Gastroesophageal reflux disease, or GERD, affects millions of Americans every year, yet it often goes undiagnosed or inadequately treated. Dr. Joshua Pogorelec, a general surgeon with Aspirus Health, says common misconceptions around symptoms and treatment options are preventing people from getting the help they need, especially when surgery could offer long-term relief.
GERD occurs when a faulty valve at the base of the esophagus allows stomach acid and food contents to flow back upward, leading to symptoms like heartburn, chronic cough, difficulty swallowing, or even changes in voice. While many patients initially try lifestyle or dietary changes, Dr. Pogorelec emphasizes that GERD is often a structural issue, not just a matter of diet.
“Many people believe that if they don’t have heartburn, they can’t have GERD. That’s simply not true,” said Dr. Pogorelec, general surgeon with Aspirus Health. “Reflux can present in many forms, and just treating symptoms with medication doesn’t address the root cause. For a long-term solution, we often need to recreate the valve through minimally invasive surgery.”
Initial treatment plans often include avoiding common triggers like caffeine, alcohol, nicotine, and large meals. Weight loss, eating smaller portions more frequently, and sleeping with the head elevated are also recommended strategies. Over the counter and prescription medications may offer temporary relief, but Dr. Pogorelec stresses they often only mask the problem rather than fix it.
When conservative measures fall short, Aspirus Health offers minimally invasive surgical options. These procedures typically require only an overnight hospital stay and are designed to reconstruct the faulty valve, preventing acid from flowing back into the esophagus.
“We want patients to know they’re not stuck managing symptoms forever,” Dr. Pogorelec added. “There’s a path to potentially curing the disease, not just covering it up.”
As part of Aspirus Health’s ongoing commitment to providing high-quality, patient-centered care, the team is encouraging early consultation for those experiencing persistent reflux symptoms, whether heartburn is present.
For more information on GERD treatment options at Aspirus Health, visit aspirus.org or contact your local Aspirus clinic.