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GERD : (Diagnostic test (Endoscopy (To identify complications of GERD,…

- - - - Weight reduction
      - Avoid tight clothing
      - Modify diet
      - Elevate head of bed 6-8inch
      - Avoid eating 2-3h before bedtime
  - - - Neutralize acid and raise gastric pH
      - First line treatment for intermittent
      - Not appropriate for established esophageal erosion
    - - Reversibly inhibit histamine-2 receptors on parietal cell
      - Intermittent mild to moderate Gerd symptoms
      - cimetidine, famotidone
    - - Irreversibly inhibit gastric acid secretion
      - Can be use to manage erosive gerd
      - Omeprazole, lansoprazole
    - - Metoclopramide
        
        Increase LES pressure in a dose-related manner,
        
        Accelerates gastric emptying time in GERD patients
- - - - Typical reflux syndrome
        
        Reflux chest pain syndrome
    - - Reflux esophagitis
        
        Reflux stricture
        
        Barrett’s esophagus
        
        Esophageal adenocarcinoma
  - - - Reflux cough syndrome
        
        Reflux laryngitis syndrome
        
        Reflux asthma syndrome
        
        Reflux dental erosion syndrome
    - - Pharyngitis
        
        Sinusitis
        
        Idiopathic pulmonary fibrosis
        
        Flecurrent otitis media