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Gastroesophageal reflux - discharge
Peptic esophagitis - discharge; Reflux esophagitis - discharge; GERD - discharge; Heartburn - chronic - discharge
Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This articles tells you what you need to do to manage your condition.
When You're in the Hospital
You have gastroesophageal reflux disease (GERD). This is a condition in which food or liquid travels backwards from the stomach into the esophagus (the tube from the mouth to the stomach).
Gastroesophageal reflux disease
Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from...
You may have had tests to help diagnose your GERD or complications you have from it.
Self-care
You can make many lifestyle changes to help treat your symptoms. Avoid foods that cause problems for you.
- DO NOT drink alcohol.
- Avoid drinks and foods that have caffeine, such as soda, coffee, tea, and chocolate.
- Avoid decaffeinated coffee. It also increases the level of acid in your stomach.
- Avoid high-acid fruits and vegetables, such as citrus fruits, pineapple, tomatoes, or tomato-based dishes (pizza, chili, and spaghetti) if you find that they cause heartburn.
- Avoid items with spearmint or peppermint.
Other lifestyle tips that may make your symptoms better are:
- Eat smaller meals, and eat more often.
- Lose weight, if you need to.
- If you smoke or chew tobacco, try to quit. Your health care provider can help.
- Exercise, but not right after eating.
- Reduce your stress and watch for stressful, tense times. Stress can bother your reflux problem.
- Bend at the knees, not your waist, to pick things up.
- Avoid wearing clothes that put pressure on your waist or stomach.
- Do not lie down for 3 to 4 hours after eating.
Avoid medicines such as aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). Take acetaminophen (Tylenol) to relieve pain. Take any of your medicines with plenty of water. When you start a new medicine, remember to ask if it will make your heartburn worse.
Try these tips before going to sleep:
- DO NOT skip meals or eat a large meal for dinner to make up for missed meals.
- Avoid late night snacks.
- DO NOT lie down right after you eat. Remain upright for 3 to 4 hours before you go to bed.
- Raise your bed 4 to 6 inches (10 to 15 centimeters) at the head of your bed, using blocks. You can also use a wedge support that raises the top half of your body when you are in bed. (Extra pillows that raise only your head may not help.)
Drug Treatment
Antacids can help neutralize your stomach acid. They do not help to treat the irritation in your esophagus. Common side effects of antacids include diarrhea or constipation.
Antacids
Heartburn - antacids; Reflux - antacids; GERD - antacids
Other over-the-counter drugs and prescription drugs can treat GERD. They work more slowly than antacids but give you longer relief. Your provider can tell you how to take these drugs. There are two different types of these drugs:
- H2 antagonists: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), and nizatidine (Axid)
- Proton pump inhibitors (PPI): omeprazole (Prilosec or Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), and pantoprazole (Protonix)
Follow-up
You will have follow-up visits with your provider to check your esophagus. You may also need to have dental check-ups. GERD can cause the enamel on your teeth to wear away.
When to Call the Doctor
Call your provider if you have:
- Problems or pain with swallowing
- Choking
- A full feeling after eating a small meal portion
- Weight loss that cannot be explained
- Vomiting
- Loss of appetite
- Chest pain
- Bleeding, blood in your stools, or dark, tarry looking stools
- Hoarseness
References
Falk GW, Katzka DA. Diseases of the esophagus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 138.
Katz PO, Gerson LB, Vela MF. Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol . 2013;108(3):308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381 .
Richter JE, Friedenbert FK. Gastroesophageal reflux disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease . 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 44.
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Gastroesophageal reflux disease - illustration
A band of muscle fibers, the lower esophageal sphincter, closes off the esophagus from the stomach. If the sphincter does not close properly, food and liquid can move backward into the esophagus and cause heartburn and other symptoms known as gastroesophageal disease (GERD). To alleviate symptoms dietary changes and medications are prescribed. For a patient who has persistent symptoms despite medical treatment, an anti-reflux operation may be an option.
Gastroesophageal reflux disease
illustration
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Gastroesophageal reflux disease - illustration
A band of muscle fibers, the lower esophageal sphincter, closes off the esophagus from the stomach. If the sphincter does not close properly, food and liquid can move backward into the esophagus and cause heartburn and other symptoms known as gastroesophageal disease (GERD). To alleviate symptoms dietary changes and medications are prescribed. For a patient who has persistent symptoms despite medical treatment, an anti-reflux operation may be an option.
Gastroesophageal reflux disease
illustration
Review Date: 12/8/2016
Reviewed By: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
