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What Causes GERD?
Weak Lower Oesophageal Sphincter (LES)
The valve between food pipe and stomach doesn't close properly — acid leaks up.
Hiatal Hernia
Part of the stomach pushes through the diaphragm — disrupts the anti-reflux mechanism.
Obesity & Lifestyle
Excess weight increases abdominal pressure, pushing acid upward into the oesophagus.
Diet & Habits
Spicy food, late meals, alcohol, smoking, and lying down after eating all trigger GERD.
Medication vs Surgery
Parameter
Result
Daily Tablets
Side Effects
Hiatal Hernia
Quality of Life
Cost Long-Term
Success
✅ Surgery — The Clinics
Permanent — fixes the cause
None after surgery
None long-term
Repaired permanently
Full freedom — eat normally
One-time surgery cost
90%+ symptom-free
❌ Lifelong Medication
Temporary — only controls symptoms
Daily for life
Long-term PPI risks (bone loss, B12 deficiency)
Not treated — hernia remains
Restricted diet & lifestyle
Ongoing medication expense for life
Symptoms return when tablets stopped
What is GERD (Acid Reflux)?
GERD (Gastroesophageal Reflux Disease) is a common digestive condition in which stomach acid or contents repeatedly flow back into the esophagus (food pipe). This acid reflux can irritate the esophagus and cause symptoms such as heartburn, acid taste, chest discomfort, regurgitation, and difficulty swallowing.
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