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Digestive system Gastroesophageal reflux disease Upper gastrointestinal system

Overview Symptoms Treatment Prevention

Gastroesophageal reflux disease

Alternative Names: Peptic esophagitis; Reflux esophagitis; GERD; Heartburn - chronic Treatment: General measures include: Weight reduction Avoiding lying down after meals Sleeping with the head of the bed elevated Taking medication with plenty of water Avoiding dietary fat, chocolate, caffeine, peppermint (they may cause lower esophageal pressure) Avoiding alcohol and tobacco Medications that alleviate symptoms include: Antacids after meals and at bedtime Histamine H2 receptor blockers Promotility agents Proton pump inhibitors Anti-reflux operations (Nissen fundoplication) may help a small number of patients who have persistent symptoms despite medical treatment. There are also new therapies that can be performed through an endoscope (a flexible tube passed through the mouth into the stomach) for reflux. Text Continues Below Expectations (prognosis): The majority of people respond to nonsurgical measures with behavioral modification and medications. Complications: Inflammation of the esophagus Stricture Esophageal ulcer Hoarseness, bronchospasm Chronic pulmonary disease Barrett's esophagus (a change in the lining of the esophagus that can increase the risk of cancer) Calling your health care provider: Call your health care provider if symptoms worsen or do not improve with lifestyle changes or medication.

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