GERD stands for gastro esophageal reflux disease and whenever you find that the patients are lying on the bed and suddenly gets up and has to sit because of food is regurgitating into the esophagus which is causing a little burning sensation or may be the food contents are regurgitated into the mouth, then there is a possibility of the valves of the lower en of the esophagus, which is supposed to hold the food into place. When we do the investigations, we find that there is erosion of the lower end of the esophagus and there is strictures in the upper end of the esophagus and so if you find on the endoscopy that these symptoms are not there, then it is possibly it is an early GERD like symptom or GERD like disease. But in advanced stages these symptoms are seen. When you see that there is no endoscopic findings the you see other symptoms like weakness, palpitations, possibility it is condition of irritable bowel syndrome, where he is a Type A personality, where there is a perfectionist, where he wants everything to be done in a systematic, meticulous, organized, to puts himself under stress. So his bowel movements are faster and starts developing symptoms of frequent motion. Very typical symptom that is seen in irritable bowel syndrome is that all these investigation findings are normal. Yet the patient has symptoms like GERD like symptoms and urge for motion before eating food or urge for motion before going for any party or any program.