Sometimes it is difficult to know when GERD symptoms are severe enough to warrant an appointment with a gastroenterologist, but knowing when to see a specialist can greatly improve the chances of a full recovery. Signs and symptoms that indicate it is time to see a gastroenterologist include the following: • Symptoms that persist for over two weeks • Heartburn that persists after taking OTC medications • Heartburn episodes that change in frequency/intensity • Nighttime symptoms that affect sleep quality • Acid reflux that interferes with daily activities • Symptoms that negatively impact the quality of life • Decreased appetite • Pain or difficulty swallowing • Heartburn accompanied by nausea or vomiting • Unexplained weight loss • Chronic hoarseness or wheezing Alfred B Johnson MD is dedicated to providing you with all of your GERD-related needs. Call us or schedule an appointment with our GERD specialist, or visit our clinic conveniently located at 240 East 13th Street Merced, CA 95341. We look forward to serving you! We serve patients from Merced CA, Atwater CA, Winton CA, Bear Creek CA, Planada CA, Le Grand CA, and Athlone CA.