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Gastroesophageal Reflux Disease
Alternate Names : GERD, Heartburn, Reflux Esophagitis
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What are the treatments for the disease?
People with GERD can minimize symptoms by taking the following steps:
Avoid carbonated drinks and fruit juices.
Avoid eating food within three hours of bedtime.
Avoid fatty or spicy foods.
Don't smoke or use tobacco products.
Eat small, frequent meals.
Limit caffeine intake.
Limit intake of alcohol, especially red wine.
Manage weight to avoid obesity.
Sleep with the head of the bed elevated.
Stay upright after eating.
Some of the common medical and surgical treatments for GERD include the following:
fundoplication, a surgical procedure that strengthens the esophageal sphincter
gastrointestinal, or GI, stimulants that empty the stomach faster, such as metoclopramide
H2 blockers, such as cimetidine, ranitidine, and famotidine
proton-pump inhibitors, such as esomeprazole, omeprazole, lansoprazole, or rabeprazole
A surgical procedure known as dilation is done to correct an esophageal stricture. The surgeon passes a series of dilators down the esophagus. The dilators gently stretch the narrowed opening apart.
What are the side effects of the treatments?
Medications used to treat GERD may cause dry mouth, bloating, and allergic reactions. Surgery can cause bleeding, infection, and allergic reaction to anesthesia.
What happens after treatment for the disease?
Treatment of GERD is lifelong to avoid complications such as Barrett's esophagus.
How is the disease monitored?
Any new or worsening symptoms should be reported to the healthcare provider.
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Author: Bill Harrison, MD Reviewer: Barbara Mallari, RN, BSN, PHN Date Reviewed: 08/20/01
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