Have You Got GERD? Welcome to the Club!


Now help is on the way from Johns Hopkins. Our new report will show you the most effective lifestyle measures you can try to manage heartburn and other symptoms of GERD .

and, if symptoms worsen, the best ways for your doctor to diagnose and treat it -
with specific recommendations based on the severity of your symptoms.

How to Manage GERD
(Gastroesophageal Reflux Disease)


How to Manage GERD

John O'Brien Clarke, M.D.,

Assistant Professor of Medicine in the Division of Gastroenterology
at the Johns Hopkins University School of Medicine

Acid reflux. Heartburn. GERD. No matter what you call it, it all comes down to the same uncomfortable symptoms: belching, regurgitation, indigestion, nausea -- even chest pain.

You may find it embarrassing or frustrating to talk about your GERD symptoms, but you're far from alone in your discomfort. It's estimated that 14 to 21 percent of American adults are affected by GERD and together they spend $14 billion annually to treat it.

If it's more than occasional heartburn - your GERD symptoms can be serious. The acid and digestive enzymes from the stomach that back up, or reflux, into the esophagus can damage the tissues in the esophagus and in the adjacent organs such as the mouth, throat, voice box and lungs. Left untreated, GERD can lead to complications -- esophageal ulcers, esophageal strictures, Barrett's esophagus, even esophageal cancer.

If you have symptoms of GERD, it's important to learn everything you can now -- so you can partner with your doctor effectively, ask the right questions and understand the answers.

To help you understand GERD and the full range of your treatment options, we asked John O'Brien Clarke, M.D., to share his knowledge and expertise in a new guide, How to Manage GERD.

Dr. Clarke is an Assistant Professor of Medicine in the Division of Gastroenterology at The Johns Hopkins Hospital and an expert in gastroesophageal reflux disease and related gastrointestinal motility disorders. From his extensive personal experience, Dr. Clarke understands first-hand the questions and worries of patients just like you.

This information is so crucial that How to Manage GERD is available instantly as a digital PDF download. Just click the order button below and in a few moments your guide will be delivered to your email address. It's that simple!

Understanding GERD: Beyond the Basics

How to Manage GERD is much more than a basic primer. We get to the heart of your concerns about living with this troubling condition and provide the latest thinking on when and how to treat GERD.

You'll learn:

  • Essential facts about the causes of GERD
  • How to recognize the common and uncommon symptoms of GERD
  • Self-help measures that may be able to relieve and treat persistent heartburn and other GERD symptoms
  • Advice when and if you need to see a gastroenterologist for further specialized examination and therapy
  • Treatment options that can alleviate the most bothersome symptoms of GERD and treat the underlying disease

What's on your mind? You'll learn the answers to questions, such as:

  • How strong is the link between GERD and obesity? Can excess weight cause GERD?
  • What's a hiatal hernia and how does it cause GERD?
  • I take a number of medications. Could any of them make my GERD worse?
  • How do drugs that slow the digestive system (like Cardizem) affect GERD?
  • How effective are antacids at relieving the discomfort of heartburn?
  • Are esophageal strictures a common complication of GERD?
  • How common is Barrett's esophagus - and how is it treated?
  • How can you tell the difference between heartburn and a heart attack?
  • Is it possible to have GERD without heartburn?
  • When should I see a doctor for my GERD?
  • Will I have to have an endoscopy to diagnose GERD? And if I do, is it safe?
  • What's an esophageal manometry test?
  • I have mild symptoms of GERD. Can I avoid prescription medication and successfully treat GERD with lifestyle changes?

GERD Medications: NOT a "One Size Fits All" Solution

If you have mild acid reflux, lifestyle modifications may be sufficient to eliminate your symptoms. However, most GERD patients eventually require drug therapy. How to Manage GERD provides an in-depth discussion of all your medication choices: antacids, H2-blockers, foaming agents, mucosal protectants, proton pump inhibitors and promotility agents. Dr. Clarke answers patients' questions, including:

  • Do you have a favorite antacid?
  • Which is better: liquid or pill antacids?
  • What are the benefits of H2-blockers for GERD therapy?
  • Which proton pump inhibitor (PPI) is most effective? And with so many choices, how do you know which is best?
  • Can PPIs cause a rebound effect?
  • What are the long-term complications of taking PPIs?
  • What can be done to protect against possible bone density problems when using PPIs?
  • Should someone who takes a PPI also be taking a calcium supplement?
  • Does long-term PPI therapy cause vitamin B12 deficiency? What about magnesium deficiency? How serious is this?
  • Why do some patients need a promotility agent in addition to an H2-blocker or PPI?
  • Why do some GERD patients become noncompliant and stop taking their medication, even though it's been prescribed?
  • For patients with mild to moderate GERD symptoms, are there alternatives to taking medication on a daily basis?

The Next Step: Surgical Options for GERD

Most patients with GERD symptoms will respond to lifestyle changes and medications. But for those who don't, advanced diagnostic tests and, possibly, surgery may be required. In How to Manage GERD, you'll find in-depth discussions of:

Nissen (360-degree) Fundoplication

  • How is Nissen fundoplication performed?
  • How effective is it?
  • Is fundoplication suitable for patients who are obese?

Endoscopic Therapy

  • EsophyX-a new incisionless procedure for treating GERD.
  • How is it performed?
  • Should you consider it?

Direct to You From Johns Hopkins Medicine

How to Manage GERD is designed to give you unprecedented access to the expertise of the only hospital to be ranked #1 for 22 years by U.S. News & World Report -- an unprecedented 21 years in a row from 1991 to 2011, and again in 2013.

A tradition of discovery and medical innovation is the hallmark of Johns Hopkins research. For more than a century, Johns Hopkins has been recognized as a leader in patient care, medical research and teaching. Today, Johns Hopkins Medicine is known for its excellent faculty, nurses and staff specializing in every aspect of medical care.

You simply won't find a more knowledgeable and trustworthy source of the medical information you require.

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