Reflux is not just heartburn. When the valve between the esophagus and stomach weakens, stomach acid rises into the esophagus and causes recurrent burning, and sometimes sharp chest pain that mimics cardiac pain. Reflux can also be 'silent' — no heartburn, but a chronic cough, hoarseness, voice change or the sensation of something stuck in the throat.
Common symptoms
- Recurrent burning behind the breastbone, especially after meals or lying down
- Regurgitation of food or acid into the mouth
- Unexplained chronic cough or hoarseness
- Difficulty or pain when swallowing
- Years of relying on acid-suppressing medication without real resolution
When is surgery an option?
Medication masks symptoms; it does not repair the valve. Surgery is considered when symptoms persist despite treatment, when a hiatal hernia is present, when complications such as esophagitis or cell changes (Barrett's esophagus) appear, or when the patient does not want lifelong medication because of its long-term side effects. Before any decision we measure esophageal function and motility precisely, because the type of operation depends on it.
Treatment options
- Diagnostic upper endoscopy with esophageal manometry and pH study
- Lifestyle changes that reduce reflux — many cases improve without surgery
- Robotic or laparoscopic fundoplication to repair the valve
- Repair of an associated hiatal hernia in the same operation
Frequently asked questions
Is ignoring chronic reflux dangerous?
Yes. Constant acid exposure irritates the esophageal lining and, over time, its cells can change and become cancerous. Treating reflux early protects you from that risk.
Are nicotine pouches a safe alternative to smoking for reflux patients?
Nicotine itself relaxes the lower esophageal valve and worsens reflux regardless of how it is taken, so swapping cigarettes for pouches does not solve the problem.
Book your appointment in Jeddah
Dr. Soliman Fakeeh Hospital – Jeddah (Main Branch) · Monday & Thursday, 5:00 – 8:00 PM