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Acid Reflux / GERD

Acid reflux care that reads your whole picture, not just your symptoms.

Clara reads your GI history, prior PPI trials, H. pylori status, and current medications together. Our physicians review every prescription and lab order.

GI evaluation · Medication reviewFlagged for review
H. pylori stool antigen
Positive
Omeprazole 20 mg
6 months, unchanged
Clopidogrel interaction
PPI interaction noted
Prior EGD
3 years ago, no Barrett's
I've been on omeprazole 20 mg for 6 months and my heartburn is coming back.
Clara
Your chart shows a positive H. pylori test. I'll prepare a physician-reviewed treatment plan. I also flagged a potential interaction between omeprazole and clopidogrel worth reviewing.

Values and scenarios shown are illustrative examples only. All clinical assessments are individualized and reviewed by a licensed physician.

How it works

Records synced, GI history read in context, plan drafted, then Clara tracks how you respond.

1

Connect your records

Clara auto-syncs your records from 150,000+ doctors' offices, hospitals, labs, and pharmacies. Before anything is prescribed, Clara reads every PPI prescription, H. pylori test result, endoscopy note, and medication on your chart. Free to start, no credit card.

2

A plan grounded in your GI history

Clara reads every prior PPI prescription, H. pylori test result, endoscopy note, and antacid you have taken. Before drafting a prescription, Clara checks your full medication list for PPI interactions, clopidogrel, methotrexate, and metformin among others, and reviews your symptom timeline. Every prescription is reviewed and signed off by a licensed physician.

3

Regular monitoring

Clara monitors when PPIs may need adjustment based on your symptom pattern and prior response. Plans start at $25/mo for physician-approved prescriptions and lab orders. Standard ($50/mo) and Concierge ($150/mo) plans include bundled biomarker panels that capture GI and metabolic markers in one pass.

Clara checks whether omeprazole is interacting with something else on your chart before your next prescription.

Get startedFree to connect records. HSA and FSA eligible.
Symptoms

Common symptoms patients describe with acid reflux and GERD.

Heartburn after meals
Acid regurgitation
Chronic cough or hoarseness
Chest discomfort when lying down
Difficulty swallowing
Sour taste in mouth
Nausea or bloating
Worsening symptoms at night

These symptoms overlap with cardiac disease, esophageal dysmotility, and peptic ulcer disease. Clara reads your full chart, prior diagnoses, medications, lab results, rather than anchoring on the most common explanation.

When to seek emergency care

If your heartburn or chest discomfort is accompanied by crushing chest pain radiating to your arm or jaw, difficulty swallowing solid food, vomiting blood, black or tarry stools, or unexplained weight loss, seek emergency care or call 911 immediately. These can signal conditions requiring urgent evaluation. Clara is not an emergency service.

Why Clara

Acid reflux care differs from standard practice. Clara reads what others miss.

ClaraGI-focused telehealthYour doctor
24/7 AI health chatUnlimitedAsync messagingOffice hours only
Reads full medication list for PPI interactionsAuto-synced, 150,000+ sourcesSelf-reported historyWithin a single practice
Checks prior H. pylori tests and endoscopy notesNoAt visit
Orders H. pylori testing when neededPhysician-reviewed ordersLimited
Monthly costBasic $25/mo · Standard $50/mo · Concierge $150/mo · HSA/FSAVariesPer-visit copay
Biomarker panel includedIncluded in Standard and Concierge plansExtra costPer-test copay
Full primary care (beyond GI)GI-focused only

Clara manages acid reflux alongside blood pressure, cholesterol, and everything else. Not a one-condition practice.

Get startedFrom $25/mo · HSA/FSA eligible · cash-pay.
The AI difference

Managing GERD means reading the full medication list, not just the symptom.

PPIs are among the most commonly prescribed medications, and among the most commonly mismanaged. Interactions with clopidogrel, metformin, and methotrexate go undetected when the prescriber only sees the current visit. Clara reads every medication on your chart before drafting any prescription.

Reads every PPI prescription you've had

Clara auto-syncs from 150,000+ sources and reads every prior PPI dose, duration, and response in one pass, plus every endoscopy note and H. pylori test result on file.

