually worse when a person lies down or bends over.

Q: How can I prevent this from happening?

A: Numerous studies have shown that smoking cessation, decreasing fat intake, attaining a healthy weight (for overweight persons) and avoiding lying down for 3 hours after a meal are helpful in reducing discomfort. Elevation of the head of the bed at night can also decrease the lower esophagus acid exposure. You can also avoid certain foods including chocolate, tomato-based foods, alcohol, peppermint, caffeinated products, citrus fruits and drinks. Avoiding onions and garlic can also reduce symptom occurrence.

Q: I’ve done all that and my symptoms are better but not completely gone. What else can be done?

A: You can try taking other-the-counter antacids such as Rolaids, Tums or Maalox. You may also try a two week trial of Prilosec. If the symptoms still persist after following these measures it would be advisable to see a health care provider.