Gastroesophageal Reflux Disease (GERD)

Gastroesophageal reflux disease (GERD) is a common digestive disorder that affects about 1 in 5 Americans. While many people experience occasional heartburn or acid reflux, GERD occurs when these symptoms happen more than twice a week or begin to interfere with daily life.

Several factors can contribute to GERD, including a weak or relaxed lower esophageal sphincter, hiatal hernia, obesity, pregnancy, smoking, certain medications or trigger foods such as spicy foods, citrus, tomato-based dishes, chocolate, caffeine and alcohol.

If untreated, GERD can lead to inflammation, discomfort, and long-term damage to the esophagus — but with proper evaluation and treatment, most people find meaningful relief.

How to Manage GERD

Lifestyle changes are often the first line of defense against GERD. Small adjustments can make a big difference:

  • Eat smaller, more frequent meals
  • Avoid overeating or eating late at night
  • Limit or avoid trigger foods
  • Maintain a healthy weight
  • Quit smoking
  • Wait 2–3 hours after eating before lying down
  • Elevate the head of your bed if nighttime symptoms are common
  • Track your diet and symptoms to identify patterns

Your provider may also recommend medications such as antacids, H2 blockers, or proton pump inhibitors (PPIs). In some cases, advanced testing and treatment options may be needed.


When to See a Doctor

Talk with your primary care provider or a gastroenterology specialist if you experience:

  • Heartburn more than twice a week
  • Difficulty swallowing
  • Persistent chest discomfort
  • Chronic cough or hoarseness
  • Unintentional weight loss
  • Vomiting blood or black stools

Early evaluation can prevent complications such as esophagitis, Barrett’s esophagus or an increased risk of esophageal cancer.




Wesam M. Frandah, MD

Clinical Interests:

Locations:









HIMG

An outpatient facility of St. Mary's Medical Center3075 U.S. Route 60
Huntington, WV 25705
Phone: 304.528.4600

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Marshall Gastroenterology & Hepatology

A provider-based department of Cabell Huntington Hospital
Robert and Lena Shell Medical Pavilion
1340 Hal Greer Blvd.
Building 2, Second Floor (Suite #2000)
Huntington, WV 25701
Phone: 304.691.1000

Map & Directions


Marshall Internal Medicine - Point Pleasant

Rivers Health
2520 Valley Drive
Point Pleasant, WV 25550
Phone: 304.675.4500

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Marshall Internal Medicine - Teays Valley

An outpatient department of Cabell Huntington Hospital
Marshall Health-Teays Valley Main Building
300 Corporate Center Drive
2nd Floor
Scott Depot, WV 25560
Phone: 304.691.6910

Map & Directions