Checks interactions before drafting

PPIs affect absorption and efficacy of clopidogrel, methotrexate, metformin, citalopram, and more. Clara checks your full medication list against the PPI interaction profile before any prescription is drafted.

Monitors for red-flag symptoms

Difficulty swallowing, unexplained weight loss, and blood in stool can signal something more serious than reflux. Clara reads your symptom timeline and flags when in-person or specialist evaluation is warranted.

An AI that reads your full medication list. A physician who signs off on every prescription.

Get startedLicensed medical providers review every prescription and lab order.

Common questions about Clara.

What does Clara cost?
Connecting your medical records and chatting with Clara is free. Paid plans start at $25/month, which includes physician-approved prescriptions and lab orders but does not include bundled biomarker tests or wearable integration. Standard ($50/mo) adds 74 biomarker tests including liver function and nutrient panels, plus wearable integration. Concierge ($150/mo) includes 108 biomarker tests and expanded panels. All plans are HSA/FSA eligible and cash-pay. Medications and ad-hoc lab orders are billed by your pharmacy or lab and may be covered by your insurance.
Can I use my insurance, HSA, or FSA?
Clara's membership is cash-pay and not billed through insurance, but every plan is HSA/FSA eligible. Prescriptions Clara's physicians write go to your pharmacy and may be covered by your plan like any other script. A PPI prescription from Clara goes to your pharmacy exactly as any other script would. Ad-hoc lab orders may also be covered by your insurance when applicable.
Is Clara a real medical practice?
Yes. Clara operates through affiliated professional corporations licensed in all 50 states. All diagnoses, prescriptions, and lab orders are reviewed and signed off by licensed physicians. Clara's AI handles intake, continuous monitoring, and clinical reasoning. The physician sign-off happens before any clinical action reaches you.
How is this different from my regular doctor?
A 15-minute annual visit reviews your most recent results. Clara reads every PPI prescription, H. pylori test, and endoscopy note you have had, and does it every time you interact. Your PCP remains the right choice for in-person exams and anything Clara refers out. Clara fills the continuous monitoring gap between those visits.
What if I need in-person care or a specialist?
Clara manages acid reflux remotely through prescriptions, labs, and monitoring. When something requires a physical exam, imaging, or an endoscopy, Clara prepares a summary and helps you navigate the next steps.
Will Clara check for H. pylori?
Yes. When your symptoms or history suggest H. pylori as a possible contributor, Clara can order a stool antigen test or review prior test results already in your chart. A positive result triggers a treatment plan for physician review.
Is acid reflux dangerous if left untreated?
Untreated chronic GERD can, in some cases, lead to esophagitis, esophageal strictures, or Barrett's esophagus, a precancerous change in the esophageal lining. Clara reads your symptom timeline and prior GI notes to help identify when further workup is warranted. Symptoms like difficulty swallowing or unexplained weight loss should be evaluated promptly.
How quickly do PPIs work?
Most patients notice improvement in heartburn symptoms within 2 to 4 weeks of starting a PPI. Full healing of erosive esophagitis typically requires 4 to 8 weeks of treatment. Clara orders follow-up evaluation at the appropriate interval rather than leaving you on an unchanged dose indefinitely.

Acid reflux care that reads your GI history every time.

Free to connect your records and chat with Clara. Standard and Concierge plans include physician-reviewed prescriptions, lab orders, and full primary care, not just GI.

Get started

Clinical scenarios and illustrative examples shown on this page do not represent actual patient outcomes. All clinical assessments are individualized and reviewed by a licensed physician.

Proton pump inhibitors (PPIs) are associated with risks including C. difficile infection, hypomagnesemia, vitamin B12 deficiency, and potential interactions with clopidogrel and other medications when used long-term. PPI therapy should be used at the lowest effective dose for the shortest duration clinically appropriate. Clara's physicians review every prescription individually. Individual results may vary.

If you experience chest pain that could represent a cardiac event, difficulty swallowing, vomiting blood, or black tarry stools, seek emergency care immediately. These symptoms require in-person evaluation and are outside the scope of telehealth.