Heartburn, Smoking and Barrett’s Esophagus

Heartburn, Smoking and Barrett’s Esophagus

Mike from Houston sent us a question this past week: “I was diagnosed with Barrett’s esophagus in 2010. I stopped smoking and have lost around 40 pounds. I was started on Nexium 40 mg daily. I have had regular upper endoscopies since 2010 and they...

GERD Surgery in Houston: When and Where?

GERD Surgery in Houston: When and Where?

GERD surgery in the form of laparoscopic hiatal hernia repair and Nissen fundoplication is the most reliable treatment for severe acid reflux disease, but only in the hands of the expert. Expert acid reflux surgeons at Houston heartburn and reflux Center dedicate their practice to...

Are You Looking for a Heartburn Specialist in Houston?

Are You Looking for a Heartburn Specialist in Houston?

Acid reflux disease is a complex medical problem that affects every aspect of your life. Acid reflux prevents you from sleeping, resting, enjoying food, exercising … GERD is a chronic and progressive problem that slowly but surely takes over your life. Most heartburn patients self-medicate...

Does Fasting Increase Heartburn?

Does Fasting Increase Heartburn?

Sherman who suffers from weekly heartburn that is partially controlled with medications sent us this question: “Doers fasting increase heartburn?” Dear Sherman, There is a strong association between food intake and heartburn. Trigger food items like tomato sauce, and spicy dishes can precipitate a heartburn attack that...

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Endoflip for Heartburn Treatment: Tailoring the Fundoplication

Proper acid reflux testing is a crucial element of any successful heartburn and GERD management program. Endoflip, functional luminal imaging probe, is a relatively new testing modality that is finding its way into clinical practice. Endoflip uses an inflated balloon that is positioned within the...

Nissen vs Toupet Fundoplication for Heartburn Treatment

Nissen vs Toupet Fundoplication for Heartburn Treatment

Rick from Houston sent us this question: My acid reflux doctor gave me the option of partial, 270 degree also known as Toupet fundoplication or complete, 360 degree wrap, also known as Nissen fundoplication. My doctor explained that Nissen fundoplication is sometimes a little difficult...

LINX for Heartburn: A Dysphagia Problem

Rick sent us this question: Good Afternoon Dr. Darido … I am about 9 weeks out from placement of the Linx device and repair of a hiatal hernia. I currently am experiencing dysphagia as well as regurgitation of the contents of the esophagus. I have discussed my...

Functional Heartburn and Heartburn Pills

Louise from Houston asked us this interesting question: When pH, motility and gastric emptying tests come back negative, yet there is still heartburn and only partial response to a PPI, what does one do?  especially if one's eGFR is in the 40's.  Do you save...

Does Coffee Give You Heartburn?

Does Coffee Give You Heartburn?

Coffee is the most commonly consumed beverage after water. Coffee fuels our culture and is readily available around every corner in Houston. Coffee is rich in caffeine and tannins, two substances that are known to cause heartburn. It is believed that caffeine and tannins relax...