Q: I was diagnosed with gastritis about 4 years back. Recently, I had a problem of vomiting and acidity. The doctor said that the valve in the oesophagus which connects the stomach and the food pipe had become slightly lose (Grade I problem) and needed surgery. What should be done?

A:It seems that you are suffering from GERD (Gastro-oesophageal reflux disorder). Surgery may be necessary if either symptoms are not controlled with medication or you are unwilling to take these medicines on a long term basis. Surgery, especially laparoscopic Nissen fundoplication, is quite an good option because it will be one time solution but off course surgery is quite a invasive procedure and occasionally things may go wrong (less than 1% in skilled hands). In the meantime try and adjust your lifestyle. Stop smoking if you do. Get an Ultrasound to look at gallstones. Take frequent small meals, which are non fatty. Multiple small meals will sometimes help. Wear loose fitting clothes, avoid tight jeans. Sleep with head end of bed elevated during night time. Eat your last meal of the day at least two hours before going to sleep and add evening walk to your lifestyle.