GERD

Risk Factors

  • ETOH
  • Smoking
  • Caffeine
  • Chocolate
  • Mint
  • Pregnancy
  • Hiatal hernia
  • Associated with obesity
  • Rarely: scleroderma, mixed connective tissue d/o, other autoimmune dz

Symptoms

  • Chronic/recurrent burning type pain
  • Often worse after meals
  • Worse if lie down after eating
  • Bad taste in mouth
  • Radiates up from epigastrium, nausea, sometimes vomiting
  • Extraesophageal sx→ cough, wheezing, laryngitis

Physical Exam Findings

  • May have black stools (if significant bleeding) and guaiac +