Expert Treatment for Gastroesophageal Reflux Disease (GERD) by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He examines your symptom history (heartburn, regurgitation, chest pain, cough), life-style variables (diet, smoking, alcohol), drug use, weight loss/gain and disease predispositions (hiatal hernia or pregnancy).
Upper Endoscopy (EGD)
A fine, narrow -scoped device is inserted in your esophagus and stomach area to identify the presence of inflammation, ulcers, strictures or Barrett in your esophagus.
24-Hour pH Monitoring
The acidsensing probe is inserted in the lower esophagus, which measures acid exposure in your entire day, which is matched with whatever symptoms you are experiencing.
Esophageal Manometry
This test is used to measure muscle contractile pressure and decordination of the esophagus muscles and to assess the adequacy of the lower esophageal sphincter.
Barium Swallow X-Ray
- After drinking a barium solution, X-rays visualize swallowing mechanics, detect strictures, hiatal hernias or motility disorders.
Additional Testing (if needed)
Some impaired cases of the non-acid reflux and explaining a complicated motility problem may be identified with the help of impairment monitoring or high-resolution manometry.
Frequently Asked Questions
What is the ICD-10 code for GERD?
K21.0 is used when GERD involves esophagitis, whereas K21.9 is selected when there is no esophagitis.
What medications work best?
The most effective long-term treatment includes proton pump inhibitors (PPIs) such as omeprazole. H₂ blockers and antacids can also be used depending on symptom severity.
Can GERD cause a cough?
Yes. Stomach acid can irritate the throat, leading to a persistent, dry cough.
How long should I take PPIs?
Most patients take PPIs for four to eight weeks. Dr. Pothuri will adjust the duration based on your response and recovery.
When is surgery needed?
Surgery may be recommended when lifestyle changes and medications fail to control symptoms or in cases of complications such as ulcers or strictures.
Is there long-term safety of these medications?
Generally yes, though long-term users may need periodic monitoring of bone density and vitamin B12 levels to prevent side effects.
Does GERD affect sleep?
Yes. Lying flat can worsen reflux. Elevating the head of the bed and avoiding late-night meals can help minimize nighttime symptoms.