GERD (Acid Reflux)
Chronic reflux is often driven by more than excess acid. We evaluate sphincter tone, H. pylori, food triggers, and motility to address the underlying problem.
Symptoms
Heartburn, regurgitation, chest discomfort, chronic cough, hoarseness, and difficulty swallowing.
Causes and risk
Low stomach acid, H. pylori, hiatal hernia, food sensitivities, obesity, and delayed gastric emptying.
How it is evaluated
Symptom patterns, diet review, stool testing for H. pylori, and comprehensive digestive analysis.
Treatment
Dietary modifications, digestive enzymes, DGL licorice, H. pylori eradication, and careful acid-suppressor taper when appropriate.