Most patients with chronic acid reflux are able to control their symptoms only by taking a daily acidity reducing pill such as Omeprazole or Nexium.

There ae some who are not completely relieved even after use of these pills. If you have troublesome acid reflux, you merit a proper evaluation with an endoscopy to assess your food-pipe and the valve at the lower end of the food-pipe that keeps the acid from coming up.

Certain allergic diseases of the food-pipe actually mimic acid reflux and these need to be excluded especially if you do not have adequate relief with acid suppressants. It is also important to measure the degree of acid exposure especially if you have an atypical symptom of acid reflux such as cough, soreness of throat or difficulty in swallowing.

Now we have excellent endoscopic techniques that can help control acid reflux. Endoscopic fundoplication, done by the GERDx device actually tightens the lower esophageal sphincter reduces symptoms of acid reflux.