Gastroesophageal reflux disease: Difference between revisions

(Created page with "==Background== *Affects up to 20% of population *Assume chest pain is cardiac origin until proven otherwise *Causes #Decreased pressure of lower esophageal sphincter ##High-fat f...")
 
Line 34: Line 34:


==See Also==
==See Also==
*[[Abdominal Pain]]


==Source==
==Source==

Revision as of 21:51, 27 February 2014

Background

  • Affects up to 20% of population
  • Assume chest pain is cardiac origin until proven otherwise
  • Causes
  1. Decreased pressure of lower esophageal sphincter
    1. High-fat food
    2. Nicotine
    3. Ethanol
    4. Caffeien
    5. Meds (mintrates, CCBs, anticholinergics, progesterone/estrogen)
    6. Pregnancy
  2. Decreased esophageal motility
    1. Achalasia
    2. Scleroderma
    3. Diabetes
  3. Prolonged gastric emptying
    1. Anticholinergics
    2. Outlet obstruction
    3. Diabetic gastroparesis
  4. High-fat food

Diagnosis

  • Pain and discomfort w/ meals
  • Chest pain w/ features similar to ACS:
    • Exertional, a/w diaphoresis, N/V, radiating to arm

Treatment

  1. Avoid GERD exacerbating agents (ETOH, caffeine, nicotine, chocolate, fatty foods)
  2. Sleep w/ head of bed elevated
  3. Avoid eating w/in 3hr of sleep
  4. PPI or H2 blocker

Disposition

See Also

Source

Tintinalli

Retrieved from "https://www.wikem.org/w/index.php?title=Gastroesophageal_reflux_disease&oldid=17771"