GERD (Gastroesophageal Reflux Disease)- Dubai Gastroenterology Clinic

It's a normal thing that we have acid in our stomach, but what's not normal is having acid in the esophagus, and that's what might cause the heartburn sensation you might feel in the middle of your chest, behind the chest bones, which can also reach the back of the mouth causing burning in your throat and a strange taste as well as bad breath.

GERD can be related to excessive acid secretion and gastritis, but it is usually a result of poor control of the one-way junction valve of the esophagus and the stomach that allows the stomach acid to come back into the esophagus and irritate the tissue that does not tolerate the acidity. This is called Gastro-esophagus Reflux Disease (GERD).

There are also atypical symptoms of GERD more than heartburn, including chest pain, recurrent pneumonia, bronchitis, sleep apnea, and voice changes. These atypical symptoms can cause delayed diagnoses and lead to complications.  

It is almost a mechanical issue that controls the severity and frequency of the symptoms, for example, bending forwards increases the pressure in the abdomen and increases the reflux. Also lying flat will cancel the gravity effects and allow more reflux

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The symptoms of GERD can be severe and out of control with simple medication. As the case becomes more chronic, pain can also develop due to ongoing irritation which can lead to ulceration (destruction of the protective superficial layer). The body will be trying to heal the lesion through the inflammation process, which leads to scarring, and excessive scarring can lead to difficulty swallowing. Sometimes vomiting can occur and can be associated with some blood and ulceration.


  •  Increased pressure inside the abdomen cavity like in obesity, pregnancy, and huge meals.
  • Causes of a hiatus hernia that disturb the function of the junction valve.
  • Alcohol, smoking, and some medications can also affect the function of the muscular junction of the esophagus and stomach.
  • Stress can be an augmenting factor in the presence of the above, but we do not believe stress is an isolated cause.       

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Risk Factors:


Medications are the first step in GERD treatment and an important element to limit the damage of abnormal exposure of the esophagus to refluxed gastric contents, however, treatment options are a wide spectrum starting from simple measures including diet control and lifestyle modification, and can extend into medication treatment, and may require minimally invasive approach like treatment with Radiofrequency (Stretta) or by laparoscopic surgery (Nissen’s plication). Treatment is usually tailored according to the level and frequency of symptoms, the stage of the disease, and more importantly the progression of symptoms which indicates poor control and the need for a further step up in the treatment of GERD.  

Stretta Procedure for GERD:

Stretta is the only widely studied minimally invasive treatment option for GERD – and has been proven safe and effective in more than 33 clinical studies and 20,000 procedures. Patients experience significant and lasting symptom relief from 4 to 10 years. We offer one of the best gastroenterologists in Dubai for Stretta procedures at Dr. Rami Hamed Center.


Dubai Gastroenterology Clinic - Dr. Rami Hamed Center now provides the best gastroenterologist in Dubai for Gastric Injection, Gastric Balloon, Colonoscopy, Colon Cancer Screening, and so on.