Online GERD Refills in Florida for Adults (Gastroesophageal Reflux Disease)
MD-only GERD refill evaluation by secure video visit for adults in Florida, $49 flat-fee, no insurance required.
GERD is reflux of stomach contents into the esophagus that can cause heartburn, chest burning, sour taste, regurgitation, chronic throat clearing, or nighttime cough. TeleDirectMD can help stable adults in Florida with refills of common non-controlled reflux medications when it is clinically appropriate and safe, with careful screening for alarm symptoms.
- $49 flat-fee visit
- MD-only evaluation and refill safety review
- Guideline-based screening for alarm symptoms
- PPI and H2 blocker refill options when appropriate
- Adults only, you must be in Florida at the time of the visit
Last reviewed by Parth Bhavsar, MD on 12/24/25.
Clinician note: Reflux is common, but some symptoms need in-person evaluation. Trouble swallowing, vomiting blood, black stools, unexplained weight loss, persistent vomiting, or chest pain with sweating or shortness of breath warrant urgent assessment.
Common GERD Clues
- Burning in chest after meals
- Sour or bitter taste in mouth
- Regurgitation worse when lying down
- Nighttime cough or hoarseness
Chest pain can be cardiac. If chest pain is severe, new, or associated with shortness of breath, sweating, or fainting, seek emergency care.
Quick Answers
- Telehealth is best for stable GERD patients needing refills of non-controlled medications
- We screen for alarm symptoms like trouble swallowing, GI bleeding, or weight loss
- PPIs are often used for short courses, then step-down when possible
- Lifestyle changes often reduce medication needs over time
- You must be physically located in Florida at the time of the visit
What Are GERD Refills?
A GERD refill visit focuses on safe continuation. We review your reflux symptoms, current medication response, risk factors, and any alarm features. When appropriate, TeleDirectMD can refill common non-controlled GERD medications and provide a plan to reduce relapse.
TeleDirectMD is a good fit for adults who have a known reflux history, are stable, and need refills, or who need a short bridge while arranging long-term primary care or GI follow-up.
GERD Symptoms and Red Flags
This table highlights common reflux symptoms, what they may suggest, and when in-person evaluation is safer.
| Finding | What it suggests | Telehealth appropriate? | Red flag requiring urgent in-person care |
|---|---|---|---|
| Heartburn after meals or when lying down | Typical GERD | Often yes | Chest pain with shortness of breath, sweating, or fainting |
| Regurgitation or sour taste | Reflux | Often yes | Vomiting blood or black stools |
| Nighttime cough, hoarseness, throat clearing | Laryngopharyngeal reflux possible | Often yes | Trouble swallowing or food sticking |
| Symptoms improved with PPI or H2 blocker | Medication-responsive GERD | Often yes | Unexplained weight loss or persistent vomiting |
| Upper abdominal discomfort with bloating | Dyspepsia overlap | Often yes | Severe persistent pain or dehydration |
What Else Can Mimic GERD?
- Cardiac chest pain: pressure, exertional symptoms, sweating, shortness of breath.
- Peptic ulcer disease: burning epigastric pain, GI bleeding risk.
- Gallbladder disease: right upper quadrant pain, post-meal nausea.
- Eosinophilic esophagitis: intermittent dysphagia and food impaction.
- Functional dyspepsia: upper abdominal discomfort without structural disease.
When a Florida Video Visit Is Appropriate vs. When to Go In-Person
When a Video Visit Is Appropriate
- Adult 18+ located in Florida at the time of the visit
- Known reflux history with stable symptoms
- Requesting refills of non-controlled GERD medications
- No trouble swallowing or GI bleeding symptoms
- No severe chest pain or concerning cardiac features
Red Flags Requiring In-Person or ER Care
- Trouble swallowing, food sticking, or painful swallowing
- Vomiting blood or black tarry stools
- Unexplained weight loss or persistent vomiting
- Chest pain with shortness of breath, sweating, or fainting
- Severe dehydration, severe persistent abdominal pain, or inability to keep fluids down
GERD Refill Approach and Treatment Options
Refill visits focus on symptom control and safety. We review response to your current medication and consider step-down when appropriate. Many adults do well with a time-limited PPI course, then lower-intensity therapy plus lifestyle changes.
