GERD can be functional or can be associated with some anatomical disorder. Functional can be cured by lifestyle modification, avoiding spicy food doing physical workout and in severe cases acid suppressants and antacids can help Anatomical can require surgery

[ ] Hi, it seems you have developed fissure in ano. ( a cut in anal canal due to passage of hard stool). You need some good laxative to make stool soft do that it should not hurt the wounded area. Take isabgol husk in Luke warm water after dinner daily. You can try Triphala powder. There are certain ointment to relax the anal sphincter which helps in relieving pain and allows fissure to heal. Do sitz bath three times a day. Feel free to ask any further quary.