GERD Flashcards
1
Q
When is emperical treatment can be given to GERD?
A
When it is uncomplicated?
2
Q
What makes GERD “complicated”?
A
- Dysphagia, Choking, Coughing, SOB, Hoarseness, Pain with swallowing
- Chest pain
- Recurrent vomiting
- Bleeding, Anemia
- Wgt loss
3
Q
What GERD is complicated?
A
- pH testing: manometry
- Endoscopy
4
Q
When is endoscopy indicated for eval GERD?
A
- despite initial treatment, sx persists
- Atypical presentation (complicated)
- Male > 50 with chronic GERD + additional risk factors for Barrett’s
- Severe erosive esophagitis
5
Q
RF for GERD?
A
- obesity
- hiatal hernia
- use of estrogen, nitro
- Tobacco
6
Q
What are the management for GERD?
A
- Rx (PPI, H2 antagonist)
- Stop irritating food/drug
- Drinking H2O
7
Q
What are common food irritants?
A
- EtOH
- Chocolate, Spicy food, etc
8
Q
What defines mild intermittent GERD?
A
9
Q
What defies mod/severe GERD?
A
> 2 episodes a week
- erosive esophagitis
- GERD does not resolve on H2 blocker
10
Q
What is the Rx for mild intermittent GERD?
A
H2 blocker or PPI
11
Q
What is the Rx for mod/sevvre GERD?
A
PPI
