GERD

Question 1

GERD

Answer 1

A disorder characterized by backflow of acidic cast content in the esophagus

Question 2

GERD Causes/incidence

Answer 2

Incompetent lower esophageal sphincter

Delayed gastric emptying

Question 3

GERD signs/symptoms

Answer 3

Retrosternal Burning
Bitter taste in mouth
Belching, hiccups, dysphasia
Excessive salivation
Frequently occurs at night and or in recumbent position
Maybe relieved by sitting up, antacids, water or food

Question 4

GERD diagnostics

Answer 4

Consider a referral for EGD: rollout cancer, Barrett’s esophagus, peptic ulcer disease

Question 5

GERD Management

Answer 5

NonPharmacologic 
Elevated head of bed
Avoid alcohol, caffeine, spices, peppermint
Stop smoking
Weight loss if obese

Antacids as needed
H2 blockers in high doses at night or divided twice a day dosing
Proton pump inhibitor if H2 blockers are ineffective
G.I./surgical consult prn