GERD / Acid Reflux Treatment (PPI, H2 Blocker)

Treatment usually begins with a class of medication called a proton pump inhibitor (PPI) or an H2 blocker, which reduce the amount of acid your stomach produces and give irritated tissue time to heal. Dr. Golian selects the right medication, dose, and duration based on the frequency and severity of your symptoms.

Medication works best alongside a personalized lifestyle modification plan — adjusting meal timing, trigger foods, and sleep position to reduce reflux at its source. For patients carrying extra weight, even modest loss through our weight management support can meaningfully ease symptoms.

Before your appointment, it helps to keep a brief diary of when your symptoms occur, what seems to trigger them, and how often you reach for over-the-counter antacids. This gives Dr. Golian a clear picture of your pattern.

Bring a complete list of your current medications and supplements so they can be reviewed during a medication reconciliation — some common drugs can worsen reflux. Also note any warning signs such as difficulty swallowing, unintended weight loss, or persistent symptoms despite treatment, as these may prompt further evaluation.

Most patients notice meaningful improvement within a few weeks. Dr. Golian will schedule follow-up — often by a convenient telehealth visit — to confirm your symptoms are responding and to fine-tune your plan.

Because acid-reducing medications are intended for the shortest effective course, your care includes a clear plan for tapering or adjusting therapy once symptoms are controlled. If reflux is severe, persistent, or accompanied by alarm symptoms, Dr. Golian coordinates a gastroenterology referral, including with specialists at Cedars-Sinai in Los Angeles, for endoscopy when indicated.