Gastro-Oesophageal Reflux Disease (GERD)

General Medicine

Troublesome symptoms or complications from reflux of gastric contents into oesophagus.

History taking

  • Heartburn, regurgitation, especially postprandial and recumbent
  • Cough, hoarseness, asthma-like symptoms (extra-oesophageal)
  • Triggers: large meals, fatty/spicy food, alcohol, late dinners

Examination

  • Usually normal; check BMI, dental erosions

Red flags

  • Dysphagia, odynophagia, weight loss, GI bleed, anaemia
  • Chest pain — exclude cardiac

Differential diagnosis

  • Functional dyspepsia, eosinophilic oesophagitis
  • PUD, oesophageal motility disorder, malignancy

Recommended investigations

  • Clinical diagnosis if classic symptoms
  • Endoscopy if alarm symptoms, refractory, or >55
  • 24-h pH metry/impedance if diagnostic uncertainty

Diagnosis

  • Clinical + response to PPI; endoscopic findings (LA grading) if performed

Initial treatment / management

  • Lifestyle: weight loss, head-end elevation, last meal 3 h before bed, avoid triggers
  • PPI 8 weeks; step down to lowest effective dose

Prescription examples

  • Tab Pantoprazole 40 mg PO OD before breakfast x 8 weeks
  • Tab Domperidone 10 mg PO TDS before meals (if prokinetic needed)
  • Antacid suspension PRN

Follow-up advice

  • Review at 8 weeks; consider step-down or on-demand therapy
  • Endoscopy if symptoms persist or alarm features

Patient counselling

  • Sustained lifestyle change; weight loss key in obese
  • Risks of chronic PPI use

Referral criteria

  • Refractory GERD, suspected Barrett oesophagus, complications

Clinical pearls

  • Take PPI 30–60 min before meals for best efficacy
  • Barrett oesophagus mandates surveillance endoscopy

References

  • ACG Clinical Guideline: GERD 2022
  • NICE CG184: GORD in Adults

Educational outpatient guide — verify against local guidelines before clinical use.

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