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Gastroesophageal Reflux Disease (GERD)

Gastroesophageal reflux disease (GERD) affects countless Houston residents, causing discomfort and potential complications if untreated. At GastroDoxs, board-certified Dr. Scott provides comprehensive evaluations-from endoscopy to pH monitoring-and personalized treatments, including targeted lifestyle tips, medications, and advanced procedures for lasting relief.

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Texas Medical Board
Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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HCA Houston Healthcare
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Gastroesophageal Reflux Disease (GERD)?

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the esophagus, irritating its lining and causing discomfort. Left untreated, it can lead to complications such as esophagitis or Barrett's esophagus.

Common Causes and Risk Factors

  • Hiatal hernia
  • Overweight or obesity
  • Smoking or alcohol use
  • Pregnancy
  • Trigger foods (spicy foods, citrus, chocolate, caffeine)

Signs and Symptoms

  • Heartburn (burning sensation in the chest)
  • Regurgitation of sour or bitter liquid
  • Chest pain
  • Difficulty swallowing (dysphagia)
  • Dry cough or hoarseness, especially in the morning

How Dr. Scott Diagnoses Gastroesophageal Reflux Disease (GERD)?

Dr. Scott uses a step-by-step approach:

Medical History and Symptom Review

He reviews your reflux episodes, heartburn intensity, epigastric pain timing, diet, medications and other risk factors.

Physical Examination

He examines your chest, abdomen and throat for tenderness, swelling or signs of inflammation.

Endoscopy

A small camera is guided down your throat to directly view the lining of the esophagus and stomach, identifying esophagitis, ulcers or Barrett's changes.

24-Hour pH Monitoring

A thin probe measures acid levels over a full day to quantify reflux episodes and correlate them with your symptoms.

Esophageal Manometry (if needed)

This pressure study evaluates how well your esophageal muscles and lower esophageal sphincter work, ruling out motility disorders.

Dr. Scott
Treatment

Our Team offers a full range of care for gastroesophageal reflux disease (GERD).

1. Lifestyle and Diet Modifications

  • Eat smaller, more frequent meals to reduce reflux
  • Avoid trigger foods like spicy dishes, citrus, chocolate, and caffeine
  • Refrain from lying down for at least two hours after eating
  • Elevate the head of your bed by 6-8 inches to minimize nighttime symptoms
  • Implement weight loss strategies if you're overweight

2. Medications

  • Antacids (e.g., Tums, Maalox) for quick acid neutralization
  • H2 blockers (e.g., famotidine) to reduce acid production
  • Proton pump inhibitors (e.g., omeprazole) for stronger, longer-lasting relief

3. Minimally Invasive or Advanced Procedures

  • LINX device: a magnetic ring placed around the esophagus to prevent reflux
  • Transoral Incisionless Fundoplication (TIF): a non-surgical technique to rebuild the esophageal valve
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What's the difference between GERD and heartburn?

Heartburn is a symptom-a burning sensation in your chest. GERD is a chronic condition defined by frequent heartburn and other reflux-related issues.

How long will I need to take medication?

Most patients use acid-reducing medicine for about 4 to 8 weeks. Dr. Scott will tailor your treatment plan and guide you on when and how to taper off.

Is long-term use of acid blockers safe?

Long-term use of H2 blockers or PPIs can affect vitamin and mineral absorption. We monitor your labs regularly and adjust therapy to keep you safe.

Can I drive after an endoscopy?

No. You will need someone to drive you home after sedation. You can resume normal activities, including driving, the next day.

Does insurance pay for GERD treatment?

Most health plans in Houston cover diagnostic tests and medical or surgical GERD treatments. Our team verifies your benefits before any procedure.

Is the LINX device safe over time?

Yes. Clinical studies show that LINX provides lasting reflux control for years with a low rate of complications.

When will I start to feel better?

Many patients notice relief within a few days of starting medication or making recommended lifestyle changes.

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