GORD

Question 1

What is GORD?

Answer 1

Symptoms due to reflux of stomach contents (acid/bile)

Question 2

Common presentations of GORD?

Answer 2

Retrosternal chest pain (‘heartburn’), belching (burp), dyspepsia (indigestion), nocturnal asthma.

Question 3

Risk factors for GORD?

Answer 3

1) Lifestyle (smoking, alcohol, obesity, stress)
2) Lower esophageal stricture
3) Hiatus hernia - stomach goes diaphragm hole.

Question 4

Investigations for GORD?

Answer 4

1) 24h oesophageal pH monitoring
2) H-pylori screen
3) Endoscopy - dysphagia OR suspected peptic ulcer (>55 + ALARMS symptoms)

Question 5

Managing GORD?

Answer 5

1) Judge if specialist referral (e.g. Chest Pain = CV)
2) Lifestyle (smoking/alcohol cessation, weight loss)
3) Medication

Question 6

Complications of GORD

Answer 6

1) Oesophagitis - ulceration/stricture

2) Barrett’s Oesphagus > Oesphageal Cancer

Question 7

Medical Management of GORD?

Answer 7

1) Gaviscon (alginate)
2) PPI OD (long term if stricture forms)
3) H2 blocker (persistent disease)