Gastroesophageal Reflux Disease (GERD) Treatment in Singapore
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What is Gastroesophageal Reflux Disease (GERD)?
Gastroesophageal reflux disease is abbreviated as GERD. Depending on where you are, it can be spelt GORD for gastro-oesophageal reflux disease. Chronic acid reflux disease of the oesophagus is abbreviated as GERD. You have acid reflux at least two times a week for several weeks, and then it's chronic.
Temporary causes can produce temporary acid reflux, but GERD is an ongoing mechanical problem. It signals a problem in the mechanisms designed to keep acid out of the oesophagus.
Acid reflux occurs in many people periodically. Acid reflux may lead to GERD if it reoccurs occasionally.
What is the Importance of Timely Treatment?
It is crucial to treat the condition early to prevent GERD (gastric reflux disease) from worsening and causing damage to the oesophagus, such as ulcers, bleeding, or narrowing (strictures). Untreated GERD may lead to more severe conditions, such as Barrett's oesophagus or oesophagal cancer. Early treatment manages symptoms, improves quality of life, and guards the oesophagus and other parts of the digestive system against permanent damage. Moreover, it facilitates faster recovery, reduces pain, and renders more invasive procedures obsolete in the future.
What are the Common Symptoms of Gastroesophageal Reflux Disease (GERD)?
Common symptoms of GERD are:
- Heartburn is a burning sensation in the chest. It typically occurs after eating and may worsen at night or when lying down.
- Meal or sour liquid backwash in the throat.
- Chest or upper abdomen pain.
- Difficulty swallowing is called dysphagia.
- A lump in the throat is seen.
Causes and Risk Factors of Gastroesophageal Reflux Disease (GERD)
Causes
- Weak Lower Esophageal Sphincter (LES): The stomach acid may flow back into the oesophagus if it relaxes or weakens as a muscle separating the stomach from the oesophagus.
- A hiatal hernia may impair the function of the LES when part of the stomach protrudes through the diaphragm and into the chest.
- Excess weight puts additional pressure on the abdomen, forcing stomach acid into the oesophagus.
- Acid reflux can happen during pregnancy because of hormonal fluctuations and pressure on the stomach.
- Smoking disrupts the saliva function, which aids in neutralising stomach acid and relaxes the LES.
Risk Factors
The following are risk factors for gastroesophageal reflux disease or GERD:
- Pregnancy and Obesity
- The Hiatal Hernia
- Smoking, Diet
- Medications
- Age and Family Background
- Delayed Emptying of the Stomach
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Latest Research and Technologies in the Treatment of Gastroesophageal Reflux Disease (GERD) in Singapore
Gastroesophageal reflux disease (GERD) treatment has also shown considerable improvement, according to recent studies in Singapore. The cornerstone of GERD treatment remains proton pump inhibitors (PPIs), which achieve their effect by effectively reducing stomach acid production to alleviate symptoms and promote healing. Research has indicated that there are patients who still experience symptoms despite the use of a standard PPI, which highlights the importance of alternative therapies. In turn, it has been shown that the combination of PPIs with alginate-based treatment may enhance symptom control, particularly in non-sensitive patients to PPIs. Additionally, laparoscopic anti-reflux surgery has become a frequently used therapeutic option owing to its high efficacy and significant improvement in patients' quality of life.
Gastroesophageal Reflux Disease (GERD) Prevention Tips
The following advice can help avoid gastroesophageal reflux disease or GERD:
- To avoid GERD, it is essential to maintain a healthy weight. Excess weight may increase pressure in the abdomen, leading to acid reflux.
- Avoid trigger foods such as chocolate, caffeine, alcohol, citrus fruits, and spicy, fatty, and acidic foods.
- For proper digestion, at least two to three hours should elapse after having food before retiring to bed.
- You can prevent acid from returning to your oesophagus while sleeping by elevating the head of your bed.
- Since smoking and alcohol consumption relax the lower oesophageal sphincter (LES), these habits need to be eliminated.
- Lastly, GERD symptoms can be minimised by employing relaxation techniques to cope with stress.
Treatment options for Gastroesophageal Reflux Disease (GERD)
Gastric Bypass: By reducing the production of stomach acid and abdominal pressure, gastric bypass surgery may benefit GERD sufferers, often relieving symptoms. When other therapies fail, it is typically considered in obese patients with severe GERD.
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- Clinical assessment:
- A PhysicalExamination is performed to look for signs of issues, such as belly pain, swelling, or weight loss.
- Imaging Tests:
- Upper Endoscopy (EGD): An upper endoscopy involves using a flexible tube with a camera to examine the stomach and oesophagus for injuries, such as ulcers or inflammation.
- Ambulatory 24-hour pH Monitoring: This test monitors the acid level in the oesophagus for 24 hours to determine if acid reflux occurs.
- Oesophagal Manometry: A procedure that measures the functioning and pressure of the oesophageal muscles and lower oesophageal sphincter (LES).
MediRehab (chain of Rehab centres - Part of MediGence) provides comprehensive rehabilitation services to support patients through Teleconsulations and online therapy sessions.
- DietaryModifications: A registered dietitian can provide a meal plan that avoids irritants such as chocolate, coffee, alcohol, and spicy, fatty, or acidic foods.
