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.

Get started How it works

GI evaluation · Medication review

Flagged for review

H. pylori stool antigenPositive

Omeprazole 20 mg6 months, unchanged

Clopidogrel interactionPPI interaction noted

Prior EGD3 years ago, no Barrett's

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.

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.

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.

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.

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.

Why Clara

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

	Clara	GI-focused telehealth	Your doctor
24/7 AI health chat	✓ Unlimited	Async messaging	Office hours only
Reads full medication list for PPI interactions	✓ Auto-synced, 150,000+ sources	Self-reported history	Within a single practice
Checks prior H. pylori tests and endoscopy notes	✓	✗	At visit
Orders H. pylori testing when needed	✓ Physician-reviewed orders	Limited	✓
Monthly cost	Basic $25/mo · Standard $50/mo · Concierge $150/mo · HSA/FSA	Varies	Per-visit copay
Biomarker panel included	✓ Included in Standard and Concierge plans	Extra cost	Per-test copay
Full primary care (beyond GI)	✓	GI-focused only	✓

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.

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.