Non-Erosive Reflux Disease (NERD) Treatment in Daly City, CA
Get Relief from Persistent Heartburn Without Visible Damage
Struggling with chronic reflux symptoms, but tests show “normal” results? You may have Non-Erosive Reflux Disease (NERD). Our board-certified gastroenterologists provide expert diagnosis and personalized treatment plans.
- Accepting new patients
- Same-week appointments available
Understanding Non-Erosive Reflux Disease
Non-Erosive Reflux Disease is a subcategory of Gastroesophageal Reflux Disease (GERD). The primary difference between erosive and non-erosive GERD lies in the physical impact on the body. NERD occurs when acid reflux irritates the esophagus or when the esophagus is overly sensitive to normal reflux, even though no visible damage appears on endoscopy.
- Erosive GERD: Acid causes visible inflammation and ulcers in the esophageal lining.
- Non-Erosive Reflux Disease: The esophagus appears healthy and undamaged on endoscopy, yet the patient experiences significant symptoms.
The only definitive way to distinguish between erosive GERD and NERD is through an upper endoscopy.
- If redness, sores, or tissue erosion are present → Erosive GERD
- If tissue looks normal despite symptoms → NERD
Common NERD Symptoms We Treat
Chronic Heartburn
Persistent burning sensation in the chest
Regurgitation
Food or sour liquid coming back up
Throat Discomfort
Feeling of a "lump" in the throat
Chronic Cough
Persistent throat clearing or coughing
Got any of the above symptoms? It’s time to consult your physician.
Diagnosis Non-Erosive Reflux Disease (NERD)
Diagnosing NERD typically involves multiple steps:
Symptom assessment
Using questionnaires like GERD-Q to evaluate frequency and severity.
Therapeutic trial
Observing response to proton pump inhibitors (PPIs) to determine if acid suppression improves symptoms.
Endoscopy
Performed to rule out erosive GERD; NERD appears normal on endoscopy despite symptoms.
Additional testing (if needed)
pH monitoring or impedance studies can quantify acid or non-acid reflux episodes.
- Note: NERD often shows normal esophageal tissue on endoscopy because symptoms may arise from hypersensitivity or transient acid exposure rather than visible injury.
NERD Treatment & Diet
Dr. Tsuchiyose utilizes a multi-phase approach combining medical intervention with a specialized diet plan tailored to your needs.
Foods to Avoid
Identifying triggers is the first step
- Spicy foods, citrus, and tomatoes
- High-fat or fried meals
- Chocolate, peppermint, and onions
Drinks to Avoid
Beverages that trigger acid reflux
- Carbonated beverages (soda/sparkling water)
- Caffeinated coffee and tea
- Alcohol and highly acidic fruit juices
Natural Management & Long-Term Relief
Lifestyle changes for lasting results
While a complete "cure" is a strong word, long-term remission is possible through consistent lifestyle changes:
- Weight management
- Meal Timing
- Avoiding Triggers
- Caution: High doses of Vitamin C, potassium, and certain iron supplements can actually worsen your symptoms.
Meet Our Experts
Meet Your GI Specialists in Daly City
We are proud to serve the local community. Whether you're coming from San Francisco, South San Francisco, or the greater Bay Area, our clinic offers the highest level of gastrointestinal care.
Board Certified
All providers meet the highest standards of care
Same-Week Appointments
Quick access to expert care when you need it
Local to Bay Area
Serving Daly City, San Francisco & surrounding areas
Frequently Asked Questions
Get answers to common questions about NERD and its treatment.
- Accepting New Patients
Ready to Find Relief from Your NERD Symptoms?
Schedule your consultation with Dr. Tsuchiyose and our expert team. We’re here to provide the specialized care you need for lasting digestive health.
- Same-week appointments available
- Board-Certified Specialists
- Personalized Treatment Plans
- Daly City, CA 94015
- Monday - Friday: 8:00 AM - 5:00 PM
Proudly serving Daly City, San Francisco, South San Francisco, and the greater Bay Area