Gastroesophageal Reflux Disease
Alarm symptoms. Keep in mind that extraesophageal presentations may be multifactorial, and it may be difficult to establish that reflux, even if present, is actually the cause.
Similarly, dysphagia along with typical or atypical symptoms warrants investigation for potential complications such as underlying motility disorder, esophageal stricture, esophageal ring, or malignancy. Figure 1 shows our proposed algorithm.
Despite this limitation, a trial of PPI therapy should be offered to patients presenting with typical symptoms and no alarm features. This approach has been found to be more cost-effective than proceeding directly to diagnostic testing. Even the diseases we deal with every day sometimes warrant a second look.
Management of Gastroesophageal Reflux Disease.
The diagnosis and treatment of Barrett's esophagus are fraught with unresolved questions. GERD often causes noncardiac chest pain, asthma, and ear, nose, and throat problems. Aggressive prevention of acid reflux, using either drugs or Often starting in childhood, this disease progresses until the esophagus is visibly narrowed on radiography. Skip to main content.
GERD: Diagnosing and treating the burn. Cleveland Clinic Journal of Medicine.
- GERD: Diagnosing and treating the burn!
- Gastroesophageal Reflex Disease (GERD) Referral Guidelines.
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Endoscopy is indicated for patients who have alarm symptoms such as dysphagia, weight loss, and bleeding; it is unnecessary in patients who have typical GERD symptoms. Ambulatory pH monitoring should be used in patients whose symptoms do not respond to a PPI and those in whom antireflux surgery is being considered.
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- Behavior of LWR Core Materials Under Accident Conditions (IAEA TECDOC-921).
- 34th Hemophilia Symposium: Hamburg 2003;
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However, many people can improve their symptoms by Avoiding alcohol and spicy, fatty or acidic foods that trigger heartburn Eating smaller meals Not eating close to bedtime Losing weight if needed Wearing loose-fitting clothes NIH: National Institute of Diabetes and Digestive and Kidney Diseases. Start Here. Diagnosis and Tests. Treatments and Therapies. Feeling the Burn?
Related Issues. Clinical Trials. Article: Comparison of tube feeding in stroke patients: Nasogastric tube feeding versus Article: Association of serum gastric inhibitory polypeptide and pancreatic polypeptide levels with Article: Relationship between esophageal motility and severity of gastroesophageal reflux disease according GERD -- see more articles. Find an Expert.
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