You've Been Told You're Fine. You Know You're Not.
You've done the tests, seen the specialists, and tried the medications. You're still sitting upright to sleep and planning your life around what your reflux will allow. There's a reason no one has explained it to you yet — and there's a way out.
Not sure yet? Watch the webinar first.
You've Been Told You're Fine. You Know You're Not.
Guidance that evolves with your progress. Your transformation is a journey, and we'll be with you every step of the way. Our personalized coaching adapts to your evolving needs, ensuring your long-term success.
The Problem
You've been to cardiology. You've been to ENT. You've tried the allergy medications, the acid blockers, the elimination diets. And yet here you are — chest tight, food getting stuck, sleeping propped up on pillows, running on less than you should be — still without a real answer.
The harder part isn't the symptoms. It's what years of being dismissed does to a person. You start to wonder if it's really as bad as it feels. You adapt. You eat less, cancel plans, stop mentioning it to doctors because what's the point. You're not broken. But you are running out of places to turn — and that is exactly why you're here.
Meet Dr. Tejal Pandya
Fellowship in Esophageal Health, Swedish Medical Center · Surgical Residency, UCSF Fresno · M.D., Lewis Katz School of Medicine at Temple University
What you're living with has a mechanical explanation. The reason your chest hurts, the reason food gets stuck, the reason lying flat feels impossible — it connects directly to your anatomy, and there is a reason the medications haven't solved it. You are not imagining this. Your symptoms are not normal. And the fact that your tests came back unremarkable does not mean nothing is wrong. It may mean no one has looked carefully enough, or explained what they found in a way that actually helps you move forward.
Dr. Tejal Pandya is a fellowship-trained gastroenterologist and surgeon who operates in a lane of one. She does not hand your case to a team. She reviews your records, conducts your interview, interprets your workup, and delivers your summary herself — with the full clinical picture, the mechanical explanation you've never gotten, and a concrete roadmap of what to do next. Whether you live across the country or across the world, she can give you what the system hasn't: clarity, a plan, and someone who will actually get to the bottom of it.
How It Works
Start with the quiz
A few questions about how reflux is actually affecting your eating, your sleep, and your daily life. It is free, it takes about three minutes, and at the end you will see where your answers place you on the Downward Reflux Spiral, along with the written guide that explains the stages.
Watch the webinar
Dr. Pandya walks through the spiral in full: why reflux is a mechanical problem as much as an acid one, what each stage looks like from the inside, and what actually changes the direction. For the person who read the guide and wants the whole explanation rather than the summary.
Move Forward With Clarity
You leave with a plan. Not a prescription. Not a referral to another specialist with no context. A real explanation of what's happening in your body, why, and exactly what kind of care — locally or with Dr. Pandya directly — will get you to the outcome you've been trying to reach.
What we offer
Three ways to start, listed in the order most people use them. The first one is free and takes a few minutes. Nothing here requires you to commit to anything before you understand your own situation.
Start here Free
The Reflux Spiral Reality Check
The Reflux Spiral Reality Check
A short set of questions about how reflux is actually affecting your eating, your sleep, and your daily life. At the end you will see where your answers place you on the Downward Reflux Spiral, and you will get the written guide that explains the stages, what each one tends to mean, and the questions worth asking your own doctor next.
The quiz and the guide are educational. They are not a diagnosis, not a medical opinion about your case, and not a substitute for care from your own physician.
Go deeper
The Downward Reflux Spiral webinar
The Downward Reflux Spiral webinar
Dr. Pandya walks through the spiral in full: why reflux is a mechanical problem as much as an acid one, what the stages look like from the inside, how people end up stuck moving down instead of up, and what actually changes the direction. Built for the person who read the guide and wants the whole explanation rather than the summary.
Educational content only. It does not create a doctor-patient relationship and is not personal medical advice.
Clinical care
Become a patient
Become a patient
For people who want Dr. Pandya as their treating physician rather than a source of information. She practices with Freedom Medical Group, an insurance-based private practice, which is where one-on-one patient care happens. She sees patients in Fresno and in Porterville, and patients travelling in from outside the area are a normal part of the practice.
What Life Looks Like When This Is Working
Six months from now, you know what is actually happening in your body. You have a name for it, a mechanical explanation for why it behaves the way it does, and a written record of what your tests actually mean - in language you can read and use. You are not crowd-sourcing answers from Facebook groups at midnight. You are working through a purposeful plan with the right specialists, moving toward a real resolution.
A year from now, you are eating again. Sleeping flat. Showing up to the dinner table without calculating the consequences. The version of you that planned every day around what your reflux would allow is not the version of you standing here. You got the answers, you followed the roadmap, and you are living your life whole again. Patients who get here say it was the best money they ever spent - and that they would have paid more.
