We are often surrounded by people with heartburn, reflux, dysphagia, or chest pain, pharyngitis, hoarseness, pharyngeal discomfort or foreign body sensation, cotton-ball sensation, blockage, or even coughing, asthma, recurring aspiration pneumonia …… You have bounced around the respiratory department, otorhinolaryngology, cardiology, done a lot of chest X-rays, laryngoscopes, electrocardiograms, and taken a lot of medication, the Symptoms are still not getting better and you are in the depths of the disease! Gastroesophageal Reflux Disease (GERD) is the main culprit of GERD. As we all know, we drink and eat from the esophagus into the stomach, and under normal circumstances, the food inside the stomach will not reflux into the esophagus, why? Because in the esophagus and stomach connection place has a “spring door”, the name is “lower esophageal sphincter”. When the “spring door” performs well, it can block the reflux of food from the stomach; when the “spring door” fails, the food in the stomach easily “breaks through the door” and flows into the esophagus. GERD is the result of a broken “spring-loaded” door, but how does it break? Gastroesophageal reflux disease (GERD) is a condition in which the contents of the stomach and duodenum flow back into the esophagus, causing symptoms such as heartburn, which can lead to reflux esophagitis, as well as damage to tissues adjacent to the esophagus, such as the pharynx and trachea. Gastroesophageal reflux disease (GERD) is a dysfunctional disease of the digestive tract caused by a variety of factors, mainly as a result of the weakening of the anti-reflux defense mechanism and the attacking effect of refluxed material on the esophageal mucosa. In addition to esophageal symptoms and extraesophageal symptoms, there are some complications of this disease: upper gastrointestinal bleeding, esophageal stenosis, and Barrett’s esophagus.Barrett’s esophagus is a precancerous lesion of esophageal adenocarcinoma, and the incidence of adenocarcinoma in this lesion is 30-50 times higher than that in normal people. Therefore, we must pay attention to this disease! How to diagnose Diagnosis Diagnosis of the disease requires tests such as gastroscopy, esophageal manometry, and 24-hour esophageal pH monitoring. It should be differentiated from other causes of esophageal pathology (fungal esophagitis, esophageal cancer, esophageal cardia dystrophy, etc.), peptic ulcer, biliary tract disease, and especially when chest pain is present, cardiogenic diseases. How to treat So, our main concern is how to treat it? First of all, change your lifestyle and diet. The head of the bed is 15-20cm too high, avoid eating 2 hours before going to bed, slightly move around after eating, lose weight appropriately, avoid eating high fat, chocolate, coffee, etc., quit smoking and alcohol. Medication includes proton pump inhibitors, antacids and gastrointestinal stimulants for 8 weeks. Maintenance therapy is sometimes required, as needed; surgery may be considered for severe patients. For combined Barrett’s esophagus need to strengthen the follow-up, early detection of lesions, timely surgery. Sickness is not scary, you have to pay attention to it, cooperate with the doctor’s treatment, and follow up on time. We believe that you and I will work together to relieve the disease!