How is gerd diagnosed




















Gelhot received her pharmacy degrees from the University of Cincinnati and completed a postdoctoral residency in pharmacy practice at the University of Kentucky. Address correspondence to Aimee R. Gelhot, Pharm. Reprints are not available from the authors. Orlando RC. The pathogenesis of gastroesophageal reflux disease: the relationship between epithelial defense, dysmotility, and acid exposure.

Am J Gastroenterol. Natural course of gastroesophageal reflux disease: 17—22 year follow-up of 60 patients. The relationship between gastroesophageal reflux disease and its complications with Barrett's esophagus. Fennerty MB. Medical treatment of gastroesophageal reflux disease in the managed care environment. Semin Gastrointest Dis. Arch Intern Med. Kahrilas PJ.

Gastroesophageal reflux disease. Composition and concentration of bile acid reflux into the esophagus of patients with gastroesophageal reflux disease. Quigley EM. Gastroesophageal reflux disease: the roles of motility in pathophysiology and therapy [Editorial].

Katz PO. Pathogenesis and management of gastroesophageal reflux disease. J Clin Gastroenterol. Can the combination of symptoms and endoscopy confirm the presence of gastroesophageal reflux disease. Am Surg. Richter JE. Typical and atypical presentations of gastroesophageal reflux disease: the role of esophageal testing in diagnosis and management.

Gastroenterol Clin North Am. Omeprazole as a diagnostic tool in gastroesophageal reflux disease. Gastroesophageal reflux disease: correlation of esophageal pH testing and radiographic findings.

Gastroesophageal reflux disease: current strategies for patient management. Arch Fam Med. Long-term management of gastroesophageal reflux disease and its complications. Rationale and efficacy of conservative therapy for gastroesophageal reflux disease. J Pharm Pract. Howden CW. Optimizing the pharmacology of acid control in acid-related disorders. Role of gastric acid suppression in the treatment of gastro-oesophageal reflux disease. Clinical effectiveness and quality of life with ranitidine vs placebo in gastroesophageal reflux disease patients: a clinical experience network CEN study.

J Fam Pract. A comparison of five maintenance therapies for reflux esophagitis. N Engl J Med. Long-term treatment with omeprazole for refractory reflux esophagitis: efficacy and safety. Ann Intern Med. Effective maintenance treatment of reflux esophagitis with low-dose lansoprazole: a randomized, double-blind, placebo-controlled trial.

Comparative role of omeprazole in the treatment of gastroesophageal reflux disease. Ann Pharmacother. Concurrent use of antiulcerative agents. The surgical option for gastroesophageal reflux disease. Am J Med. Guest editors of the series are Bryan F. Yeager, Pharm. Matheny, M. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv aafp.

Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Previous: Diary from a Week in Practice. Mar 1, Issue. Gastroesophageal Reflux Disease: Diagnosis and Management. Management of gastroesophageal reflux disease. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription.

Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Navigate this Article. Citrus fruits and juices. Tomato-based products. Magnesium-aluminum combinations. Minor changes in bowel function. Antacids liquids and tablets. H 2 -receptor blockers. Proton pump inhibitors.

Propranolol Inderal. Calcium channel blockers. Chlordiazepoxide Librium. Metronidazole Flagyl. Lidocaine Xylocaine. GERD can usually be controlled with medication. But if medications don't help or you wish to avoid long-term medication use, your doctor might recommend:. Transoral incisionless fundoplication TIF. This new procedure involves tightening the lower esophageal sphincter by creating a partial wrap around the lower esophagus using polypropylene fasteners.

TIF is performed through the mouth with a device called an endoscope and requires no surgical incision. Its advantages include quick recovery time and high tolerance. If you have a large hiatal hernia, TIF alone is not an option. However, it may be possible if TIF is combined with laparoscopic hiatal hernia repair. There is a problem with information submitted for this request. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news.

You can unsubscribe at any time. Error Email field is required. Error Include a valid email address. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices.

You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Your in-depth digestive health guide will be in your inbox shortly. You will also receive emails from Mayo Clinic on the latest health news, research, and care.

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. No alternative medicine therapies have been proved to treat GERD or reverse damage to the esophagus.

Some complementary and alternative therapies may provide some relief, when combined with your doctor's care. Talk to your doctor about what alternative GERD treatments may be safe for you.

The options might include:. In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment anytime you don't understand something.

Your doctor is likely to ask you a number of questions. Being ready to answer them may leave time to go over points you want to spend more time on. You may be asked:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. Two types of esophageal pH monitoring are. Your doctor will use this information to see how your diet, sleep, and symptoms relate to acid reflux in your esophagus.

The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public.

What tests do doctors use to diagnose GERD?



0コメント

  • 1000 / 1000