If you're waking up with a bitter taste in your mouth or experiencing frequent chest pain, it might be more than just last night's dinner. Gastroesophageal Reflux Disease (GERD) happens when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
Recognizing the Symptoms
Many people experience acid reflux from time to time. However, when acid reflux happens repeatedly over time, it can cause GERD. Common signs and symptoms of GERD include:
- A burning sensation in your chest (heartburn), usually after eating, which might be worse at night or while lying down
- Backwash (regurgitation) of food or sour liquid
- Upper abdominal or chest pain
- Trouble swallowing (dysphagia) or sensation of a lump in your throat
ARMA: An Endoscopic Option
For decades, patients suffering from severe GERD had two main options: lifelong dependence on acid-suppressing medications (PPIs) or invasive anti-reflux surgery. Today, we offer an endoscopic alternative known as Anti-Reflux Mucosal Ablation (ARMA).
ARMA is an advanced, minimally invasive endoscopic procedure performed entirely through the mouth—without any external incisions. By carefully altering the mucosa (the inner lining) around the opening of the stomach, ARMA induces natural scar tissue formation. As this tissue heals and contracts, it naturally tightens the esophageal valve, restoring its function as a barrier against acid reflux.
The majority of our patients who undergo the ARMA procedure experience significant symptom relief and are able to safely discontinue their daily antacid medications. Because it is performed via endoscopy, patients benefit from a faster recovery time, fewer complications, and no visible scarring compared to traditional surgical methods.
Recovery and Dietary Adjustments Post-ARMA
Recovery from ARMA is significantly faster than traditional surgery. Most patients can return to work within 2-3 days. During the healing process, dietary adjustments are critical:
- Days 1-3: Clear liquid diet (broth, clear juices).
- Days 4-14: Full liquid and soft foods (yogurt, mashed potatoes).
- After 2 weeks: Gradual return to a normal diet, though it is advised to continue avoiding extreme GERD triggers like spicy foods, caffeine, and late-night meals.