Acid Reflux / GERD

Acid reflux occurs when the lower esophageal sphincter (LES), a muscular valve between the stomach and esophagus, does not close properly. This allows stomach acid to move upward into the esophagus, causing irritation of the lining.

When reflux symptoms occur frequently (two or more times per week) and persist over time, the condition is diagnosed as gastroesophageal reflux disease (GERD).

Symptoms of GERD vary in severity and may include:

• Heartburn or burning sensation in the chest

• Regurgitation of food or sour liquid

• Difficulty swallowing (dysphagia)

• Chest discomfort

• Chronic cough or hoarseness

• Sensation of a lump in the throat

• Excessive burping or bad breath

Persistent symptoms should be evaluated by a specialist to prevent potential complications such as inflammation or narrowing of the esophagus.

GERD may be associated with:

• Weak or relaxed lower esophageal sphincter

• Obesity or excess abdominal pressure

• Hiatal hernia

• Pregnancy

• Smoking, alcohol, or caffeine consumption

• Certain medications (e.g., NSAIDs, sedatives)

• Overeating or lying down soon after meals

• Genetic and lifestyle factors

Accurate diagnosis is essential for effective treatment. Evaluation may include:

• Upper endoscopy (EGD): Examines the esophagus and stomach for inflammation or damage

• 24-hour pH monitoring: Measures acid exposure in the esophagus

• Esophageal manometry: Assesses muscle function of the esophagus and LES

• Barium swallow X-ray: Identifies structural abnormalities such as hiatal hernia

Results from these investigations help guide the appropriate treatment plan.

GERD treatment is based on symptom severity, diagnostic findings, and response to initial therapy.

1. Lifestyle and Dietary Management

Initial management often includes:

• Maintaining a healthy body weight

• Avoiding trigger foods (spicy, fatty, acidic foods, caffeine)

• Eating smaller meals

• Avoiding lying down for at least 2–3 hours after eating

• Elevating the head of the bed

• Avoiding smoking and alcohol

2. Medical Treatment

Medication-based therapy may include:

• Antacids: Neutralize stomach acid

• H2 blockers: Reduce acid production

• Proton pump inhibitors (PPIs): Decrease acid secretion and allow healing

• Prokinetics: Improve gastric emptying and LES function

Medication choice depends on symptom severity and clinical findings.

Surgery may be considered for patients with persistent symptoms despite medical therapy or those with complications of GERD.

Surgical options include:

• Laparoscopic Nissen fundoplication: Strengthens the LES by wrapping the upper stomach around the esophagus

• LINX procedure: Placement of a magnetic ring to support LES closure

• Hiatal hernia repair: Corrects anatomical causes of reflux

All procedures are performed laparoscopically where appropriate, supporting faster recovery and reduced surgical trauma.

Choosing acid reflux treatment in Dubai offers patients several key advantages:

• Permanent relief from heartburn and acid reflux
• Improved digestion and reduced inflammation
• Minimally invasive techniques for quicker recovery
• Better sleep and quality of life
• Lower risk of complications such as ulcers or Barrett’s esophagus
• Personalized care tailored to your symptoms and medical history

With advanced technology and expert bariatric and gastrointestinal surgeons, Dubai has become a trusted destination for comprehensive GERD management.

Surgical treatment may be appropriate if:

• Symptoms persist despite long-term medication

• GERD affects sleep, diet, or daily activities

• Complications such as esophagitis or Barrett’s esophagus are present

• Patients prefer an alternative to long-term medication use

Suitability for surgery is determined through clinical assessment and diagnostic testing.

In patients with obesity, bariatric surgery such as gastric bypass or sleeve gastrectomy may help reduce GERD symptoms by lowering abdominal pressure and acid production. Combined evaluation allows for selection of the most appropriate treatment approach.

The cost of GERD treatment varies depending on:

• Diagnostic tests required

• Type of treatment (medical, endoscopic, or surgical)

• Surgeon or specialist expertise

• Hospital and anesthesia fees

• Post-treatment follow-up care

A personalized cost estimate is provided after clinical evaluation.