Brief Answer:
Very few medications are used to treat GERD sir, few more surgeries listed

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. There is one addition you can try, discuss their implementation and practicality with your prescribing doctor sir:

+Baclofen: Helps the lower oesophageal sphincter to relax and thus reduces reflux

But other than this, you should work towards lifestyle modifications like:

+Diet that does not trigger increased acid production
+Avoid stress
+Avoid fatty food, fried food, oily food
+Avoid vigorous exercise
+Avoid tea and/or coffee
+Avoid carbonated drinks
+Avoid smoking
+Avoid alcohol
+Drink plenty of water
and many others, which I am sure you are acquainted with.

Nissens fundoplication has best results, but as it doesn't seem to have helped you much I would recommend surgeries like:

+Highly selective trunkal vagotomy
+Selective trunkal vagotomy
+Use of Linx device

I am sorry there are not many more options when it comes to medications that can be used to combat GERD, but I have tried my best to provide you with as much information as I can currently think of.

I really hope find permanent relief from this condition, please feel free to write back to me for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
Of course, it would be my pleasure to do so

Detailed Answer:
Hello once again Mr. XXXXXXX

Of course, there are 2 sphincters in the oesophagus. One on top, which is a true sphincter and prevents reflux (the upper oesophageal sphincter); and a false sphincter which is made up by muscle constrictions (the lower oesophageal sphincter).

When the lower oesophageal sphincter muscles weaken, it causes acid reflux. Nissen fundoplication also aims at making a false sphincter a little stronger in the region using flaps from the stomach.

Baclofen helps by strengthening the muscles in the region which can contribute towards reducing reflux sir. Although the action of baclofen sounds really reassuring, it is still a medication that cannot be used alone, and needs help from other medications as well. Only a cumulative action of all the medications can cause some amount of relief from the individual.

I hope I have explained things in a manner best understood by you. Please feel free to write back to me for any further clarifications, I am always here to help XXXXXXX

Best wishes.

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