GERD Doctor vs. Primary Care: Who Should You See for Acid Reflux?

Not all heartburn is created equal—and neither are the doctors who treat it. If you're struggling with persistent acid reflux or GERD (Gastroesophageal Reflux Disease), it’s important to know when a primary care provider is enough and when you need to see a specialized GERD doctor.

Understanding the Difference in Care

A primary care physician (PCP) is often your first stop for most health concerns, including digestive complaints. However, when your symptoms persist or worsen, a GERD doctor, usually a gastroenterologist, may offer more targeted and effective care.

When a Primary Care Doctor Can Help

For mild or occasional acid reflux, your PCP may:

• Recommend dietary and lifestyle changes

• Prescribe over-the-counter or basic acid-reducing medications

• Evaluate other common causes of upper GI discomfort

These initial steps can be effective for people who are just beginning to experience symptoms.

When It’s Time to See a GERD Doctor

If your acid reflux persists for more than two weeks despite medication and lifestyle modifications, it’s time to see a GERD doctor. Specific signs include:

• Daily or nightly heartburn

• Regurgitation of food or acid

• Difficulty swallowing

• Chronic cough or hoarseness

• Symptoms that interrupt your sleep or daily life

Benefits of Seeing a GERD Doctor

A GERD doctor provides:

• Specialized diagnostic testing like endoscopy, pH monitoring, or manometry

• Identification of esophageal damage or complications

• A tailored treatment plan including advanced therapies and surgical options

Diagnostic Tools a GERD Doctor Uses

• Upper Endoscopy: To visually inspect the esophagus

• 24-hour pH Monitoring: To measure the frequency and duration of acid reflux

• Esophageal Manometry: To evaluate muscle contractions in your esophagus

These tools offer a level of diagnostic precision not usually available from a generalist.

Long-Term Management with a GERD Doctor

For patients with chronic GERD, working with a GERD doctor means ongoing support to manage symptoms, prevent complications, and adjust treatments as needed.

Costs and Referrals

Depending on your healthcare system, you may need a referral from your PCP to see a GERD doctor. While specialist care may have higher upfront costs, it can save you money and discomfort in the long run by preventing complications.

Making the Right Choice for Your Health

While your primary care doctor plays a crucial role in managing overall health, they often collaborate with specialists. For digestive issues that don’t resolve, seeking care from a GERD doctor is the next best step.

FAQs

Q1: Can I see a GERD doctor without seeing my primary care doctor first?
A: In some regions or insurance plans, a referral is required. In others, you can make an appointment directly.

Q2: Is it more expensive to see a GERD doctor?
A: While specialist visits may have higher initial costs, they can lead to more effective treatment and fewer ongoing issues.

Q3: What’s the difference between a GERD doctor and a regular GI doctor?
A: A GERD doctor is typically a GI doctor who specializes in reflux-related conditions.

Q4: Can a GERD doctor treat other digestive issues?
A: Yes, gastroenterologists treat a wide range of digestive conditions, not just GERD.

Q5: Will I still need to see my PCP?
A: Yes, your PCP oversees your general health and can work in tandem with your GERD doctor for comprehensive care.