GERD QUESTIONS AND ANSWERS RATED A+

GERD QUESTIONS AND ANSWERS RATED A+ Physiologic process of effortless movement of gastric contents into the esophagus. This process happens to all. Pathological is when this process causes damage to the esophagus, oropharynx, larynx or respiratory tree. GERD Hiatal hernia is a condition that makes patient more susceptible to ____ GERD Atypical or Extra Esophageal symptoms of GERD? Chest pain Dental erosions Asthma/Cough Hoarse Sore throat Aspiration Laryngeal ulcerations Stridor Classical symptoms of GERD? Heartburn, Regurg, Water Brash(hypersalivation that can occur before vomitting) What are "alarm signs" to look for with a person with GERD? Dysphagia, Wt. loss, Hematemesis, Lymphadenopathy Anemia, FOBT(Fecal Occult Blood Test) + Bleeding What is an "acceptable" outcome of GERD treatment? What is considered "control"? 1 episode of heartburn per week with NO nocturnal symptoms. How can you CLINICALLY dx GERD? If it responds to a course of acid suppression (antacids, H2A or PPI ) What are dx test you can do for GERD? Endoscopy and biopsy: normal appearance but abnormal bx, friable mucosa, erosions, ulcers, strictures. Barium swallow usually for dysphagia Ambulatory 24 pH assessment usually for atypical or unresponsive Manometrics to test for motility or LES pressure(most surgeons want this b4 they cotemplate surgery.) When should you order an Endoscope for a pt with GERD? Non response Alarm symptoms Chronicity when symptoms for longer than 5 yrs Atypical especially when combined with pH monitoring Treatment for GERD? Behavior changes Table 140-1 Antacids Histamine 2 Antagonists Proton Pump Inhibitors Sucralfate Motility agents Surgery- fundalplication Refer to Table 140-2 Atypical symptoms usually take double dosing and take months to respond except for chest pain which takes 3 weeks What is GLOBUS? Feeling of something stuck in back of throat and nothing is there. This is a common complaint for a person with GERD. What behaviour changes can be made to