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GORD (PATHOLOGY (GORD w/x endoscopic findings, Oesophagitis, Ulceration,…
GORD
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PRESENTATION
Heartburn + retrosternal discomfort- rising burning feeling, related to meals/lying down/stooping, straining. Antacids relieve.
Brash - acid (reflux), water (saliva)
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Resp - chronic hoarseness / cough / asthmatic symptoms, SOB. Aspirations > abscess/pneumonia
AETIOLOGY
^intra-abdo pressure - obese, pregnancy, tight clothes
lifestyle - caffeine, smoking (relaxes tone), alcohol, fatty foods (delay empting)
biological - hiatus hernia, inadequate cardiac sphincter, systemic sclerosis
Medication - TCAs, anticholinergic, CCB
EPIDEMIOLOGY
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25% population heart burn, 5% daily