HealthConnexion is located at #11-08

Gastroesophageal Reflux Disease (GERD)

What is Gastroesophageal Reflux Disease (GERD)?

Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), which is a ring of muscle between the esophagus and stomach. Also known as heartburn, it is a common condition that features a burning pain in the lower chest area. It happens when the lower esophageal sphincter (LES) weakens, allowing stomach acid to flow back up the esophagus, irritating the lining of the esophagus.

A common cause of this condition is a stomach abnormality called a hiatal hernia, which happens when the upper part of the stomach and LES (lower esophageal sphincter) move above the diaphragm. It can also be triggered by certain foods like spicy and fatty foods as well as conditions like anxiety, asthma and pregnancy.


What are the symptoms of GERD?

  • Difficulty in swallowing (Dysphagia)
  • Ear infections
  • Nausea
  • Sensation of a lump in the throat
  • Sore throat
  • Shortness of breath
  • Teeth erosion
  • Wheezing
  • A burning sensation in the chest

If you experience acid reflex at night, you may experience:

  • A persistant cought
  • Inflammation of your vocal cords
  • Asthma


What causes GERD?

GERD happens when acid gets past the valve at the bottom of your esophagus that usually keeps things from going back up, known as the lower esophageal sphincter (LES). 

Your LES is a circular muscle that relaxes when you swallow and closes agin to keep substances from coming back up. It also relaxes when you burp or have hiccups. Acid reflux happens when the LES weakens or relaxes enough to let acid pass. Things like lying down after a large meal may temporarily relax your LES. However if you have GERD, it means your LES is relaxing often. 

Some common causes of GERD includes hiatal hernia, which happens when the top of your stomach pushes up through the hole in your diaphragm, pregnancy, obesity, and smoking. 


What are the risk factors of GERD?

Factors that can increase your risk of GERD include:

  • Obesity
  • Pregnancy
  • Delayed stomach emptying
  • Connective tissue disorder, such as scleroderma

Factors that worsen acid reflux include:

  • Smoking
  • Eating heavy meals or eating late at night
  • Eating fatty, fried or spicy food
  • Drinking alcohol or coffee


How do I manage my acid reflux?

Here are some ways you can try to help manage acid reflux at home:

  • Eat smaller meals: Larger meals expands your stomach, stimulates your stomach to produce more acid, and puts pressure on your LES.
  • Have dinner earlier: Have dinner a few hours before lying down on your sofa or going to bed.
  • Quit smoking and drinking: Tobacco and alcohol weakens your LES and affects your stomach, making it more acidic and slowing your digestion time.


How is GERD diagnosed?

Barium Test
A Barium Test will be done to diagnose and detect a variety of abnormalities and problems in the digestive system.

Endoscopy
An endoscopy is done to investigate gastrointestinal disorders.

Esophageal manometry
An esophageal manometry test measures esophageal function and motility.

Associated Treatments

Gastroscopy Barium Test

Our Specialists

Dr. Chong Chern Hao

View Profile
Dr. Chia Chung King

View Profile
Dr. Chuah Sai Wei
蔡赛薇医生

View Profile