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GERD Awareness Week brings attention to one of the most common digestive issues affecting Americans today. To answer your most common questions about GERD and acid reflux, we spoke with Dr. Rishi Sharma, board-certified gastroenterologist at BASS Medical Group in Walnut Creek.
What Is GERD?
GERD (Gastroesophageal Reflux Disease) occurs when acid from the stomach flows back into the esophagus. Because the esophagus isn't built to withstand stomach acid, this reflux causes uncomfortable symptoms like:
- Heartburn
- Regurgitation
- Chest discomfort
- Trouble swallowing
Can My Diet Help Manage GERD?
Absolutely. Dr. Sharma notes that many patients can manage GERD without medication simply through diet changes.
Trigger foods include:
- Tomatoes and tomato-based products
- Spicy or acidic foods
- Caffeine and alcohol
- Fried or fatty foods
- Citrus fruits and juices
During the holidays or social events, these triggers are everywhere—so staying mindful is key.
Does Overall Health Impact GERD?
Yes. Obesity, diabetes, and even high cholesterol or blood pressure can increase GERD symptoms. According to Dr. Sharma, patients with central obesity ("a beer belly") are especially prone to reflux.
The good news: Losing weight can significantly reduce or even resolve symptoms.
How Is GERD Treated?
Dr. Sharma emphasizes that lifestyle changes are the first line of treatment. When needed, medication may be added, including:
- Antacids (e.g., Tums, Maalox) for short-term relief
- H2 blockers (e.g., Pepcid, Zantac)
- Proton pump inhibitors (e.g., Prilosec, Nexium, Protonix) for long-term acid suppression
Some patients may be candidates for surgical procedures to strengthen the esophageal valve and prevent reflux.
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Will GERD Go Away on Its Own?
Not likely. While diet and lifestyle changes can manage symptoms, long-term control is essential. Dr. Sharma warns that uncontrolled GERD can lead to Barrett’s Esophagus, a precancerous condition linked to esophageal adenocarcinoma.
Over time, GERD has contributed to the rise in esophageal cancer in the U.S.—making it critical not to ignore persistent symptoms.
Need Help with GERD?
If you're struggling with acid reflux, don't wait. Dr. Rishi Sharma and the BASS Medical Group's Gastroenterology Team are here to help with expert diagnosis and personalized treatment.
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