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GERD (sx (heart burn, epigastric pain, tooth decay, occurrence once or…
GERD
sx
heart burn
epigastric pain
tooth decay
occurrence once or more/ week
stomach content pH will be alkaline
Barret's esophagus
lesions in esophagus
risk for hemmorhage
risk for aspiration
esophagus can perforate
risk for malnutrition
Education
no smoking, caffeine, alcohol
elevate bed on blocks
sit up after eating for at least 3 hr,
no peppermint because it relaxes
small frequent meals
Tx
PPI
make more susceptible to C.diff
Cause bone fractures
antacids
H2 antagonist
not one single cause
esophageal defenses overwhelmed by gastric acid re-flux
incompetent LES
Chronic
can cause cancer
lead to stricture
Diagnostics
Barium swallow
EGD (if no erosion)