GERD
Protocols
Clinical Features:
- A burning sensation in your chest (heartburn), usually after eating,which might be worse at night or while lying down.
- Backwash (regurgitation) of food or sour liquid.
- Upper abdominal or chest pain.
- Trouble swallowing (dysphagia)
- Sensation of a lump in your throat.
Atypical Presentation:
- Belching
- Bloating
- Dyspepsia
- Epigastric pain
Extra-esophageal presentation:
- Cough
- Hoarseness
- Dental erosion
Investigation:
1. Upper GI endoscopy
2.24 hour esophageal pH monitoring
3. Esophageal manometry
🏮Rx:
1.Diet: Soft & liquid
- Small proetin
- Eat atlest 3 hours before bed Time
- Avoid Bevarage foods
2. Recommendation
- Weiht reduction -if patient obse
- Elevate the head in the bed (25 degree) to reduce night symptoms
Avoid teggaring factors - Like somking .
3. Tab. Esonix ([post id="392" title="Esomeprazole"]) (20mg) ১+০+১....15 days( 30 min before meal)
4.Tab. Motigut ([post id="465" title="Domperidone"]) (10mg)..১+১+১ (before meal)...10 days
5. Tab.Beklo([post id="473" title="Baclofen"])(10mg) 1+0+1...7 days
6. Syp/Tab. Maganta plus 2 tsf* 3times….1 month(after meal)
7. Tab.Esita ([post id="487" title="Escitalopram"])(10mg) 1+0+0….1 month
Advice:
- Maintain a healthy weight.
- Stop smoking.
- Elevate the head of your bed.
- Don't lie down after a meal.
- Eat food slowly and chew thoroughly.
- Avoid foods and drinks that trigger reflux.
- Avoid tight-fitting clothing.