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 (2)[B].
Avoid meals 2 to 3 hours before bedtime (2)[B].
Avoid stooping, bending, and tight-fitting garments.
Track symptoms over time.
Repeat endoscopy in 4 to 8 weeks if there is a poor symptomatic response to medical therapy, especially in older patien...
Anderson WDIII, Strayer SM, Mull SR. Common questions about the management of gastroesophageal reflux disease. Am Fam Physician. 2015;91(10):692–697. [View Abstract on OvidMed...
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 primarily a historical diagnosis.
Consider GERD in nonsmokers with a chronic cough (>3 weeks).
Antisecretory therapy is the mainstay of pharmacotherapy for GERD.
PPIs provide t...
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