How is gastroesophageal reflux disease treated?

  Patient: Foreign body sensation in the esophagus, chest suffocation. The onset of the disease has been 3 months. I went to your center in 20081219 for examination, gastroscopy was done by you, chronic superficial gastritis with multiple erosions, duodenal bulbitis.  The resting pressure of LES is normal and completely relaxed when swallowing.  2. UES resting pressure is lower than normal and completely relaxed during swallowing.  PH monitoring conclusion: low level pathological acid reflux in esophagus, mild. Is it better to treat it with medication or radiofrequency immediately?  Hospital GERD Center: Hello, at present your diagnosis of GERD is clear, it is recommended that you can first medication, and at the same time must pay attention to improve lifestyle, the details are as follows: 1, try to use less high-fat food, chocolate, coffee, strong tea, and quit smoking, alcohol; 2, eat less and more meals, chew slowly, do not eat 2-3 hours before bed; 3, such as foreign body feeling in the throat or breath-holding serious, sleep 4.Reduce the factors that cause the increase of abdominal pressure, such as do not tighten the belt, avoid constipation and weight control; 5.Pay attention to rest, do not stay up late and tired, adjust the mood, etc.  Drug treatment, pay attention to the timing and dosage of medication: 1, rabeprazole 10-20mg breakfast, dinner 30 minutes before oral, can be long-term use.  2, magnesium aluminum carbonate tablets (Daxi) 1.0 3 times a day Three meals after 1 hour chewed orally, 1-2 months after discontinuation.  3, mosapride 5mg 15 minutes before three meals, pay attention to its side effects, should not be long-term oral. Thank you for your question, and good luck!  Patient: Hello doctor! Thank you for your reply. I have been taking stomach medicine (sterilization) for a week now, and I have just started taking reflux medicine, but the effect is not obvious. Do I need radiofrequency treatment? Also, how long does it take to be hospitalized for radiofrequency treatment? Thank you for your answer in your busy schedule, and have a good day!  Gastroesophageal reflux disease center: Hello, gastroesophageal reflux disease is a common, multi-morbidity and chronic disease, the effect of treatment varies greatly from person to person depending on the disease. Generally speaking, if you simply have acid reflux, heartburn, retrosternal pain and other digestive symptoms, oral esomeprazole and other drugs that inhibit stomach acid can be effective in a week; however, if combined or with foreign body sensation in the throat, cough, chest tightness and breathlessness and other respiratory symptoms, the effect will be slower. Therefore, treatment must be adhered to. If medication is not effective, or if you do not want to take medication for a long time, you can consider radiofrequency treatment. Radiofrequency treatment takes roughly one week for hospitalization.