Habits That Often Improve Reflux
- Avoid lying down for 3 hours after meals
- Smaller meals, avoid late-night heavy meals
- Limit trigger foods when identified
- Elevate head of bed for nighttime symptoms
- Weight reduction when applicable
Medication Table
| Medication | Dose | Duration | When used |
|---|---|---|---|
| Omeprazole | 20 mg by mouth once daily | 14 days to 56 days | Common first-line acid suppression when symptoms are frequent |
| Pantoprazole | 40 mg by mouth once daily | 14 days to 56 days | PPI alternative when appropriate |
| Famotidine | 20 mg by mouth BID | As needed or ongoing | Milder symptoms or step-down from PPI when appropriate |
| Calcium carbonate antacid | 500 mg to 1000 mg by mouth as needed | As needed | Breakthrough symptoms support |
If you have alarm symptoms, persistent symptoms despite therapy, or need long-term daily PPI use, in-person evaluation may be recommended to confirm diagnosis and consider testing.
Home Care and What to Expect
Many GERD flares improve within days to weeks with medication plus consistent lifestyle changes. If symptoms are frequent or long-standing, ongoing management may be needed to reduce relapse.
- Keep a simple trigger diary for 1 week to 2 weeks
- Avoid large late meals and alcohol near bedtime
- Seek urgent care for bleeding, trouble swallowing, or severe chest pain
- Follow up if you are not improving within 7 days to 14 days
What to Expect From Your TeleDirectMD GERD Refill Visit in Florida
TeleDirectMD provides adult-only, MD-only virtual care by secure video. Visits are $49 as a flat cash fee with no insurance required. If appropriate, GERD medications can be refilled and sent electronically to your preferred pharmacy in Florida.
Adults only. You must be physically located in Florida at the time of your visit.
Florida GERD Refills Telehealth FAQ
Can TeleDirectMD provide GERD refills online in Florida?
Yes. TeleDirectMD provides MD-only video visits for adults in Florida and can refill appropriate non-controlled reflux medications after screening for alarm symptoms.
What are alarm symptoms for reflux?
Trouble swallowing, vomiting blood, black stools, unexplained weight loss, persistent vomiting, or severe chest pain are alarm symptoms and need urgent in-person evaluation.
Can I refill a proton pump inhibitor like omeprazole?
Sometimes. If it is appropriate and safe based on your history and symptoms, a PPI refill may be provided with guidance on duration and step-down strategy.
Is famotidine an alternative to a PPI?
Yes. Famotidine is an H2 blocker that can help milder symptoms or be used as step-down therapy after a time-limited PPI course in appropriate patients.
How quickly do reflux medicines work?
Antacids can help quickly for breakthrough symptoms. H2 blockers often help within hours. PPIs can take a few days for maximal effect.
When should I go to the ER for reflux symptoms?
Seek emergency care for vomiting blood, black stools, severe chest pain, fainting, or severe shortness of breath.
Can lifestyle changes really help?
Yes. Avoiding late meals, smaller portions, reducing trigger foods, elevating the head of bed, and weight reduction when applicable can significantly reduce symptoms.
Can you provide a work note?
TeleDirectMD can usually provide a brief work note when medically appropriate as part of the $49 visit. We do not complete long-term disability, FMLA, or accommodation paperwork.
Is TeleDirectMD available across Florida?
Yes. As long as you are physically located in Florida at the time of the video visit, you can be evaluated.
What if I am not improving?
If symptoms persist despite appropriate therapy or you develop alarm symptoms, in-person evaluation is recommended for diagnosis confirmation and possible testing.