GORD

Question 1

What is Gord?

Answer 1

Gastro-oesophageal reflux disease is where acid from stomach refluxes through lower oesophageal sphincter and irritates lining of oesophagus.

Question 2

What are the risk factors of GORD ?

Answer 2

Hiatus hernia, obesity, smoking, trigger foods e.g. coffee and alcohol, medication (Decreases lower oesophageal sphincter e.g anticholinergics used for urinary incontinence, CCB

Question 3

What is the presentation of GORD?

Answer 3

Dyspepsia (indigestion)
Heartburn
Acid regurgitation
Epigastric pain

Question 4

Investigation for GORD?

Answer 4

-endoscopy of upper GI

Question 5

Initial Mx for GORD?

Answer 5

• Advice on reduce coffee, weight loss, stop medication
• PPI reduce gastric acid secretion e.g. lansoprazole
• Antacids buffering stomach acids e.g. Gavison Advance

Question 6

Red flags for referral?

Answer 6

2ww referral if suspicious of GI cancer, for endoscopy

• Dysphagia (trouble swallowing)
• Weight loss
• Treatment resistant dyspepsia
• Over 55