Managing Acid Reflux and Heartburn: The Importance of Early Detection of GERD – A Case Study of Mr. Liu, Age 53

Mr. Liu's journey with gastroesophageal reflux disease (GERD) highlights the importance of timely diagnosis and treatment. At 53 years old, Mr. Liu began experiencing acid reflux and heartburn about a year prior to his visit. He also occasionally suffered from upper abdominal pain, bloating, and belching. As his symptoms worsened, he sought medical attention at the First Affiliated Hospital of China Medical University in February 2022.

Diagnosis and Treatment Plan

After an initial examination, including a review of his medical history and presenting symptoms, Mr. Liu was diagnosed with GERD and admitted for treatment. He had a history of chronic gastritis and hypertension. Upon physical examination, he exhibited mild tenderness in the upper abdomen but no rebound tenderness. Based on these findings and his symptoms, he was started on a treatment regimen consisting of Mosapride Citrate Tablets and Rabeprazole Sodium Enteric-Coated Capsules to reduce gastric acid and prevent reflux. His hospital stay lasted two days, followed by an eight-week outpatient medication plan.

Medical Outcomes After Treatment

Within 24 hours of beginning treatment, Mr. Liu experienced noticeable relief from heartburn and acid reflux. By the end of his short hospitalization, his abdominal discomfort had subsided, and he was discharged with instructions to continue his prescribed medications. Eight weeks later, a follow-up endoscopy revealed healthy gastric mucosa with no signs of inflammation or nodules. Although his GERD symptoms were well-controlled, due to his history of chronic gastritis, ongoing monitoring was recommended.

Lifestyle Adjustments Are Key to Long-Term Relief

After successful treatment, Mr. Liu expressed relief at being free from constant discomfort. However, his doctor emphasized the need for lifestyle modifications to prevent recurrence. These included adopting a low-sodium diet, managing weight, elevating the head of the bed during sleep, and avoiding lying down within two hours after meals. Additionally, he was advised to avoid spicy foods, alcohol, and smoking, all of which can irritate the stomach lining and trigger reflux episodes.

Why Early Intervention Matters

GERD is often characterized by persistent acid reflux and heartburn, though its exact causes remain unclear. It may involve reduced esophageal clearance or abnormal sensory function. Delaying treatment—as Mr. Liu did—can lead to complications and negatively impact quality of life. Many individuals mistakenly attribute symptoms to other conditions, such as medication side effects or unrelated digestive issues, which can result in missed opportunities for early intervention.

Paying Attention to Your Body Can Improve Health Outcomes

Mr. Liu's case serves as a reminder that persistent gastrointestinal discomfort should never be ignored. If you experience recurring symptoms like acid reflux, heartburn, bloating, or abdominal pain, it's essential to consult a healthcare provider promptly. Early diagnosis not only improves treatment effectiveness but also helps maintain long-term digestive health.