GORD Flashcards
1
Q
What is GORD?
A
Gastro-oesophageal reflux disease (sphincter dysfunction)
2
Q
What are the risk factors for GORD? (5)
A
NSAIDs Obesity Pregnancy Alcohol Hiatus hernia
3
Q
What are the clinical presentations of GORD? (3)
A
Heartburn/ acid taste
Cough
Hoarseness/ sore throat
4
Q
What are some exacerbating factors for GORD? (3)
A
Lying flat
Stooping
Smoking
5
Q
How would you investigate GORD?
A
Check for improvement with PPI
Oesophageal pH
6
Q
How would you manage GORD non-pharmacologically? (4)
A
Stop smoking
Weight loss
Reduce alcohol
Avoid large meals/ bedtime meals
7
Q
How would you manage GORD pharmacologically? (2)
A
PPI - omeprazole, lansoprazole
Ranitidine
8
Q
What is a common complication of GORD?
A
Barrett’s oesophagus (stratified squamous to columnar epithelium) = high risk of cancer
