GORD Flashcards
1
Q
What is GORD?
A
Gastro-oesophageal reflux disease
Reflux of stomach contents +/- oesophagitis
2
Q
What is oesophagitis?
A
Inflammation of the oesophagus
3
Q
What is the pathophysiology of GORD?
A
Relaxation of the lower oesophageal sphincter
Reflux of stomach contents causing irritation due to low pH
4
Q
What are risk factors for developing GORD?
A
Increasing age Family history of heartburn/GORD Hiatus hernia Obesity Smoking
5
Q
What are the symptoms of GORD?
A
Heartburn - burning in chest after meals
Acid regurgitation
Bloating
6
Q
What are the investigations for GORD?
A
No investigations indicated - just PPI trial
7
Q
How is GORD managed?
A
PPI trial
- omeprazole 20mg PO OD
- 8 weeks
Continued if symptom relief
8
Q
What lifestyle advice can be given to patients?
A
Weight loss
Smoking cessation
Identify + remove trigger foods
9
Q
What foods can trigger GORD?
A
Chocolate Caffeine Alcohol Acidic foods Spicy foods
