My doctor said I have an incompetent lower esophageal sphincter and I'm really worried because my brother told me GERD is incurable. Is there any way to heal this without surgery? I'm feeling pretty down about it.

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

Consult Now

as symptoms are suggestive of gastritis and GERD (GASTRO ESOPHAGEAL REFLUX DISEASE ).Need to follow some lifestyle changes. Take food timely. Avoid cabbage, capsicum, citrus fruits ( for a while). Don't drink water with food, take after 40 min. as much as needed thereafter. Don't lie down immediately after food. Finish night meal by 8.30 pm maximum. Go to bed after minimum 1 hour after dinner. Always keep stomach 1/4 th empty.Divide meal into 5-6 times a day. Avoid the particular food, which is being observed to cause bloating, fullness, upper abdominal pain/ discomfort, reflux symptoms etc. A good acid blocker is needed to check excess acid production.

Dr. Kamran Suggests...

Consult a Gastroenterology/gi Medicine Specialist

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Answered 14/08/2025

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I've been having on-and-off acid reflux symptoms and want to prevent it permanently without relying on PPI meds attached my reports for reference. Does a pH metry test confirm if I actually have acid reflux? Also, between TIF, Linx, and Nissen fundoplication, which surgery option is the most sustainable long-term?

continue proton pump inhibitors

Answered by 1 Apollo Doctors

I'm having this really annoying issue where every time I go to the bathroom, my anus gets super itchy. It's so bad that I find it really hard not to scratch it. Why is it so itchy and what can I do to stop it?

The persistent itchy anus, especially after wiping, could be caused by anal fissures, hemorrhoids, skin tags, or conditions like pruritus ani, psoriasis, or eczema; other possible causes include poor hygiene, excessive wiping, or irritation from soaps, wipes, or toilet paper; to alleviate the itch, try applying cool compresses, using gentle, fragrance-free cleansers, and avoiding scratching; consider consulting a gastroenterologist,

Answered by 1 Apollo Doctors

I'm a bit concerned about my SGOT levels; they came back as 56. Is this something I should be worried about? Is it normal, or could it indicate a potential issue? Also, are there any steps I can take to try and lower it?

SGOT level of 56 is considered high and may indicate a potential liver issue,

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.