{"id":5988,"date":"2025-12-14T02:04:43","date_gmt":"2025-12-13T22:04:43","guid":{"rendered":"https:\/\/gastroclinic.am\/?p=5988"},"modified":"2026-02-26T23:34:30","modified_gmt":"2026-02-26T19:34:30","slug":"gerd","status":"publish","type":"post","link":"https:\/\/gastroclinic.am\/en\/gerd\/","title":{"rendered":"Gastroesophageal reflux disease (GERD)"},"content":{"rendered":"\n<h2 data-start=\"2521\" data-end=\"2534\">Definition<\/h2>\n<p data-start=\"2535\" data-end=\"2673\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Gastroesophageal_reflux_disease\">Gastroesophageal reflux disease (GERD, acid reflux)<\/a> is a chronic condition characterized by the reflux of gastric contents into the esophagus, leading to symptoms and\/or mucosal injury.<\/p>\n<p data-start=\"2675\" data-end=\"2752\">The primary mechanism involves dysfunction of the lower esophageal sphincter.<\/p>\n<h2 data-start=\"2754\" data-end=\"2765\">Symptoms\u00a0of acid reflux<\/h2>\n<ul data-start=\"2766\" data-end=\"2880\">\n<li data-start=\"2766\" data-end=\"2779\">\n<p data-start=\"2768\" data-end=\"2779\">Heartburn<\/p>\n<\/li>\n<li data-start=\"2780\" data-end=\"2802\">\n<p data-start=\"2782\" data-end=\"2802\">Acid regurgitation<\/p>\n<\/li>\n<li data-start=\"2803\" data-end=\"2823\">\n<p data-start=\"2805\" data-end=\"2823\">Globus sensation<\/p>\n<\/li>\n<li data-start=\"2824\" data-end=\"2850\">\n<p data-start=\"2826\" data-end=\"2850\">Non-cardiac chest pain<\/p>\n<\/li>\n<li data-start=\"2851\" data-end=\"2880\">\n<p data-start=\"2853\" data-end=\"2880\">Chronic cough or hoarseness<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"2882\" data-end=\"2894\">Diagnosis<\/h2>\n<p data-start=\"2895\" data-end=\"2980\"><a href=\"https:\/\/gastroclinic.am\/en\/gastroscopy\/\">Upper endoscopy<\/a> is recommended in patients with alarm symptoms or refractory disease.<\/p>\n<h2 data-start=\"2982\" data-end=\"2994\">Treatment<\/h2>\n<h3 data-start=\"2995\" data-end=\"3021\">Lifestyle modification<\/h3>\n<ul data-start=\"3022\" data-end=\"3092\">\n<li data-start=\"3022\" data-end=\"3042\">\n<p data-start=\"3024\" data-end=\"3042\">Weight reduction<\/p>\n<\/li>\n<li data-start=\"3043\" data-end=\"3066\">\n<p data-start=\"3045\" data-end=\"3066\">Avoiding late meals<\/p>\n<\/li>\n<li data-start=\"3067\" data-end=\"3092\">\n<p data-start=\"3069\" data-end=\"3092\">Head-of-bed elevation<\/p>\n<\/li>\n<\/ul>\n<h3 data-start=\"3094\" data-end=\"3119\">Pharmacologic therapy<\/h3>\n<ul data-start=\"3120\" data-end=\"3212\">\n<li data-start=\"3120\" data-end=\"3167\">\n<p data-start=\"3122\" data-end=\"3167\">Proton pump inhibitors \u2014 first-line therapy<\/p>\n<\/li>\n<li data-start=\"3168\" data-end=\"3212\">\n<p data-start=\"3170\" data-end=\"3212\">H2 receptor antagonists \u2014 selected cases<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3214\" data-end=\"3277\">Long-term therapy should be individualized and evidence-driven.<\/p>\n<h2 data-start=\"3279\" data-end=\"3295\">Complications<\/h2>\n<ul data-start=\"3296\" data-end=\"3411\">\n<li data-start=\"3296\" data-end=\"3319\">\n<p data-start=\"3298\" data-end=\"3319\">Erosive esophagitis<\/p>\n<\/li>\n<li data-start=\"3320\" data-end=\"3341\">\n<p data-start=\"3322\" data-end=\"3341\">Peptic strictures<\/p>\n<\/li>\n<li data-start=\"3342\" data-end=\"3365\">\n<p data-start=\"3344\" data-end=\"3365\">Barrett\u2019s esophagus<\/p>\n<\/li>\n<li data-start=\"3366\" data-end=\"3411\">\n<p data-start=\"3368\" data-end=\"3411\">Increased risk of esophageal adenocarcinoma<\/p>\n<\/li>\n<\/ul>\n<a data-animate=\"bounceIn\" class=\"button alert is-shade box-shadow-5-hover expand\"  style=\"border-radius:99px;\">\n    <span>ONLINE BOOKING<\/span>\n  <i class=\"icon-angle-down\" aria-hidden=\"true\" ><\/i><\/a>\n\n\n<div class=\"row row-small\"  id=\"row-528554692\">\n\n\n\t<div id=\"col-1533336733\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  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https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/MG_5320-1-scaled-e1766607400588-359x400.avif 359w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/MG_5320-1-scaled-e1766607400588-719x800.avif 719w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/MG_5320-1-scaled-e1766607400588-768x855.avif 768w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/MG_5320-1-scaled-e1766607400588-1380x1536.avif 1380w\" sizes=\"auto, (max-width: 1590px) 100vw, 1590px\" data-has-transparency=\"false\" data-dominant-color=\"c0b5a4\" style=\"--dominant-color: #c0b5a4;\" \/>                         <\/div>\n          <\/div>\n         <\/a>\n          <div class=\"box-text text-center is-small\" style=\"padding:10px 10px 10px 10px;\">\n                <div class=\"box-text-inner\">\n                  <h4 class=\"uppercase\">\n                    <span class=\"person-name\">yeranik hambardzumyan<\/span><br\/>\n                    <span class=\"person-title is-small thin-font op-7\">\n                      CEO, gastroenterologist, endoscopist                    <\/span>\n                  <\/h4>\n\t\t\t\t\t<div class=\"social-icons follow-icons\" ><a href=\"https:\/\/www.facebook.com\/Dr.Hambardzumyan\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-label=\"Facebook\" class=\"icon button circle is-outline facebook tooltip\" title=\"Follow on Facebook\" aria-label=\"Follow on Facebook\" ><i class=\"icon-facebook\" ><\/i><\/a><a href=\"https:\/\/www.instagram.com\/dr_hambardzumyan\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-label=\"Instagram\" class=\"icon button circle is-outline instagram tooltip\" title=\"Follow on Instagram\" aria-label=\"Follow on Instagram\" ><i class=\"icon-instagram\" ><\/i><\/a><a href=\"mailto:hambardzumyan@gastroclinic.am\" data-label=\"E-mail\" target=\"_blank\" rel=\"nofollow\" class=\"icon button circle is-outline email tooltip\" title=\"Send us an email\" aria-label=\"Send us an email\" ><i class=\"icon-envelop\" ><\/i><\/a><a href=\"https:\/\/t.me\/drhambardzumyan\" data-label=\"Telegram\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" class=\"icon button circle is-outline telegram tooltip\" title=\"Follow on Telegram\" aria-label=\"Follow on Telegram\" ><i class=\"icon-telegram\" ><\/i><\/a><\/div>\n\n\n                <\/div>\n          <\/div>\n    <\/div>\n\n\t\n    \n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1405736950\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n    <div class=\"box has-hover has-hover box-default box-text-bottom\" >\n\n         <a href=\"https:\/\/gastroclinic.am\/en\/ourstaff\/meri-soghoyan\/\" >         <div class=\"box-image \" >\n           <div class=\"box-image-inner image-cover\" style=\"border-radius:10%;padding-top:100%;\">\n              <img loading=\"lazy\" decoding=\"async\" width=\"1512\" height=\"1670\" src=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560.avif\" class=\"attachment- size- not-transparent\" alt=\"Meri Soghoyan \u041c\u0435\u0440\u0438 \u0421\u043e\u0433\u043e\u044f\u043d \u0544\u0565\u0580\u056b \u054d\u0578\u0572\u0578\u0575\u0561\u0576\" srcset=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560.avif 1512w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560-362x400.avif 362w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560-724x800.avif 724w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560-768x848.avif 768w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u0544\u0565\u0580\u056b-\u054d\u0578\u0572\u0578\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u056c\u0575\u0561\u0580\u0564\u0561\u0562\u0561\u0576-scaled-e1771694048560-1391x1536.avif 1391w\" sizes=\"auto, (max-width: 1512px) 100vw, 1512px\" data-has-transparency=\"false\" data-dominant-color=\"c1b9ad\" style=\"--dominant-color: #c1b9ad;\" \/>                         <\/div>\n          <\/div>\n         <\/a>\n          <div class=\"box-text text-center is-small\" style=\"padding:10px 10px 10px 10px;\">\n                <div class=\"box-text-inner\">\n                  <h4 class=\"uppercase\">\n                    <span class=\"person-name\">meri soghoyan<\/span><br\/>\n                    <span class=\"person-title is-small thin-font op-7\">\n                      gastroenterologist, hepatologist                    <\/span>\n                  <\/h4>\n\t\t\t\t\t<div class=\"social-icons follow-icons\" ><a href=\"https:\/\/www.instagram.com\/doctor_soghoyan\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-label=\"Instagram\" class=\"icon button circle is-outline instagram tooltip\" title=\"Follow on Instagram\" aria-label=\"Follow on Instagram\" ><i class=\"icon-instagram\" ><\/i><\/a><\/div>\n\n\n                <\/div>\n          <\/div>\n    <\/div>\n\n\t\n    \n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-1866341199\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n    <div class=\"box has-hover has-hover box-default box-text-bottom\" >\n\n         <a href=\"https:\/\/gastroclinic.am\/en\/ourstaff\/lucy-hovakimyan\/\" >         <div class=\"box-image \" >\n           <div class=\"box-image-inner image-cover\" style=\"border-radius:10%;padding-top:100%;\">\n              <img