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          Barstow Community Hospital
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              SERVICES, Barstow Community - GERD

              Is GERD Burning You Up?

              To find a specialist,
              Call 866-456-5270.

              Tired of that burning sensation in your chest -- particularly at night?

              Could your painful swallowing, nausea, heartburn be caused by Gastroesophageal reflux disease (GERD)?

              If you experience a burning sensation in your chest, sometimes spreading to your throat, along with a sour taste in your mouth, difficulty swallowing, dry cough, regurgitation of food or sour liquid, it could be GERD (acid reflux). Many people suffering from GERD try antacids or prescriptions, which block the production of acid in the stomach and also protect the esophagus from damage. In addition to medication—eating smaller meals, sleeping on an incline and eliminating acidic foods from your diet may alleviate symptoms.

              However, when medication and lifestyle changes are not providing relief—it may be time to consider surgical treatment. Surgeons on staff at Barstow Community Hospital can perform surgical repair for GERD,and many times the procedures can be minimally invasive.



              First things first: What is a GERD?

              Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.Both acid reflux and heartburn are common digestive conditions that many people experience from time to time. When these signs and symptoms occur at least twice each week or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

              Who can treat my GERD?

              Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. A primary care doctor may help some people with GERD by using stronger medications to reduce symptoms.

              The most common reason for surgery is heartburn that doesn't go away with medications and lifestyle changes. Surgery may also be an option when you have:

              • Severe inflammation of your esophagus, the tube that runs from your mouth to your stomach
              • A narrowing of your esophagus that's not caused by cancer
              • Barrett's esophagus, a change in the cells because of acid reflux

              Before surgery, you'll probably get tests to check how well the muscles in your esophagus work, including esophageal manometry and esophageal motility studies.

              Is here anything I can do to prevent GERD?

              Unlike many conditions, gastroesophageal reflux disease (GERD) is almost completely preventable.

              There are a number of steps you can take to prevent the reflux of stomach acid into the esophagus through the lower esophageal sphincter (LES), which over time can damage the esophageal lining and can lead to a host of illnesses, including throat cancer. However, what will help one person avoid GERD might not necessarily help another.

              Here are 10 things you can do to try and prevent GERD:

              • Lose weight.
              • Avoid foods known to cause reflux.
              • Eat smaller meals.
              • Don't lie down after eating.
              • Elevate your bed. Raising the head of your bed six to eight inches can help gravity keep gastric acid down in your stomach.
              • Review your medications. There are a number of medications that can increase your risk of GERD. Talk to your doctor.
              • Quit smoking.
              • Cut back on alcohol.
              • Wear loose-fitting clothes. Do not wear tight clothing or belts that can constrict your stomach.
              • Try a gluten-free diet.


              These Physicians May Be Able to Help:


              Rao Daluboy, MD

              Rao Daluvoy, MD

              Board Certified
              Vascular and General Surgeon

              805 E. Mountain View
              Barstow, CA 92311
              Find out more here.

              Dr. Daluvoy is a board-certified general and vascular surgeon who has been practicing in Southern California for more than 35 years. His practice includes performing minimally-invasive and traditional general surgery to treat a wide range of conditions—such as hernias, gallstones and cancer—as well as vascular surgery to treat diseases of the veins and arteries, such as aneurysms and blocked blood vessels.

              Medical Education: Gunter Medical College, Gunter AP, India
              Residency: Maimondes Medical Center, Brooklyn, NY
              Board Certifications: Board Certified, American Board of Surgery



              Vardan Papoian, MD

              Vardan Papoian, MD

              Board Certified
              General Surgeon

              805 E. Mountain View
              Barstow, CA 92311
              Find out more here.

              Vardan Papoian, MD, believes in patient-centered medicine and understands that every situation and condition is different for each individual. He enjoys taking the time to listen to every patient and fully understand what is ailing them. Born and raised in Southern California, Dr. Papoian moved to the Boston area for his medical education and continued his training in Washington, D.C., for 6 years. He received his Master’s Degree at Boston University School of Public Health and attended medical school at Boston University School of Medicine. Dr. Papoian completed his fellowship at MedStar Washington Hospital Center and surgical residency at MedStar Georgetown University-Washington Hospital Center. His practice includes performing both minimally-invasive and traditional operations in a wide range of conditions including Gallbladder concerns.

              Medical Education: Boston University School of Medicine
              Residency: MedStar Georgetown University-Washington Hospital Program
              Fellowship: MedStar Washington Hospital Center



              Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment. Providers are members of the Medical Staff of Barstow Community Hospital.

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