GERD presents in different patterns depending on the underlying mechanisms and severity. Each type requires specific diagnostic approaches and targeted treatment strategies.
| Type | Primary Pattern | Common Symptoms | Considerations |
|---|---|---|---|
| Classical GERD | Excessive acid exposure due to LES dysfunction | Heartburn, regurgitation, chest pain | Often responds to acid reduction but may require LES strengthening |
| Functional Heartburn | Normal acid exposure with hypersensitive esophagus | Burning chest pain, PPI-refractory symptoms | Requires neuromodulation and gut-brain axis support |
| Silent Reflux (LPR) | Acid reaching throat and airways | Chronic cough, hoarseness, throat clearing | Often missed, requires different diagnostic approach |
| Complicated GERD | Structural damage from chronic acid exposure | Difficulty swallowing, bleeding, chest pain | May involve Barrett's esophagus, strictures, or ulceration |
Comprehensive GERD evaluation goes beyond symptom assessment to identify root causes and optimize treatment strategies. GERD has been treated as a condition of overproduction of acid. In reality it is a condition in which the lower esophageal sphincter, the valve which connects the esophagus to the stomach, is inappropriately open. The root cause of this can be from improper nutrition, emotional stress, and medications. At Whole Gut Health, we use advanced diagnostics and years of experience to understand the underlying mechanisms driving your reflux.
Testing options may include:
We customize testing protocols based on your symptom pattern, medical history, and treatment response to ensure comprehensive evaluation.
Our Three-Phase GERD Protocol Includes:
1. Assessment and Root-Cause Identification
2. Targeted Intervention
3. Rebuilding and Prevention
Dr. Alexandra Shustina, NYC’s and Miami’s premier gut health specialist doctor is a board-certified gastroenterologist and internist. She is a gut health specialist with training in conventional gastroenterology and functional gut health. She is an expert in the gut microbiome and its role in health and wellness.
At Whole Gut Health, our care is led by an experienced functional medicine team with a deep understanding of the gut microbiome and advanced diagnostics. We combine evidence-based strategies from conventional gastroenterology with a functional and integrative lens to give you the clarity and support needed for long-term healing.
GERD (Gastroesophageal Reflux Disease) occurs when stomach acid and other contents regularly back up into the esophagus due to dysfunction of the lower esophageal sphincter (LES). While occasional acid reflux is normal, GERD represents chronic, persistent reflux that can cause tissue damage and systemic symptoms requiring comprehensive treatment.
Classical GERD
Functional Heartburn
Silent Reflux (LPR)
Complicated GERD
Comprehensive GERD evaluation includes multiple testing approaches. Testing options include:
Testing protocols are customized based on your symptom pattern and medical history.
Our comprehensive three-phase GERD protocol includes:
Phase 1: Assessment and Root-Cause Identification
Phase 2: Targeted Intervention
Phase 3: Rebuilding and Prevention
Different GERD types require different treatment approaches. For example:
GERD symptoms can return if underlying root causes aren't fully addressed or if triggering factors return. This is why our protocol includes a comprehensive rebuilding and prevention phase that focuses on:
At Whole Gut Health, we go way beyond acid suppression to identify and treat the root causes of GERD. We combine evidence-based strategies from conventional gastroenterology with functional medicine principles, and a holistic approach focusing on:
Dr. Alexandra Shustina is a board-certified gastroenterologist and internist who serves as NYC's and Miami's premier gut health specialist. She has training in both conventional gastroenterology and functional gut health, with expertise in the gut microbiome and its role in health and wellness.
The first step is scheduling a comprehensive consultation where we'll:
Contact our office to schedule your initial consultation and begin your journey toward lasting relief from reflux symptoms and optimal digestive health.
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