Acidity • GERD • Gastritis

Acidity, GERD & Gastritis Treatment in Greater Noida

Heartburn, sour reflux or upper-tummy burning that keeps coming back deserves a proper look — not just another strip of antacids and a refill of the same pill. assessed and managed by Dr. Manuj Sondhi (MRCP UK) — Consultant Physician & Diabetologist at Nirvana Clinic, Greater Noida.

At a glance
🔥 Reflux and burning causes identified
🦠 H. pylori checked when relevant
🚩 Alarm symptoms screened before anything else
💊 A plan to get off long-term acid pills safely

More than just 'gas'

Acidity, acid reflux (GERD) and gastritis are extremely common, and most of the time they're driven by diet, lifestyle and sometimes an H. pylori infection. The discomfort is real — burning, regurgitation, bloating — but staying on acid-suppressing pills for years is not the goal.

The right approach is to confirm it's ordinary reflux (and not something that needs a closer look), treat any underlying cause, and then step the medicines down rather than refilling them indefinitely.

Typical symptoms

Reflux and gastritis overlap; these are the common complaints.

Heartburn

A burning feeling rising up behind the breastbone, often after meals.

Sour or bitter regurgitation

Acid or food coming back up into the throat or mouth.

Upper-abdomen burning

A gnawing or burning pain in the upper tummy (gastritis).

Bloating and early fullness

Feeling full quickly, with belching and discomfort.

Worse lying down

Symptoms that flare at night or when you lie down after eating.

Throat & cough symptoms

A chronic throat irritation, hoarseness or night cough.

What drives it

Usually a mix of habits, sometimes an infection or a medicine.

Eating patterns

Irregular meals, large or late dinners, spicy, fried and oily food.

Tea, coffee, smoking, alcohol

All relax the valve at the top of the stomach or irritate the lining.

Stress and poor sleep

Genuinely worsen acidity for many people.

Excess weight

Raises pressure on the stomach and promotes reflux.

H. pylori infection

A common stomach bacterium behind much gastritis and ulcers.

Painkillers (NSAIDs)

Frequent anti-inflammatory painkillers irritate the stomach lining.

Alarm symptoms — don't ignore these

Most acidity is harmless, but these features need prompt assessment, usually with an endoscopy.

⚠️Difficulty or pain on swallowing, or food sticking
⚠️Unintentional weight loss or persistent vomiting
⚠️Vomiting blood, or black, tarry stools
⚠️New symptoms after about 45–50, anaemia, or a family history of stomach cancer

How it's assessed

For typical, uncomplicated symptoms, a careful history is often enough to start. The job is to spot the small number that need a closer look and to find a treatable cause where there is one.

  • ✓A clinical assessment of the pattern, triggers and severity
  • ✓Testing for H. pylori where it's relevant
  • ✓Endoscopy when there are alarm features, or symptoms that persist despite treatment
  • ✓Reviewing diet and medicines — particularly regular painkillers

How it's treated

The plan is to settle symptoms, treat any underlying cause, and then reduce reliance on acid-suppressing tablets rather than continue them on autopilot.

  • ✓Diet and lifestyle changes first — meal timing, portions, triggers, weight, smoking and alcohol
  • ✓Treating H. pylori properly when it's found
  • ✓A defined course of acid-suppression where it's genuinely needed
  • ✓A clear step-down plan, so you're not on long-term acid pills without a reason
  • ✓Reviewing painkillers and other medicines that may be contributing

Seen by a physician — not just handed a prescription

Dr. Manuj Sondhi holds MRCP (UK) from the Royal College of Physicians, along with MD, DNB and a PG Diploma in Endocrinology & Diabetes, and a Fellowship in Infectious Diseases & HIV Medicine from Tata Memorial Hospital, Mumbai. With 15+ years in internal medicine and metabolic care at Nirvana Clinic and Fortis Hospital, his approach is to find the cause, treat H. pylori properly where present, and safely deprescribe long-term acid-suppressing pills — rather than simply refilling them year after year.

What patients say

“Dr. Manuj Sondhi is extremely knowledgeable, patient and professional. He took the time to listen carefully to every concern and explained the treatment clearly — the whole experience was very reassuring.”

— Verified Google review

“He explains the diagnosis and treatment very clearly, which gives real confidence and comfort. I truly appreciated his ethical and effective approach.”

— Verified Google review

Frequently asked questions

What's the difference between acidity and GERD?
'Acidity' is the everyday term for the burning and reflux; GERD is when that reflux happens often enough to need proper management. Gastritis is inflammation of the stomach lining, which can feel similar.
Is H. pylori serious?
It's a common stomach bacterium that can cause gastritis and ulcers. When it's found, treating it properly often resolves long-standing symptoms — which is why testing matters.
Are daily acid pills safe to take for years?
They're useful for a defined purpose, but staying on them indefinitely without review isn't ideal. The aim is to treat the cause and then step down where possible.
When is an endoscopy needed?
When there are alarm features — trouble swallowing, weight loss, bleeding, anaemia, or new symptoms after about 45–50 — or when symptoms persist despite treatment.
Can acidity be cured with lifestyle alone?
For many people, meal timing, portion control, weight and trigger management make a big difference — sometimes enough to come off medicines, with a proper plan.