What Happens If Nothing Changes
Reflux disease does not stay where it is. Without a real explanation and a real plan, each symptom you are managing today gets harder to manage tomorrow. The chest pain deepens. The list of foods you can eat narrows. The sleep debt compounds. Other organ systems begin to show the strain of long-term acid exposure and long-term medication use. And the longer the cycle continues - dismissed appointments, medications that don't solve it, going in circles - the harder it becomes to hold onto the belief that something better is possible. The cost of waiting is not neutral. It is cumulative.
Visit our locations
Dr. Pandya sees patients at two offices in California's Central Valley, in Fresno and in Porterville. Both are reached on the same phone line, and patients travelling in from outside the area are a normal part of the practice.
Fresno County
Fresno
Fresno
The Fresno office is in the medical complex on North Chestnut Avenue, just north of Herndon, with parking in the complex itself. Call to arrange an appointment or to ask whether your situation is one Dr. Pandya can help with.
Driving directions to Fresno
From Porterville, Visalia, Tulare or Hanford
Take HWY 99 North, then the HWY 41 North exit. Go north and take the Herndon Avenue exit heading east. At the intersection of North Chestnut Avenue turn left, going north. Take the first left into the medical office complex.
From HWY 168 East
Take the Herndon Avenue exit heading west. At the intersection of North Chestnut Avenue turn right, going north. Take the first left into the medical office complex.
Flying to Fresno
For patients coming from outside the region, flying into Fresno-Yosemite International Airport (FAT) is the straightforward option. Many cities are a one-hour direct flight away, and the airport continues to add routes. It is a medium-sized airport with good connections, easy to navigate, and wait times are short. Rental cars are available on site.
Patients with appointments in Porterville also fly into Fresno, since it is the major airport for the region, and drive down from there.
Tulare County
Porterville
Porterville
The Porterville office is on West Putnam Avenue, the fourth building on the right, near Sierra View Medical Center. This location is also home to the practice's own same-day surgery center.
Driving directions to Porterville
From Visalia, Tulare, Hanford or Fresno
Take HWY 65 South and exit on Olive Avenue. Turn left and head east, then turn left on Villa. Turn right on Putnam Avenue. The office is the fourth building on the right. If you reach the Sierra View Medical Center emergency room you have gone too far.
From Delano, Bakersfield, Pixley or Terra Bella
Take HWY 65 North and exit on Olive Avenue. Turn right and head east, then turn left on Villa. Turn right on Putnam Avenue. The office is the fourth building on the right. If you reach the Sierra View Medical Center emergency room you have gone too far.
Procedures
Natraj Surgery Center
Natraj Surgery Center
The Porterville location is home to the practice's ambulatory, same-day surgery center. Upper and lower endoscopy, colonoscopy, hernia repair, breast biopsies, mass removals, varicose vein treatment and other procedures are performed here, in a calm environment rather than a hospital one.
Patients receive one-on-one care throughout, and the process is built to keep people comfortable during the procedure and still send most of them home within an hour of finishing.
For referring physicians
General surgery referrals are accepted at both locations, including GERD, hiatal hernia, Barrett's esophagus, gallstones, hernia repair, screening colonoscopy and the full general-surgery range. There is a separate fax referral form for each office; both fax to the same number.
Fax referrals to (559) 782-8544. Questions: (559) 782-8533.
Dr. Tejal Pandya practices with Freedom Medical Group alongside Gaurang Pandya, M.D. Se habla español.
FAQs
How will this help if you're not actually my doctor?
The quiz, the guide, and the webinar are education, not treatment and not a diagnosis. Their job is to give you a framework and language for what has been happening in your body, so you can ask better questions of whoever is already caring for you. If you want Dr. Pandya as your treating physician, that is a separate path: becoming a patient at one of her California locations.
What exactly are you going to tell me that my other doctors didn't?
Dr. Pandya will explain the mechanical nature of your reflux disease — how your anatomy is contributing to your symptoms, why the medications you've been prescribed are not designed to solve the underlying problem, and how the pieces of your workup connect to each other in a way that points toward real next steps. She will validate what you already know: that something is wrong. And she will show you, specifically, what to do about it.
Why should I pay for a webinar when there is free information everywhere?
Free reflux information is abundant and mostly generic, which is exactly why people spend years collecting it without ever getting an explanation that fits. The webinar is the full version of how a foregut surgeon actually thinks about this problem, in one sitting, from someone who operates on it. Start with the quiz and the guide, both free, and decide from there whether the longer explanation is worth it to you.
Ready to Take the First Step?
You've spent years looking for someone who will actually get to the bottom of this. Start with a few questions about how reflux is affecting your life right now, and see where you land on the spiral.
© 2026 Tejal Pandya