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What is GERD? - ANSWER ✔✔gastroesophageal reflux disease
Acidic gastric contents overwhelm esophageal defenses which causes
irritation/inflmmation
Diagnostic Studies for GERD - ANSWER ✔✔Upper GI endoscopy,
Esophagram (Barium swallow), Motility (Manometry) studies, pH
monitor, radionuclide studies
Most common sign of GERD - ANSWER ✔✔Pyrosis (Heartburn)
, Manifestations of Pyrosis - ANSWER ✔✔Burning, tight sensation
over lower sternum that radiates into jaw, mimics signs of angina but is
relieved by antacid
Other common signs of GERD - ANSWER ✔✔Dyspepsia:
pain/discomfort in upper abdomen
Regurgitation: hot, butter, sour liquid in mouth throat
Respiratory issues: wheezing, coughing, dyspnea, nighttime
disturbances, sore throat, lump in throat, choking increased saliva
Primary Risk Factor for GERD - ANSWER ✔✔Incompetent LES
(lower esophageal sphincter)
Complications of GERD (4) - ANSWER ✔✔Esophagitis: Ulcerations
may lead to scar tissue, stricture, dysphasia
Barrett's Esophagus (BE): metaplasia of cells, increase risk for cancer
Respiratory issues (cough, bronchospasm, laryngospasm, can lead to
chronic bronchitis, pneumonia)
Dental Erosion
Recommendations for patient care/teaching - ANSWER
✔✔Encourage changes in diet/lifestyle