A gastroenterologist specializes in diagnosing and treating conditions that affect the digestive system, including the esophagus, stomach, and intestines. Knowing when to seek specialized care for GERD (Gastroesophageal Reflux Disease) is fundamental for long-term relief and prevention of complications. Here’s more information on when to see a gastroenterologist for GERD:
Signs and Symptoms of GERD
GERD presents with various symptoms that can affect your daily life. Recognizing these signs helps you determine when medical attention is necessary. Common symptoms include:
- Heartburn: A burning sensation in the chest, often after eating or when lying down.
- Regurgitation: Acid or food backing up into your throat or mouth.
- Difficulty swallowing: A feeling of food stuck in your throat or chest.
- Chest pain: Discomfort that may mimic heart-related issues.
- Chronic cough: A persistent cough, especially at night.
- Hoarseness: Changes in your voice or throat irritation.
- Asthma-like symptoms: Wheezing or breathing difficulties.
Some people experience mild discomfort, while others face severe, daily symptoms that disrupt their routines.
Specialist Visits for GERD
You should consult a gastroenterologist if your symptoms persist despite lifestyle changes or over-the-counter medications. A digestive health specialist can provide a thorough evaluation and develop a treatment plan tailored to your needs. Seek professional help if you experience symptoms more than twice per week. Frequent episodes suggest that GERD may be progressing and requires medical intervention.
Certain symptoms require immediate medical attention. Severe chest pain, especially if accompanied by shortness of breath or arm pain, may indicate a heart problem and requires emergency care. Difficulty swallowing that worsens over time can signal complications. Unexplained weight loss, persistent vomiting, or blood in your stool or vomit are red flags that need prompt evaluation by a GI doctor.
GERD Diagnosis and Evaluation
A gastroenterologist uses various methods to accurately diagnose GERD. The process begins with a detailed medical history and physical examination. Your doctor will ask about your symptoms, their frequency, and any factors that worsen or improve them.
If your symptoms suggest GERD, your gastroenterologist may recommend diagnostic tests. An upper endoscopy (EGD) allows the doctor to examine your esophagus, stomach, and upper small intestine using a thin, flexible tube with a camera. An esophageal pH monitoring test measures acid levels in your esophagus over 24 hours. Esophageal manometry evaluates how well your esophagus moves food to your stomach and measures the strength of your lower esophageal sphincter.
Treatment Plans and Lifestyle Adjustments
Treatment for GERD involves a combination of lifestyle changes and medications. Your gastroenterologist will recommend an approach based on the severity of your condition. Here are some lifestyle modifications to manage symptoms:
- Dietary changes: Avoid trigger foods like minty dishes, citrus fruits, caffeine, and fatty foods.
- Meal timing: Eat smaller meals and avoid eating within three hours of bedtime.
- Weight management: Maintaining a healthy weight reduces pressure on your stomach.
- Sleeping position: Elevate the head of your bed by six to nine inches.
- Smoking cessation: Smoking weakens the lower esophageal sphincter and increases acid production
- Alcohol reduction: Limiting alcohol intake helps prevent reflux episodes
Your gastroenterologist may prescribe medications if lifestyle changes alone don’t provide relief. Proton pump inhibitors (PPIs) reduce stomach acid secretion and help the esophagus heal. H2 blockers also decrease acid production but work differently from PPIs. In severe cases, surgical procedures like fundoplication may be necessary to strengthen the lower esophageal sphincter.
Consult a Trusted Gastroenterologist Today
GERD is a manageable condition when properly diagnosed and treated. Recognizing the symptoms and knowing when to seek professional help can prevent complications and improve your well-being. If you experience persistent heartburn, difficulty swallowing, or other concerning symptoms, contact a board-certified gastroenterologist near you to schedule your consultation today.