GERD: When Reflux Becomes Disease
Lifestyle measures often outperform medication in mild disease.
Dr. Yann Beaumont
Gastroenterologist
Heartburn after meals or lying down, acid regurgitation, sometimes chronic cough, hoarseness or asthma-like symptoms.
Lifestyle measures
- Weight loss if overweight
- Avoid late evening meals
- Raise the head of the bed
- Limit alcohol, tobacco, fatty meals, chocolate and coffee in sensitive individuals
Medication
Proton pump inhibitors heal oesophagitis effectively but should be used at the lowest effective dose. Long-term use without indication has been linked to minor risks (B12 deficiency, fractures, kidney injury).
Alarm features
Difficulty swallowing, weight loss, anaemia, vomiting blood — these warrant prompt endoscopy.
Step-down therapy: many patients can reduce or stop PPIs after symptom control with lifestyle measures.
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