GORD

Question 1

What is the pathophysiology of GORD?

Answer 1

1. lower oesophageal dysfunction
2. reflux of gastric contents
3. oesophagitis

Question 2

Name 3 major oesophageal symptoms?

Answer 2

1. Retrosternal pain
2. Regurgitation / Belching - Acid/water brash
3. Odynophagia - painful swallowing

Question 3

What are the features of pain in GORD?

Answer 3

1. Retrosternal pain
   - related to meals ( worse after spicy meals/ alcohol )
   - worse lying down

Question 4

Name 3 extra oesophageal symptoms?

Answer 4

1. nocturnal asthma
2. chronic cough
3. laryngitis / sinusitis

Question 5

Name 3 complications of GORD?

Answer 5

1. oesophagitis / ulceration
2. benign strictures - dysphagia sx
3. laryngitis / sinusitis

Question 6

Name 4 differentials to GORD?

Answer 6

1. oesophagitis
2. peptic ulcer disease
3. oesophageal cancer

Question 7

Name 3 risk factors for GORD?

Answer 7

1. Haitus hernia - (sliding 80%) is associated with Gord
2. Life style factors
3. Pregnancy
4. Drugs

Question 8

Name 3 drugs which increases risk of GORD?

Answer 8

1. antimuscarinics
2. nitrates
3. calcium channel blockers

Question 9

Name 3 lifestyle factors which increase risk of GORD?

Answer 9

1. smoking
2. alcohol
3. obesity