Acid Reflux and GERD: When Heartburn Becomes Something More

by | Sep 15, 2025 | Premier Surgical Cleveland

Almost everyone experiences heartburn from time to time, but when it happens twice a week or more, it may be a sign of Gastroesophageal Reflux Disease (GERD). GERD affects about 30-40% of American adults and, if left untreated, can seriously impact quality of life. At Premier Surgical Cleveland, our specialists provide advanced treatment options, including minimally invasive surgery, for patients whose reflux does not improve with lifestyle changes or medication.

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What Is GERD?

Normally, a small valve between the esophagus and stomach opens to allow food through, then closes to keep stomach acid from coming back up. In GERD, this valve doesn’t work properly, allowing acid to reflux—or backwash—into the esophagus. This causes the burning sensation many people call heartburn.

Symptoms of GERD

While heartburn is the most common symptom, GERD can cause many other problems, including:

  • Hoarseness or sore throat
  • Frequent swallowing or throat clearing
  • Chest pain or discomfort
  • Asthma-like symptoms
  • Trouble sleeping lying down
  • Persistent cough
  • Burning in the mouth or throat
  • Bloating and food intolerance
  • Dental erosion or gum disease resistant to therapy

If these symptoms persist, it’s important to seek medical evaluation to prevent long-term damage to the esophagus.

The Role of Hiatal Hernia

A hiatal hernia often worsens GERD symptoms. This occurs when the opening in the diaphragm that allows the esophagus to pass into the stomach becomes too large, allowing part of the stomach to bulge into the chest. In some cases, repairing a hiatal hernia is part of antireflux surgery.

Traditional Treatments

The first step in managing GERD is usually lifestyle changes and medications. Commonly prescribed drugs include:

  • H2 blockers (Pepcid, Tagamet, Zantac)
  • Proton Pump Inhibitors (PPIs) (Nexium, Prilosec, Protonix)

While these medications can reduce symptoms, they don’t fix the underlying valve dysfunction. Over time, medications may lose effectiveness, and studies suggest long-term PPI use may be linked to risks such as higher incidence of hip fractures, especially in women.

For patients with chronic GERD that doesn’t respond to medication, antireflux surgery may be recommended.

Advanced Surgical Options

Nissen Fundoplication
This procedure recreates the valve between the esophagus and stomach by wrapping the upper portion of the stomach around the lower esophagus. It is usually performed laparoscopically or robotically, which means small incisions, less pain, and quicker recovery. Patients typically return to work within a few weeks.

Lasting Relief Is Possible

GERD is more than just heartburn—it’s a chronic condition that can disrupt daily life and damage your esophagus if left untreated. If dietary changes and medications haven’t brought you relief, it may be time to explore advanced treatment options.

📞 Call Premier Surgical Cleveland, Tennessee at (423) 472-5423 or schedule a consultation online to learn more about GERD treatment options for you.

Don’t let reflux control your life—effective, lasting solutions are available.