Reflux and Surgery
Symptoms of Gastro-Oesophageal Reflux Disease (GORD) include heartburn, regurgitation and difficulty swallowing. If left untreated, it can lead to more serious problems such as oesophagitis, strictures, and Barrett's oesophagus. Other problems may include vomiting, persistent cough, laryngitis, hoarse voice, chest pain and dental issues. It's important to seek medical attention if you experience persistent reflux symptoms to prevent complications.
Reflux surgery is a procedure that aims to treat GORD. Reflux surgery is usually recommended for patients who do not respond to other treatments.
To prevent contents in the stomach (e.g. food and acid) refluxing back into the oesophagus, the top part of the stomach called the fundus is wrapped ("plicated") around the lower portion of the oesophagus. This creates an anti-refluxing valve.
Fundoplication has been shown to be effective in alleviating the symptoms of GORD and improving quality of life for patients.
Hiatus Hernia
A hiatus hernia is when a part of the stomach or sometimes the whole stomach and other abdominal contents (e.g. bowel) rise up into the chest through the diaphragm.
This can cause reflux symptoms including chest pains and shortness of breath. Hiatus hernia surgery is performed to restore the anatomy and repair the opening in the diaphragm to prevent this from happening again. Often a fundoplication is also performed at the same time.
Medications
Proton pump inhibitors (PPIs) are medications used to treat acid reflux and related conditions. They work by reducing the amount of acid produced by the stomach, which can help relieve symptoms such as heartburn, regurgitation, and acid brash. PPIs are available by prescription and over-the-counter, and generally considered safe when used as directed.
Antacids are medications that help to neutralise stomach acid and relieve symptoms of heartburn, acid reflux, and indigestion. They work by reducing the acidity of the stomach contents, which can help to alleviate the discomfort. Antacids are available over-the-counter and can be a helpful in managing digestive issues.
Lifestyle
Lifestyle modifications can be an effective way to manage reflux symptoms. Some changes you can make include avoiding trigger foods, eating smaller meals, and not lying down immediately after eating. Additionally, losing weight and quitting smoking can help alleviate the symptoms.