loading=\"lazy\" decoding=\"async\" width=\"1587\" height=\"1770\" src=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340.avif\" class=\"attachment- size- not-transparent\" alt=\"Lucy Hovakimyan\" srcset=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340.avif 1587w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340-359x400.avif 359w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340-717x800.avif 717w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340-768x857.avif 768w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2025\/12\/\u053c\u0575\u0578\u0582\u057d\u056b-\u0540\u0578\u057e\u0561\u056f\u056b\u0574\u0575\u0561\u0576-\u0563\u0561\u057d\u057f\u0580\u0578\u0567\u0576\u057f\u0565\u0580\u0578\u056c\u0578\u0563-\u0563\u0561\u057d\u057f\u0580\u0578-\u057d\u0576\u0576\u0564\u0561\u0562\u0561\u0576-scaled-e1764839292340-1377x1536.avif 1377w\" sizes=\"auto, (max-width: 1587px) 100vw, 1587px\" data-has-transparency=\"false\" data-dominant-color=\"a8a08f\" style=\"--dominant-color: #a8a08f;\" \/>                         <\/div>\n          <\/div>\n         <\/a>\n          <div class=\"box-text text-center is-small\" style=\"padding:10px 10px 10px 10px;\">\n                <div class=\"box-text-inner\">\n                  <h4 class=\"uppercase\">\n                    <span class=\"person-name\">lucy hovakimyan<\/span><br\/>\n                    <span class=\"person-title is-small thin-font op-7\">\n                      gastroenterologist, nutritionist                    <\/span>\n                  <\/h4>\n\t\t\t\t\t<div class=\"social-icons follow-icons\" ><a href=\"https:\/\/www.instagram.com\/healthy_with_lucy\/\" target=\"_blank\" rel=\"noopener noreferrer nofollow\" data-label=\"Instagram\" class=\"icon button circle is-outline instagram tooltip\" title=\"Follow on Instagram\" aria-label=\"Follow on Instagram\" ><i class=\"icon-instagram\" ><\/i><\/a><\/div>\n\n\n                <\/div>\n          <\/div>\n    <\/div>\n\n\t\n    \n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-385326159\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n    <div class=\"box has-hover has-hover box-default box-text-bottom\" >\n\n         <a href=\"https:\/\/gastroclinic.am\/en\/ourstaff\/lilit-hakobyan\/\" >         <div class=\"box-image \" >\n           <div class=\"box-image-inner image-cover\" style=\"border-radius:10%;padding-top:100%;\">\n              <img loading=\"lazy\" decoding=\"async\" width=\"1182\" height=\"1553\" src=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920.avif\" class=\"attachment- size- not-transparent\" alt=\"lilit hakobyan\" srcset=\"https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920.avif 1182w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920-304x400.avif 304w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920-609x800.avif 609w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920-768x1009.avif 768w, https:\/\/gastroclinic.am\/wp-content\/uploads\/2026\/02\/MG_5149-scaled-e1771778237920-1169x1536.avif 1169w\" sizes=\"auto, (max-width: 1182px) 100vw, 1182px\" data-has-transparency=\"false\" data-dominant-color=\"b8b8b0\" style=\"--dominant-color: #b8b8b0;\" \/>                         <\/div>\n          <\/div>\n         <\/a>\n          <div class=\"box-text text-center is-small\" style=\"padding:10px 10px 10px 10px;\">\n                <div class=\"box-text-inner\">\n                  <h4 class=\"uppercase\">\n                    <span class=\"person-name\">lilit hakobyan<\/span><br\/>\n                    <span class=\"person-title is-small thin-font op-7\">\n                      dietologist, gastroenterologist                    <\/span>\n                  <\/h4>\n\t\t\t\t\t\n\n\n                <\/div>\n          <\/div>\n    <\/div>\n\n\t\n    \n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":5992,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5988","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Acid reflux | Gastroesophageal reflux disease (GERD) | Gastro Health Center<\/title>\n<meta name=\"description\" content=\"Acid reflux: causes, symptoms, diagnosis, and evidence-based treatment in Yerevan, Armenia. Heartburn treatment.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastroclinic.am\/en\/gerd\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acid reflux | Gastroesophageal reflux disease (GERD) | Gastro Health Center\" \/>\n<meta property=\"og:description\" content=\"Acid reflux: causes, symptoms, diagnosis, and evidence-based treatment in Yerevan, Armenia. 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