GERD
due to Transient LES relaxation
SX â Heartburn (pyrosis), regurgitation, dysphagia, CP, cough, N/V
PE â
⢠CV, lungs, abd
Next Steps
DX â usually based on symptoms For severe or chronic GERD ⢠Gastrin level, H. Pylori ⢠Imaging: barium swallow, esophageal pH monitoring, esophageal manometry ⢠EGD (may show Barretts Esophagus) â> squamous to columnar metaplasia
Health Tips
TX â H2 blockers - Ranitidine 150mg BID PPIs - Omeprazole 20mg QD Weight loss