mx and px of GORD

Management and prognosis of gastro-oesophageal reflux disease (gord)

Mx:
Lifestyle: ENCOURAGE weightloss, raise bed head, small regular meals
AVOID hot drinks, alcohol, and eating <3h before bed. Avoid drugs affecting oesophageal motility (nitrates, anticholinergics, tricyclic anti-depressants) or that damage mucosa (NSAID, K+ salts, alendronate)




Drugs: antacids such as magnesium trisilicate mixture(10ml/8h) or alginates( gaviscon, 10-20ml/8h) to relieve symptoms

If sx persists for >4wks, or weight decreases, dysphagia, excessive vomiting, GI bleeding, refer for GI endoscopy.

Prokinetic drugs: help with gastrc emptying( metoclopramide)


Surgery: not indicated unless sx are bad and there is radiological or PH monitoring evidence of severe reflux.

PX is generally good