Gastroesophageal reflux disease

GERD occurs when a weakened lower esophageal sphincter allows stomach acid to escape upward, leading to painful irritation and long-term tissue inflammation, Left unmanaged, frequent flare-ups can disrupt sleep, daily nutrition, and overall comfort, Through advanced endoscopic diagnostics and tailored medical therapies, our gastroenterology team focuses on resolving persistent symptoms and safeguarding long-term digestive health.

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Overview

About Gastroesophageal reflux disease

Gastroesophageal reflux disease (GERD) is a digestive condition in which stomach contents repeatedly flow back into the esophagus, causing irritation and recurring symptoms. It is more persistent than occasional acid reflux and may require medical treatment when symptoms become frequent or affect daily life.

Common acid reflux symptoms include heartburn, regurgitation, chest discomfort, difficulty swallowing, and chronic cough. Symptoms may worsen after meals, when bending over, or while lying down.

Early assessment can help confirm the diagnosis, rule out other digestive conditions, and guide the most appropriate GERD treatment. At University Hospital Sharjah, our Gastroenterology team provides specialist-led evaluation, advanced endoscopic diagnostics, and personalized care for reflux and other digestive disorders.

Symptoms & Related Concerns

Heartburn

A burning sensation behind the breastbone that may rise toward the throat.

Acid Regurgitation

Stomach contents or acid may travel back into the throat or mouth.

Difficulty Swallowing

Swallowing may feel uncomfortable, painful, or as though food is becoming stuck.

Chest Discomfort

Some patients experience chest pain or pressure associated with reflux.

Persistent Cough

Reflux may contribute to chronic coughing or throat irritation.

Hoarseness

Repeated acid exposure may affect the throat and voice.

When to Consult a Doctor

Consider seeing a gastroenterologist in Sharjah if:

Heartburn or acid reflux occurs frequently or is getting worse.
Symptoms are affecting sleep or daily activities.
You have difficulty or pain when swallowing.
Food feels as though it is getting stuck.
Symptoms do not improve with lifestyle changes or over-the-counter treatment.
You develop persistent vomiting, unexplained weight loss, or signs of gastrointestinal bleeding.

Causes & Risk Factors

PRIMARY CAUSES

  • Reduced lower esophageal sphincter function
  • Hiatal hernia
  • Delayed stomach emptying
  • Increased pressure within the abdomen
  • Certain medications
  • Pregnancy

RISK FACTORS

  • Overweight or obesity
  • Pregnancy
  • Smoking or secondhand smoke exposure
  • Certain medications
  • Large or late meals
  • Lying down shortly after eating
  • Individual food or drink triggers

Diagnosis & Assessment

1

Gastroenterology Consultation

Review of symptoms, frequency of reflux, eating habits, medications, medical history, and previous treatments.

2

Clinical Assessment

Evaluation of symptom patterns and any warning signs such as difficulty swallowing, bleeding, persistent vomiting, or unexplained weight loss.

3

Upper Gastrointestinal Endoscopy

An upper endoscopy may be used to examine the esophagus and stomach and identify inflammation, narrowing, ulcers, or other conditions. UHS provides upper gastroscopy as part of its gastroenterology services.

4

Reflux Testing When Needed

Esophageal pH monitoring may be recommended to measure acid exposure and help confirm GERD, particularly when symptoms are unclear or do not improve with treatment.

Treatment & Care Options

Lifestyle & Dietary Management

Care may include avoiding personal food triggers, maintaining a healthy weight, stopping smoking, avoiding meals close to bedtime, and adjusting sleeping position when recommended.

Acid-Reducing Medications

Treatment may include antacids for mild symptoms, H2 blockers, or proton pump inhibitors (PPIs) to reduce stomach acid and support healing of the esophagus.

Management of Persistent GERD

Patients with ongoing symptoms may require medication adjustment, further testing, or assessment for complications such as esophagitis or narrowing of the esophagus.

Procedural or Surgical Treatment

In selected patients with persistent GERD despite appropriate medical treatment, anti-reflux procedures or surgery may be considered after specialist evaluation.
GERD treatment is individualized according to symptom severity, underlying cause, response to previous treatment, and any complications.

UHS Approach

At University Hospital Sharjah, our Gastroenterology team provides personalized GERD care supported by specialist assessment, advanced endoscopy, evidence-based treatment, and coordinated digestive health management.

Experienced Gastroenterologists
Advanced Endoscopic Diagnostics
Personalized GERD Care

Frequently Asked Questions

What is the main cause of gastroesophageal reflux disease?
GERD commonly develops when the lower esophageal sphincter becomes weak or relaxes when it should remain closed, allowing stomach contents to move back into the esophagus. Other factors, such as obesity, pregnancy, smoking, certain medications, and hiatal hernia, may contribute.
Which foods can trigger gastroesophageal reflux disease?
Food triggers vary between individuals. Commonly reported triggers may include fatty meals, spicy foods, chocolate, caffeine, acidic foods, and certain carbonated drinks.
Rather than avoiding every possible trigger, patients may benefit from identifying which foods consistently worsen their own heartburn or reflux symptoms.
How can I avoid acid reflux?
Measures that may help include:
Avoiding meals shortly before lying down
Maintaining a healthy weight
Stopping smoking
Eating smaller meals
Identifying and limiting personal food triggers
Elevating the upper body during sleep when recommended
What treatment options are available for gastroesophageal reflux disease?
Treatment may include lifestyle changes, acid-reducing medicines such as H2 blockers or PPIs, and specialist procedures or surgery in selected cases.
The most appropriate GERD treatment depends on symptom severity, diagnostic findings, and how well the patient responds to initial therapy.
What are the dangers of untreated acid reflux?
Long-standing GERD may lead to complications such as inflammation of the esophagus, narrowing caused by scar tissue, or Barrett’s esophagus in some patients. Persistent symptoms should therefore be medically evaluated rather than repeatedly self-treated.

Ready to take the next step?

Frequent heartburn, persistent acid reflux, difficulty swallowing, or symptoms that interfere with sleep and daily activities should not be ignored. Book an appointment with the Gastroenterology team at University Hospital Sharjah for a personalized GERD assessment and treatment plan.