Schedule your appointment at a time that's convenient for you!
Reflux occurs when stomach contents and acid back up into the esophagus, causing irritation in the throat. Usually, stomach acid is confined to the stomach. But in some cases, when a small valve called the lower esophageal sphincter (LES) doesn't work properly, it allows acid to leak back up into the esophagus.
Gastroesophageal reflux disease (GERD) occurs when stomach acid often flows back into the tube that connects the mouth and stomach (esophagus). This backwashing (acid reflux) can irritate the lining of the esophagus. Many people experience acid reflux from time to time. GERD is either mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week. Most people can control the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD reflux may need stronger medications or surgery to relieve symptoms.
The cause of GERD is unknown, although it could be due to abnormal relaxation of the lower esophageal sphincter (LES), a muscular valve in the esophagus that prevents food from flowing down the throat, and stomach acid in the stomach. Increased frequency of transient relaxation of the sphincter, increased stomach pressure due to a hiatal hernia, and increased pressure within the abdomen are all possible causes. Stomach acid can back up into the esophagus if the LES is opened too often or does not seal tightly enough, causing the burning sensation. Other causes of GERD include disordered gastric emptying or failed esophageal peristalsis (wave-like movements in the muscles).
Before surgery can be considered for people with severe GERD, your doctor must offer objective documentation of gastroesophageal reflux. Flexible esophagoscopy is frequently used as the first step in determining the diagnosis. If there is evidence of esophagitis, tissue biopsies may be taken during the endoscopic procedure (inflammation). Barrett's esophagus diagnosed histologically from a tissue biopsy is also considered objective evidence of GERD. The 24-hour esophageal pH test, which should be inserted by your doctor in the absence of endoscopic evidence of reflux, is the current gold standard objective test.
See what our patients have to say about their experience with Dr. Núñez Santana
Getting a gastric sleeve was one of the most important decisions I have made, my life took a 360 degree turn, I am a different person, healthy, agile, I like what I see in the mirror, everything has been 10 thanks to God and What to say about my doctor that can enclose everything in one word, excellence, that would be the correct word, God bless your hands always, good job my doctor.
A unique experience, the doctor and his team, an excellence with a smile and everyone super friendly, I recommend them 100% when I arrived I felt super nervous but when I spoke with them in person my fears were gone I had the gastric balloon the procedure was The best decision I have ever made in my life.
Excellent Doctor explains everything so that you have no doubts about the process, very attentive and always available to answer any questions, I recommend him with your eyes closed ... and his excellent team with their attention and treat you with great affection ... simply one of the best doctors I know Dr Núñez thank you for changing my life!
Excellent Doctor. Explanation to the letter of everything necessary and what the process entails. Unique Professionalism. He genuinely cares about your recovery, about your health and progress. Thanks to God and to his hands for giving me the necessary help for one of the best changes in my life. 100% recommended! ???????? Thank you Dr Nuñez Santana, you are the best!