What Causes GERD?

Just about everyone has at one point struggled with acid reflux symptoms, and although they're uncomfortable you can usually manage them by adjusting your diet and with over-the-counter medication. But if acid reflux is more than a casual problem, if you are often turning to medication for relief, then you may be dealing with a condition known as GERD. You can learn more about GERD by reading on, but to become even more informed you can reach out to your Honolulu, HI, gastroenterologist, Dr. Stephen Buto.


GERD, or gastroesophageal reflux disease, is a chronic condition with acid reflux as a recurring symptom. Most experts agree that if you have acid reflux more than twice a week then you may be suffering from GERD.

Acid reflux, or heartburn, is that burning feeling in your chest that can move upward onto your throat and neck.

It can lead to other symptoms such as chest pain, pain when swallowing, chronic cough, and bad breath, among others. But the long-term effects of GERD, if left untreated, can be serious.


There are different factors that can contribute to GERD, there typically isn't just one single cause.

It can be caused when the lower esophageal sphincter (LES) does not function properly. This is the lower band of muscle that opens when you swallow and tightens closed otherwise. If it does not close correctly digestive juices can move up into the esophagus.

A hiatal hernia, which occurs when part of the stomach moves into the chest area, can also affect the function of the LES.

Other common causes for GERD can include eating large meals frequently, and lying down too soon after large meals, both issues can cause the LES to not close properly.

GERD Treatment in Honolulu, HI

Although there is no cure for GERD, the symptoms can be managed and the more harmful complications can be prevented with the help of your doctor and with lifestyle changes.

If you are looking for long-term relief for GERD symptoms, you can schedule a consultation in Honolulu, HI, with Dr. Buto by dialing (808) 524-7676.

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Stephen K. Buto, M.D.


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9:00 am-12:00 pm


9:00 am-12:00 pm

2:00 pm-4:30 pm


9:00 am-12:00 pm

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