GERD

Question 1

Excessive back-flow of gastric and duodenal contents into the esophagus due to incompetent lower esophageal
sphincter

Answer 1

GERD

Question 2

clinical manifestations of GERD

Answer 2

• Burning sensation in the esophagus (Pyrosis)
• Dyspepsia (Indigestion)
• Dysphagia
• Hypersalivation
• Esophagitis

Question 3

nsg mngmt for GERD

Answer 3

ü Teaching the patient to avoid actions that decrease lower esophageal sphincter pressure or cause esophageal
irritation
ü Low fat diet
ü Maintain normal body weight
ü Avoid caffeine, tobacco, beer, milk, and carbonated drinks, spicy foods
ü Avoid eating/drinking 2hours before bedtime.
ü Avoid tight fitting clothes
ü Elevate head of bed on 6 to 8 inches.
ü Avoid lying after meals

Question 4

surgical management for GERD

Answer 4

ü Nissen Fundoplication
ü Wrapping of a portion of the gastric fundus around the sphincter area of the esophagus.

Question 5

causes of GERD

Answer 5

caffeine
hiatal hernia

Question 6

ptyalism

Answer 6

hypersalivation

Question 7

management for ptyalism

Answer 7

oral care
chew less sugar gum/candy