Who is Dr. B. Shruti Sagar?

Dr. B. Shruti Sagar is a Consultant Gastroenterologist and Hepatologist who consults in Kompally and Secunderabad, with over 10 years of experience in endoscopy, liver, and digestive disorders.

What treatments are available at Krisara Gastro & Liver Clinic?

Krisara Clinic provides services including ERCP, EUS, endoscopy under sedation, Fibroscan, and care for GERD, IBS, Fatty Liver, and Hepatitis.

Advanced Management of Acid Reflux and GERD

Gastroesophageal Reflux Disease (GERD) is more than just occasional heartburn. When stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus), the constant backwash can irritate the lining of your esophagus, leading to severe discomfort and long-term damage.

Moving Beyond Daily Antacids

For many patients, Over-The-Counter (OTC) antacids provide temporary relief but fail to address the root cause of GERD: a weakened lower esophageal sphincter (LES). Long-term reliance on strong acid suppressants like Proton Pump Inhibitors (PPIs) can also have side effects. Modern gastroenterology offers advanced, minimally invasive solutions that fix the structural issue without major surgery.

Innovative "No-Cut" Treatments

1. ARMA (Anti-Reflux Mucosal Ablation)

ARMA is an endoscopic treatment for patients who do not want surgery and need long-term management of chronic reflux. Using an endoscope, the doctor applies controlled thermal energy to the mucosa of the lower esophagus. As the tissue heals and scars, it tightens the esophageal sphincter, effectively preventing acid reflux.

2. GERDx (Endoscopic Fundoplication)

The GERDx system is another endoscopic procedure. It uses a specialized device delivered through the mouth to create a plication (a fold) at the gastroesophageal junction, reconstructing the anti-reflux barrier without making any surgical incisions on the abdomen.

Lifestyle Modifications

Regardless of medical intervention, lifestyle plays a crucial role in managing GERD:

Avoid Triggers: Limit spicy foods, citrus, tomatoes, chocolate, caffeine, and alcohol.

Meal Timing: Eat smaller meals and do not lie down within three hours of eating.

Elevation: Elevate the head of your bed by 6 to 8 inches to use gravity to prevent nighttime reflux.

If you are tired of daily medications and persistent heartburn, consult a specialist to see if you are a candidate for ARMA or GERDx.

Chest pain is not always reflux. Read Acid Reflux or Heart Pain? How to Tell the Difference before assuming heartburn.

Frequently Asked Questions

When should I see a doctor for heartburn?

If you experience heartburn more than twice a week, or if it interferes with your sleep or swallowing, you should consult a gastroenterologist immediately.

What are the long-term risks of untreated GERD?

Untreated chronic GERD can lead to esophagitis, strictures, and a precancerous condition called Barrett's esophagus.

Is GERD curable without surgery?

Yes. Advanced endoscopic treatments like ARMA and GERDx can tighten the esophageal valve internally without external surgical incisions.

Can I stop taking PPIs for acid reflux?

You should never stop PPIs abruptly. Advanced therapies like GERDx often allow patients to safely reduce or completely eliminate their dependence on daily antacids.

What foods trigger severe acid reflux?

Common triggers include caffeine, alcohol, spicy foods, chocolate, and high-fat meals, as they relax the lower esophageal sphincter.