Gastroesophageal reflux disease GERD

Gastroesophageal reflux disease
  • History / PE:
    Retrosternal burning
    Chronic cough
    Water brash (regurgitation of sour fluid into the mouth)
    Asthma -like symptoms that only occur at night
  • Diagnosis:
    24-hour pH recording
  • Treatment:
    H2 receptor antagonist (eg. ranitidine)
    Proton pump inhibitor (eg. omeprazole)
    Surgical fundoplication (refractory to medical therapy)
  • Complications:
    Barrett's esophagus
    Peptic stricture formation
    Erosive esophagitis
  • Notes:
    In infants, GERD manifested by "posturing of Sandifer's syndrome" (tilted head and arched back)
  • See Also:
    Peptic ulcer disease
  • Differential Diagnosis:
    Acute coronary syndrome

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August 10th 2010