Persistent heartburn and a sour taste in the mouth often follow a heavy meal. However, daily symptoms indicate a chronic condition called gastro-oesophageal reflux disease (GORD). Acid reflux that won’t go away is more than a nuisance. It is a medical issue requiring a clear plan for diagnosis and treatment to prevent long-term damage.
Understanding why reflux persists
The digestive system relies on a muscular valve called the lower oesophageal sphincter (LOS). This valve acts as a gatekeeper. It opens to let food into the stomach and closes to keep acid down. Chronic symptoms happen when this valve fails to close properly.
Several physical factors cause this failure. For instance, a hiatus hernia occurs when the stomach protrudes through the diaphragm. This displacement stops the diaphragm from helping the LOS stay shut. Additionally, some patients suffer from delayed gastric emptying. Food stays in the stomach too long and increases upward pressure.
Weight also plays a role. Excess weight around the abdomen puts physical pressure on the stomach, forcing acid past the valve. Furthermore, smoking and certain medications relax the LOS muscle. Consequently, simple lifestyle changes may not stop the cycle of pain.
Diagnosis of chronic symptoms
To find the best solution, Dr Hussenbux uses specific tests to see exactly what happens inside the body. This evidence-based approach ensures the treatment fits the physical cause.
Gastroscopy
A gastroscopy assesses the state of the food pipe directly. Dr Hussenbux uses a thin, flexible tube with a camera to check for redness or inflammation. This test is essential to identify Barrett’s oesophagus. This condition occurs when cells change due to constant acid exposure. Identifying these changes early protects your long-term health.
Barium Swallow
A barium swallow is an X-ray examination of your gullet (oesophagus) and stomach. You will be asked to drink a white liquid called barium, which coats the lining of your digestive tract and shows up clearly on X-ray images. The radiologist may ask you to stand in different positions during the test. The procedure is painless and usually takes around 15–20 minutes.
pH monitoring
A Bravo pH study measures the frequency of reflux. Dr Hussenbux’ team attaches a small capsule to the lining of the food pipe to track acid levels over several days. This data shows exactly how often acid escapes. It also confirms if the acid correlates with your specific symptoms.
Oesophageal manometry
This test checks the pressure and movement of the food pipe muscles. It ensures the muscles push food down correctly. Moreover, it measures the resting pressure of the LOS valve. This information is vital if you are considering surgery.
Treatment and management
Treatment aims to reduce stomach acidity and repair the valve’s mechanical failure.
Initial steps and medication
The first line of defence involves Proton Pump Inhibitors (PPIs) like omeprazole. These drugs stop the pumps in the stomach lining from producing acid. While they reduce pain, they do not fix a weak valve. Dr Hussenbux reviews these medications to ensure you use the lowest effective dose.
Dietary adjustments
Small changes create a large impact. First, avoid large meals late at night. Lying down with a full stomach makes reflux likely. Second, identify triggers like caffeine, alcohol, and fatty foods. Finally, elevate the head of your bed to use gravity to keep acid down.
Advanced procedures
If medication fails or you want to avoid long-term drugs, several procedures help:
- Laparoscopic Nissen Fundoplication: Surgery wraps the top of the stomach around the lower food pipe to create a stronger valve.
- LINX device: A ring of magnetic beads sits around the valve. It opens for swallowing but snaps shut to stop acid.
- Stretta therapy: This non-surgical option uses radiofrequency energy to strengthen the LOS muscle.
Dr Hussenbux can help refer you to the appropriate surgeon for consideration of the above procedures.
Appointments for acid reflux that won’t go away
Ignoring acid reflux can lead to scarring and narrowing of the food pipe. It also increases the risk of cancer. Seeking a formal diagnosis ensures you treat the cause, not just the symptoms. If you suffer with regular bouts of reflux, get in touch to book an appointment with Dr Hussenbux in clinic today.