• Mohammad Akram Randhawa, Sadia Azam Khan, Aqsa Naseer, and Muhammad Tariq Baqai.
• Mohammad Akram Randhawa, MBBS, PhD. Professor, Department of Pharmacology and Therapeutics, Rawalpindi Medical University, Rawalpindi, Pakistan.
• Pak J Med Sci. 2024 Jan 1; 40 (3Part-II): 549551549-551.

AbstractTreatment of Gastro-Esophageal Reflux Disease (GERD) is becoming a challenge. Proton pump inhibitors (PPIs) are commonly prescribed but have many risks, particularly in long-term use. In an earlier pilot study, we have reported benefits of short-term practice of a new life-style, two meals a day with only liquids in between, for management of GERD. Present case report demonstrates benefits of long-term practice of this dietary regimen. A 61 year old patient complaining of night refluxes was diagnosed to have severe GERD with ulcerations at gastroesophageal junction and was advised to take two meals a day with only water, fruit juice, tea, or milk in intervening period. His reflux symptoms improved within fortnight and he remained well for long-time. Endoscopy done after seven years revealed competent and clear gastroesophageal junction. It is concluded that suggested life-style, "Akram's life-style", for GERD is a useful alternate to risky medical and surgical interventions.Copyright: © Pakistan Journal of Medical Sciences.

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