- Weight reduction: Because obesity increases intra-abdominal pressure, losing excess weight through exercise and good nutrition will significantly reduce GERD symptoms.
- Physical therapy: Postural and diaphragmatic breathing exercises can reduce reflux attacks and enhance digestion.
- Depending on the situation, your healthcare professional may prescribe medicine to help control your symptoms and support the treatment plan.
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Hospitals for Gastroesophageal Reflux Disease (GERD) in Singapore
Mount Elizabeth Novena Hospital
Novena, Singapore
Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 333 beds
- Intensive Care Unit beds
- Endoscopy beds
- Day ward with 20 beds
- 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
- High Dependency Unit (HDU)
- Neonatal Intensive Care Unit (NICU)
- 24/7 Accident & Emergency Department
- Maternity ward
- 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
- In-house Pharmacy
- Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
- All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Parkway East Hospital
Singapore, Singapore
Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Total capacity for 143 beds
- Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
- All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
- Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
- 1 Neonatal Intensive Care Unit (NICU) with 14 cots
- Intensive Care Unit
- 1 Operation Theatre with 5 Operating rooms
- 1 Nursery with 30 cots
- 1 Parentcraft room
- 24-hour walk-in-clinic (for emergency)
- 24-hour Pharmacy
Mount Elizabeth Hospital
Singapore, Singapore
Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- 345 bedded Hospital
- Maternity wards
- The Mount Elizabeth Patient Assistance Centre (MPAC)
- 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
- Intensive Care Unit
- High Dependency Unit (HDU)
- Neonatal Intensive Care Unit (NICU)
- Accident & Emergency Department
- Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
- All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
- Parking lot
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Why Choose Singapore for Gastroesophageal Reflux Disease (GERD) Treatment?
Singapore's advanced healthcare infrastructure, well-trained medical specialists, and affordable medical care make it a first-rate destination for GERD treatment. The country offers access to state-of-the-art medical centres with the latest diagnostic technology and therapeutic options, including medicine, lifestyle modification, and minimally invasive surgery.
Frequently Asked Questions
GERD can cause chest pain, often described as a burning sensation behind the breastbone. This occurs when stomach acid irritates the oesophagus, causing discomfort. It's important to differentiate between the two since the pain may sometimes mimic the symptoms of a heart attack.
Yes, if left untreated, GERD can lead to several issues, including strictures, esophagitis, and ulcers of the oesophagus. It may also increase the risk of Barrett's oesophagus, which can develop into oesophageal cancer. Also, due to acid exposure, GERD may cause tooth decay and respiratory conditions like asthma or a chronic cough. To prevent these medical issues, early treatment is required.
The type of treatment administered for GERD in Singapore decides recovery. Lifestyle modifications may improve symptoms within weeks for those undergoing medicine-based therapy. Recovery after surgical procedures like laparoscopic fundoplication takes one to two weeks, and most of the patients regain their regular activity within a month. Post-treatment follow-ups and care are carefully monitored to ensure optimal recovery.
Lifestyle changes can significantly help control GERD. These include consuming smaller meals, avoiding foods that trigger symptoms, such as hot or fatty foods, and not lying down immediately after a meal. Avoiding alcohol and caffeine, quitting smoking, and keeping to a healthy weight can also alleviate symptoms.
Loose-fitting clothing, lifting the bed head, and relaxation techniques to cope with stress can also help control GERD. Chewing gum can also help neutralise acid by stimulating saliva production. Combining these changes with medical guidance can make GERD management more effective.
When medication and lifestyle modification fail to control GERD, surgery is typically considered. The most popular two options are the LINX procedure, which uses a magnetic ring to help the LES remain closed, and fundoplication, which reinforces the LES. In some cases, bariatric surgery or gastric bypass might also alleviate GERD symptoms by facilitating weight loss, which reduces reflux and intra-abdominal pressure. Surgery is typically only performed in the most critical cases or when complications arise.
Yes, GERD is common during pregnancy due to the pressure exerted by the growing uterus on the stomach, hormonal fluctuations, and significantly elevated progesterone, which relaxes the lower oesophageal sphincter (LES). These factors contribute to frequent reflux during pregnancy, which often worsens during the second and third trimesters. Although safe medications and lifestyle changes are typically employed to treat GERD during pregnancy, it's essential to consult a healthcare provider.
Yes, dysphagia, or difficulty swallowing, is a sign of GERD. Swallowing may be painful or difficult if stomach acid repeatedly irritates the oesophagus, leading to inflammation, tightening, or strictures (scar tissue).
To prevent GERD flare-ups, have small, frequent meals and avoid trigger foods such as spicy, fatty, and acidic foods. Do not eat before lying down, and maintain a normal weight to decrease stomach pressure. Stress reduction, smoking cessation, and elevating the head of your bed may also alleviate symptoms. Wearing loose clothing and adhering to prescription medication may also be helpful.
Yes, laparoscopic fundoplication is readily available in Singapore, providing a minimally invasive procedure for those with severe or refractory GERD who fail to respond to medicine.
Depending on the hospital and nature of treatment required, treatment of GERD in Singapore may be more affordable than in most Western nations, making it an appealing option for individuals seeking quality care at a lower cost.