How Long Does GERD Take to Heal?

By: Prof. Dr. Fazal Rehman Shamil | Last updated: February 3, 2024

Question: How Long Does GERD Take to Heal?

Answer:

  • The healing timeline for GERD varies, with some individuals experiencing immediate relief from symptoms within days to weeks of starting treatment.
  • Long-term management and lifestyle changes are usually necessary to maintain symptom control over the years.

 

AspectDescription
Introduction·        GERD which is commonly known as Gastroesophageal Reflux Disease.

·        It is chronic digestive disorder that involves the frequent backflow of stomach acid and sometimes, undigested food, into the esophagus.

Causes·        Weakening of the lower esophageal sphincter (LES) which causes stomach acid to flow upward.

·        Spicy foods

·        Obesity

·        Pregnancy

·        Smoking

·        Hiatal hernia

·        Certain medications

·        Genetics

·        Alcohol

Symptoms·        Heartburn

·        Regurgitation

·        Chest pain

·        Difficulty swallowing  or dysphagia

·        Sour taste in the mouth

·        Chronic cough

·        Hoarseness

Diagnosis·        Clinical Assessment: Based on symptoms, medical history, and risk factors.

·        Endoscopy: Visual examination of the esophagus using a thin tube with a camera (endoscope).

·        pH Monitoring: Measures acid levels in the esophagus over 24 hours.

·        Barium Swallow: X-ray with contrast dye to visualize the esophagus.

·        Esophageal Manometry: It is a swallowing test that measures esophageal muscle contractions.

Treatment·        Medications: Antacids, H2 blockers, Proton Pump Inhibitors (PPIs).

·        Surgery: For severe cases not responding to other treatments.

·        Lifestyle Changes: Elevating head during sleep, weight loss, avoiding trigger foods, smaller meals and quitting smoking.

Preventive measures·        Maintain a Healthy Weight as excess weight can contribute to GERD.

·        Avoid Trigger Foods such as fatty, fried, spicy, and acidic foods as well as caffeine and alcohol.

·        Eat Smaller Meals as it can reduce the pressure on the lower esophagus sphincter.

·        Quit Smoking because Smoking weakens the lower esophagus sphincter.

·        Keep your head elevated during sleep.

·        Avoid Late Meals and eat at least 2-3 hours before lying down on the bed.

Duration of Healing ·        Immediate relief from symptoms might be noticed within days to a few weeks after starting medication.

·        Complete healing process of esophagus inflammation can take several weeks to months.

Personal Factors·        Healing varies based on severity of the disease

·        Individual response to treatment

·        Underlying health status

Age-related risk groups for GERD·        Older Adults: As people age, the muscles including the LES can weaken, increasing the risk of reflux and GERD symptoms.

·        Infants and Children: GERD can occur in infants and children due to an immature digestive system, which may lead to spitting up and discomfort.

Long-Term Management·        Long term management of GERD involves ongoing lifestyle changes

·        Possible medication and regular follow-ups.

Complications risks associated with GERD·        Untreated GERD can lead to esophagitis

·        Barrett’s esophagus or increasing risk of cancer

·        Strictures (narrowing)

·        Respiratory issues due to acid aspiration