Changes of the esophageal mucosa resulting from reflux of gastric contents into the esophagus
Often described as “heartburn,” “acid indigestion,” and “acid reflux”
Typical symptoms: acid regurgitation, heartburn, dysphagia (mostly postprandial)
Atypical symptoms: epigastric fullness/pressure/pain, dyspepsia, nausea, bloating, belching, chest pain...
Elevate head of bed (1)[B].
Avoid meals 2 to 3 hours before bedtime (1)[B].
Avoid stooping, bending, and tight-fitting garments.
Monitor symptoms over time. Consider additional workup and/or treatment if symptoms fail to improve after 8 weeks of PPI treatment.
Anderson WDIII, Strayer SM, Mull SR. Common questions about the management of gastroesophageal reflux disease. Am Fam Physician. 2015;91(10):692–697.
Kellerman R, Kintanar T. G...
K21.9 Gastro-esophageal reflux disease without esophagitis
K21.0 Gastro-esophageal reflux disease with esophagitis
530.81 Esophageal reflux
530.11 Reflux esophagitis
GERD is diagnosed primarily by an accurate medical history.
Consider GERD in nonsmokers with a chronic cough (>3 weeks).
PPIs provide the most rapid symptomatic relief and healing of ...
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